Work-related injury burden, workers' compensation claim filing, and barriers: Results from a statewide survey of janitors.

Work-related injury burden, workers' compensation claim filing, and barriers: Results from a statewide survey of janitors.
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DOI:
10.1002/ajim.23319
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发表时间:
2022-03
影响因子:
3.5
通讯作者:
Foley, Michael P.
Foley, Michael P.
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, Naomi J.;Smith, Caroline K.;Foley, Michael P.

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清洁工是一群工资低、种族和语言多样化、难以接触到的工人群体,职业伤害和职业病的负担很高。对华盛顿州清洁工进行的广泛多模式(邮件、电话、网络)调查的数据进行了分析,以描述他们的工作条件和职业健康经历。该调查包括有关人口统计、工作组织和任务、健康和安全主题以及歧视和骚扰的问题。该调查以八种语言进行。共有 620 份完整访谈。大多数人通过邮件(62.6%)和英语(85.8%)完成了调查。超过一半的受访清洁工是女性(56.9%),平均年龄为 45 岁。 20% 的人报告在过去 12 个月内(​​经医疗保健提供者诊断)患有与工作相关的伤害或疾病 (WRII)。拉丁裔女性和清洁工患 WRII 的相对风险显着较高。风险增加还与一些工作组织因素有关,这些因素可能表明工作条件差、睡眠不足和可能的抑郁症。一半受伤的清洁工没有提出工伤赔偿 (WC) 索赔。看门人报告 WRII 的比例很高,超出了华盛顿州之前发布的估计。女性和拉丁裔清洁工的 WRII 风险显着增加,清洁工的工作条件可能会影响风险的不平等分布。通过厕所或看门人和其他低工资职业的医疗保健使用情况进行的 WRII 监测可能反映出严重的漏报情况。描述清洁工工作经历的性质有助于确定预防、干预和政策改变的途径,以保护清洁工的健康和安全。
Janitors are a low‐wage, ethnically and linguistically diverse, hard‐to‐reach population of workers with a high burden of occupational injury and illness. Data from an extensive multimodal (mail, phone, web) survey of janitors in Washington State were analyzed to characterize their working conditions and occupational health experiences. The survey included questions on demographics, work organization and tasks, health and safety topics, and discrimination and harassment. The survey was administered in eight languages. There were 620 complete interviews. The majority completed the survey by mail (62.6%), and in English (85.8%). More than half of responding janitors were female (56.9%), and the mean age was 45 years. Twenty percent reported having a (health‐care‐provider diagnosed) work‐related injury or illness (WRII) in the past twelve months. Women and janitors who were Latino had significantly higher relative risk of WRII. Increased risk was also associated with several work organization factors that may indicate poor working conditions, insufficient sleep, and possible depression. Half of injured janitors did not file workers' compensation (WC) claims. Janitors reported a high percentage of WRII, which exceeded previously published estimates from Washington State. Women and Latino janitors had significantly increased risk of WRII, and janitors' working conditions may influence the unequal distribution of risk. WRII surveillance via WC or medical care usage in janitors and other low‐wage occupations may reflect substantial underreporting. Characterizing the nature of janitors' work experience can help identify avenues for prevention, intervention, and policy changes to protect the health and safety of janitors.
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