A case-control study of eye injuries in the workplace in Hong Kong
A case-control study of eye injuries in the workplace in Hong Kong
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DOI：
10.1016/j.ophtha.2003.05.018
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发表时间：
2004-01-01
期刊：
影响因子：
13.7
通讯作者：
Hui, K
中科院分区：
文献类型：
--
作者：
Yu, TSI;Liu, HJ;Hui, K
目的：眼外伤在世界范围内是常见的。本研究旨在探讨香港地区眼外伤的危险因素及预防措施。设计：病例对照研究。对象：239例眼外伤患者，253例无眼外伤史的受试者作为对照。方法：所有工作事故病例的患者-参加者包括于2000年首3个月内在本港三间主要公立医院眼科诊所求诊的眼科医生。对照组选自一般人群，并根据性别与患者进行频率匹配。患者接受了面对面的采访，由训练有素的采访者在眼科诊所，使用结构化问卷。电话访谈用于controls.Main结果措施：与眼损伤的危险和保护因素。结果：在眼损伤的情况下，158例（66.1%）报告发生1次眼损伤在就业期间，49例（20.5%）遭受了2次发作，32例（13.4%）经历了大于或等于3眼损伤在工作中。大多数患者（85.4%）在受伤时未佩戴任何防护装置。经常佩戴护目镜的受试者发生眼损伤的可能性较小（比值比[OR] = 0.29，95%置信区间[Cl] = 0.14-0.62）。有佩戴安全眼镜的安全要求与眼损伤呈负相关（OR = 0.31，95%CI = 0.15-0.62）。多变量分析表明，暴露于某些工作危害和在建筑行业工作与眼损伤呈正相关。受试者谁在他们目前的工作时间较长，谁报告就业前接受工作安全培训，或其机器或设备定期维护或维修的雇主在较低的风险经历眼injure.Conclusions：建筑工人和那些暴露于多种危险可能会在工作中眼睛受伤。应向他们提供有效防止这种接触的保护装置。健康教育和安全培训对预防眼睛受伤很重要。机器和设备的维护和修理可以有效地减少或消除照射源。
Objective: Eye injury in the workplace is common worldwide. This study proposed to explore both risk and preventive factors re eye injuries in Hong Kong.Design: Case-control study.Participants: A total of 239 work-related eye injury patients, and 253 subjects without a history of any eye injury as controls.Methods: Patients with all incident cases of work-related eye injuries attending the ophthalmology clinics of 3 major public hospitals in Hong Kong during the first 3 months of 2000 were invited to participate. Controls were selected from the general population and were frequency matched to patients based on gender. Patients were interviewed face-to-face by trained interviewers in the ophthalmology clinics, using a structured questionnaire. Telephone interviews were used for controls.Main Outcome Measures: Risk and protective factors associated with eye injuries.Results: Among eye injury cases, 158 patients (66.1%) reported having incurred 1 episode of eye injury during employment, 49 (20.5%) having suffered 2 episodes, and 32 (13.4%) having experienced greater than or equal to3 eye injuries at work. Most of the patients (85.4%) did not wear any protective devices at the time of injury. Subjects who wore safety glasses regularly were less likely to have eye injuries (odds ratio [OR] = 0.29, 95% confidence interval [Cl] = 0.14-0.62). Having a safety requirement for wearing safety glasses was negatively associated with eye injuries (OR = 0.31, 95% CI = 0.15-0.62). Multivariate analysis indicated that exposures to certain work hazards and working in the construction industry were positively associated with eye injuries. Subjects who worked longer in their current job, who reported having received job safety training before employment, or whose machines or equipment were maintained or repaired regularly by employers were at lower risk of experiencing eye injuries.Conclusions: Construction workers and those exposed to multiple hazards may get eye injuries at work. They should be provided with protective devices that are effective in preventing such exposures. Health education and safety training are important in preventing eye injuries. Maintenance and repair of machines and equipment may effectively reduce or eliminate the sources of exposures.