Chronic respiratory symptoms and associated factors among cement factory workers in Dejen town, Amhara regional state, Ethiopia, 2015
Chronic respiratory symptoms and associated factors among cement factory workers in Dejen town, Amhara regional state, Ethiopia, 2015
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DOI：
10.1186/s40248-016-0043-6
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发表时间：
2016-03-01
影响因子：
2.3
通讯作者：
Tadesse, Takele
中科院分区：
文献类型：
--
作者：
Gizaw, Zemichael;Yifred, Bamlaku;Tadesse, Takele
背景：慢性呼吸道疾病是工业化国家和发展中国家的一项公共卫生挑战。慢性呼吸道症状在发展中国家的水泥厂更为普遍，因为那里的职业健康和安全问题不太受到重视。方法：采用横断面调查方法，对2015年德仁水泥厂工人慢性呼吸道症状的患病率及影响因素进行分析。通过访谈者管理的结构化问题，来自英国医学研究理事会（BMRC）成人呼吸道症状评估问题和观察检查表的粉尘暴露，卫生习惯和使用个人防护设备的评估收集数据。采用多变量Logistic回归模型筛选与慢性呼吸道症状相关的预测变量，并根据校正比值比（AOR）和95%可信区间（CI）确定与慢性呼吸道症状显著相关的变量。德仁水泥厂工人慢性呼吸道症状的患病率为62.9%，其中慢性咳嗽24.5%，慢性喘息36.9%，慢性痰多24.5%，慢性气促38.6%，胸痛21.0%。慢性呼吸道症状与性别有关（AOR = 2.07，95% CI = 1.18，3.63），年龄（AOR = 4.20，95% CI = 1.94，9.12），教育水平（AOR = 4.07，95%CI = 1.86，8.92），水泥磨（AOR = 3.72，95% CI = 1.92，7.21），燃烧器和熟料（AOR = 2.28，95% CI = 1.18，4.43），工作经验（AOR = 5.44，95%CI = 3.09，9.59），职业安全卫生培训（AOR = 2.73，95% CI = 1.41，5.29），吸烟（AOR = 5.38，95% CI = 1.42，20.39）和慢性呼吸道疾病结论：德仁水泥厂工人慢性呼吸道症状的患病率较高。年龄、性别、教育程度、工作部门、吸烟、工作经验和培训是确定的因素。为了维护工人的健康和安全，就业前和在职培训、戒烟计划、改善卫生习惯是重要的任务。
Background: Chronic respiratory diseases represent a public health challenge in both industrialized and developing countries. Chronic respiratory symptoms are more prevalent in cement factories of developing countries, where occupational health and safety issues are less emphasized. This study was conducted to determine the prevalence and factors affecting chronic respiratory symptoms among workers in Dejen cement factory, 2015.Methods: Institution based cross sectional study was conducted among 404 randomly selected study participants. Data were collected through interviewer administered structured questions derived from British Medical Research Council (BMRC) adult respiratory symptom assessment questions and observational check lists for the assessment of dust exposure, hygienic practices and use of personal protective equipments. Multivariable logistic regression model was used to identify predictor variables which have association with chronic respiratory symptoms and finally the variables which had significant association were identified on the basis of Adjusted Odds Ratio (AOR) with 95 % Confidence Interval (CI) and p < 0.05Results: The prevalence of chronic respiratory symptoms among Dejen cement factory workers was 62.9 %, with prevalence of chronic cough 24.5 %, chronic wheezing 36.9 %, chronic phlegm 24.5 %, chronic shortness of breath 38.6 %, and chest pain 21.0 %. Chronic respiratory symptoms were associated with sex (AOR = 2.07, 95 % CI = 1.18, 3.63), age (AOR = 4.20, 95 % CI = 1.94, 9.12), education level (AOR = 4.07,95 % CI = 1.86, 8.92), cement mill (AOR = 3.72, 95 % CI = 1.92, 7.21), burner and clinker (AOR = 2.28, 95 % CI = 1.18, 4.43), work experience (AOR = 5.44, 95 % CI = 3.09, 9.59), training on occupational safety and health (AOR = 2.73, 95 % CI = 1.41, 5.29), smoking (AOR = 5.38, 95 % CI = 1.42, 20.39) and chronic respiratory diseases (AOR = 7.79, 95 % CI = 2.02, 30.04).Conclusion: Chronic respiratory symptoms were highly prevalent among Dejen cement factory workers. Age, sex, education level, working department, smoking, work experience, and training were identified factors. Pre employment and on service training, smoking cessation programs, improving hygienic practices are important tasks in order to maintain the health and safety of workers.