Association between occupations and selected noncommunicable diseases: A matched case-control among Thai informal workers.
Association between occupations and selected noncommunicable diseases: A matched case-control among Thai informal workers.
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DOI：
10.1002/1348-9585.12249
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发表时间：
2021-01
影响因子：
3
通讯作者：
Woskie S
中科院分区：
文献类型：
--
作者：
Tipayamongkholgul M;Kongtip P;Woskie S
我们对非正规工人进行了一项配对病例对照研究，以确定职业分类与选定类型的非传染性疾病（NCD）之间的关联。我们从2011年至2014年期间的泰国国家卫生安全办公室数据库（NHSO）中提取了年龄≥18岁的患者数据。病例为主要诊断为糖尿病（E10-E14）、高血压（I10-I15）、缺血性心脏病（I20-I25）或卒中（I60 - 69）或甲状腺疾病（E00-E07）的患者。对照组为初步诊断为肠道或寄生虫感染的患者（A00-A09和B25-B 99），并与相同年龄和居住区的病例以1：1随机匹配。NHSO中记录的四位数职业代码根据国际标准职业分类（ISCO-08）的子主要群体进行分组和重新编码，如下：农业工人，非熟练工人，服务和销售人员。采用多变量条件Logistic回归进行分析。所有选定的非传染性疾病都存在职业和性别不平等。在非熟练工人中发现四种选定的非传染性疾病的风险较高。男性患心血管疾病的风险更高，而女性患代谢紊乱的风险更高。有必要了解哪些关键因素增加了非正规部门工人患非传染性疾病的风险。需要开展健康促进运动，提高经济和社会处境不利的非正规工人对非传染性疾病风险的认识。这将需要公共卫生和劳动力之间的合作，以及政府预算的分配，以满足这些工人的需求。
We conducted a matched case‐control study of informal workers to determine the association between occupational classification and selected types of noncommunicable diseases (NCDs). We extracted data of patients aged ≥18 years from the Thai National Health Security Office database (NHSO) during 2011‐2014. Cases were patients who had a primary diagnosis of: diabetes mellitus (E10‐E14), hypertension (I10‐I15), ischemic heart disease (I20‐I25) or stroke (I60‐69), or thyroid gland disorder (E00‐E07). Controls were patients who had a primary diagnosis of intestinal or parasitic infections (A00‐A09 and B25‐B99), and were randomly matched 1:1 with cases of the same age and residential area. The four‐digit occupation codes recorded in the NHSO were grouped and recoded based on the submajor groups of International Standard Classification of Occupations (ISCO‐08) as follows: agricultural workers, unskilled workers, service, and sales workers. Analysis was performed using multivariable conditional logistic regression. Occupation and sex inequalities were present among all the selected NCDs. Higher risk for the four selected NCDs was found among unskilled workers. Stronger risk for cardiovascular disease was present among males, while females had a higher risk for metabolic disorders. There is a need to understand what are the key factors that increase the risk for NCDs among informal sector workers. Health promotion campaigns are needed to raise awareness among economically and social disadvantaged informal workers about the risk for NCDs. This will require collaboration between public health and the workforce, and allocation of government budgets to address the needs of these workers.
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影响因子：
4.6
作者：
Kongtip P;Nankongnab N;Pundee R;Kallayanatham N;Pengpumkiat S;Chungcharoen J;Phommalachai C;Konthonbut P;Choochouy N;Sowanthip P;Khangkhun P;Yimsabai J;Woskie S
通讯作者：
Woskie S
DOI：
10.1177/1048291115586036
发表时间：
2015-08
期刊：
New solutions : a journal of environmental and occupational health policy : NS
影响因子：
--
作者：
Kongtip P;Nankongnab N;Chaikittiporn C;Laohaudomchok W;Woskie S;Slatin C
通讯作者：
Slatin C
影响因子：
15.8
作者：
Bano, Arjola;Chaker, Layal;Franco, Oscar H.
通讯作者：
Franco, Oscar H.
影响因子：
4.6
作者：
Diab, Nermin;Daya, Natalie R.;Selvin, Elizabeth
通讯作者：
Selvin, Elizabeth
影响因子：
4.5
作者：
Hosseinpoor AR;Bergen N;Mendis S;Harper S;Verdes E;Kunst A;Chatterji S
通讯作者：
Chatterji S