Using a representative sample of workers for constructing the SUMEX French general population based job-exposure matrix

Using a representative sample of workers for constructing the SUMEX French general population based job-exposure matrix
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DOI:
10.1136/oem.2003.010660
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发表时间:
2004-07-01
影响因子:
4.9
通讯作者:
Martin, JC
Martin, JC
中科院分区:
医学2区
文献类型:
--
作者:
Guéguen, A;Goldberg, M;Martin, JC

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背景资料:适用于一般人群的工作暴露矩阵(JEM)通常仅通过使用专家的专业知识来构建。目的:从基于法国工人样本的数据中构建基于人群的化学制剂JEM,用于监测目的。方法:SUMEX工作接触矩阵是根据通过交叉调查收集的数据构建的,通过1994年SUMER调查,对代表主要经济部门的法国工人进行了抽样调查:1205名职业医生询问了48156名工人,并列出了102种化学品的暴露情况。这些公司的经济活动和工人的职业是根据法国官方命名法编码的。分段方法被用来构建工作组,是同质的暴露流行化学制剂。该矩阵构建在两个阶段:巩固职业暴露患病率;和建立暴露指数的基础上的个人数据从所有的科目在sample.Results:代理特定矩阵可以构建为80的化学品。每个获得的分类的质量是可变的:全球范围内,该方法的性能更好,具体的,因此更容易评估代理,并为特定的某些职业暴露。结论:软件已经开发,使SUMEX矩阵被用于职业医生和其他预防专业人员负责监督的劳动力在法国的健康。
Background: Job-exposure matrices (JEMs) applicable to the general population are usually constructed by using only the expertise of specialists.Aims: To construct a population based JEM for chemical agents from data based on a sample of French workers for surveillance purposes.Methods: The SUMEX job-exposure matrix was constructed from data collected via a cross-sectional survey of a sample of French workers representative of the main economic sectors through the SUMER-94 survey: 1205 occupational physicians questioned 48 156 workers, and inventoried exposure to 102 chemicals. The companies' economic activities and the workers' occupations were coded according to the official French nomenclatures. A segmentation method was used to construct job groups that were homogeneous for exposure prevalence to chemical agents. The matrix was constructed in two stages: consolidation of occupations according to exposure prevalence; and establishment of exposure indices based on individual data from all the subjects in the sample.Results: An agent specific matrix could be constructed for 80 of the chemicals. The quality of the classification obtained for each was variable: globally, the performance of the method was better for less specific and therefore more easy to assess agents, and for exposures specific to certain occupations.Conclusions: Software has been developed to enable the SUMEX matrix to be used by occupational physicians and other prevention professionals responsible for surveillance of the health of the workforce in France.