PDF(Pubmed)
Abstract：
Emerging evidence in both developed and developing countries indicate that occupational health hazards and diseases among construction workers constitute a significant public health challenge. While occupational health hazards and conditions in the construction sector are diverse, a burgeoning body of knowledge is emerging about respiratory health hazards and diseases. Yet, there is a notable gap in the existing literature in terms of comprehensive syntheses of the available evidence on this topic. In light of this research gap, this study systematically reviewed the global evidence on occupational health hazards and related respiratory health conditions among construction workers.
Using meta-aggregation, guided by the Condition (respiratory health conditions), Context (construction industry) and Population (construction workers) (CoCoPop) framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, literature searches were conducted on Scopus, PubMed, Web of Science and Google Scholar for relevant studies on respiratory health conditions affecting construction workers. Four eligibility criteria were used in scrutinising studies for inclusion. The quality of the included studies was assessed based on Joanna Briggs Institute\'s Critical Appraisal tool, while the reporting of the results was guided by the Synthesis Without Meta-analysis guidelines.
From an initial pool of 256 studies from the various databases, 25 studies published between 2012 and October 2022 were identified as meeting the inclusion criteria. In all, 16 respiratory health conditions were identified, with cough (ie, dry and with phlegm), dyspnoea/breathlessness and asthma emerging as the top three respiratory conditions among construction workers. The study identified six overarching themes of hazards that are associated with respiratory health conditions among construction workers. These hazards include exposure to dust, respirable crystalline silica, fumes, vapours, asbestos fibres and gases. Smoking and extended period of exposure to the respiratory hazard were found to increase the risk of contracting respiratory diseases.
Our systematic review indicates that construction workers are exposed to hazards and conditions that have adverse effects on their health and well-being. Given the considerable impact that work-related health hazards can have on the health and socioeconomic well-being of construction workers, we suggest that the implementation of a comprehensive occupational health programme is essential. Such a programme would extend beyond the mere provision of personal protective equipment and would incorporate a range of proactive measures aimed at controlling the hazards and mitigating the risk of exposure to the occupational health hazards.
Using meta-aggregation, guided by the Condition (respiratory health conditions), Context (construction industry) and Population (construction workers) (CoCoPop) framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, literature searches were conducted on Scopus, PubMed, Web of Science and Google Scholar for relevant studies on respiratory health conditions affecting construction workers. Four eligibility criteria were used in scrutinising studies for inclusion. The quality of the included studies was assessed based on Joanna Briggs Institute\'s Critical Appraisal tool, while the reporting of the results was guided by the Synthesis Without Meta-analysis guidelines.
From an initial pool of 256 studies from the various databases, 25 studies published between 2012 and October 2022 were identified as meeting the inclusion criteria. In all, 16 respiratory health conditions were identified, with cough (ie, dry and with phlegm), dyspnoea/breathlessness and asthma emerging as the top three respiratory conditions among construction workers. The study identified six overarching themes of hazards that are associated with respiratory health conditions among construction workers. These hazards include exposure to dust, respirable crystalline silica, fumes, vapours, asbestos fibres and gases. Smoking and extended period of exposure to the respiratory hazard were found to increase the risk of contracting respiratory diseases.
Our systematic review indicates that construction workers are exposed to hazards and conditions that have adverse effects on their health and well-being. Given the considerable impact that work-related health hazards can have on the health and socioeconomic well-being of construction workers, we suggest that the implementation of a comprehensive occupational health programme is essential. Such a programme would extend beyond the mere provision of personal protective equipment and would incorporate a range of proactive measures aimed at controlling the hazards and mitigating the risk of exposure to the occupational health hazards.
摘要：
背景：发达国家和发展中国家的新证据表明，建筑工人的职业健康危害和疾病构成了重大的公共卫生挑战。虽然建筑业的职业健康危害和条件多种多样，关于呼吸道健康危害和疾病的知识正在蓬勃发展。然而，在对该主题的现有证据进行全面综合方面，现有文献存在显着差距。鉴于这一研究差距，本研究系统回顾了建筑工人职业健康危害和相关呼吸健康状况的全球证据。
方法：使用元聚合，以条件（呼吸健康状况）为指导，背景（建筑业）和人口（建筑工人）（CoCop）框架和系统审查和荟萃分析指南的首选报告项目，文献检索是在Scopus上进行的，PubMed,WebofScience和GoogleScholar关于影响建筑工人的呼吸健康状况的相关研究。在审查纳入研究时使用了四个合格标准。纳入研究的质量是根据乔安娜·布里格斯研究所的批判性评估工具进行评估的，而结果的报告由“无荟萃分析综合”指南指导。
结果：从来自各种数据库的256项研究的初始池，2012年至2022年10月之间发表的25项研究被确定为符合纳入标准。总之,确定了16种呼吸道健康状况，咳嗽（即，干燥且有痰)，呼吸困难/呼吸困难和哮喘成为建筑工人的三大呼吸系统疾病。该研究确定了与建筑工人的呼吸健康状况相关的六个总体危害主题。这些危害包括接触灰尘，可吸入结晶二氧化硅，烟雾,蒸气,石棉纤维和气体。发现吸烟和长时间暴露于呼吸道危险会增加感染呼吸道疾病的风险。
结论：我们的系统评价表明，建筑工人暴露于对其健康和福祉有不利影响的危险和条件下。鉴于与工作有关的健康危害可能对建筑工人的健康和社会经济福祉产生相当大的影响，我们建议实施全面的职业健康计划至关重要。这一方案将不仅仅是提供个人防护设备，还将纳入一系列旨在控制危害和减轻暴露于职业健康危害的风险的积极措施。
方法：使用元聚合，以条件（呼吸健康状况）为指导，背景（建筑业）和人口（建筑工人）（CoCop）框架和系统审查和荟萃分析指南的首选报告项目，文献检索是在Scopus上进行的，PubMed,WebofScience和GoogleScholar关于影响建筑工人的呼吸健康状况的相关研究。在审查纳入研究时使用了四个合格标准。纳入研究的质量是根据乔安娜·布里格斯研究所的批判性评估工具进行评估的，而结果的报告由“无荟萃分析综合”指南指导。
结果：从来自各种数据库的256项研究的初始池，2012年至2022年10月之间发表的25项研究被确定为符合纳入标准。总之,确定了16种呼吸道健康状况，咳嗽（即，干燥且有痰)，呼吸困难/呼吸困难和哮喘成为建筑工人的三大呼吸系统疾病。该研究确定了与建筑工人的呼吸健康状况相关的六个总体危害主题。这些危害包括接触灰尘，可吸入结晶二氧化硅，烟雾,蒸气,石棉纤维和气体。发现吸烟和长时间暴露于呼吸道危险会增加感染呼吸道疾病的风险。
结论：我们的系统评价表明，建筑工人暴露于对其健康和福祉有不利影响的危险和条件下。鉴于与工作有关的健康危害可能对建筑工人的健康和社会经济福祉产生相当大的影响，我们建议实施全面的职业健康计划至关重要。这一方案将不仅仅是提供个人防护设备，还将纳入一系列旨在控制危害和减轻暴露于职业健康危害的风险的积极措施。
