关键词: occupational & industrial medicine occupational dermatology prevalence preventive medicine public health risk factors

Mesh : Humans Malaysia / epidemiology Male Female Adult Restaurants / statistics & numerical data Prevalence Registries Middle Aged Risk Factors Occupational Diseases / epidemiology diagnosis Young Adult Skin Diseases / epidemiology diagnosis Surveys and Questionnaires Logistic Models Secondary Data Analysis

来  源:   DOI:10.1136/bmjopen-2023-079877   PDF(Pubmed)

Abstract:
OBJECTIVE: Occupational skin diseases (OSDs) pose significant risks to the health and well-being of restaurant workers. However, there is presently limited evidence on the burden and determinants of OSDs among this occupational group. This research aims to estimate the prevalence and associated factors of suspected OSDs among restaurant workers in Peninsular Malaysia.
METHODS: A secondary data analysis of the 2023 Registry of Occupational Disease Screening (RODS) was performed. The RODS survey tool, which included the Nordic Occupational Skin Questionnaire, a symptoms checklist and items on work-relatedness, was used to screen for OSDs. Logistic regression analyses were performed to identify associated factors.
METHODS: Restaurant workers (n=300) registered in RODS from February 2023 to April 2023, aged 18 years and above and working in restaurants across Selangor, Melaka and Pahang for more than 1 year, were included in the study, whereas workers who had pre-existing skin diseases were excluded.
RESULTS: The prevalence of suspected OSDs among study participants was 12.3%. Higher odds of suspected OSDs among study participants were observed among those exposed to wet work (adjusted OR (AOR) 22.74, 95% CI 9.63 to 53.68) and moderate to high job stress levels (AOR 4.33, 95% CI 1.80 to 10.43).
CONCLUSIONS: These findings suggest that OSDs are a significant occupational health problem among restaurant workers. Interventions targeting job content and wet work may be vital in reducing OSDs among this group of workers.
摘要:
目标:职业性皮肤病(OSD)对餐馆工人的健康和福祉构成重大风险。然而,目前关于这一职业群体中OSD的负担和决定因素的证据有限。这项研究旨在评估马来西亚半岛餐厅工作人员中可疑OSD的患病率和相关因素。
方法:对2023年职业病筛查注册中心(RODS)进行了二次数据分析。RODS测量工具,其中包括北欧职业皮肤问卷,症状检查表和工作相关性项目,用于筛选OSD。进行Logistic回归分析以确定相关因素。
方法:从2023年2月至2023年4月在RODS中注册的餐厅工作人员(n=300),年龄在18岁及以上,在雪兰冶市的餐厅工作,马六甲和彭亨超过1年,被纳入研究,而先前患有皮肤病的工人被排除在外。
结果:研究参与者中疑似OSD的患病率为12.3%。在暴露于湿工作(校正OR(AOR)22.74,95%CI9.63至53.68)和中等至高工作压力水平(AOR4.33,95%CI1.80至10.43)的研究参与者中,可疑OSD的几率更高。
结论:这些发现表明,OSD是餐馆工人中一个重要的职业健康问题。针对工作内容和湿工作的干预措施对于减少这类工人的OSD至关重要。
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