2018年广州市某区职业卫生管理人员的职业卫生知、信、行调查
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摘要
目的了解2018年广州市某区职业卫生管理人员职业病防治知识、态度和行为(KAP)的影响因素,为提出减少职业病的干预措施提供参考,探讨KAP对职业病防治工作的影响。方法对整群抽取的543位职业卫生管理人员进行电子问卷调查并进行KAP的影响因素分析。结果调查543位企业职业卫生管理人员基本特征的KAP得分差异发现,男性平均行为得分(27.22±2.98)高于女性(26.51±4.04),差异有统计学意义(P<0.05);文化程度越高和工作时长越短,知识得分和KAP总分越高,差异有统计学意义(P<0.05);多因素logistic回归分析显示,文化程度可能是影响KAP总分高低的保护因素,患有慢性非传染性疾病可能是影响KAP总分高低的危险因素。结论文化程度水平可能是影响企业管理人员KAP总分高低的重要因素,应加大对文化程度较低和患有慢性非传染性疾病的企业职业管理人员的教育培训和监督管理干预,并建立完善的职业安全健康管理模式,从而整体提高企业的职业卫生管理水平。
[Objective]To understand the factors influencing the knowledge, attitude and practice(KAP) of occupational health management personnel in a district of Guangzhou in 2018, so as to provide reference for the intervention measures to reduce occupational diseases and discuss the influence of KAP on the prevention and treatment of occupational diseases. [Methods] A cluster of 543 occupational health managers were surveyed by electronic questionnaire and analyzed by KAP. [Results] According to the differences in KAP scores of the basic characteristics of 543 occupational health managers in enterprises, the average behavior scores of men(27.22±2.98) were higher than that of women(26.51±4.04), with significant differenc es(P<0.05). The higher the education level and the shorter the working hours, the higher the knowledge score and the total score of KAP, the difference was significant(P<0.05). Multivariate logistic regression analysis showed that education level may be a protective factor affecting the total score of KAP, and chronic non-communicable diseases may be a risk factor affecting the total score of KAP.[Conclusion] Cultural degree level may be the important factors that affect enterprise management managers KAP scores. It is necessary to strengthen the education training,supervision and administration intervention of occupational health managers with low cultural level and chronic non-communicable diseases, and to establish the occupational safety and health management mode, so as to improve the occupational health management level of enterprises
[Objective]To understand the factors influencing the knowledge, attitude and practice(KAP) of occupational health management personnel in a district of Guangzhou in 2018, so as to provide reference for the intervention measures to reduce occupational diseases and discuss the influence of KAP on the prevention and treatment of occupational diseases. [Methods] A cluster of 543 occupational health managers were surveyed by electronic questionnaire and analyzed by KAP. [Results] According to the differences in KAP scores of the basic characteristics of 543 occupational health managers in enterprises, the average behavior scores of men(27.22±2.98) were higher than that of women(26.51±4.04), with significant differenc es(P<0.05). The higher the education level and the shorter the working hours, the higher the knowledge score and the total score of KAP, the difference was significant(P<0.05). Multivariate logistic regression analysis showed that education level may be a protective factor affecting the total score of KAP, and chronic non-communicable diseases may be a risk factor affecting the total score of KAP.[Conclusion] Cultural degree level may be the important factors that affect enterprise management managers KAP scores. It is necessary to strengthen the education training,supervision and administration intervention of occupational health managers with low cultural level and chronic non-communicable diseases, and to establish the occupational safety and health management mode, so as to improve the occupational health management level of enterprises
引文
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[11]何娟,赵德发,李军.2016年贵州省某煤矿开采企业工人职业病危害知信行调查及其影响因素[J].职业与健康,2017,33(9):1239-1244.
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[14]石景容,陆丽明,邹冠炀,等.中小微型企业流动工人职业卫生知信行分析[J].中国职业医学,2013,40(4):328-330.
[15]吕建华,汤冬梅,戴春生,等.北京市大兴区部分企业员工职业病防治知识知晓情况调查[J].职业与健康,2007,23(7):495-497.
[16]刘永泉,何国平,陈顺乐,等.江西省职业病防治资源及企业职业卫生管理现状[J].中国职业医学,2018,45(3):398-400.
[17]张敏,李文捷,缪剑影,等.对如何履行企业社会责任的思考[J].中华劳动卫生职业病杂志,2008,26(5):301-305.
[18]张新东,鲜敏,吴礼康.深圳市宝安区中小企业劳务工职业卫生“知、信、行”调查分析[J].疾病监测与控制杂志,2013,7(6):361-363.
[19]TZIAFERI SG,SOURTZI P,KALOKAIRINOU A,et al.Risk assessment of physical hazards in greek hospitals combining Staff’s percep tion,experts’evaluation and objective measurements[J].Saf HealthWork,2011,2(3):260-272.
[2]SAWADA S,KUKLANE K,WAKATSUKI K.New development of research on personal protective equipment(PPE)for occupational safety and health[J].Ind Health,2017,55(6):471-472.
[3]蒲立力,刘美霞,杨凤,等.上海市公众职业病防治相关知识认知情况调查及影响因素分析[J].环境与职业医学,2013,30(11):834-838.
[4]金蕾,王川健,王毓琛.2010-2012年海南省34家企业职业卫生现况调查[J].中国职业医学,2013,40(3):284-286.
[5]麻春雷,胡斌,杨海春,等.承德市不同规模职业病危害企业职业卫生管理现状[J].职业与健康,2013,29(23):3195-3199.
[6]丛泽,刘永泉,吴琦,等.北京市海淀区企业职业卫生自我认知水平的调查[J].职业与健康,2008,25(15):1569-1572.
[7]熊依杰,于久愿,方丽艳,等.北京市海淀区企业职业卫生管理人员职业卫生知信行调查及干预效果评估[J].职业与健康,2014,30(1):127-129.
[8]刘金英.某大型企业工人职业卫生知识水平调查[J].中国公共卫生,2009,25(7):881.
[9]郑步云,范峥锋,孙扣红,等.培训提高劳动者职业卫生知识、意识、行为研究[J].职业卫生与应急救援,2011,29(4):183-185.
[10]王庚,马晓明,史春波,等.铅作业工人职业卫生知信行对血铅影响[J].中国职业医学,2018,45(3):321-324.
[11]何娟,赵德发,李军.2016年贵州省某煤矿开采企业工人职业病危害知信行调查及其影响因素[J].职业与健康,2017,33(9):1239-1244.
[12]KUMAR SG,DHARANIPRIYA A,KAR SS.Awareness of occupational injuries and utilization of safety measures among welders in coastal South India[J].Int J Occup Environ Med,2013,4(4):172-177.
[13]HASSAN SM,NASIR U,ANWAR K,et al.An assessment of the level of awareness and reported complaints regarding occupational health hazards and the utilization of personal protective equipments among the welders of Lahore,Pakistan[J].Int J Oucp Environ Health,2018,23(1):1-12.
[14]石景容,陆丽明,邹冠炀,等.中小微型企业流动工人职业卫生知信行分析[J].中国职业医学,2013,40(4):328-330.
[15]吕建华,汤冬梅,戴春生,等.北京市大兴区部分企业员工职业病防治知识知晓情况调查[J].职业与健康,2007,23(7):495-497.
[16]刘永泉,何国平,陈顺乐,等.江西省职业病防治资源及企业职业卫生管理现状[J].中国职业医学,2018,45(3):398-400.
[17]张敏,李文捷,缪剑影,等.对如何履行企业社会责任的思考[J].中华劳动卫生职业病杂志,2008,26(5):301-305.
[18]张新东,鲜敏,吴礼康.深圳市宝安区中小企业劳务工职业卫生“知、信、行”调查分析[J].疾病监测与控制杂志,2013,7(6):361-363.
[19]TZIAFERI SG,SOURTZI P,KALOKAIRINOU A,et al.Risk assessment of physical hazards in greek hospitals combining Staff’s percep tion,experts’evaluation and objective measurements[J].Saf HealthWork,2011,2(3):260-272.