Lama Soubra, Alreem Al-Mohannadi, Yasser Berzan, Rafael Consunji, Ayman El-Menyar, Hassan Al-Thani, Mohammed Ali Al-Marri, Hamad Saed Al-Hajri
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引用次数: 0
Abstract
Purpose: The construction sector has the highest risk of fatal and non-fatal injuries worldwide. This study examined the impact of risk mitigation strategies implemented in Qatar's construction sector between 2013 and 2021 on non-fatal injuries.
Methods: This study employed quantitative and qualitative methods. Data on implemented strategies were gathered through a systematic website search and structured interviews with Safety and Occupational Health officers. Retrospective injury data were obtained from Hamad Trauma Center medical records. Systematic website search identified key legislation and guidelines. Interview transcripts were analyzed using qualitative content analysis. Injury data were categorized into pre- and post-implementation data. Differences were assessed using means, standard deviations, percentages, effect sizes, and confidence intervals.
Results: Eight safety legislation/policies and guidelines were issued. Interview analysis identified technical, behavioral, and organizational measures as key themes in risk mitigation strategies. Comparing pre- and post-implementation data, non-fatal injury incidence (effect size (ES): 0.21, 95% CI 0.19-0.28) and severity (ES: 0.32, 95% CI 0.25-0.40) were reduced. Hospital and ICU stays were shorter post-implementation (ES: 0.2, 95% CI 0.12-0.27 and 0.014, 95% CI 0.010-0.021). Injury reductions were observed across major affected areas, except for the chest and skin. Non-fatal injuries remained more common among general laborers (ES: - 0.26, 95% CI - 0.34, 0.18) and those wearing protective devices (ES; - 0.1, CI - 0.12, - 0.07).
Conclusion: Implemented risk mitigation strategies collectively reduced non-fatal injury incidence and severity and improved outcomes in the construction sector. Future research should explore observed trends through prospective studies and job hazard analysis.
目的:建筑部门在世界范围内具有最高的致命和非致命伤害风险。本研究调查了2013年至2021年期间卡塔尔建筑部门实施的风险缓解战略对非致命伤害的影响。方法:采用定量和定性相结合的方法。通过系统的网站搜索和与安全和职业健康官员的结构化访谈,收集了有关实施战略的数据。回顾性损伤数据来自哈马德创伤中心的医疗记录。系统的网站搜索确定了关键的立法和指导方针。访谈记录采用定性内容分析进行分析。损伤数据分为实施前和实施后数据。使用均值、标准差、百分比、效应量和置信区间评估差异。结果:颁布了8项安全法规/政策和指南。访谈分析确定了技术、行为和组织措施是风险缓解策略中的关键主题。比较实施前和实施后的数据,非致命性伤害发生率(效应量(ES): 0.21, 95% CI 0.19-0.28)和严重程度(ES: 0.32, 95% CI 0.25-0.40)降低。实施后住院和ICU住院时间较短(ES: 0.2, 95% CI 0.12-0.27和0.014,95% CI 0.010-0.021)。除胸部和皮肤外,其他主要受影响部位的损伤均有所减轻。非致命性伤害在普通劳动者(可信区间:- 0.26,95%可信区间:- 0.34,0.18)和佩戴防护装置者(可信区间:0.34,0.18)中更为常见。- 0.1, ci - 0.12, - 0.07)。结论:实施的风险缓解策略共同降低了建筑部门的非致命伤害发生率和严重程度,并改善了结果。未来的研究应通过前瞻性研究和工作危害分析来探索观察到的趋势。
期刊介绍:
International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors.
In addition, all papers should be based on present-day standards and relate to:
-Clinical and epidemiological studies on morbidity and mortality
-Clinical epidemiological studies on the parameters relevant to the estimation of health risks
-Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects.
-Methods for studying the topics mentioned above.