Are younger workers more at risk? a study on age differences in occupational exposure to carcinogens.

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alberto Scarselli, Marisa Corfiati, Alessandro Marinaccio
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Abstract

Objective: The aim of this study is to describe the levels of occupational exposure to the most common cancer-causing agents in the Italian industrial context, with a particular focus on age differences to identify high-risk groups of young workers.

Methods: Data on exposure to carcinogens were extracted from the national occupational exposures database (SIREP), covering exposure measurements collected between 1996 and 2024. Thirteen carcinogenic agents with over 10,000 recorded measurements were analysed. Exposure intensity was categorised as low, medium, or high according to European regulatory standards. Multinomial logistic and linear mixed-effects regression models, adjusted for gender and calendar period, were used to assess the association between age and exposure level.

Results: A total of 457,291 exposure measurements were selected for the main carcinogens registered in SIREP. Exposed workers (159,582) were only in a small proportion women (9%) and mostly aged between 20 and 44 years in both genders (63% in women, 57% in men). Young people (i.e., under 30) constituted a considerable portion of the total exposed workers (25%) and compared to older workers (≥ 30) had 17.6% higher exposure levels overall, 18.4% in men and 11.2% in women. Age differences in exposure persisted mainly across industries and job categories, but also by gender and nationality.

Conclusion: This study underscores the necessity for targeted preventive strategies, including tailored training programmes, enhanced supervision, and rigorous enforcement of safety protocols for young workers. Improved monitoring and age-specific interventions are essential to reduce occupational cancer risks and safeguard the health of the younger workforce.

年轻员工的风险更大吗?职业性致癌物接触的年龄差异研究。
目的:本研究的目的是描述意大利工业环境中最常见的致癌物质的职业暴露水平,特别关注年龄差异,以确定年轻工人的高危群体。方法:从国家职业暴露数据库(SIREP)中提取致癌物质暴露数据,涵盖1996年至2024年收集的暴露测量数据。研究人员分析了13种致癌物质,记录了超过10,000次测量结果。根据欧洲监管标准,暴露强度分为低、中、高三个等级。使用多项逻辑回归模型和线性混合效应回归模型,对性别和日历期间进行调整,以评估年龄与暴露水平之间的关系。结果:SIREP中登记的主要致癌物共选择了457,291次暴露测量。暴露的工人(159,582)中只有一小部分是女性(9%),大多数年龄在20至44岁之间,男女都有(女性63%,男性57%)。年轻人(即30岁以下)占暴露工人总数的相当大一部分(25%),与年龄较大的工人(≥30岁)相比,总体暴露水平高17.6%,男性高18.4%,女性高11.2%。暴露的年龄差异主要存在于不同行业和工作类别之间,但也存在于性别和国籍之间。结论:本研究强调了有针对性的预防策略的必要性,包括量身定制的培训计划、加强监督和严格执行年轻工人的安全协议。改善监测和针对年龄的干预措施对于减少职业癌症风险和保障年轻劳动力的健康至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
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.
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