Revista Brasileira de Medicina do Trabalho最新文献

{"title":"Sociodemographic profile of motorcyclists and their vulnerabilities in traffic.","authors":"Marcelo Moreira Corgozinho, Miguel Ângelo Montagner","doi":"10.47626/1679-4435-2022-657","DOIUrl":"10.47626/1679-4435-2022-657","url":null,"abstract":"<p><strong>Introduction: </strong>Violence has acquired an endemic character in society; traffic violence stands out, particularly considering the upward trend in deaths among motorcyclists.</p><p><strong>Objectives: </strong>To describe the sociodemographic profile and analyze the vulnerabilities of motorcyclists from their experiences in traffic.</p><p><strong>Methods: </strong>This is an exploratory descriptive study with a quantitative approach, performed through interviews with three groups of motorcyclists: those who used motorcycles for recreation, transportation, and for work.</p><p><strong>Results: </strong>Most participants were male (> 80%), mainly young adults in the transportation and work groups (p < 0.001); with higher schooling and income levels in the recreation group (p < 0.001); and with lightweight motorcycles in the transportation and work groups (p < 0.001). Similar experiences fragilizing all three groups include alcohol consumption, disregard of traffic rules, and acts of aggression. With a different experience from the transportation and work groups, the recreation group experienced circumstances that were favorable to traffic safety. Overall, the pattern of answers in the transportation and work groups associated them with higher susceptibility; the work group, represented by motorcycle couriers, was marked by accidents and poor working conditions.</p><p><strong>Conclusions: </strong>Contextual variables inflict a higher traffic vulnerability on motorcyclists of the transportation and work groups. We advocate that further exploration of the analysis of road traffic accidents be a social construct, and advances in the knowledge of risks and margins for implementing safety measures will only be possible when the approaches consider social, economic, and cultural aspects.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"262-271"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/ea/rbmt-20-02-0262.PMC9458329.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-related musculoskeletal disorders and work instability of nursing professionals.","authors":"Eduardo José Silva Teixeira, Rafael de Souza Petersen, Maria Helena Palucci Marziale","doi":"10.47626/1679-4435-2022-677","DOIUrl":"10.47626/1679-4435-2022-677","url":null,"abstract":"<p><strong>Introduction: </strong>Characteristics of nursing work in hospital units expose professionals to risk factors that may favor instability at work and the development of work-related osteomuscular disorders, which may cause them to become ill and consequently different levels of incapacity to work.</p><p><strong>Objectives: </strong>to analyze the association between work instability of nursing professionals and the occurrence of work-related musculoskeletal disorders.</p><p><strong>Methods: </strong>Descriptive, cross-sectional study with quantitative approach of the data, performed in a hospital in the city of Ribeirão Preto - São Paulo. We used the Nurse-Work Instability Scale and the Nordic Musculoskeletal Questionnaire, with nursing professionals workers of an adult and pediatric intensive care center and of internment units of orthopedic, neurosurgery and head/neck surgery.</p><p><strong>Results: </strong>111 nursing professionals participated in the study, 25.2% presented low risk of instability, 44.1% medium risk and 30.6% high risk. Statistical associations were found between instability and the variables sectors of work (p = 0.004) and work-related osteomuscular disorders in the regions: neck (p = 0.001), shoulders (p = 0.000), upper back (p = 0.007), elbow (p = 0.005), wrist (p = 0.002), lower back (p = 0.046), hip/thighs (p = 0.006), knees (p = 0.021), ankles and feet (p = 0.011).</p><p><strong>Conclusions: </strong>There is an association between instability at work and the presence of osteomuscular disorders related to the work of nursing professionals. Interventions are needed for instability precedes disability and is intrinsically related to absenteeism and early retirement.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"206-214"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/35/rbmt-20-02-0206.PMC9458337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40373447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic and labor conditions and the presence of musculoskeletal symptoms in workers in a market in a Colombian municipality.","authors":"María Osley Garzón-Duque,&nbsp;María Camila Bonbón-Velez,&nbsp;José Alejandro Toro-Rivera,&nbsp;Isabela Agudelo-Aguilar","doi":"10.47626/1679-4435-2022-687","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-687","url":null,"abstract":"<p><strong>Introduction: </strong>Although informal employment is increasing, there is still little evidence of musculoskeletal symptoms in workers with precarious jobs in marketplaces and of how these symptoms are related to their labor conditions and risks.</p><p><strong>Objective: </strong>To identify sociodemographic and labor conditions and ergonomic risks associated with musculoskeletal symptoms in workers from a marketplace in a Colombian municipality in 2017.</p><p><strong>Methods: </strong>Cross-sectional study of a 2017 census of 194 workers. A survey was applied, and labor and environmental records were collected. Univariate, bivariate and multivariate analyses were performed, with statistical tests with 95% confidence level.</p><p><strong>Results: </strong>Women (56.7%) and workers older than 30 years (75.4%) predominated; 90.7% of participants worked 8 hours a day or more; 52.8% worked from 1 to 5 days a week; and 33.9% had been working in the profession for > 20 years. Moreover, 86.6% had semi-stationary sales position; 43.8% were overweight, and 18.8% obese. Also, 60.6% presented with some type of musculoskeletal symptom, the most prevalent of which was joint pain (37.7%). Selling meat (PR_A = 2.36), merchandise/pots (PR_A = 1.40), harvest/perishable products (PR_A = 1.26), and working from 8 to 11 hours a day (PR_A = 1.76) explained higher prevalence of musculoskeletal symptoms. Conversely, moving (PA_A = 0.5) and lifting (PR_A = 0.75) heavy objects explained lower prevalence of these symptoms.</p><p><strong>Conclusions: </strong>Greater musculoskeletal symptoms were related to older age, lower schooling, fewer days of work, working from 8 to 11 hours, and selling meat, merchandise/pots, and harvest/perishable products. These conditions, once identified, will facilitate promotion and prevention actions to improve the living and health conditions of marketplace workers.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"298-310"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/bc/rbmt-20-02-0298.PMC9458332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-related accidents, musculoskeletal pain, and health-related quality of life among Pantanal farm workers in Brazil and <i>ganaderos</i> in Mexico.","authors":"Eduardo Espíndola Fontoura-Junior,&nbsp;Liliana Andolpho Magalhães Guimarães,&nbsp;Ezequiel Ramirez Lira,&nbsp;Felipe Santoyo Telles","doi":"10.47626/1679-4435-2022-639","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-639","url":null,"abstract":"<p><strong>Introduction: </strong>The agricultural and livestock production of Brazil and Mexico stand out in the global scenario. In this context, this economic activity is one of the most vulnerable, presenting alarming incidence and prevalence rates of work-related accidents and diseases.</p><p><strong>Objectives: </strong>This study characterized and compared the occurrence of occupational accidents and musculoskeletal pain, as well as the health-related quality of life of Pantanal farm workers (pantaneiros) in Brazil and their equivalents in Mexico - the ganaderos. This study included 100 farm workers of the Brazilian municipality of Aquidauana, state of Mato Grosso do Sul, and the Mexican municipality of Atemajac the Brizuela, state of Jalisco.</p><p><strong>Methods: </strong>The research instruments used in this study were the Nordic Musculoskeletal Questionnaire, a questionnaire on occupational accidents in rural areas, a sociodemographic and occupational questionnaire, and the Medical Outcomes Study 36-Item Short-Form Health Survey.</p><p><strong>Results: </strong>Among the participants, 84% of the Brazilians and 90% of the Mexicans suffered some type of accident; 48% of the Brazilians and 28% of the Mexicans reported lower back pain; and 36% of the Brazilians and 42% of the Mexicans reported knee pain. Both the Brazilian and Mexican workers had the best score (90.6) for emotional aspects of health-related quality of life, in contrast with their worst scores: pain (19.4 for Brazilian workers, 13.8 for Mexican workers).</p><p><strong>Conclusions: </strong>These indicators imply that these workers are exposed to risks of accidents, pain, and illnesses that interfere with their health-related quality of life.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"287-297"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/63/rbmt-20-02-0287.PMC9458330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40373450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latin Questionnaire: a threshold strategy for anamnestic screening of occupational musculoskeletal disorders through specific reference groups.","authors":"Daniela Colombini,&nbsp;Olga Menoni,&nbsp;Natale Battevi,&nbsp;Enrico Occhipinti,&nbsp;Mirko Villanueva Pezoa,&nbsp;Aquiles Hernandez,&nbsp;Ruddy Cesar Facci,&nbsp;Edoardo Santino","doi":"10.47626/1679-4435-2022-982","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-982","url":null,"abstract":"<p><strong>Introduction: </strong>Health surveillance programs conducted for both individual workers and working populations as a whole are managed by occupational health physicians and focus on disorders and diseases caused by biomechanical overload, primarily for preventive purposes.</p><p><strong>Objectives: </strong>The purpose of the paper is to update an anamnestic protocol for studying musculoskeletal disorders after more than 40 years experience of its application. The updated version has been re-named the Latin Questionnaire. The protocol enables preliminary epidemiological evaluation, by comparing results of exposed populations to those from a reference population, thanks to the introduction of a severity threshold, a concept lacking in similar questionnaires.</p><p><strong>Methods: </strong>The Latin Questionnaire is based on symptoms of discomfort, pain, and paraesthesia. Each symptom is described in terms of location, duration, number of episodes, irradiation, and treatment. The model covers present symptoms during the previous 12 months and is designed to identify positive anamnestic cases (when positive according to the threshold), cases with minor disorders, and negative cases for conditions involving the spine and upper and lower limbs.</p><p><strong>Results: </strong>The updated anamnestic model was validated again through the collaborative effort involving 37 physicians from 14 Latin countries. To enable comparisons with exposed populations, an updated reference population (4,000 unexposed workers) is presented, evaluating the percentages of subjects positive according to thresholds for spine and upper and lower limbs and the incidence of acute lower back pain, broken down by gender and age groups. Examples of application of the questionnaire are also presented.</p><p><strong>Conclusions: </strong>The Latin Questionnaire, which has also been implemented in digital form (free download), allows selection of significant anamnestic cases compared to cases with minor disorders. This strategy is indispensable for correctly conducting preliminary epidemiological studies. Example applications confirm the presence of significant differences between the percentages of subjects with positive thresholds in exposed compared to reference groups, with surpluses proportional to their levels of biomechanical overload.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"328-339"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/c9/rbmt-20-02-0328.PMC9458334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40373879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Possible risk factors involved in psychological and emotional stress and depression among forensic medicine workers.","authors":"Katrin Möbius Gebran,&nbsp;Alessandra Möbius Gebran,&nbsp;Flávio Meingast Piva,&nbsp;Rosane Mary Möbius Gebran,&nbsp;Alexandre Antônio Saad Gebran-Neto,&nbsp;Mara Rejane Rodrigues Correa Segalla","doi":"10.47626/1679-4435-2022-635","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-635","url":null,"abstract":"<p><strong>Introduction: </strong>Different forms of rationalization are introduced through work, which result from economic, political, and social changes that increase the need for labor force. Within this context, there are institutions that neglect the effects of poor work environments on workers' health, such as the development of work-related mental and psychological disorders.</p><p><strong>Objectives: </strong>To understand what it means to work as an official expert at a forensic medicine institute and investigate occupational and workplace factors that may contribute to emotional and psychological stress and/or depression.</p><p><strong>Methods: </strong>We conducted an exploratory, qualitative study at a forensic medicine institute of a Brazilian capital city. Data were collected using semi-structured interviews with study participants, which were selected according to inclusion and exclusion criteria.</p><p><strong>Results: </strong>Occupational factors, including physical organization and psychological demand, may generate or contribute to the development of psychological and emotional stress and/or depression in forensic medicine workers. Working conditions are related to the quality and quantitative performance of the worker and influence whether worker productivity meets the demands of those using the services provided by the institute.</p><p><strong>Conclusions: </strong>This study revealed the reality of those working at a forensic medicine institute and identified possible factors that may cause emotional instability, psychological and emotional stress, and/or depression. We identified the need for changes in the workplace and the creation of social policies focused on mental health to minimize occupational illness.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"178-184"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/69/rbmt-20-02-0178.PMC9458324.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity among government-backed economy restaurant workers in Belo Horizonte, Brazil.","authors":"Bruna Vieira de Lima Costa, Paula Martins Horta, Mariana Zogbi Jardim, Ariene Silva do Carmo, Sabrina Alves Ramos","doi":"10.47626/1679-4435-2022-665","DOIUrl":"10.47626/1679-4435-2022-665","url":null,"abstract":"<p><strong>Introduction: </strong>This food service sector produces nutritionally balanced meals and its workers eat their meals in this environment. Since they work with nutritionally adequate meals, would these workers have a lower prevalence of obesity?</p><p><strong>Objectives: </strong>The present study aimed to describe the prevalence of obesity among government-backed economy restaurant workers in a Brazilian state capital with analysis of sociodemographic and occupational factors and associated health factors.</p><p><strong>Methods: </strong>Two hundred and fifteen (215) workers from four government-backed economy restaurants operating in the city of Belo Horizonte were evaluated. Only workers who were active during the study period were eligible for the analysis. Anthropometric data were collected for investigation in relation to sociodemographic variables and work and health conditions.</p><p><strong>Results: </strong>The sample of government-backed economy restaurant workers was 37.2% female and had a mean age of 41.9 ± 10.9 years. Based on body mass index, we found that one third of the workers were obese. Obesity was more prevalent among women, workers who were dissatisfied with their bodies, workers who mainly perform tasks in a sitting position, and workers who perform strenuous tasks. Obese people have difficulties performing physical movements, classify their tasks as arduous, and opt for more sedentary tasks.</p><p><strong>Conclusions: </strong>Three out of 10 workers in the government-backed economy restaurants were obese. Programs and actions aimed at prevention and control of obesity are needed in this sector in order to improve the physical and mental capacities of its workers, avoiding attrition of the workforce and major health problems.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"279-286"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/46/rbmt-20-02-0279.PMC9458341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality management of the periodic medical examination at a university hospital, from the workers' perspective.","authors":"Sheila de Castro Cardoso Toniasso,&nbsp;Maria Carlota Borba Brum,&nbsp;Vania Naomi Hirakata,&nbsp;Rosane Paixão Schlatter","doi":"10.47626/1679-4435-2022-646","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-646","url":null,"abstract":"<p><strong>Introduction: </strong>Implementation of quality assessment methodologies at healthcare services enables the results achieved to be monitored in terms of established objectives and standards of care delivery.</p><p><strong>Objectives: </strong>To assess the quality of the processes involved in provision of periodic medical examinations at a University Hospital, from the workers' perspective.</p><p><strong>Methods: </strong>This is a cross-sectional study using questionnaires to conduct quality assessment of the periodic medical examination processes, including Net Promoter Score satisfaction questions. Statistical analysis of the results was performed using SPSS version 18. Data on categorical variables are expressed as absolute frequencies and data on continuous variables as means and standard deviations. Chi-square tests and analysis of variance were used to identify associations. A significance level of 0.05 was adopted to determine the statistical relevance of findings.</p><p><strong>Results: </strong>A total of 381 respondents with a mean age of 45.25 years were included, 66% of whom were female. There was a statistically significant (p < 0.001) association between duration of consultations and the number of items assessed in the periodic medical examination. In general, the findings from application of the Net Promoter Score for self-scheduling (45%) and service at reception (42%) indicate a need for process improvement, whereas clinical care (50%) rated as a quality process.</p><p><strong>Conclusions: </strong>This study identified a set of information that can be used to describe, analyze, and improve the care delivered by the institution's occupational health service and to identify opportunities for improvement of periodic medical examination processes.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"222-230"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/99/rbmt-20-02-0222.PMC9458328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality among physicians: what has changed with COVID-19?","authors":"Mírian Perpetua Palha Dias Parente","doi":"10.47626/1679-4435-2022-202","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-202","url":null,"abstract":"","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"167-168"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/8f/rbmt-20-02-0167.PMC9458325.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of sickle cell disease on work activity.","authors":"Rosana Paula Pires,&nbsp;Mário Cézar Oliveira,&nbsp;Lucio Borges Araújo,&nbsp;João Carlos Oliveira,&nbsp;Tânia Machado Alcântara","doi":"10.47626/1679-4435-2022-641","DOIUrl":"https://doi.org/10.47626/1679-4435-2022-641","url":null,"abstract":"<p><strong>Introduction: </strong>Sickle cell disease is a group of conditions caused by anomalous hemoglobin that predisposes people to some clinical syndromes. Because of these recurrent syndromes, patients have difficulty finding and, often, keeping a job.</p><p><strong>Objectives: </strong>To evaluate the impact of sickle cell disease on the job situation of people with the condition.</p><p><strong>Methods: </strong>Thirty-two working-age people with sickle cell disease were recruited using the snowball sampling method and underwent semistructured interviews for demographic, socioeconomic, and clinical data collection.</p><p><strong>Results: </strong>Only 28.1% of the interviewees engaged in paid work, 46.9% had already worked but were not working at the time of the interview, and 25% had never worked. About 6% of participants lived in extreme poverty, and 28.4% lived on the poverty line. Monthly <i>per capita</i> income was less than one minimum salary in 56.2% of cases and less than 1.5 minimum salaries in 9.4%.</p><p><strong>Conclusions: </strong>Sickle cell disease has an important negative impact on employment situation, as about 70% of working-age people were inactive. This results in a high social cost represented by a very low monthly <i>per capita</i> income (≤ 1 minimum salary) in 93.7% of the participants.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":" ","pages":"272-278"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/42/rbmt-20-02-0272.PMC9458333.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40373449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}