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Preventive actions taken by workers after workers' health surveillance: a controlled trial
J S Boschman1, H F Van der Molen, M H W Frings-Dresen
1From the Coronel Institute of Occupational Health (Drs Boschman, Van der Molen, Frings-Dresen, and Sluiter), Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands; and Arbouw (Dr Van der Molen), Dutch Health & Safety Institute in the Construction Industry, Harderwijk, the Netherlands.
Objective:
To evaluate construction workers' preventive actions and occupational physician's (OPs) recommendations after a job-specific workers' health surveillance (WHS) compared with the currently used generic WHS.
Methods:
After the WHS, the OPs' written recommendations were captured. At the 3-month follow-up, the workers were asked about the preventive actions they had undertaken. A generalized linear mixed model was used to compare proportions of workers.
Results:
At follow-up, the proportion of workers who reported taking preventive actions was significantly higher in the intervention group (80%, 44/55) than in the control group (67%, 80 of 121), (P = 0.04). In the intervention group, the OPs provided a higher proportion of workers with written recommendations (82%, 63 of 77, vs 57%, 69 of 121; P = 0.03).
Conclusion:
The job-specific WHS aided OPs in providing workers with recommendations and workers in undertaking (job-specific) preventive actions.
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