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Workers' response to risk notification

W L Boal1, J Friedland, P A Schulte

  • 1National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA.

American Journal of Industrial Medicine
|April 1, 1995
PubMed
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The National Institute for Occupational Safety and Health (NIOSH) notified over 15,000 workers about occupational study findings, receiving varied feedback. Most workers found the health risk notifications clear and well-executed.

Area of Science:

  • Occupational Health
  • Epidemiology
  • Public Health Communication

Background:

  • Worker notification of occupational epidemiology study findings has been conducted by the National Institute for Occupational Safety and Health (NIOSH) since 1988.
  • This practice informs individuals about potential health risks identified in studies involving various chemicals like carbon monoxide, o-toluidine, and dioxin.

Purpose of the Study:

  • To describe seven specific worker notification instances.
  • To analyze worker reactions and feedback to these notifications, assessing the effectiveness of communication strategies.

Main Methods:

  • Notification materials detailing increased risks for conditions such as arteriosclerotic heart disease and various cancers were sent to 15,958 subjects.
  • Worker feedback was collected through telephone calls and postcards, with response rates of 0.3%-3.8% for calls and 8.8%-17.6% for postcards.

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  • Analysis included categorizing caller reasons, postcard comments, and assessing readability of materials.

    • Main Results:

    • The primary reasons for worker contact were questions about disease risk (30%) and reporting health status (25%).
    • Postcard feedback was largely positive (26% complimentary), with 20% reporting ill health. A majority (66%) rated the materials well done.
    • Most workers (85%) found the materials, written at a 6th-9th grade reading level, easy to understand, though 15% reported difficulty.

    Conclusions:

    • The notification system effectively generated worker input, despite potential limitations in respondent representativeness.
    • The study highlights the value of worker feedback in understanding the impact of health risk communication.
    • Findings suggest that clear, accessible communication is crucial for effective worker notification in occupational health studies.