过去曾接触过石棉的退休工人的生活质量
Emmanuelle Siefert1,2, Fleur Delva3,4, Christophe Paris5,6
1INSPIIRE, Université de Lorraine, Inserm, Nancy, France.
American journal of industrial medicine
|May 12, 2024
概括
在退休男性中,与石棉有关的疾病和呼吸道症状的感知风险与健康相关的生活质量 (HRQoL) 显著降低. 客观的石棉暴露没有影响HRQoL,突出了石棉暴露的心理影响.
科学领域:
- 职业健康 职业健康 职业健康
- 环境医学 环境医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 暴露于石棉是众所周知的各种癌症和非癌症肺部疾病的原因.
- 石棉暴露对心理的影响是公认的,但它对与健康相关的生活质量 (HRQoL) 的影响仍未得到充分研究.
研究的目的:
- 为了评估职业接触石棉的退休男性的HRQoL.
- 在这个队列中确定与减少HRQoL相关的因素.
主要方法:
- 使用SF-36v2和HAD尺度来测量HRQoL和心理困扰.
- 评估了对石棉的感知,呼吸系统症状和专家评估的暴露水平.
- 使用因子分析来获得感知风险评分和多变量回归,用于SF-36子尺度.
主要成果:
- 感知风险得分增加与身体和精神成分总结得分 (PCS/MCS) 降低相关.
- 呼吸系统症状与较低的PCS和MCS有显著的关联.
- 较高的感知风险与所有SF-36维度 (p ≤0.01) 的较差HRQoL有关.
- 目标石棉暴露水平与HRQoL结果没有相关性.
结论:
- 与石棉有关的疾病和呼吸道症状的感知风险显著影响HRQoL的所有维度.
- 心理因素,而不是客观暴露,似乎是这个人群中HRQoL的关键决定因素.
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