与职业环境中的多重暴露相关的健康结果:一篇综述
Cassandra Barbey1,2, Nathalie Bonvallot2, Frédéric Clerc1
1Department of Pollutant Metrology, French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54547 Vandœuvre-lès-Nancy, France.
Safety and health at work
|December 19, 2024
概括
工作场所暴露于多种危害是常见的,并与各种健康问题有关. 目前的预防策略尚不发达,需要对联合职业暴露及其对健康的影响进行进一步研究.
科学领域:
- 职业健康 职业健康 职业健康
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
背景情况:
- 工作场所的危害对人类健康构成风险,可能导致职业病.
- 现有的风险减轻措施往往忽视了多种职业暴露之间的相互作用.
- 人们公认需要对职业联合暴露及其对健康的影响进行研究.
研究的目的:
- 进行关于多重职业暴露与人类健康结果之间的关联的科学文献的范围审查.
- 确定常见的暴露场景和工作场所受影响的卫生系统.
- 评估联合职业风险预防策略的现状.
主要方法:
- 系统审查63篇研究文章,重点关注多重职业暴露和健康结果.
- 纳入标准要求进行研究,详细介绍组合暴露,描述每个暴露,并报告暴露/健康结果的关联.
- 确定活动部门的分类和多重暴露场景.
主要成果:
- 确定了七个活动部门和六个多重暴露场景 (化学,物理-生物机械,心理-社会-组织).
- 神经,精神,呼吸,肌肉骨和听觉系统是受联合暴露影响的系统之一.
- 绝大多数 (91%) 的多重暴露与健康问题之间的相关性在统计学上是显著的.
结论:
- 联合职业暴露的预防策略尚不发达,需要改进.
- 进一步的研究对于提高工人健康的预防方法至关重要.
- 审查发现了研究中的差距,特别是关于生物风险和其他未经检查的多重暴露.
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