在流行病学研究中对轮班工作的回顾性评估 - - 学到的经验教训
Sylvia Rabstein1, Beate Pesch1, Lewin Eisele2
1Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr University Bochum (IPA), Bochum, Germany.
Journal of occupational and environmental hygiene
|April 30, 2025
概括
可靠的轮班工作评估对于流行病学研究至关重要. 关键总结问题有效地捕捉了每次工作轮班和工作时间,尽管随着年龄的增长,回忆准确性略有下降.
科学领域:
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
- 生物统计学 生物统计学
背景情况:
- 准确评估轮班工作暴露对于流行病学研究至关重要.
- 国际癌症研究机构 (IARC) 工作组建议指导轮班工作的评估.
- 海因茨·尼克斯多夫回忆 (HNR) 队列研究使用了这些建议进行详细的采访.
研究的目的:
- 评估不同轮班工作评估方法之间的一致性.
- 为了比较在基线和10年随访期间报告的轮班工作特征.
- 根据关键总结问题与详细历史记录调查轮班工作数据的可靠性.
主要方法:
- 对于轮班工作特征,采用了三种不同的评估方法.
- 在两个时间点采访:基线 (2000-2003) 和10年后续 (2011-2013).
- 使用简单协议 (%),Gwet的AC1和类内相关系数 (ICC) 来衡量协议.
- 应用β回归模型来分析年龄和性别对可靠性的影响.
主要成果:
- 在基线和后续评估之间,观察到"永远轮班工作"和"轮班工作持续时间"的高度一致.
- 在男性中,Gwet的AC1为"随时轮班工作",直到基线为0.77.
- 在比较总结问题和详细病史时",轮班工作时间"的可靠性很高 (女性的ICC=0.96),老年人略有下降.
- 参与者难以回忆更详细的轮班工作信息.
结论:
- 关键总结问题提供了"随时轮班工作"和"轮班工作持续时间"的可靠数据.
- 请记住,随着年龄的增长,轮班工作特征的可靠性略有下降.
- 这些发现支持在大型队列研究中对轮班工作暴露的简化评估工具的使用,承认与年龄相关的回忆限制.
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