The acceptance of personal protective equipment among Hong Kong construction workers: An integration of technology acceptance model and theory of planned behavior with risk perception and safety climate

Introduction: The phenomenon that construction workers do not use personal protective equipment (PPE) is a major reason for the high occurrence frequency of accidents in the construction industry. However, little efforts have been made to quantitatively examine the factors influencing construction workers’ acceptance of PPE. Method: In the current study, a PPE acceptance model for construction workers (PAMCW) was proposed to address the noted need. The PAMCW incorporates the technology acceptance model, theory of planned behavior, risk perception, and safety climate for explaining construction worker acceptance of PPE. 413 construction workers participated in this study to fill out a structured questionnaire. The PAMCW was analyzed using structural equation modeling. Results: Results provide evidence of the applicability of the technology acceptance model and theory of planned behavior to the PPE acceptance among construction workers. The positive influence of safety climate and risk perception-severity on attitude toward using PPE was significant. Safety climate positively influences perceived usefulness. Risk perception-worry and unsafe was found to positively affect intention to use PPE. Practical Applications: Practical suggestions for increasing construction workers’ use of PPE are also discussed.     

Occupational noise exposure and hearing defects among sawmill workers in the south of Thailand

The aim of this study was to investigate occupational noise exposure and hearing defects among sawmill workers in the south of Thailand. Seven hundred sawmill workers participated, of which 335 (47.9%) were male. The mean age of the sawmill workers was 33.5 years (SD 10.2), and more than 60% were <35 years old; 75.1% of the workers had less than 5 years of work experience. Only about one in four workers (25%) had been trained in use of personal protective equipment (PPE), and half of the participants never or rarely wore PPE while working. The prevalence rate of noise-induced hearing loss (NIHL) was 22.8% (N?=?42). Male workers had significantly higher risk than female workers (odds ratio [OR]?=?2.21). Workers aged older than 25 years had significantly higher risks for NIHL (OR?=?3.51–12.42) than workers younger than 25 years. Sawing workers had higher risk for NIHL than office workers (OR?=?3.07).     

Health and Safety Perception of Workers in Turkey: A Survey of Construction Sites

This study reports the general health and safety (HS) conditions in the Turkish construction industry from the perspective of construction labor. Toward this aim, a questionnaire survey was carried out with 800 workers employed in 32 construction projects in Turkey. Contractors were found to neglect their legal liabilities in paying workers’ insurance premiums. Also, they overlooked safety training and were reluctant to hiring physicians at construction sites and investing in personal protective equipment (PPE). As the real constructors of projects, workers did not attach adequate importance to occupational training. In addition, they were not willing to use some PPE. Key participants of HS affairs such as workers, contractors, unions, and government should comprehend their drawbacks to overcome the current dangerous view of the industry. In this regard, related government bodies should compel contractors and workers to adapt to the relatively new regulations on occupational HS.     

An evaluation of occupational accidents in the wooden furniture industry - A regional study in South East Asia

Studies on the rate of occupational accidents among workers in the wooden furniture industry is sparse, although the industry is deemed to be highly accident prone. Therefore, the rate of occupational accidents among workers in the wooden furniture industry in Malaysia, Thailand, Indonesia and Vietnam were studied, in 240 furniture manufacturing factories, using a structured questionnaire. The findings of the study suggest that contract workers are less prone to occupational accidents compared to their permanent counterparts, and hence, are more productive. Further, the results also revealed that the contract workers have a more positive attitude towards the work, and hence, pick up the essentials of safe working practices quickly. It must therefore be recognized that the “production oriented mentality” prevalent in the wooden furniture industry, which has been argued to compromise occupational safety and health standards in the industry may be debatable. In this context, it is essential for the policy makers to re-examine the employment of contract workers for the furniture manufacturing industry, as changing the psycho-economic parameters of the industry may be warranted before the industry is deemed attractive to a permanent workforce.     

Occupational health and safety issues in the informal economic segment of Pakistan: a survey of construction sites

This research covers the current status of occupational health and safety (OHS)-related practices in the informal construction segment of Pakistan. Data were collected, through interviews, from 316 construction sites employing 3577 workers. The results of the study reveal that both employers and workers lack knowledge of OHS laws/standards and no practices of this nature are enacted at these construction sites. Alarmingly, work-related accidents, whenever they happen, are not given due attention and there is no formal injury-report system. The informal construction industry employs a huge portion of the informal workforce, and lack of OHS happens at tremendous human cost. These research findings may thus play their role in strengthening the case for reforms in the sector. This study, if properly utilized, may also enable employers of the sector by increasing their knowledge about OHS practices and, as a result, trying to offer safer environments for their workers.     

Economic cost of occupational accidents: Evidence from a small island economy

Though a number of occupational accidents have occurred amongst the working population in Mauritius, no study has been carried out to measure the costs associated with such accidents to the best of our knowledge. This study bridges this gap by measuring the economic costs of occupational accidents by using both quantitative and qualitative approaches. The results show that occupational accidents result in costs amounting to nearly Rs. 168 mn of which a major part is accounted for, by loss in productivity. Alongside the highest rate of accidents took place within small enterprises and younger workers are the one taking higher risks mainly due to lack of knowledge and risk awareness. The findings also reveal that only 4% employers believe that investment in safety and health is important for maintaining good business partly because most of the costs are borne by the state. Such a situation therefore requires the need for awareness on practical health and safety systems and procedures among both employees and employers with a view to prevent accident and injuries.     

Knowledge,attitudes and practices of occupational risks in Colombian taxi drivers

Objective. The objective of this study was to learn about the health and safety strategies in a sample of taxi drivers in Bucaramanga, Colombia. Methods. A cross-sectional study was conducted among 138 taxi drivers. A survey was used to identify the socio-demographic and working characteristics, knowledge, attitudes and practices according to their occupational risk. Results. Eighty-five percent of the workers labored 9–15?h/day. Of those who suffered accidents, 27% were not affiliated to an occupational risk administrator (p = 0.028). Of the workers who had a work-related accident, 58% considered that the use of a cell phone while driving would not always reduce their attention, 50% always used their seat belt and 7% took active breaks and wore their seat belt (p = 0.01). Conclusions. Within this group of taxi drivers, having or believing to possess knowledge regarding an occupational risk did not ensure that they had a safe attitude or safe working practices.     

Attributes of occupational injury among workers in the chemical industry and safety issues.

Case-study research was carried out with a view to find the attributes of occupational injury among workers in the chemical industry and to enhance safety issues. Injury data were collected and processed in terms of different variables, such as age, gender, skills, type of hazard, etc. Pareto analysis was then applied to find a pattern of occupational injury among the workers. The study revealed that 79.52% of the injured workers were in the 40-59 age group; 57.14% of accidents occurred during the 1st shift; 73.26% of accidents caused injury to hands, feet, chest to thigh, arms and eyes; and 70.93% of injuries were caused by pumps, carrying and lifting, vehicles, pipelines, valves, and grinding. Surprisingly, no one was injured in the group of temporary workers. The paper also provides specific suggestions followed by some action plans.     

Working conditions,psychological/physical symptoms and occupational accidents. Bayesian network models

Each day thousands of workers suffer occupational accidents of varying degrees of severity. Accidents at work render workers incapable of carrying out their day to day activities, either temporarily or permanently, and they also have detrimental effects on family life, the company, and the general public. In order to reduce the occupational accident rate, it is necessary to determine the causes of those accidents. Although there are many different types of accidents, they generally stem from poor working conditions. The purpose of this study was to analyze the influence of working conditions on occupational accidents from data gathered in the VI National Survey of Working Conditions (VI NSWCs) in 2007. This survey utilized a random sample of the active population of Spain. The sample comprised 11,054 people (5917 males and 5137 females). In order to carry out the study, a probabilistic model was built using Bayesian networks. The model included the following variables: hygiene conditions, ergonomic conditions, job demands, physical symptoms, psychological symptoms, and occupational accidents. The study demonstrated that there were strong relationships between hygiene conditions and occupational accidents; it has been shown that poor hygienic conditions duplicate the probability of accident. Physical symptoms increased almost 50% due to poor ergonomic conditions. And finally, high job demands almost duplicated the psychological symptoms. The investigation also showed a high degree of interdependence between physical and psychological symptomatologies and the relationship between these and occupational accidents.     

Noise and neurotoxic chemical exposure relationship to workplace traumatic injuries: A review

IntroductionMore than 5,000 fatalities and eight million injuries occurred in the workplace in 2007 at a cost of $6 billion and $186 billion, respectively. Neurotoxic chemicals are known to affect central nervous system functions among workers, which include balance and hearing disorders. However, it is not known if there is an association between exposure to noise and solvents and acute injuries. Method: A thorough review was conducted of the literature on the relationship between noise or solvent exposures and hearing loss with various health outcomes. Results: The search resulted in 41 studies. Health outcomes included: hearing loss, workplace injuries, absence from work due to sickness, fatalities, hospital admissions due to workplace accidents, traffic accidents, hypertension, balance, slip, trips, or falls, cognitive measures, or disability retirement. Important covariates in these studies were age of employee, type of industry or occupation, or length of employment. Discussion: Most authors that evaluated noise exposure concluded that higher exposure to noise resulted in more of the chosen health effect but the relationship is not well understood. Studies that evaluated hearing loss found that hearing loss was related to occupational injury, disability retirement, or traffic accidents. Studies that assessed both noise exposure and hearing loss as risk factors for occupational injuries reported that hearing loss was related to occupational injuries as much or more than noise exposure. Evidence suggests that solvent exposure is likely to be related to accidents or other health consequences such balance disorders. Conclusions: Many authors reported that noise exposures and hearing loss, respectively, are likely to be related to occupational accidents. Practical applications: The potential significance of the study is that findings could be used by managers to reduce injuries and the costs associated with those injures.     

Attributes of Occupational Injury Among Workers in the Chemical Industry and Safety Issues

Case-study research was carried out with a view to find the attributes of occupational injury among workers in the chemical industry and to enhance safety issues. Injury data were collected and processed in terms of different variables, such as age, gender, skills, type of hazard, etc. Pareto analysis was then applied to find a pattern of occupational injury among the workers. The study revealed that 79.52% of the injured workers were in the 40–59 age group; 57.14% of accidents occurred during the 1st shift; 73.26% of accidents caused injury to hands, feet, chest to thigh, arms and eyes; and 70.93% of injuries were caused by pumps, carrying and lifting, vehicles, pipelines, valves, and grinding. Surprisingly, no one was injured in the group of temporary workers. The paper also provides specific suggestions followed by some action plans.     

Global trend according to estimated number of occupational accidents and fatal work-related diseases at region and country level

Background

Although occupational accidents and work-related diseases have been of interest for a long time, due to lack of proper recording and notification systems the official numbers of occupational accidents and work-related diseases are missing for many countries. Presently, the demand for effectiveness and an interest in the economic aspects of accidents have increased prevention activities at company and country levels.

Methods

Occupational accident data of selected countries and of World Health Organization regional divisions together with the global burden of disease were used in estimating global occupational accidents and fatal work-related diseases. The trend of global occupational accidents and work-related diseases is presented at region and country levels. The years 1998, 2001, and 2003 are compared in the case of occupational accidents and the years 2000 and 2002 in the case of work-related diseases.

Results

The total number of occupational accidents and fatal work-related diseases has increased, but the fatality rates per 100,000 workers have decreased. There were almost 360,000 fatal occupational accidents in 2003 and almost 2 million fatal work-related diseases in 2002. Every day more than 960,000 workers get hurt because of accidents. Each day 5,330 people die because of work-related diseases.

Conclusions

Information on occupational accidents and work-related diseases is needed so that countries may understand better the importance of occupational health and safety at country and company level. Especially companies in developing countries are not familiar with occupational safety and health. Statistical data is essential for accident prevention; it is a starting point for the safety work.     

Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: A qualitative approach

A carefully designed survey of medical waste management was undertaken in Dhaka, the capital city of Bangladesh. A range of sampling strategies and data gathering techniques were used. The data gathering techniques included observation, formal structured interview and informal dialogue. Sampling strategies included formal representative sampling for fixed populations and adaptive sampling for roaming populations was developed. Data were collected from healthcare establishments (HCEs) and other waste disposal operatives.Operatives dealing with waste were frequently found to be untrained, and without even a basic understanding of the hazards involved. Personal protective equipment was inadequate in most cases which led to frequent accidental injuries. No HCE was found to have adequate storage facilities for hazardous waste. Thus scavengers were able to gain access to items such as syringes and expired medicines, which they repackaged and resold. The lack of correctly controlled internal storage may be linked to the observation that employees at many HCEs offered contaminated items for sale to scavengers and recycling operatives. In many cases there was no attempt at segregation, but in some cases there was segregation at the point of use, but subsequent remixing with general waste, indicating a lack of management and education rather than a lack of will. In either case, hazardous waste was dumped in city corporation bins, and disposed of on general landfill sites. As well as exposing the waste to scavengers, this could potentially contaminate ground water, especially as the dumps were located in areas subject to frequent flooding.     

The Relationship Between Psychosocial Work Factors,Work Stress and Computer-Related Musculoskeletal Discomforts Among Computer Users in Malaysia

We analyzed occupational exposure to potentially infectious body fluids among health care workers (HCWs). Nurses were the most common exposed category of HCWs. In 73.6% cases needle sticks had been the reason of exposure. Recapping a needle was the cause of exposure in 6.9% accidents. Among 189 registered HCWs, 66 (34.9%) performed invasive procedures without any personal protective equipment. Prophylaxis with antiretroviral drugs was necessary in 43 (22.8%) cases.

As many as 60.3% of exposure incidents to potentially infectious material result from non-compliance with the relevant recommendations. Continuous education and training is critically needed to prevent occupational exposure to blood-borne infections among health care workers.     

83家井工煤矿在岗农民工尘肺病现状调查及预防对策研究

为调查井工煤矿在岗农民工尘肺病防治现状并提出对策措施,采用分层整群抽样调查方法对4省（市）的83家井工煤矿进行调研,调查内容包括:职业卫生管理现状、职业健康监护与尘肺病诊断资料、X线胸片、农民工基本情况、职业卫生知识知晓情况、社会保险待遇等。调查结果显示:83家井工煤矿的职业病危害防治工作领导小组设置率和管理制度制定率均为100%,但制度内容和职业卫生培训缺乏针对性;粉尘危害防治费用平均为吨煤0.18元/月;采煤和掘进工作面的总尘浓度约为1.02～49.5 mg/m3;在岗检查时,农民工肺部异常的检出率高于正式工,在岗农民工疑似尘肺病检出率为7.94%,农民工尘肺病平均发病工龄14.47 a±6.79 a,平均发病年龄42.56岁±5.80岁,与正式工相比,农民工发病工龄短、发病年龄小。因此,建议政府从法规标准建设、探索职业健康责任险、加大监管力度等方面,企业从强化主体责任意识、源头治理及农民工职业卫生培训等方面,加强农民工尘肺病的防治工作。     

Occupational exposure to human immunodeficiency virus (HIV)--how can we reduce the risk?

We analyzed occupational exposure to potentially infectious body fluids among health care workers (HCWs). Nurses were the most common exposed category of HCWs. In 73.6% cases needle sticks had been the reason of exposure. Recapping a needle was the cause of exposure in 6.9% accidents. Among 189 registered HCWs, 66 (34.9%) performed invasive procedures without any personal protective equipment. Prophylaxis with antiretroviral drugs was necessary in 43 (22.8%) cases. As many as 60.3% of exposure incidents to potentially infectious material result from non-compliance with the relevant recommendations. Continuous education and training is critically needed to prevent occupational exposure to blood-borne infections among health care workers.     

Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia

Background

All employees in health care settings handling needles or other sharps are at risk for needle stick and sharps injuries (NSSIs). Health care workers in under developed countries are at greater risk of infection from blood borne pathogens because of the lack of safety devices and the high prevalence of these pathogens.

Objectives

The aim of this study was to assess the prevalence of NSSIs and associated factors among health care workers in government health institutions in Gondar city, Ethiopia.

Methods

Institution based cross sectional study was conducted from May-December, 2010. The study included 344 health care workers who were selected from the source population using simple random sampling technique. Data were collected through interviews using structured and pre-tested questionnaire and the collected data were entered and analyzed using SPSS version 16.0.

Results

The prevalence of NSSIs among health care workers in the preceding 12 months was 106 (30.8%), of which 58 (54.7%) was reported by females. Lack of training on occupational health and safety, working more than 48 h/week, dissatisfaction with work environment and work culture, greater than 10 years of work experience and having low and moderate perception of risk were found to be significantly associated with NSSIs.

Conclusion

The study found high prevalence of NSSIs among health care workers. Effective training, ongoing awareness on the risk of hazards, preventive measures such as engineering control, and post-exposure prophylaxis following NSSIs are essential to reduce the risk of such injuries.     

Epidemiology of occupational accidents among Iranian insured workers

Work-related accidents are considered as a major health problem worldwide. The aim of present study was to determine the epidemiological pattern of occupational accidents among workers insured by the Iranian Social Security Organization (ISSO) between 2001 and 2005.Subjects consisted of all workers and drivers who had a work-related accident during 2001–2005 and were registered in the Iranian Social Security Organization (ISSO) database according to the inspection reports. An ordinal logistic regression model (proportional odds regression model) was used to assess the concurrent effects of independent variables on accident outcomes.Overall, 86,437 work-related accidents were investigated. The accidents were more frequent in metal workplaces and electrical industries, respectively. More than half of the accidents were due to incautious activities. Workers’ age (age at the time of accident) (OR = 0.99, CI: 0.989–0.994), gender (OR = 1.3, CI: 1.191–1.683), marital status (OR = 1.25, CI: 1.143–1.675) as well as accident setting (OR = 1.88, CI: 1.728–1.975) had significant effect on accident outcomes. Pattern of occupational injuries in Iran was consistent with the global pattern for accident outcomes.     

Occupational and public health and safety in a changing work environment: An integrated approach for risk assessment and prevention

During recent years the work environment has undergone significant changes regarding working time, years of employment, work organization, type of employment contracts and working conditions. In this paper, consequences of these changes on occupational and public health and safety are examined. These include the disruption of human biological rhythms, the increase of workers fatigue due to changes in patterns of working hours and years of employment, job insecurity and occupational stress, which have a serious impact on workers’ health and may result in an increase in occupational accidents. Unsafe work practices related to workload and time pressure, the impact of work changes on public safety and the deterioration of workers’ living conditions with respect to income, social-family life, health and insurance benefits, are also described. In this context, difficulties that occur due to the changing work environment in conducting effective occupational risk assessments and implementing OSH measures are discussed (for example, frequent changes between tasks and workplaces, underreporting of occupational accidents and diseases, lack of methodological tools, etc.). A fundamental criterion used while studying consequences on health and safety and the relative preventive measures is that health and safety must be approached as ‘the promotion and maintenance at the highest degree of the physical, mental and social well-being of workers’ and not only as retention of their work ability. Limits in combining “flexibility” at work and overall protection of occupational and public safety and health in a competitive market are put forward for discussion.