成都龙泉驿区制鞋业工人健康干预效果评价

Effectiveness of Health Education and Promotion Among Shoe-making Workers in Longquanyi District,Chengdu

目的通过制鞋业职业病防治健康干预效果的变化,为进一步提高该行业健康干预有效性提供依据。方法2009-04,整群随机选择龙泉驿区22家制鞋业413名职工以及作业场所作为研究对象,根据职业卫生知识知晓调查情况,健康行为定期检查结果,企业监测和监护水平,3年后总结干预效果。结果作业工人职业卫生知识知晓率干预前后分别为22.7%和65.3%、卫生行为形成率干预前后分别为27.4%和73.0%、工作场所三苯(苯、甲苯、二甲苯)监测合格率干预前后分别为37.9%和85.2%,均有统计学意义(χ2=913.2,1 030.6,125.0,P<0.05);职工体检合格率干预前后分别为90.5%和91.0%,无统计学意义(χ2=0.35,P>0.05)。结论对龙泉驿区制鞋业进行职业病防治健康干预活动后,工人的职业病防治知识有了提高,作业环境职业危害合格率及作业者体检合格率均得到改善。

Objective To evaluate the effect of health intervention in shoe - making enterprises, and to provide basis for enhancing the intervention validity of occupational diseases. Methods Totally 413 workers from 22 shoe - making enterprises were randomly sampled in Longquanyi district in April, 2009. Results The awareness rate of occupational health knowledge increased from 22. 7% to 65.3% ; the formation rate of health behaviors increased from 27.4% to 73.0% ; the qualified rate of levels of benzene, toluene and xylene in the workplaces increased from 37.9% to 85.2%, with statistical difference （X^2 = 913.2, 1 030. 6, 125.0 respectively; P 〈 0. 05） ; the physical examination qualified rate remained stable level, with no significant difference （ X^2 = 0. 35, P 〉 0. 05 ） before and after intervention. Conclusion After 3 years of behavioral intervention, the worker＇s occupational disease prevention knowledge, the level of occupational hazards qualified rate and physi- cal examination qualified rate of workers have improved effectively.