Paulo Lima da-Silva-Filho1, Clóvis Botelho2, Hermano Albuquerque Castro3, Marcelo José Monteiro Ferreira4, Ageo Mário Cândido Silva2. 1. Occupational hHalth Reference Center, State Secretariat of Health - Cuiaba (MT), Brazil. 2. Institute of Collective Health, Universidade Federal do Mato Grosso - Cuiaba (MT), Brazil. 3. National Public Health School, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil. 4. Postgraduate Program in Public Health, Medicine School, Universidade Federal do Ceará - Fortaleza (CE), Brazil.
Abstract
BACKGROUND: The civil construction industry is associated with the some of the highest morbidity and mortality rates in Brazil. Despite their epidemiological relevance, occupational health surveillance actions within the primary care setting still exhibit weaknesses. OBJECTIVE: To analyze the prevalence of and factors associated with respiratory symptoms among civil construction workers in Cuiaba, Mato Grosso, Brazil. METHODS: Cross-sectional analytic study conducted with 545 civil construction workers to analyze occupational health surveillance actions. Presence of respiratory symptoms was investigated by means of the British Medical Research Council questionnaire on respiratory symptoms. The Mantel-Haenszel χ 2 test was used for bivariate analysis and Poisson regression for multivariate analysis. The significance level was set to 5%. RESULTS: Most participants were young adults and almost half exhibited respiratory symptoms. The odds to develop cough were higher for the participants exposed to chemicals (PR=1.70; 95%CI 1.22-2.37). The odds to develop wheezing were higher for the participants who had not undergone pre-employment spirometry (PR=1.57; 95%CI 1.17-2.10). CONCLUSION: Biological monitoring of civil construction workers might be useful to improve occupational health surveillance actions within the primary care setting.
BACKGROUND: The civil construction industry is associated with the some of the highest morbidity and mortality rates in Brazil. Despite their epidemiological relevance, occupational health surveillance actions within the primary care setting still exhibit weaknesses. OBJECTIVE: To analyze the prevalence of and factors associated with respiratory symptoms among civil construction workers in Cuiaba, Mato Grosso, Brazil. METHODS: Cross-sectional analytic study conducted with 545 civil construction workers to analyze occupational health surveillance actions. Presence of respiratory symptoms was investigated by means of the British Medical Research Council questionnaire on respiratory symptoms. The Mantel-Haenszel χ 2 test was used for bivariate analysis and Poisson regression for multivariate analysis. The significance level was set to 5%. RESULTS: Most participants were young adults and almost half exhibited respiratory symptoms. The odds to develop cough were higher for the participants exposed to chemicals (PR=1.70; 95%CI 1.22-2.37). The odds to develop wheezing were higher for the participants who had not undergone pre-employment spirometry (PR=1.57; 95%CI 1.17-2.10). CONCLUSION: Biological monitoring of civil construction workers might be useful to improve occupational health surveillance actions within the primary care setting.
Entities:
Keywords:
construction industry; occupational diseases; occupational health; respiratory tract diseases; surveillance of the workers health
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