Transcript OCCUPATIONAL DISEASES IN Portugal: contributions from a
OCCUPATIONAL DISEASES IN PORTUGAL: CONTRIBUTIONS OF A GENDER APPROACH BASED ON THE ANALYSIS OF WORKING CONDITIONS ON A LOCAL LEVEL
Carla Barros, Liliana Cunha & Marta Santos
CPUP, University Fernando Pessoa; [email protected]
CPUP; University of Porto; [email protected]
CPUP, University of Porto; [email protected]
STATISTICS ON OCCUPATIONAL DISEASES IN PORTUGAL 2005 . 2012 TOTAL OF OCCUPATIONAL DISEASES PER GROUPS OF DISEASES
(Barros-Duarte, & Moreira, 2014) 15% Noise diseases caused by physical agents
15 % 10% Respiratory diseases 10 %
Yearly average of
reports
of suspected occupational disease:
3677 4 %
4% Skin diseases and others Yearly average of
recognitions
of occupational diseases:
3328 69 % 69% Musculoskeletal injuries
STATISTICS ON OCCUPATIONAL DISEASES IN PORTUGAL 2005 . 2012 TOTAL OF OCCUPATIONAL DISEASES BY GENDER AND YEAR OF RECOGNITION
(Barros-Duarte, & Moreira, 2014)
2500 2000 1500 1000 500 0 2005 2006 2007 2008 2009
Year of recognition F M
2010 2011 2012
women: 58,5 % men: 41,1%
REPORTS OF OCCUPATIONAL DISEASES IN LISBON AND VALE DO TEJO 2003 . 2004 TOTAL OF OCCUPATIONAL DISEASES BY GENDER AND YEAR OF RECOGNITION
(Santos, Castro & Moreira, 2006)
1600 1400 1200 1000 800 600 400 200 0 Lisboa Santarém Setúbal RLVT 2003 Women 108 16 92 216 2004 288 45 613 946 2003 43 5 111 159 Men 2004 235 35 172 442 2003 Total: RLVT 2004 151 21 203 523 80 785 375 1388
OCCUPATIONAL DISEASES AND GENDER 2005 . 2012 WOMEN
(Barros-Duarte, & Moreira, 2014) Musculoskeletal injuries Skin diseases and others Respiratory diseases
86%
3% 2%
1º 2º 3º 4º 5º 6º 7º 8º 9º 10º 11º 12º
Paralisias (dir) Epicondilite (dir) Paralisias (esq) Periartrite escapulo- humeral (dir) Tendinites (dir) Epicondilite (esq) Periartrite escapulo-humeral (esq) Tendinites (esq) Dermites de contacto Tendossinovites (dir) Asma profissional Tendossinovites (esq)
18% 14% 14% 12% 8% 7% 6% 5%
3%
2%
2%
1%
OCCUPATIONAL DISEASES AND GENDER 2005 . 2012 MEN
(Barros-Duarte, & Moreira, 2014) Musculoskeletal injuries Respiratory diseases Physical agents – Noise Skin diseases and others
38%
26% 22% 2%
1º 2º 3º 4º 5º 6º 7º 8º 9º 10º 11º 12º
Hipoacusia bilateral Fibrose pulmonar Epicondilite (dir) Periartrite escapulo-humeral (dir) Epicondilite (esq) Periartrite escapulo-humeral (esq) Tendinites (dir) Asma profissional Paralisias (dir) Granulomatose pulmonar com insuficiência respiratória Paralisias (esq) Dermites de contacto 6% 4% 3% 3% 3%
22%
21% 12% 7% 3% 2% 2%
TOTAL NUMBER OF REPORTS OF OCCUPATIONAL DISEASES IN LISBON AND VALE DO TEJO 2003 . 2004 MEN
(Santos, Castro & Moreira, 2006) Perturbações oculares Efeitos irritantes na pele e nas membranas mucosas Perturbações hepáticas
Musculoskeletal injuries
Malária Perturbações da audição/surdez profissional Perturbações respiratórias Trombocitopenia Perturbações neurológicas Manifestações agudas neurodegenerativas Outro diagnóstico Missings Total _ _ 18 1 _ 0 216
2003 MEN 2004
27 27 11 1 16 0 142 26 1 167 0 178 37 0 2 1 2 1 442 _ _ 12 0 _ 0 159 1
WOMEN 2003 2004
1 11 0 129 1 5 18 0 889 0 5 30 0 0 0 1 2 946 _ _ 30 1 _ 0 375
TOTAL 2003 2004
28 28 22 1 145 1 147 44 1 1056 0 183 67 0 21 1 3 3 1388
OCCUPATIONAL DISEASES AND GENDER 2005 . 2012 OCCUPATIONAL RISK FACTORS
(Barros-Duarte, & Moreira, 2014)
WOMEN
Musculoskeletal injuries Skin diseases and others Respiratory diseases
86%
3% 2% 1 st
Overloading tendons and tissues
2 nd
Pressure on the nerves from applied force, position, rhythm or use of tools
3 rd
Physical, chemical and biological agents
OCCUPATIONAL DISEASES AND GENDER 2005 . 2012 OCCUPATIONAL RISK FACTORS
(Barros-Duarte, & Moreira, 2014)
MEN
Musculoskeletal injuries Respiratory diseases Physical agents – Noise Skin diseases and others
38%
26% 22% 2% 1 st
Overloading tendons and tissues
2 nd
Noise
3 rd
Silica
INSAT 2010 INSAT: health and work survey
(Barros-Duarte, C., Cunha, L. & Lacomblez, M., 2010)
INSAT 2010 preceding surveys
ESTEV (1990, 1995) and VISAT (1996) SIT (2000/01) Sumer (2002/03) Evrest (2001) European Working Conditions Surveys (EWCS)
INSAT 2010 anchor points
Assessment of working conditions and their effects on health Emphasis placed on the viewpoint of the worker Approach grounded on the real work activity Integrated analysis of results under the principle of "open statistics" (Volkoff, 2010)
USING INSAT: VARIOUS SECTORS OF ACTIVITY 2010 relationship between musculoskeletal disorders and influencing factors: Vibration Painful postures Intense physical exertion women
4.10% (OR=3.758) 24.4% (OR=2.600) 11.9% (OR=2.098)
men
11.8% (OR=3.140) 30.8% (OR=3.455) 26.6% (OR=1.950)
Having to hurry Overdemand
66.5% (OR=1.863) 64.7% (OR=1.567)
n.s.
n.s.
Intimidation Exposure to other people's suffering
27.9% (OR=1.428) 69.8% (OR=1.635)
n.s.
n.s.
USING INSAT: CASE STUDY 2010 Branch of activity:
Manufacture of Electrical and Electronic Components N= 417 workers 68% women 32% men
USING INSAT: CASE STUDY 2010 % Women % Men Administrative staff
62,1 37,9
Qualified industry workers
0,0 100,0
Assembly and machine operators
73,5 26,5
USING INSAT: CASE STUDY 2010 Results show a higher number of musculoskeletal problems in women (26.1% compared to 23.3% in men) such as:
backache (W = 50.6%; M = 45.3%); chronic muscle pain (W = 9.2%; M = 3.3%); varicose veins (W = 51.0%; M = 9.3%); frequent numbness of the limbs (W = 28.5%; M = 11.3%).
USING INSAT: CASE STUDY 2010 Such problems are related to:
the need to stand for a long time (W = 28.4%; M = 12.4%); repetitive movements (W = 32.9%; M = 27.4%); exposure to the risk of intimidation (W=11.4% ; M = 7.6%).
HOW DO WE MAKE THE DIFFERENTIATED IMPACT OF WORK ON WOMEN'S HEALTH MORE VISIBLE ...?
2010 Occupational disease statistics are crucial, but they need to be complemented by a closer analysis of the work setting...
establishing relationships between: … working conditions and all health problems … specificity of the work activity … the type of work organization
… WHILE TAKING INTO ACCOUNT THE INSTRUMENTS THAT MEDIATE THE ANALYSIS OF THIS IMPACT?
2010 INSAT as a privileged mediator:
it is a boundary object (Molinié & Leroyer, 2011), creating conditions to bring together the various actors of HSW on the diagnostic level; it goes beyond the mere releasing of information by adding to its diagnostic approach a concern for intervention on work.