杨海斌, 王峥, 冯哲伟. 杭州市下城区2014—2017年职业健康监护情况分析[J]. 上海预防医学, 2020, 32(10): 861-866. DOI: 10.19428/j.cnki.sjpm.2020.19232
引用本文: 杨海斌, 王峥, 冯哲伟. 杭州市下城区2014—2017年职业健康监护情况分析[J]. 上海预防医学, 2020, 32(10): 861-866. DOI: 10.19428/j.cnki.sjpm.2020.19232
YANG Hai-bin, WANG Zheng, FENG Zhe-wei. Occupational health surveillance in Xiacheng District of Hangzhou from 2014 to 2017[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 861-866. DOI: 10.19428/j.cnki.sjpm.2020.19232
Citation: YANG Hai-bin, WANG Zheng, FENG Zhe-wei. Occupational health surveillance in Xiacheng District of Hangzhou from 2014 to 2017[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 861-866. DOI: 10.19428/j.cnki.sjpm.2020.19232

杭州市下城区2014—2017年职业健康监护情况分析

Occupational health surveillance in Xiacheng District of Hangzhou from 2014 to 2017

  • 摘要:
    目的了解杭州市下城区有毒有害企业2014—2017年职业健康监护情况,为职业卫生监管提供依据。
    方法收集下城区2014—2017年用人单位健康监护资料,分析其变化趋势,比较不同危害因素以及不同经济类型、行业、规模的用人单位健康监护情况。
    结果下城区用人单位2014—2017年上岗前、在岗期间职业健康检查开展率差异均无统计学意义,离岗时职业健康检查开展率呈升高趋势。不同经济类型、行业、规模用人单位在岗期间职业健康检查实检率差异有统计学意义,在岗期间职业禁忌证检出率在不同经济类型用人单位、不同危害因素间差异有统计学意义,而疑似职业病检出率差异无统计学意义。
    结论下城区用人单位健康监护呈现“重在岗、轻岗前和离岗”的现象,要重点关注制造业、集体和私有经济用人单位及化学、物理危害因素接触者的健康监护。建议相关部门根据用人单位的性质和特点,结合危害因素的类型,加强对用人单位健康监护的宣传和监管。

     

    Abstract:
    ObjectiveTo investigate the status of occupational health surveillance in Xiacheng District of Hangzhou City from 2014 to 2017, and to provide basis for occupational hygienic supervision
    MethodsData on occupational health surveillance in Xiacheng District from 2014 to 2017 were collected, and the trend of occupational health surveillance was analyzed.The differences of occupational health surveillance among different hazardous agents, economic types, industries and scales were compared.
    ResultsThere was no significant difference in rates of pre-job and on-job occupational medical examination from 2014 to 2017, and the rate of off-job occupational medical examination showed an increasing trend.There were statistical difference in on-the-job occupational medical examination rates among empolying units of different economic types, industries and scales.There were statistical differences in the detection rates of occupational contraindication among empolying units of different economic types, hazardous agents.There was no significant difference in the detection rates of suspected occupational diseases among empolying units.
    ConclusionThe occupational health surveillance showed a phenomenon of "emphasizing on-the-job, neglecting pre-job and off-the-job" in Xiacheng District.Supervision department should pay more attention on manufacturing, collective and private economic.It is necessary to focus on the protection of staff contacts with chemical and physical agents. It is suggested that relevant departments should strengthen the propaganda and supervision of occupational health surveillance, according to the nature, characteristics of the employing units and types of their hazardous agents.

     

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