occupational diseases in portugal: contributions of a gender approach based on the analysis of...

OCCUPATIONAL DISEASES IN PORTUGAL: CONTRIBUTIONS OF A GENDER APPROACH BASED ON THE ANALYSIS OF WORKING CONDITIONS ON A LOCAL LEVELCarla Barros, Liliana Cunha & Marta SantosCPUP, University Fernando Pessoa; [email protected]; University of Porto; [email protected], University of Porto; [email protected]

69

4

10

15%

%

%

%

69% Musculoskeletal injuries

4% Skin diseases and others

15% Noise diseases caused by physical agents

10% Respiratory diseases

TOTAL OF OCCUPATIONAL DISEASES PER GROUPS OF DISEASES(Barros-Duarte, & Moreira, 2014)

STATISTICS ON OCCUPATIONAL DISEASES IN PORTUGAL2005 . 2012

Yearly average of reports of suspected occupational

disease: 3677

Yearly average of recognitions of occupational diseases: 3328

TOTAL OF OCCUPATIONAL DISEASES BY GENDER AND YEAR OF RECOGNITION(Barros-Duarte, & Moreira, 2014)

STATISTICS ON OCCUPATIONAL DISEASES IN PORTUGAL2005 . 2012

women: 58,5 % men: 41,1%

2005 2006 2007 2008 2009 2010 2011 20120

500

1000

1500

2000

2500

F MYear of recognition

Num

ber o

f occ

upati

onal

dis

ease

s

Women 2003 Women 2004 Men 2003 Men 2004 Total: RLVT 2003

Total: RLVT 2004

Lisboa 108 288 43 235 151 523

Santarém 16 45 5 35 21 80

Setúbal 92 613 111 172 203 785

RLVT 216 946 159 442 375 1388

100

300

500

700

900

1100

1300

1500

Repo

rts

TOTAL OF OCCUPATIONAL DISEASES BY GENDER AND YEAR OF RECOGNITION(Santos, Castro & Moreira, 2006)

REPORTS OF OCCUPATIONAL DISEASES IN LISBON AND VALE DO TEJO 2003 . 2004

OCCUPATIONAL DISEASES AND GENDER2005 . 2012WOMEN(Barros-Duarte, & Moreira, 2014)

Musculoskeletal injuries 86%

Skin diseases and others 3%

Respiratory diseases 2%

1º Paralisias (dir) 18%

2º Epicondilite (dir) 14%

3º Paralisias (esq) 14%

4º Periartrite escapulo- humeral (dir) 12%

5º Tendinites (dir) 8%

6º Epicondilite (esq) 7%

7º Periartrite escapulo-humeral (esq) 6%

8º Tendinites (esq) 5%

9º Dermites de contacto 3%

10º Tendossinovites (dir) 2%

11º Asma profissional 2%

12º Tendossinovites (esq) 1%



Physical agents – Noise 22%


OCCUPATIONAL DISEASES AND GENDER2005 . 2012MEN(Barros-Duarte, & Moreira, 2014)

1º Hipoacusia bilateral 22%

2º Fibrose pulmonar 21%

3º Epicondilite (dir) 12%

4º Periartrite escapulo-humeral (dir) 7%

5º Epicondilite (esq) 6%

6º Periartrite escapulo-humeral (esq) 4%

7º Tendinites (dir) 3%

8º Asma profissional 3%

9º Paralisias (dir) 3%

10º Granulomatose pulmonar com insuficiência respiratória 3%

11º Paralisias (esq) 2%

12º Dermites de contacto 2%

MEN WOMEN TOTAL

2003 2004 2003 2004 2003 2004

Perturbações oculares 27 27 1 1 28 28

Efeitos irritantes na pele e nas membranas mucosas 11 26 11 18 22 44

Perturbações hepáticas 1 1 0 0 1 1

Musculoskeletal injuries 16 167 129 889 145 1056

Malária 0 0 1 0 1 0

Perturbações da audição/surdez profissional 142 178 5 5 147 183

Perturbações respiratórias 18 37 12 30 30 67

Trombocitopenia 1 0 0 0 1 0

Perturbações neurológicas _ 2 _ 0 _ 21

Manifestações agudas neurodegenerativas _ 1 _ 0 _ 1

Outro diagnóstico _ 2 _ 1 _ 3

Missings 0 1 0 2 0 3

Total 216 442 159 946 375 1388

MEN(Santos, Castro & Moreira, 2006)

TOTAL NUMBER OF REPORTS OF OCCUPATIONAL DISEASES IN LISBON AND VALE DO TEJO 2003 . 2004

OCCUPATIONAL DISEASES AND GENDER2005 . 2012OCCUPATIONAL RISK FACTORS WOMEN(Barros-Duarte, & Moreira, 2014)




1st Overloading tendons and tissues

2nd Pressure on the nerves from applied force, position, rhythm or use of tools

3rd Physical, chemical and biological agents

OCCUPATIONAL DISEASES AND GENDER2005 . 2012OCCUPATIONAL RISK FACTORS MEN(Barros-Duarte, & Moreira, 2014)

1st Overloading tendons and tissues

2nd Noise

3rd Silica



Physical agents – Noise 22%


INSAT: health and work survey(Barros-Duarte, C., Cunha, L. & Lacomblez, M., 2010)

INSAT2010

ESTEV (1990, 1995) and VISAT (1996)

SIT (2000/01)

Sumer (2002/03)

Evrest (2001)

European Working Conditions Surveys (EWCS)

INSAT2010preceding surveys

INSAT2010

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)

anchor points

women men

Vibration 4.10% (OR=3.758) 11.8% (OR=3.140)

Painful postures 24.4% (OR=2.600) 30.8% (OR=3.455)

Intense physical exertion 11.9% (OR=2.098) 26.6% (OR=1.950)

Having to hurry 66.5% (OR=1.863) n.s.

Overdemand 64.7% (OR=1.567) n.s.

Intimidation 27.9% (OR=1.428) n.s.

Exposure to other people's suffering 69.8% (OR=1.635) n.s.

USING INSAT: VARIOUS SECTORS OF ACTIVITY2010relationship between musculoskeletal disorders and influencing factors:

USING INSAT: CASE STUDY2010Branch of activity: Manufacture of Electrical and Electronic Components

N= 417 workers 68% women32% men

USING INSAT: CASE STUDY2010Branch of activity: Manufacture of Electrical and Electronic Components

Administrative staff Qualified industry workers Assembly and machine operators

% Women 62,1 0,0 73,5

% Men 37,9 100,0 26,5

Branch of activity: Manufacture of Electrical and Electronic Components

USING INSAT: CASE STUDY2010

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%).

Results show a higher number of musculoskeletal problems in women (26.1% compared to 23.3% in men) such as:

USING INSAT: CASE STUDY2010

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%).

Such problems are related to:

HOW DO WE MAKE THE DIFFERENTIATED IMPACT OF WORK ON WOMEN'S HEALTH MORE VISIBLE ...?2010Occupational 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?2010INSAT 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.

occupational diseases in portugal: contributions of a gender approach based on the analysis of...

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