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Physician Notified Work-Related Diseases Among Farmers in Norway: Data from 2007 - 2016
Journal of Agromedicine ( IF 2.1 ) Pub Date : 2019-09-05 , DOI: 10.1080/1059924x.2019.1656129
Yogindra Samant 1 , Oddfrid Aas 2 , Robert Ekle 1 , Hans M Gravseth 3 , Tonje Strømholm 1
Affiliation  

Introduction: This study provided a profile of work-related diseases in the farming sector notified by physicians to the Norwegian Labor Inspection Authority’s (NLIA) Registry for Work-Related Diseases (RAS) over a 10-year period.

Methods: Data for the occupational code “farmers” were extracted from RAS for the period 2007–2016. We performed a descriptive analysis to obtain frequency, percentage, and incidence distribution of the data. We also explored the relationship of the notified diagnosis with gender, age, occupational exposures and the type of reporting physicians.

Results: Four hundred and sixty-nine cases of work-related diseases among farmers were notified in the period 2007–2016. Eighty-seven percent of the reported cases were males. The incidence of work-related diseases for the entire study period was computed to be 114/100 000 workers. The incidence and number of cases notified were highest among males and for the age group 55–74 years. Noise was the most frequently reported occupational exposure accounted for 291 cases. Hearing loss constituted for 62% of the notified cases, followed by respiratory diseases that accounted for 20% of the cases. Forty-eight cases of skin diseases, while only a few cases of musculoskeletal (n = 7) and mental disorders (n = 1) were notified. There was a strong association (λ = 0.51) between occupational exposure and notified diagnosis, and a moderate association (λ = 0.32) between type of reporting physician and the notified diagnosis.

Conclusion: This profile of the physician notified work-related diseases among farmers in Norway yielded a suppressed estimate of the actual incidence of cases. The biased distribution of nature and number of work-related diseases amongst farmers is primarily attributed to the significant undercount of cases. Physician underreporting of cases to the NLIA coupled with lack of Occupational Health Services coverage of workers in the farming sector contributes to this undercount of cases.



中文翻译:

挪威农民中医师报告的与工作有关的疾病:2007年至2016年的数据

简介:这项研究概述了农业领域与工作有关的疾病,并由医生在10年的时间内告知挪威劳动监察局(NLIA)工作相关疾病(RAS)注册机构。

方法:从RAS中提取2007-2016年职业代码“农民”的数据。我们进行了描述性分析,以获取数据的频率,百分比和发生率分布。我们还探讨了通知诊断与性别,年龄,职业暴露和报告医生类型之间的关系。

结果:在2007-2016年间,农民中报告了469例与工作有关的疾病。报告的病例中有百分之八十七是男性。在整个研究期间,与工作有关的疾病发生率计算为114/10万工人。在55-74岁年龄段的男性中,通报的病例数和发病率最高。噪声是最常报告的职业暴露,占291例。听力损失占通报病例的62%,其次是呼吸系统疾病,占病例的20%。通报了48例皮肤病病例,而仅报告了几例肌肉骨骼(n = 7)和精神障碍(n = 1)。职业接触和明确诊断之间有很强的关联性(λ= 0.51),中等关联性(λ= 0)。

结论:在挪威农民中,医生告知的与工作有关的疾病的这种特征对实际病例的发生产生了抑制作用。农民之间与工作有关的疾病的性质和数量的偏向主要归因于案件数量的显着减少。医师向NLIA报告病例不足,再加上农业部门工人缺乏职业健康服务,这是造成病例不足的原因。

更新日期:2020-04-23
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