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      Occupational injuries among building construction workers in Addis Ababa, Ethiopia

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          Abstract

          Background

          Occupational injuries can pose direct costs, like suffering, loss of employment, disability and loss of productivity, and indirect costs on families and society. However, there is a dearth of studies clarifying the situation in most of Subsaharan African countries, like Ethiopia. The present study determined the prevalence of injury and associated factors among building construction employees in Addis Ababa, Ethiopia.

          Methods

          An institutional-based cross-sectional study was conducted among building construction employees in Addis Ababa, Ethiopia from February to April 2015. Multi-stages sampling followed by simple random sampling techniques was used to select the study participants. The sample size of the study was 544. A pre-tested and structured questionnaire was used to collect data. Multivariable analyses were employed to see the effect of explanatory variables on injury.

          Results

          The prevalence of injury among building construction employees was reported to be 38.3 % [95 % CI: (33.9, 42.7)] in the past 1 year. Use of personal protective equipments, work experience, khat chewing were factors significantly associated with injury.

          Conclusion

          This is among the few studies describing construction health and safety in Ethiopia. In this study a relatively higher prevalence of injury was reported among building construction employees compared to other studies. If urgent interventions are not in place, the absence from work, loss of productivity and work-related illnesses, disabilities and fatalities will continue to be a major challenge of the construction industry in the future. Therefore, programs to mitigate the burden borne by construction-related injuries should focus on areas, such as provision of safety trainings, promoting use of PPE and monitoring substance abuse in workplace.

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          Most cited references23

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          The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States.

          A Dembe (2005)
          To analyse the impact of overtime and extended working hours on the risk of occupational injuries and illnesses among a nationally representative sample of working adults from the United States. Responses from 10,793 Americans participating in the National Longitudinal Survey of Youth (NLSY) were used to evaluate workers' job histories, work schedules, and occurrence of occupational injury and illness between 1987 and 2000. A total of 110,236 job records were analysed, encompassing 89,729 person-years of accumulated working time. Aggregated incidence rates in each of five exposure categories were calculated for each NLSY survey period. Multivariate analytical techniques were used to estimate the relative risk of long working hours per day, extended hours per week, long commute times, and overtime schedules on reporting a work related injury or illness, after adjusting for age, gender, occupation, industry, and region. After adjusting for those factors, working in jobs with overtime schedules was associated with a 61% higher injury hazard rate compared to jobs without overtime. Working at least 12 hours per day was associated with a 37% increased hazard rate and working at least 60 hours per week was associated with a 23% increased hazard rate. A strong dose-response effect was observed, with the injury rate (per 100 accumulated worker-years in a particular schedule) increasing in correspondence to the number of hours per day (or per week) in the workers' customary schedule. Results suggest that job schedules with long working hours are not more risky merely because they are concentrated in inherently hazardous industries or occupations, or because people working long hours spend more total time "at risk" for a work injury. Strategies to prevent work injuries should consider changes in scheduling practices, job redesign, and health protection programmes for people working in jobs involving overtime and extended hours.
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            The Generic Job Satisfaction Scale

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              Do psychosocial work factors and social relations exert independent effects on sickness absence? A six year prospective study of the GAZEL cohort.

              The objective of this prospective cohort study was to determine whether psychosocial work characteristics and social relations exert independent effects on the incidence of sickness absence in a population of middle aged French employees over six years of follow up. This study included 9631 men and 3595 women participating in the French GAZEL cohort. Social relations (social networks, personal social support, and social relations satisfaction) were measured in 1994 by self report. Psychosocial work characteristics (decision latitude, psychological demands, and social support at work) were ascertained in 1995. Sickness absence data were collected independently. The authors studied the incidence of short (>7 days), intermediate (7-21 days), and long (>21 days) spells of absence from 1995 to 31 December 2001. Rate ratios associated with psychosocial exposures, adjusted on sociodemographic characteristics, and health behaviours, were calculated by means of log-linear Poisson regression. A cohort of 20000 employees of France's national gas and electricity company (the GAZEL study). Among men and women, levels of decision latitude and personal social support below the median predicted 17% to 24% increases in absence rates. Low satisfaction with social relations and low social support at work lead to a 10% to 26% excess in sick leaves among men. No interactive effects were found between the variables under study. The quality of the work environment and of social relations affect sickness absence over an extended period of follow up. This study supports the hypothesis of independent, not interactive effects.
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                Author and article information

                Contributors
                +251-(0)-912893304 , sbsbtadesse90@gmail.com
                dagnachewesrae@yahoo.com
                Journal
                J Occup Med Toxicol
                J Occup Med Toxicol
                Journal of Occupational Medicine and Toxicology (London, England)
                BioMed Central (London )
                1745-6673
                11 April 2016
                11 April 2016
                2016
                : 11
                : 16
                Affiliations
                [ ]Institute of Public Health, the University of Gondar, Gondar, Ethiopia
                [ ]City Government of Addis Ababa Health Bureau, Addis Ababa, Ethiopia
                Article
                107
                10.1186/s12995-016-0107-8
                4827174
                27069499
                a4fe4d59-99d7-4ed3-9cff-9dfb6c5c713f
                © Tadesse and Israel. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 27 August 2015
                : 5 April 2016
                Categories
                Research
                Custom metadata
                © The Author(s) 2016

                Occupational & Environmental medicine
                construction industry,occupational injuries,workers,workplace safety

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