Preventive occupational health interventions in the meat processing industry in upper-middle and high-income countries: a systematic review on their effectiveness

被引:13
作者
van Holland, Berry J. [1 ]
Soer, Remko [2 ,3 ]
de Boer, Michiel R. [4 ]
Reneman, Michiel F. [1 ]
Brouwer, Sandra [5 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Ctr Rehabil, Dept Rehabil Med, NL-9751 ND Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Groningen Spine Ctr, NL-9751 ND Groningen, Netherlands
[3] Sax Univ Appl Sci, Enschede, Netherlands
[4] Vrije Univ Amsterdam, Inst Hlth Sci, Fac Earth & Life Sci, Dept Hlth Sci, Amsterdam, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci Community & Occupat Med, NL-9751 ND Groningen, Netherlands
关键词
Meat-packing industry; Absenteeism; Q fever; Contact dermatitis; Occupational health; Workplace; Musculoskeletal disorders; Q-FEVER; SKIN PROBLEMS; VACCINE PROPHYLAXIS; WORK; POULTRY; PREVALENCE; ERGONOMICS; PROMOTION; INJURY; TRIAL;
D O I
10.1007/s00420-014-0964-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
To investigate the effectiveness of occupational health interventions in the meat processing industry on work and health-related outcomes. A systematic literature review was performed. PubMed, Embase, and The Cochrane Library were searched. Studies were included when they reported on an intervention among employees in the meat processing industry and with outcomes related to work or health. Studies were assessed on risk of bias, and data were synthesized by type of intervention. A total of 13 articles reporting on two randomized controlled trials and nine non-randomized intervention studies were retrieved. Studies were categorized into three topics: ergonomics programs, skin protection, and Q fever vaccination. All studies had high risk of bias. Based on four studies, there was limited evidence for workplace health and safety programs showing reductions in musculoskeletal injury severity, reduction of lost work days, and reduction of costs and claims for several musculoskeletal disorders. There was limited evidence for added rest breaks resulting in improved productivity at the end of a workday and in reductions of perceived discomfort in various body regions at the end of the workday. One study on skin protection showed reductions of eczema prevalence, although evidence was moderate. Based on four studies, there was high-quality evidence for strong effectiveness of Q fever vaccination. This review presents evidence for the effectiveness of a variety of workplace interventions. There was limited evidence for effectiveness of ergonomic interventions, moderate evidence of a skin protection intervention, and strong evidence for Q fever vaccination.
引用
收藏
页码:389 / 402
页数:14
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