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1.
Int J Occup Environ Health ; 23(3): 234-242, 2017 07.
Article in English | MEDLINE | ID: mdl-29722638

ABSTRACT

Objectives This study's objective was to assess the morbidity of self-employed workers in the food service industry, an industry with a large amount of occupational health risks. Methods A cross-sectional study, consisting of 437 participants, was conducted between 2011 and 2013 in Champagne-Ardenne, France. The health questionnaire included an interview, a clinical examination, and medical investigations. Results The study population consisted of 146 self-employed workers (not working for an employer) and 291 employees (working with employment contracts for an employer). Logistic regression analysis revealed that self-employed workers had a higher morbidity than employees, after adjusting for age (OR: 3.45; 95% CI: 1.28 to 9.25). Main adverse health conditions were joint pain (71.2% self-employed vs. 38.1% employees, p < 0.001), ear disorders (54.1% self-employed vs. 33.7%, employees, p < 0.001), and cardiovascular diseases (47.3% self-employed vs. 21% employees, p < 0.001). Conclusions The study highlights the need for occupational health services for self-employed workers in France so that they may benefit from prevention of occupational risks and health surveillance. Results were presented to the self-employed healthcare insurance fund in order to establish an occupational health risks prevention system.


Subject(s)
Employment , Food Industry , Occupational Diseases/epidemiology , Occupational Health/statistics & numerical data , Adult , Cross-Sectional Studies , Female , France/epidemiology , Humans , Male , Middle Aged , Morbidity , Occupational Diseases/etiology , Occupational Health Services/statistics & numerical data , Prevalence , Young Adult
2.
Int J Occup Med Environ Health ; 27(3): 355-63, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24763900

ABSTRACT

OBJECTIVES: Only a few studies have analyzed the health of self-employed workers. This cross-sectional study is the first to compare health status among craftsmen joiners and paid joiners. MATERIAL AND METHODS: Clinical and paraclinical data for self-employed craftsmen and employees were collected by occupational health doctors according to a standardized protocol and compared. Health data and professional status relationships were analyzed by logistic regression. RESULTS: A total of 171 craftsmen and 196 paid workers were included. Craftsmen had more dermatologic pathologies (odds ratio (OR) = 2.67, p < 0.05), ear/nose/throat symptoms (OR = 3.38, p < 0.001), pulmonary symptoms (OR = 2.46, p < 0.05), musculoskeletal symptoms (OR = 3.09, p < 0.001), and abnormal audiogram (OR = 3.50, p < 0.001). The FEV1 was significantly lower among craftsmen (p < 0.01), independently of tobacco smoke exposure. CONCLUSIONS: This survey high-lights a high morbidity rate among self-employed craftsmen, suggesting that among woodworkers, professional status can be a risk factor for health. The preventive medical system for craftsmen has to be rethought to guarantee better safety for this population.


Subject(s)
Construction Industry , Employment/classification , Health Status , Adult , Cross-Sectional Studies , France/epidemiology , Humans , Male , Middle Aged , Musculoskeletal Diseases/epidemiology , Occupational Health , Otorhinolaryngologic Diseases/epidemiology , Respiratory Tract Diseases/epidemiology , Respiratory Tract Diseases/physiopathology , Risk Factors , Skin Diseases/epidemiology
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