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

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• 作者：Berry J. van Holland (1)
  Remko Soer (2) (3)
  Michiel R. de Boer (4)
  Michiel F. Reneman (1)
  Sandra Brouwer (5)
  
  1. Department of Rehabilitation Medicine ; Center for Rehabilitation ; University Medical Center Groningen ; University of Groningen ; Dilgtweg 5 ; 9751 ND ; Haren ; Groningen ; The Netherlands
  2. Groningen Spine Center ; University Medical Center Groningen ; University of Groningen ; Groningen ; The Netherlands
  3. Saxion University of Applied Sciences ; Enschede ; The Netherlands
  4. Department of Health Sciences ; Faculty of Earth and Life Sciences ; Institute for Health Sciences ; VU University ; Amsterdam ; The Netherlands
  5. Department of Health Sciences ; Community and Occupational Medicine ; University Medical Center Groningen ; University of Groningen ; Groningen ; The Netherlands
  
• 关键词：Meat ; packing industry ; Absenteeism ; Q fever ; Contact dermatitis ; Occupational health ; Workplace ; Musculoskeletal disorders
• 刊名：International Archives of Occupational and Environmental Health
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：88
• 期：4
• 页码：389-402
• 全文大小：316 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Occupational and Industrial Medicine
  Environmental Medicine/Environmental Psychology
  Rehabilitation
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1246

文摘

Objective To investigate the effectiveness of occupational health interventions in the meat processing industry on work and health-related outcomes. Methods 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. Results 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. Conclusion 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.