Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review
Individuals are constantly exposed to hazardous factors that can affect their health, the hazards encountered in the workplace can lead to the development of occupational diseases. Risk mitigation measures help to reduce the risks, but they are often designed without consideration of interactions be...
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Elsevier
2024-12-01
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| Series: | Safety and Health at Work |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2093791124000763 |
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| author | Cassandra Barbey Nathalie Bonvallot Frédéric Clerc |
| author_facet | Cassandra Barbey Nathalie Bonvallot Frédéric Clerc |
| author_sort | Cassandra Barbey |
| collection | DOAJ |
| description | Individuals are constantly exposed to hazardous factors that can affect their health, the hazards encountered in the workplace can lead to the development of occupational diseases. Risk mitigation measures help to reduce the risks, but they are often designed without consideration of interactions between occupational exposures. Therefore, there is a need for research and it resulted in international research plans and programmes. The aim of this scoping review is to provide an overview of the scientific results related to the link between multiple occupational exposures and human health outcomes. Sixty-three articles were reviewed. Research articles were included only if they mentioned: several combined exposures, the direct characterisation of each exposure, and exposure/health outcome associations. Seven activity sectors were identified: ‘extraction and energy production and distribution’, ‘health care’, ‘banks, public administration and defence’, ‘chemical production’, ‘manufacturing industry’, ‘agriculture and food industry’ and ‘transport and logistics’. Six multiple exposures scenarios were identified: chemical (n = 35), chemical/physical-biomechanical (n = 22), chemical/psychosocial-organisational (n = 6), physical-biomechanical (n = 9), physical-biomechanical/psychosocial-organisational (n = 13), and psychosocial-organisational (n = 12). The health problems identified concern nervous, mental, respiratory, musculoskeletal, auditory and other systems. Eighty-eight of 97 (91%) multiple exposure/health problem associations were reported to be statistically significant. Twenty studies (32%) provided specific risk prevention advice for multiple exposures. Prevention aimed at reducing risks to workers' health is still underdeveloped, further research is needed to improve prevention methods. No study was related to biological risk, and some other multiple exposures known to have health effects were not identified as well. This highlights the need for more multiple exposures research. |
| format | Article |
| id | doaj-art-44e9c9b12bb54a7fa4e9f4aa38df3f38 |
| institution | Kabale University |
| issn | 2093-7911 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | Safety and Health at Work |
| spelling | doaj-art-44e9c9b12bb54a7fa4e9f4aa38df3f382024-11-30T07:10:02ZengElsevierSafety and Health at Work2093-79112024-12-01154382395Health Outcomes Related to Multiple Exposures in Occupational Settings: A ReviewCassandra Barbey0Nathalie Bonvallot1Frédéric Clerc2Department of Pollutant Metrology, French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54547 Vandœuvre-lès-Nancy, France; Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000 Rennes, FranceUniv Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000 Rennes, FranceDepartment of Pollutant Metrology, French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54547 Vandœuvre-lès-Nancy, France; Corresponding author. Department of Pollutant Metrology, French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54547 Vandœuvre-lès-Nancy, France.Individuals are constantly exposed to hazardous factors that can affect their health, the hazards encountered in the workplace can lead to the development of occupational diseases. Risk mitigation measures help to reduce the risks, but they are often designed without consideration of interactions between occupational exposures. Therefore, there is a need for research and it resulted in international research plans and programmes. The aim of this scoping review is to provide an overview of the scientific results related to the link between multiple occupational exposures and human health outcomes. Sixty-three articles were reviewed. Research articles were included only if they mentioned: several combined exposures, the direct characterisation of each exposure, and exposure/health outcome associations. Seven activity sectors were identified: ‘extraction and energy production and distribution’, ‘health care’, ‘banks, public administration and defence’, ‘chemical production’, ‘manufacturing industry’, ‘agriculture and food industry’ and ‘transport and logistics’. Six multiple exposures scenarios were identified: chemical (n = 35), chemical/physical-biomechanical (n = 22), chemical/psychosocial-organisational (n = 6), physical-biomechanical (n = 9), physical-biomechanical/psychosocial-organisational (n = 13), and psychosocial-organisational (n = 12). The health problems identified concern nervous, mental, respiratory, musculoskeletal, auditory and other systems. Eighty-eight of 97 (91%) multiple exposure/health problem associations were reported to be statistically significant. Twenty studies (32%) provided specific risk prevention advice for multiple exposures. Prevention aimed at reducing risks to workers' health is still underdeveloped, further research is needed to improve prevention methods. No study was related to biological risk, and some other multiple exposures known to have health effects were not identified as well. This highlights the need for more multiple exposures research.http://www.sciencedirect.com/science/article/pii/S2093791124000763Health effectsMultiple exposuresOccupational exposuresOccupational healthOccupational risk |
| spellingShingle | Cassandra Barbey Nathalie Bonvallot Frédéric Clerc Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review Safety and Health at Work Health effects Multiple exposures Occupational exposures Occupational health Occupational risk |
| title | Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review |
| title_full | Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review |
| title_fullStr | Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review |
| title_full_unstemmed | Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review |
| title_short | Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review |
| title_sort | health outcomes related to multiple exposures in occupational settings a review |
| topic | Health effects Multiple exposures Occupational exposures Occupational health Occupational risk |
| url | http://www.sciencedirect.com/science/article/pii/S2093791124000763 |
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