Abstract：
PURPOSE:To estimate the risk of blood exposure to non-intact skin in U.S. paramedics; to estimate risk ratios for selected management practices. METHODS:A mail survey was conducted among a national sample of licensed paramedics in the United States in 2002-2003. RESULTS:The adjusted response rate was 55% (N = 2,664). The overall 12-month risk of non-intact skin blood exposure was 8.7% (95% confidence interval: 6.4-11). As the number of types of personal protective equipment (PPE) always provided by the employer increased, risk decreased. Risk ratios and 95% confidence intervals for selected factors were: not being provided with appropriate PPE, 2.4 (1.6-3.3); job evaluation doesn't include following safety procedures, 1.8 (1.0-2.7); supervisor wouldn't speak to paramedic about not following Universal Precautions, 2.1 (0.9-3.2); both of the above supervisory behaviors, 2.3 (1.3-3.6). CONCLUSIONS:Providing appropriate personal protective equipment is an effective means of preventing non-intact skin blood exposure and possible consequent bloodborne infection in paramedics. Future research should aim to identify factors limiting the provision of this equipment and to evaluate the advisability of interventions to increase provision. Supervisory behaviors that emphasize safe work practices may also be effective in preventing non-intact skin exposure in paramedics. Future research should develop interventions that apply general knowledge of management behaviors that promote worker safety to the work environment of paramedics.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Leiss JKdoi
10.1016/j.annepidem.2009.08.006subject
Has Abstractpub_date
2009-12-01 00:00:00pages
884-90issue
12eissn
1047-2797issn
1873-2585pii
S1047-2797(09)00300-7journal_volume
19pub_type
杂志文章abstract：PURPOSE:To examine the associations between social class at ages 0, 5, 10, 30, and 34 years and physical activity at age 34 years using a novel approach to analysis of life course data. METHODS:We used structural equation modeling to compare three competing models in life course epidemiology: the accumulation of risk ...
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更新日期：2011-03-01 00:00:00
