Abstract
Aim. To analyze factors that potentially influencing the incidence of members of locomotive crews.Material and methods. The survey method was used to survey 10476 members of locomotive crews. Overall 9309 individuals were included in the analysis. The study was conducted on all railways of the Russian Federation (63 subjects of the Russian Federation). The questionnaire included: the passport part, the results of medical research (blood pressure, cholesterol and blood glucose levels), questions on workrelated risk factors, risk factors for chronic non-infectious diseases, questions reflecting the subjective opinion of member on the problem.Results. The incidence of locomotive crews members is associated (p<0,05) with the place of work, the types of rolling stock and traffic. By type of traffic, the highest incidence was observed in the members of goods trains; by type of rolling stock, the lowest incidence was among engine drivers and their assistants. The number of cases of diseases with temporary disability over the past year has been associated with rank held. Persons who have experienced temporary disability, are characterized by: 1,2 times lower daily consumption of fruits and vegetables, 1,1 times higher value of BMI and waist circumference, and 1,03 higher blood cholesterol level.Conclusion. The results show that preventive programs can be effective in reducing the incidence of locomotive crews members.
Highlights
The results show that preventive programs can be effective in reducing the incidence of locomotive crews members
Epidemiological monitoring of risk factors of chronic health care to workers of locomotive crews in the system of the Russian Railway
Summary
АД — артериальное давление, ЗВУТ — заболевания с временной утратой трудоспособности, ИМТ — индекс массы тела, ОТ — окружность талии, РЛБ — работник локомотивной бригады, ФР — факторы риска, ХНИЗ — хронические неинфекционные заболевания. ОАО “РЖД” является одним из крупнейших предприятий, осуществляющих разные виды перевозок не только на территории России, но и за рубежом [1]. Одним из элементов обеспечения безопасности движения является состояние здоровья работников локомотивных бригад (РЛБ). Заболевания с временной утратой трудоспособности (ЗВУТ) не только снижают производительность труда, но и повышают вероятность развития внештатных ситуаций по причине “человеческого фактора” [2,3]. На РЛБ воздействует совокупность производственных и непроизводственных факторов риска (ФР), суммарное влияние которых обуславливает развитие различных заболеваний [4]. Целью настоящего исследования явился анализ факторов, потенциально влияющих на заболеваемость РЛБ
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