Occupational Health Outcomes Research Articles

Contract labour in mining and occupational health and safety: A critical review

Abstract In recent decades, there has been a global growth of the use of contract labour in the mining industry, primarily driven by cost/flexibility considerations. At the same time, contracting has been associated with poorer occupational health and safety (OHS) outcomes across a range of industries. Drawing on published research, theses, and government reports, this paper critically reviews the available evidence on the OHS effects of contract labour in mining and the likely implications of further growth in this trend. This evidence confirms that the use of contract labour is associated with worse OHS outcomes, and that the Ten Pathways and Pressure, Disorganisation, and Regulatory failure (PDR) models are both valuable in explaining this. The latter point is confirmed by a more detailed examination of four serious mine incidents in NSW and Queensland. The paper identifies some gaps and areas for further research as well as the actions that mining companies, regulators, and unions could take to improve contractor safety. Notwithstanding the latter, the paper argues that the most effective way of improving contractor safety in mines is reducing the use of contractors overall and concentrating their activities in areas such as major shutdowns/repairs, where contractors have specialised expertise to undertake non-routine tasks. Despite oft-repeated phrases such as zero-harm and management systems, the corporate shift to using contractors is primarily driven by cost-cutting and highlights how OHS is compromised by such priorities.

Black Americans' Diminished Health Returns of Professional Occupations: A Thirty-Year Follow-Up Study of Middle-Aged and Older Adults.

Occupational classes exert substantial effects on both subjective and objective health outcomes. However, it remains unclear whether the health impact of similar occupational classes varies across racial groups among middle-aged and older adults in the United States. Grounded in the theory of Minorities' Diminished Returns (MDRs), which posits that health benefits from resources such as employment are systematically weaker for racial minority populations, particularly Non-Latino Black individuals, this study tested Black-White disparities in the effects of similar occupational classes on health outcomes in middle-aged and older adults. Utilizing data from the Health and Retirement Study (HRS), we employed a 30-year longitudinal design with a nationally representative sample of middle-aged and older adults in the United States. Six occupational classes-operator, managerial, professional specialty, sales, clerical/admin, and service-served as the key predictor variables (independent variables), with race as the moderator. Various health outcomes, including self-rated health, chronic disease, body mass index (BMI), activities of daily living (ADL), and cognitive function, were measured longitudinally from wave 1 to wave 15 (from baseline to 30 years later). Statistical analyses, incorporating logistic regression models, were conducted to assess associations between occupational class and health outcomes overall and based on race. Our analysis included 7538 Non-Latino White or Non-Latino Black participants followed for up to 30 years. Initial findings revealed positive health effects of professional occupations on cognitive function and self-rated health over 30 years of follow-uWe also identified significant interactions between race and professional occupational class on all health outcomes, indicating notable racial differences in the effects of professional occupations on health outcomes across domains. The effects of professional occupational class were weaker for Non-Latino Black individuals than for Non-Latino White individuals. Consistent with the Minorities' Diminished Returns theory, our findings indicated less pronounced positive effects of professional occupations on a wide range of health outcomes for Non-Latino Black individuals compared to Non-Latino Whites. These disparities emphasize the critical need to address structural factors that contribute to the diminished returns of prestigious occupations for Non-Latino Black populations.

Optimising workplace health programmes using organisational culture: Post-COVID perspectives from managers and workplace health experts from the UK contact centre industry

Contact centre workers experience disproportionately low physical activity levels and high sedentary behaviour levels, as well as an increased risk of negative occupational health outcomes such as anxiety and depression. Organisational culture factors such as strict work schedules and pressure to maintain productivity often impede the effectiveness of programmes to reduce these health risks. Despite its significance, organisational culture is often overlooked during the development and implementation of workplace health programmes due to its conceptually complex nature. The COVID-19 pandemic further complicated organisational culture-related associations to workplace health programmes in contact centres. This study investigated how organisational culture influences the existence and effectiveness of workplace health programmes in contact centres and if/how COVID-19 disrupted these associations. Fifteen interviews were conducted with contact centre managers and workplace health experts between February and June 2021. Findings indicate that employee well-being is increasingly being prioritised within contact centres, especially post-pandemic, and that there is a legacy of COVID-19 to learn from the spotlight that was placed on employee well-being during the pandemic to improve workplace conditions for contact centre employees. Further, to maximise effectiveness and support positive organisational culture change, these findings should be considered during well-being programme planning, delivery, implementation and evaluation.

Protocol for an observational study of working conditions and musculoskeletal health in Swedish online retail warehousing from the perspective of sex/gender and place of birth.

European and International sustainable development agendas aim to reduce inequalities in working conditions and work-related health, yet disparate occupational health outcomes are evident between both men and women and domestic- and foreign-born workers. In Sweden, major growth in online retail warehousing has increased occupational opportunities for foreign-born workers. The rapid change has left research lagging on working conditions, i.e., employment conditions, facility design, work organisation, physical and psychosocial work environment conditions, and their effects on worker health. Further, no known studies have considered patterns of inequality related to these factors. The overall aim of this study is to describe working conditions and musculoskeletal health in online retail warehousing, determine the extent to which differences exist related to sex/gender and place of birth (as a proxy for race/ethnicity), and examine factors at the organisational and individual levels to understand why any differences exist. Three online retail warehouses, each employing 50-150 operations workers performing receiving, order picking, order packing and dispatching tasks will be recruited. Warehouses will, to the extent possible, differ in their extent of digital technology use. Employment conditions, facility design (including digital tool use), work organisation, physical and psychosocial work environment conditions and worker health will be assessed by survey, interview and technical measurements. Analysis of quantitative data stratified by sex and place of birth will consider the extent to which inequalities exist. Focus group interviews with operations employees and in-depth interviews with managers, union and health and safety representatives will be conducted to assess how employee working conditions and musculoskeletal health are related to inequality regimes of sex/gender and/or race/ethnicity in organisational processes and practices in online retail warehousing. The study is pre-registered with the Open Science Framework. This study will describe working conditions and health in online retail warehouse workers and consider the extent to which patterns of inequality exist based on sex/gender and place of birth.

Understanding the Role of Empathy and Gender on EMS Clinician Occupational Stress and Mental Health Outcomes

Background Emergency Medical Service (EMS) clinicians experience high levels of occupational stress due to long hours, short staffing, and patient deaths, among other factors. While gender has been partially examined, little is known regarding the role of empathy on occupational stress and mental health (MH) outcomes among EMS clinicians. Therefore, the current study examines the moderating role of empathy and, separately, gender on associations between occupational stress and mental health. Methods A cross-sectional examination of EMS clinician occupational and personal wellbeing was conducted via an anonymous, electronic survey. Information on clinician demographics, and validated measures of occupational stress, burnout, and MH outcomes were collected. Empathy was assessed using the Toronto Empathy Scale (TEQ). Descriptive/bivariate statistics were conducted for variables of interest. Separate multivariable regression models evaluated associations between occupational stress and mental health outcomes. Empathy and gender were examined as potential moderators using interactions. Results A total of 568 EMS clinicians completed the survey. High levels of mental health difficulties were reported (34.0% anxiety, 29.2% depression, 48.6% burnout). Increased occupational stress was associated with increased anxiety (OR =1.08, 95% CI 1.05-1.10), depression (OR = 1.09, 95% CI 1.06-1.10), and burnout (OR = 1.10, 95% CI 1.07-1.12). No moderation analyses were significant. Greater resilience was associated with lower depression, anxiety, and burnout. Conclusion EMS clinicians, much like other first responders, experience considerable occupational stress, of which is associated with mental health difficulties and burnout. Findings underscore the need for intervention programs aimed at reducing the impact of occupational stress and the promotion of resilience. Continuing to understand the full scope of EMS mental health, including the role of resilience, is imperative, particularly in light of future public emergencies.

Does Perceived Emotional Invalidation Moderate the Relation Between Occupational Stress and Mental Health Outcomes in Law Enforcement Officers?

Does Perceived Emotional Invalidation Moderate the Relation Between Occupational Stress and Mental Health Outcomes in Law Enforcement Officers?

Path Analysis to Assess Diversity of Occupational Opportunities Within Walking Distance and Community Health.

Built environment structures affect a population's occupational participation and health outcomes. To examine how occupational opportunities available within walking distance are related to a community's overall health. Secondary data analysis. Community. Community-dwelling adults. Data from the AARP Livability Index and Walk Score® for 78 zip codes were used for path analysis and multiple regression analysis to investigate the relationship between various community factors and the health of the community. Path analysis for 78 zip codes revealed that the primary determinants of health score were destination diversity and social walk score. Multiple regression analysis revealed that destination diversity (β < .001) and exercise opportunity (β < .001) were significant factors for health score. Multiple regression analysis revealed that destination diversity (β < .001) was a significant factor for social score. The results suggest that increased diversity of destinations in a community and opportunities available for social participation within walking distance are associated with better health of residents in the community. Plain-Language Summary: This study highlights how the built environment and opportunities for social participation are associated with a community's overall health. This study found that participation in a variety of group activities contributes to community members' well-being. Understanding how the built environment is related to health outcomes may better equip occupational therapy practitioners to improve the health of an individual, group, or population.

Translating community-based participatory research into broadscale sociopolitical change: insights from a coalition of women firefighters, scientists, and environmental health advocates

BackgroundWe report on community-based participatory research (CBPR) initiated by women firefighters in order to share successful elements that can be instructive for other community-engaged research. This CBPR initiative, known as the Women Worker Biomonitoring Collaborative (WWBC) is the first we are aware of to investigate links between occupational exposures and health outcomes, including breast cancer, for a cohort of exclusively women firefighters.MethodsIn order to be reflective of the experiences and knowledge of those most intimately involved, this article is co-authored by leaders of the research initiative. We collected leaders’ input via recorded meeting sessions, emails, and a shared online document. We also conducted interviews (N = 10) with key research participants and community leaders to include additional perspectives.ResultsFactors contributing to the initiative’s success in enacting broadscale social change and advancing scientific knowledge include (1) forming a diverse coalition of impacted community leaders, labor unions, scientists, and advocacy organizations, (2) focusing on impacts at multiple scales of action and nurturing different, yet mutually supportive, goals among partners, (3) adopting innovative communication strategies for study participants, research partners, and the broader community, (4) cultivating a prevention-based ethos in the scientific research, including taking early action to reduce community exposures based on existing evidence of harm, and (5) emphasizing co-learning through all the study stages. Furthermore, we discuss external factors that contribute to success, including funding programs that elevate scientist-community-advocacy partnerships and allow flexibility to respond to emerging science-policy opportunities, as well as institutional structures responsive to worker concerns.ConclusionsWhile WWBC shares characteristics with other successful CBPR partnerships, it also advances approaches that increase the ability for CBPR to translate into change at multiple levels. This includes incorporating partners with particular skills and resources beyond the traditional researcher-community partnerships that are the focus of much CBPR practice and scholarly attention, and designing studies so they support community action in the initial stages of research. Moreover, we emphasize external structural factors that can be critical for CBPR success. This demonstrates the importance of critically examining and advocating for institutional factors that better support this research.

A Scoping Review of Interventions to Improve Occupational Safety and Health of Construction Workers.

This review comprehensively examines interventions which sought to improve the occupational safety and/or health of construction workers. Factors that explain the (in)effectiveness of interventions were also summarized. This review consisted of a search using two electronic databases, PubMed and Web of Science. Targeted workers in the construction industry; had at least one primary outcome that aimed to improve occupational safety and/or health; were published between January 01, 1990 and December 01, 2019; and were written in English. Two researchers independently carried out the process of reviewing the titles, abstracts and full texts, and extracted all data. If there were differences, discussions were held until a consensus was reached. A total of 1297 articles were retrieved and 24 were selected for final evaluation. Seventeen studies reported significant intervention effects, while 7 found their primary outcome not significantly improved. Future research should place more effort on interventions aimed at improving both occupational safety and health outcomes in an integrated manner, with environmental interventions that accompany behavioral interventions at the individual level. Besides, additional effort is also needed to ensure the involvement of relevant stakeholders in designing the intervention, avoiding contamination effects (through cluster randomization), optimizing the "dosage" of intervention, and improving measurement of outcomes.

The need for a multi-level approach to occupational safety and health among Asian and Asian American beauty service workers

Asian and Asian Americans (A/AA) are a group overlooked in general health outcomes but especially occupational safety and health outcomes. In the United States, the beauty service microbusiness industry (e.g., nail salons) predominantly employs immigrant Asian women who regularly encounter a plethora of occupational hazards (e.g., harmful chemical exposures -toluene, formaldehyde, bloodborne pathogens, fungi. However, due to the precariousness of beauty service jobs, cultural and linguistic barriers, and social determinants of health, A/AA beauty service workers face complex occupational safety and health challenges that require interdisciplinary collaboration and cultural competency to address. This commentary will discuss a multi-level approach including specific outreach partners that will offer the required diverse skillsets necessary for improving the occupational safety and health for this worker population in this microbusiness industry. Implications and suggestions for interventions and policy changes are also recommended utilizing the National Institute on Minority Health and Health Disparities’ Research Framework.

Determinants of Pesticide Exposure in Occupational Studies: A Meta-Analysis.

Few epidemiological studies use exposure determinants specifically tailored to assess pesticide or plant protection product (PPP) exposures when assessing presumed association between occupational exposure and health outcomes among agricultural workers. This lack of exposure specificity could lead to results that fail to detect an association. It could be related to the lack of consensus on exposure assessment methods and the choice of exposure determinants. We conducted a meta-analysis following the PRISMA checklist to identify PPP exposure determinants used in occupational studies and identified exposure determinants that best characterized agricultural exposures to PPPs. Out of 1436 studies identified, 71 were included. The exposure determinants identified were active ingredients, chemical classes, types of PPP, crops, tasks, frequencies, duration, lifetime exposure days, and intensity-weighted exposure days. Only six over 17 associations between exposure determinants and health outcomes were found with moderate quality of evidence. Overall, epidemiological studies had difficulty defining relevant determinants to characterize PPP exposures for agricultural workers. We recommend that a standardized list of determinants for PPP exposures in occupational exposure studies should include information on formulations, intensity, duration, and frequency of PPP exposure. Harmonized data collection on exposure and health outcomes are required as well as standard units for each exposure determinant.

Review of work from home empirical research during Covid-19

This study synthesizes the empirical research on Work From Home (WFH) during COVID-19 from 2020 to 2022. The study addressed two objectives; (1) to find the common WFH practices during the COVID-19 2020–2022 period and (2) to find the areas that are not common in WFH practices in the research landscape during COVID-19 in 2020–2022 and (3) the areas that need attention in future research on WFH practices. A Systematic Literature Review (SLR) methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to address these objectives. Following a predetermined article selection criteria, 108 articles were included from Scopus for the review. The study addressed the first objective and found five areas of outcomes which are; (1) Work attitudinal outcomes and means for WFH, (2) Gender-related outcomes, (3) Leadership challenges and mental health outcomes, (4) Work-related outcomes, and (5) Mobility-related outcomes. Addressing the second objective, we have seven areas for future research, including the five outcomes related to the first objective and (1) Determinants and (2) Occupational health outcomes of WFH, which were found in addressing the second objective. Moreover, research implications for practicality and future researchers are also provided.

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes

BackgroundStandard precautions may prevent patient health care associated infections and provider occupational exposures but are not often used by health care workers. A positive patient safety climate might contribute to improved adherence. The aim of this study was to determine the relationships among patient safety climate, standard precaution adherence, and health care worker exposures and HAIs. MethodsThis multi-site, cross-sectional study included survey data from nurses on patient safety climate, observational data on adherence, and existing health care worker exposure and health care associated infections data. Data were aggregated to hospital unit level for correlational and multivariable regression analyses. ResultsA total of 5,285 standard precaution observations and 452 surveys were collected across 43 hospital units. Observed adherence to all categories of standard precautions was 64.4%; there were significant differences by provider role. Multivariable models identified key predictors explaining sizeable variance in methicillin-resistant Staphylococcus aureus (41%), catheter associated urinary tract infections (23%), mucotaneous exposures (43%) and needlestick and sharps injuries (38%). DiscussionThis study produced findings not previously published thus advancing the state of the science in patient and occupational health safety. These include identifying modifiable features of the safety climate and key organizational characteristics associated better outcomes. ConclusionsIn this novel study we identified that a positive patient safety climate and adherence to standard precautions predict key HAI and occupational health outcomes.

Occupational Safety and Health Practices among Physical Therapists in Metro Manila during the COVID-19 Pandemic: A Qualitative Study Protocol

Introduction: The purpose of Occupational Safety and Health (OSH) is to protect and prevent workers from being exposed to risks and hazards that are detrimental to their health and safety. For the past two years, the coronavirus disease 2019 (COVID-19) is one of the most significant occupational health outcomes to physical therapists (PTs) due to the nature of their work. However, minimal studies have been conducted about the experiences and OSH practices of PTs during the pandemic. This study aims to understand the experiences of clinical PTs in Metro Manila, Philippines during the pandemic. The study also seeks to explore the OSH practices and responses of PTs to presenting occupational risks and hazards through a qualitative descriptive study design. Methods: In this qualitative descriptive study, a maximum variation purposeful sampling method will be used in recruiting an estimated total of twelve (12) participants. A preliminary questionnaire would be disseminated via Google Forms to determine the eligibility of potential participants. Data will be gathered through a one-to-one semi-structured online interview, which will be transcribed verbatim and recorded with audio and video. Both manual coding and software-aided coding (NVivo) will be utilized in the data analysis. Emerging themes will be identified using thematic inductive analysis. Discussion: The results of the study may contribute to the formulation of better guidelines in handling infectious diseases even after quarantine restrictions are lifted. Furthermore, the findings will also provide the groundwork for the local body of knowledge in the Philippines and may serve as a future reference for research concerning OSH practices in physical therapy locally.

Occupational safety and health practices among physical therapists in metro Manila during the COVID-19 pandemic: a qualitative descriptive study

Introduction: The purpose of Occupational Safety and Health (OSH) is to protect workers from risks and hazards detrimental to their health and safety. The coronavirus disease 2019 (COVID19) is currently one of the most significant occupational health outcomes to physical therapists (PTs). However, minimal studies have been conducted on the experiences and OSH practices of PTs during the pandemic. This study, therefore, aims to understand the experiences of clinical PTs in Metro Manila, Philippines during the pandemic and to explore their OSH practices and responses to presenting occupational hazards. Methods: In this qualitative descriptive study, maximum variation purposeful sampling was used in recruiting 12 participants. Data was gathered through one-to-one semi-structured online interviews, which were transcribed verbatim and recorded with audio and video. Coding was done in Google Sheets during data analysis. Emerging themes were identified using thematic inductive analysis. Results: After identifying 98 codes through transcripts of the interviews, 3 themes emerged: Period of Uncertainty, Period of Adjustment, and Period of Hopeful Prospect. Discussion: The Period of Uncertainty describes the time of surges of COVID-19 cases and series of lockdowns with minimal established protocols resulting in the challenges in the delivery of services and to the overall well-being of physical therapists. The Period of Adjustment was initiated by nationwide vaccination programs resulting in strengthening of OSH protocols. The Period of Hopeful Prospect describes the implications of the situation to both the PTs and the profession. The OSH practices of PTs varied with each period as changes occurred to their overall perceptions towards the pandemic and their personal health and safety. Findings can be considered in future formulation of OSH guidelines for potential outbreaks of infectious diseases within the practice of physical therapy.

Occupational safety and health practices among physical therapists in metro Manila during the COVID-19 pandemic: a qualitative descriptive study

Introduction: The purpose of Occupational Safety and Health (OSH) is to protect workers from risks and hazards detrimental to their health and safety. The coronavirus disease 2019 (COVID19) is currently one of the most significant occupational health outcomes to physical therapists (PTs). However, minimal studies have been conducted on the experiences and OSH practices of PTs during the pandemic. This study, therefore, aims to understand the experiences of clinical PTs in Metro Manila, Philippines during the pandemic and to explore their OSH practices and responses to presenting occupational hazards. Methods: In this qualitative descriptive study, maximum variation purposeful sampling was used in recruiting 12 participants. Data was gathered through one-to-one semi-structured online interviews, which were transcribed verbatim and recorded with audio and video. Coding was done in Google Sheets during data analysis. Emerging themes were identified using thematic inductive analysis. Results: After identifying 98 codes through transcripts of the interviews, 3 themes emerged: Period of Uncertainty, Period of Adjustment, and Period of Hopeful Prospect. Discussion: The Period of Uncertainty describes the time of surges of COVID-19 cases and series of lockdowns with minimal established protocols resulting in the challenges in the delivery of services and to the overall well-being of physical therapists. The Period of Adjustment was initiated by nationwide vaccination programs resulting in strengthening of OSH protocols. The Period of Hopeful Prospect describes the implications of the situation to both the PTs and the profession. The OSH practices of PTs varied with each period as changes occurred to their overall perceptions towards the pandemic and their personal health and safety. Findings can be considered in future formulation of OSH guidelines for potential outbreaks of infectious diseases within the practice of physical therapy.

Psychological Effects of Covid-19 Care; A Qualitative Study of Health Care Workers in Punjab Pakistan

The pandemic has caused severe psychological distress among Healthcare Workers. They were readily exposed to extreme workloads and physical and emotional turbulence throughout the pandemic which impacted them on both professional and personal fronts. Objectives: To explore the adverse impacts of Covid-19 on the mental health of the Healthcare Workers while delving into the relationship between occupational stress, communal norms, and mental health outcomes. Methods: It utilizes content gathered through observation and in-depth interviews of the frontline Healthcare Workers (n=32) that included doctors (n=14), nurses (n=12), and domestic staff (n=6) working in three COVID-19 treatment centers made in three major cities of Punjab, Pakistan, (Lahore, Faisalabad, and Sialkot) during Covid-19. Results: The results were divided into two themes followed by their sub-themes based on the results gathered through data collection tools. The themes were analyzed using the transactional model of stress and coping. The results reveal that the psychological distress faced by HCWs is directly related to occupational stress such as extreme workload/demand, while other challenges include fighting the community-imposed stigmas against the pandemic and social isolation. Conclusions: Psychological distress is a raising concern; current evidence reveals that low- and moderate-income communities, particularly in South Asian nations, have little or no understanding of workplace stress and its repercussions. Therefore, this study investigated Healthcare Workers’ perspectives on mental health concerning the pandemic.

Relative Importance of Incivility and Loneliness in Occupational Health Outcomes.

Researchers have studied loneliness as a modern health epidemic which is associated with myriad negative health effects, yet the literature lacks evidence of loneliness' correlates, including incivility, in the workplace. This paper not only replicates previous work on incivility, a pervasive interpersonal workplace stressor, it also contributes novel findings on the relative importance of loneliness in explaining variance in occupational health outcomes. We tested hypotheses using two cross-sectional datasets containing data from the general working population (Sample 1) and state corrections supervisors (Sample 2). Through relative importance analyses, including relative weights analysis, we found that both general and workplace loneliness explain substantial variance in several outcomes (e.g., emotional exhaustion, depression symptoms, and turnover intentions) relative to the variance explained by workplace incivility. When controlling for perceived work stress, general loneliness appears to be more important than incivility in explaining variance in emotional exhaustion, job satisfaction, and depression symptoms.

Workplace mental health characteristics of the Indigenous workforce in Canada: A descriptive study.

The Indigenous workforce in Canada is challenged by a history of Euro-Canadian colonialism that has presented deleterious health outcomes, including those in the workplace. The aim of this study was to describe the mental health of Indigenous workers in the workplace. We used the Canadian Community Health Survey (CCHS) between 2015 to 2016. Data were analyzed using the Public Use Microdata Files to profile the workplace mental health characteristics of First Nation Canadians (n = 6,297) and Canadians (n = 84,155). We utilized secondary data analysis design. The analyses included descriptive statistics (e.g., means and standard deviations) of self-reported mood disorders (depression, bipolar, mania, dysthymia), anxiety (phobia, OCD, panic) and occupational factors (e.g., demographic, days off work due to an acute mental health condition, job type, and job stress) in indigenous peoples living off-reserve and other Aboriginal settlements in the provinces. We examined the indigenous cohort between the ages of 18-64 who were employed. The sample was 53.1% male, married (34.8%), and obtained a post-secondary diploma or university degree (57.9%). The study reported statistically significant gender and age differences across mood and anxiety disorders (p < 0.05), job stress (p < 0.05) and workload (p < 0.05). To the best of our knowledge, this is the first study to describe the work profile of indigenous populations in Canada across various occupational mental health (e.g., mood disorders, anxiety) and demographic (e.g., age, education attainment) outcomes.

INVESTIGATION OF OCCUPATIONAL HEALTH AND SAFETY FACTORS OF DISADVANTAGED EMPLOYEE GROUPS IN TURKEY IN THE PROCESS OF ACCESSION TO THE EUROPEAN UNION.

Sanayi devrimi sonrasında bugünkü Avrupa Birliği’nin başat gücünü oluşturan ülkelerde, çalışanların sağlık ve güvenlikleriyle ilgili ciddi kaygılar ortaya çıkmıştır. Bu kaygılar, çalışanların İş Sağlığı ve Güvenliği (İSG) ile ilgili önlemler alınması gerektiğini ortaya koymuştur . Avrupa’daki bu erken dönem uygulamaları ve yasal literatürdeki gelişmeler, günümüzde AB’ni İSG konusunda tüm dünyada örnek ve yararlanılan kaynak haline getirmiştir. Çalışma literatür taraması tekniğiyle yapılmıştır. AB ve Türkiye’deki İSG yasaları, yönetmelikleri, resmi ve özel kurum istatistik çalışmaları ve makale çalışmalarından yararlanılmıştır. Türkiye’de AB katılım süreci çerçevesinde açılan dosyalardan biri olan İSG yasası ve uygulamaları, 10 yıldır kapsamlı olarak ele alınmaktadır. İlerlemeler kaydedilmişse de hedeflerin oldukça gerisinde kalınmıştır. Dezavantajlı çalışan gruplarının İSG faktörleri üzerinde yeterince durulmamıştır. Kabul ve kavramlar konusunda farklılıklar ve eksiklikler vardır. Bununla birlikte mevcut yasa ve yönetmeliklerin sahada uygulanması ve bunların denetlenme mekanizmaları oldukça yetersizdir. Kanun koyucu ve uygulayıcıların çalışanların tümü üzerindeki uygulamalarında olduğu gibi dezavantajlı grupların İSG sorunları da yeterince ele alınmamakta, ilgiyle üzerinde durulmamaktadır. Bu çalışmada AB ve Türkiye’deki dezavantajlı çalışan gruplarına yönelik İSG yasa ve normları ile uygulamalar karşılaştırılmıştır. Yasalar ve uygulamalardaki eksikler saptanmış, yedi dezavantajlı çalışan grubunun her birinin mesleki riskleri, sağlık sonuçları ile politika bağlamı analiz edilmiş ve çözüm önerileri sunulmuştur.