Soubra Lama, Al-Mohannadi Alreem, Berzan Yasser, Consunji Rafael, El-Menyar Ayman, Al-Thani Hassan, Al-Marri Mohammed Ali, Al-Hajri Hamad Saed
Environmental Sciences Program, Department of Biological and Environmental Sciences, College of Arts and Sciences, Qatar University, Doha, Qatar.
Ashghal, Safety and Occupational Health Section, Doha, Qatar.
Int Arch Occup Environ Health. 2025 Apr;98(3):283-296. doi: 10.1007/s00420-025-02126-x. Epub 2025 Feb 28.
The construction sector has the highest risk of fatal and non-fatal injuries worldwide. This study examined the impact of risk mitigation strategies implemented in Qatar's construction sector between 2013 and 2021 on non-fatal injuries.
This study employed quantitative and qualitative methods. Data on implemented strategies were gathered through a systematic website search and structured interviews with Safety and Occupational Health officers. Retrospective injury data were obtained from Hamad Trauma Center medical records. Systematic website search identified key legislation and guidelines. Interview transcripts were analyzed using qualitative content analysis. Injury data were categorized into pre- and post-implementation data. Differences were assessed using means, standard deviations, percentages, effect sizes, and confidence intervals.
Eight safety legislation/policies and guidelines were issued. Interview analysis identified technical, behavioral, and organizational measures as key themes in risk mitigation strategies. Comparing pre- and post-implementation data, non-fatal injury incidence (effect size (ES): 0.21, 95% CI 0.19-0.28) and severity (ES: 0.32, 95% CI 0.25-0.40) were reduced. Hospital and ICU stays were shorter post-implementation (ES: 0.2, 95% CI 0.12-0.27 and 0.014, 95% CI 0.010-0.021). Injury reductions were observed across major affected areas, except for the chest and skin. Non-fatal injuries remained more common among general laborers (ES: - 0.26, 95% CI - 0.34, 0.18) and those wearing protective devices (ES; - 0.1, CI - 0.12, - 0.07).
Implemented risk mitigation strategies collectively reduced non-fatal injury incidence and severity and improved outcomes in the construction sector. Future research should explore observed trends through prospective studies and job hazard analysis.
在全球范围内,建筑行业发生致命和非致命伤害的风险最高。本研究考察了2013年至2021年卡塔尔建筑行业实施的风险缓解策略对非致命伤害的影响。
本研究采用了定量和定性方法。通过系统的网站搜索以及与安全和职业健康官员进行结构化访谈,收集了已实施策略的数据。回顾性伤害数据来自哈马德创伤中心的医疗记录。通过系统的网站搜索确定了关键立法和指南。使用定性内容分析法对访谈记录进行分析。伤害数据被分类为实施前和实施后的数据。使用均值、标准差、百分比、效应量和置信区间评估差异。
发布了八项安全立法/政策和指南。访谈分析确定技术、行为和组织措施是风险缓解策略的关键主题。比较实施前和实施后的数据,非致命伤害发生率(效应量(ES):0.21,95%置信区间0.19 - 0.28)和严重程度(ES:0.32,95%置信区间0.25 - 0.40)有所降低。实施后住院和重症监护病房的停留时间缩短(ES:0.2,95%置信区间0.12 - 0.27;以及0.014,95%置信区间0.010 - 0.021)。除胸部和皮肤外,在主要受影响区域观察到伤害减少。非致命伤害在普通劳动者(ES: - 0.26,95%置信区间 - 0.34,0.18)和佩戴防护设备的人员(ES: - 0.1,置信区间 - 0.12, - 0.07)中仍然更为常见。
实施的风险缓解策略共同降低了建筑行业非致命伤害的发生率和严重程度,并改善了结果。未来的研究应通过前瞻性研究和工作危害分析来探索观察到的趋势。