Surveillance of occupational accidents by sentinel workers’ health centers in the municipality of Fortaleza, Northeast of Brazil

Ferreira, Marcelo José Monteiro; Lima, Romênia Kelly Soares de; Silva, Ageo Mário Cândido da; Bezerra, José Gomes; Cavalcanti, Luciano Pamplona de Góes

doi:10.1590/1413-812320172210.17422017

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ARTICLE • Ciênc. saúde colet. 22 (10) • Oct 2017 • https://doi.org/10.1590/1413-812320172210.17422017 linkcopy

Surveillance of occupational accidents by sentinel workers’ health centers in the municipality of Fortaleza, Northeast of Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

This article examines the factors associated with the notification of occupational accidents by sentinel workers’ health centers in the municipality of Fortaleza in the northeast of Brazil. An analytical cross-sectional study was conducted of five sentinel workers’ health centers for serious and fatal occupational accidents. A total of 354 interviews were conducted with professionals responsible for notifying occupational accidents. Bivariate analysis was conducted using Pearson’s chi-square test and/or Fisher’s exact test using prevalence ratios and 95% confidence intervals, followed by stratified analysis and multivariate Poisson regression adopting the stepwise forward method. Variables that obtained a p-value of less than or equal to the chosen significance level (0.05) were maintained in the final model. Professionals who had a greater number of years of work experience, had undertaken three training courses, had knowledge of policy directives concerning occupational accidents, were familiar with the SINAN notification form, were aware that occupational accidents are reportable, and discussed the theme of occupational accidents in the workplace were statistically more likely to notify occupational accidents. Education and training helps raise awareness among health professionals.

Occupational accidents; Notification of occupational accidents; Workers’ Surveillance; Health information systems; Occupational health

Individual characteristics	N	%
Sex
Female	161	78
Male	46	22
Occupation
Nurse	99	48
Doctor	43	21
Social worker	23	11
Physiotherapist/OT	17	8
Psychologist	10	5
Pharmacist	15	7
Age group
20 \|--\| 30	32	15
31 \|--\| 40	61	29
41 \|--\| 50	63	30
≥ 51 years	51	25
Length of time since graduation
0 \|--\| 5 years	57	27
06 \|--\| 15 years	47	23
≥ 16 years	103	50
Years of relevant professional experience
0 \|--\| 5 years	59	28
06 \|--\| 14 years	40	20
≥ 15 years	108	52
Completion of training courses on notification of occupational accidents
Never	116	56
One	47	23
Two	15	7
At least three	29	14
Knowledge of legislation governing notification of occupational accidents
Yes	108	52
No	99	48
Knowledge of the Basic Health Law
Yes	102	49
No	105	51
Knowledge of the Social Security Law
Yes	55	27
No	152	73
Knowledge of the Social Insurance Law
Yes	48	23
No	159	77
Knowledge of policy directives relevant to occupational accidents
Yes	35	17
No	172	83
Knowledge of the SINAN occupational accident notification form
Yes	110	53
No	97	47
Aware that occupational accidents are reportable
Yes	172	83
No	35	17
Theme of occupational accidents is discussed in the workplace
Yes	103	50
No	104	50

Variable	Notification				PR	(CI 95%)	P - value

	Yes	%	No	%
Female	73	45	88	55	1.03	(0.89-1.19)	0.62
Male	19	41	27	59	1
Occupation
Nurse	56	57	43	43	1
Doctor	18	42	25	58	0.66	(0.39-1.10)	0.10
Social worker	10	43	13	57	0.65	(0.31-1.37)	0.25
Psychologist	2	20	8	80	0.21	(0.04-0.98)	< 0.05*
Pharmacist	4	27	11	73	0.32	(0.11-0.96)	< 0.05
Physiotherapist/TO	2	12	15	88	0.13	(0.03-0.55)	< 0.001
Age group
20 \|--\| 30	15	47	17	53	1.15	(0.67-1.98)	0.61
31 \|--\| 40	30	49	31	51	1.15	(0.82-1.62)	0.39
41 \|--\| 50	26	41	37	59	1	(0.71-1.40)	0.99
≥ 51 years	21	41	30	59	1
Length of time since graduation
0 \|--\| 5 years	23	40	34	60	0.91	(0.59-1.40)	0.68
06 \|--\| 15 years	24	51	23	49	1.22	(0.76-1.96)	0.40
≥ 16 years	45	44	58	56	1
Years of relevant professional experience
0 \|--\| 5 years	23	39	36	61	0.95	(0.62-1.45)	0.82
06 \|--\| 14 years	25	62.5	15	37.5	1.90	(1.09-3.31)	< 0.001
≥ 15 years	44	41	64	59	1

Variable	Notification				Crude PR	(CI 95%)	P - value

	Yes	%	No	%
Completion of training courses
Never	37	32	79	68	1
One	24	51	23	49	1.74	(1.08-2.80)	< 0.05
Two	7	47	8	53	1.73	(0.67-4.46)	0.25
At least three	24	83	5	17	6.60	(2.67-16.34)	< 0.001
Reads up on the theme of occupational accidents
Yes	58	57	43	43	1.68	(1.26-2.23)	< 0.001
No	34	32	72	68	1
Knowledge of governing legislation
Yes	65	60	43	40	1.88	(1.44-2.47)	< 0.001
No	27	27	72	72	1
Knowledge of the Basic Health Law
Yes	47	46	55	54	1.06	(0.81-1.40)	0.64
No	45	43	60	57	1
Knowledge of the Social Security Law
Yes	28	51	27	49	1.29	(0.82-2.03)	0.26
No	64	42	88	58	1
Knowledge of the Social Insurance Law
Yes	27	56	21	44	1.60	(0.97-2.64)	0.06
No	65	41	94	59	1
Knowledge of relevant policy directives
Yes	21	60	14	40	1.87	(1.01-3.47)	0.04
No	71	41	101	59	1
Knowledge of the SINAN notification form
Yes	68	62	42	38	2.02	(1.54-2.65)	< 0.001
No	24	25	73	75	1
Aware that occupational accidents are reportable
Yes	85	49.0	87	51	1.22	(1.08-1.37)	< 0.001
No	7	20	28	80	1
Theme of occupational accidents is discussed in the workplace
Yes	56	54.0	47	46	1.48	(1.13-1.95)	< 0.001
No	36	35.0	68	65	1

Variables	Notification of occupational accidents

	Yes No

	N (%)		N (%)		PR (CI 95%)	P - value
Sex
Male
Other professionals	3	60	2	40	1	0.373
Nurses	16	39	25	61	1.54 (0.68 – 3.46)	0.373
Female
Other professionals	53	56.4	41	43.6	1	< 0.001
Nurses	20	29.9	47	70.1	1.89 (1.26 – 2.84)	< 0.001
Years of relevant professional experience
Up to 14 years
Other professionals	27	57.4	20	42.5	1	0.091
Nurses	21	40.4	31	59.6	1.42 (0.94 – 2.15)	0.091
At least 15 years
Other professionals	29	55.8	23	44.2	1	0.002
Nurses	15	26.8	41	73.2	2.08 (1.27 – 3.42)	0.002
Completion of training courses
No
Other professionals	12	32.4	25	68.4	1	0.932
Nurses	25	31.6	54	68.7	1.02 (0.58 – 1.81)	0.932
Yes
Other professionals	44	80	18	20	1	0.002
Nurses	11	37.9	18	62	1.87 (1.14 – 3.06)	0.002

Variables	PR	(CI 95%)	P - value
Occupation
Other professionals	1		0.043
Nurses	1.40	(1.01 – 1.95)	0.043
Years of relevant professional experience
>16 years	1
6 \|--\| 15 years	0.67	(0.46 - 0.99)	0.045
0 \|--\| 5 years	0.65	(0.48 – 0.89)	0.007
Completion of training courses
No	1		0.028
Yes	1.47	(1.04-2.08)	0.028
Reads up on the theme of occupational accidents
No	1		0.048
Yes	1.41	(1.01-2)	0.048

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[TFN1001] * Fisher’s exact test.