Evaluation and analysis on diagnostic criteria for common occupational radiation-induced diseases among radiation workers in some provinces and cities of China
10.3760/cma.j.cn112271-20230406-00108
- VernacularTitle:职业性放射性疾病诊断标准在全国部分省市放射工作人员中的实施评估分析
- Author:
Wei GUO
1
;
Fengling ZHAO
;
Zhiwei XING
;
Ling HE
;
Wei LIU
;
Yulong LIU
;
Shouzheng WANG
;
Zaiqing HE
;
Wei CHEN
;
Guizhi CHEN
Author Information
1. 河南省第三人民医院（河南省职业病医院） 河南省辐射生物与流行病学医学重点实验室，郑州 450052
- Keywords:
Radiation diseases;
Health standard;
Radiation worker;
Standard assessment;
Questionnaire
- From:
Chinese Journal of Radiological Medicine and Protection
2023;43(8):620-626
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application of diagnostic criteria for common occupational radiation-induced diseases to radiation workers, in order to provide a basis for the revision, publicity and standardization of the standards.Methods:Radiation workers were selected from 1 city, 7 provinces and 1 corporation by using cluster random sampling method from January 2021 to May 2021. Awareness of the criteria and the effects of ionizing radiation, and the suggestions for diagnostic works were investigated and analyzed.Results:A total of 2 839 radiation workers were investigated. There were differences in the awareness of different diagnostic criteria, the inclusions in complex diagnostic criteria, the materials required for applying for diagnosis, and the ways of knowing the diagnostic criteria( χ2=416.06, 2 924.14, 83.45, 895.67, 815.94, P<0.001). The correct understanding rates of deterministic effects and stochastic effects were 80.63% and 43.64%, respectively. The acceptance rates in applicable materials were 96.79% for occupational exposure history, 94.72% for occupational health monitoring records and 93.55% for individual monitoring of occupational exposure, respectively. Pre-employment training rate was 80.20%, on-job training rate was 81.19%, and untrained rate was 3.77%. The suggestions to the diagnosis of occupational radiation-induced diseases are to strengthen training, pay attention to individual monitoring, occupational health examination, and strengthen health supervision and law enforcement. Conclusions:Radiation workers have a low awareness rate of certain diagnostic standards and a high awareness rate of diagnostic procedures. Publicity and training of health effects of ionizing radiation and diagnostic criteria of occupational radiation-induced diseases should be strengthened. Diagnostic procedure should be optimized.
