Correlation between occupational hazard exposure and abnormal bone mineral density in steelworkers

作者：H F Zhang, Ziwei Zheng, Nan Wang, Zheng Li, Shangmingzhu Zhang, Yu Su, Jianhui Wu · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-22713-4 · 被引用次数：2 · 研究领域：Occupational Health and Performance、Heavy Metal Exposure and Toxicity、Indoor Air Quality and Microbial Exposure

To investigate the relationships between abnormal bone mineral density (BMD) and exposure to single or combined occupational hazards in steelworkers by analyzing the correlations between various occupational hazards (night-shift work, high temperature, dust and noise) and abnormal BMD with both a single-risk score model (SRSM) and a hybrid-risk score model (HRSM). Participants were selected from a cross-sectional study called “Cohort Study on the Health Effects of the Occupational Population in the Beijing–Tianjin–Hebei Region”. A total of 6816 participants were recruited for this study. Night-shift work and high temperature, dust and noise exposure were considered occupational hazards and were analyzed separately and in combination (coexposure). The health risk factor score and partial regression coefficient were used to establish an SRSM and an HRSM. The rate of abnormal BMD in steelworkers was 27.6% (28.0% in males and 23.3% in females). Logistic regression revealed that, compared with that of individuals with 0 cumulative days of night-shift work, the risk of abnormal BMD for individuals with various amounts of night-shift work was as follows: ~927.20 days (OR = 1.40, 95% CI: 1.15 ~ 1.72), ~ 1772.02 days (OR = 1.45, 95% CI: 1.19 ~ 1.77), and ≥ 2573.50 days (OR = 1.55, 95% CI: 1.27 ~ 1.89). Compared with that of the cumulative exposure to high temperatures in the 0 °C·y group, the risk of abnormal BMD in the other groups was as follows: 667.49~°C·y (OR = 1.34, 95% CI: 1.06...