Documents Penot, Alexis 2 results

"Background
Our study examined the social disparities that exist in the implementation of protection measures for occupational exposure to carcinogenic, mutagenic and reprotoxic agents in France, and its aim was to identify which types of employees/jobs require priority action.
Methods
We analyzed data from the 2010 French national cross-sectional survey of occupational hazards. The availability of the various collective and individual protections was explored. The associations of job and company characteristics with protective measures were studied by multilevel regressions.
Results
Effective collective protection measures were implemented in 25% of the exposure situations. Managers and intellectual professionals, who accumulated lower CMR exposure prevalences, durations, and intensities than blue-collar workers, benefited the most from effective collective protections. The availability of effective collective protection measures was not influenced by the size of the company. The presence of a Committee for health, safety, and work conditions, as well as intervention of occupational health and safety officers in the past 12 months were associated with a lower exposure intensity, but not with the implementation of more protection measures. Longer exposure durations were associated with more effective collective protection.
Conclusion
Substantial discrepancies were observed in exposure levels and protection measures as a function of the characteristics of employees' jobs and the companies that they work for. The main priority in regard to prevention should be a focus on unskilled workers, since their collective protection still appears to be insufficient, while their exposure lengths and intensities were the most substantial."

"Notre étude exploite l'édition 2010 de l'enquête Surveillance médicale des expositions aux risques professionnels (SUMER) pour dresser un état des lieux des expositions des salariés français aux agents CMR sur leur lieu de travail. Au total, 2,2 millions de personnes, soit 10,2% des salariés, ont été exposés à un ou plusieurs produits CMR lors de la semaine précédant leur visite médicale. Parmi eux, 70000 connaissaient une multi-exposition sur leur lieu de travail, ce qui porte à 3,5 millions le nombre de situations d'expositions recensées en 2010. Les situations des expositions à l'amiante ne représentent que 2,3% des expositions aux produits CMR, soit 10 fois moins que les expositions aux gaz d'échappement diesel. Nos résultats montrent qu'il existe des emplois et des profils de salariés qui cumulent les préjudices sur le marché du travail, y compris de forts risques d'exposition à des produits dangereux pour la santé. Il s'agit notamment des ouvriers, des travailleurs de nuit et des salariés à contrats précaires, qui devraient donc constituer des cibles prioritaires pour les mesures de prévention."