Association between occupational health and safety knowledge and behaviours among migrant workers: results from a cross-sectional study in China

BMJ Open. 2020 Dec 1;10(12):e040143. doi: 10.1136/bmjopen-2020-040143.

Abstract

Objectives: To assess the relationship between occupational health and safety (OH&S)-related behaviours of migrating workers in China and their knowledge regarding OH&S laws and regulations (L&Rs).

Materials and methods: We sampled 1282 migrant workers from 12 labour-intensive manufacturers in Guangdong, China, with a response rate of 98.6%. Self-reported questionnaires were completed by the participants. Logistic regression models were used to examine the association between OH&S-related behaviours and knowledge among migrant workers adjusting for their demographic features and the survey sites.

Results: Migrant workers' behaviour of seeking occupational disease (OD) diagnosis and treatment was found to be statistically significantly correlated with their knowledge of all three OH&S L&Rs. A higher score of knowledge regarding these OH&S L&Rs is associated with a better chance to seek OD diagnosis and treatment. The ORs of the high-score group (subjects correctly answered more than one question) versus the low-score group (subjects correctly answered less than or equal to one question) are 2.02 (95% CI: 1.33 to 3.07) for Law of Occupational Disease Prevention and Treatment, 2.89 (95% CI: 1.65 to 5.09) for Regulations on Safe Management of Dangerous Chemicals and Regulations on Labor Protection for Using Toxic Substances in Workplace and 2.25 (95% CI: 1.34 to 3.77) for Work-Related Injury Insurance Regulations. However, knowledge about these L&Rs is not statistically significantly associated with OH&S-related protective behaviours such as wearing a mask or gloves at work.

Conclusions: Knowledge of OH&S L&Rs helps migrant workers in China to seek OD diagnosis and treatment.

Keywords: education & training (see medical education & training); epidemiology; health & safety; public health.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • China
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Occupational Health*
  • Surveys and Questionnaires
  • Transients and Migrants*
  • Workplace
  • Young Adult