This research has aimed to identify the perceptions of women apprentice welders about physical, chemical, biological, and physiological risk factors to which they are exposed and evaluate the identification of health disorders self-reported for women apprentice welders before and after implementation of a nursing socioenvironmental intervention. A quantitative study was performed with 27 women apprentice welders (first phase) and before and after an intervention with 18 women (second phase) in Southern Brazil in 2011. The data were analysed using SPSS 19.0. The participants identified the following risk types: physical (96.2%), chemical (96.2%), physiological (88.8%), and biological (62.9%). The results show a significant difference of the pre- and posttest averages for the musculoskeletal system and a posttest average increase for the integumentary, respiratory, and auditory system. A correlation of the women apprentices’ ages and the identification of health disorders were made. It was understood that the perception of women apprentices regarding a particular set of occupational risks is essential for public health nursing to develop an effective risk communication as a positive tool for teaching and learning. 1. Introduction This paper discusses the perceptions of women apprentices about the risks they are exposed to during welding activity. It also presents the development of a nursing socioenvironmental intervention as a tool for risk communication for health education of women apprentice welders. In different countries, for example, Nigeria [1], Sri Lanka [2], France [3], Denmark [4], Turkey [5], and Brazil [6], the issue involving the health and safety of welders is being discussed. The motivation for the proposed research came from a literature review about the theoretical approach of risk perception [7–9]. On this occasion, the researchers observed the coherence and the need to analyse the issue of human risk in different environments, among these the apprenticeship environment, in relation to apprentices, which includes social, cultural, and political aspects in its production and reproduction [10–12]. Specifically, the interest in studying risk perception of apprentice welders is because the belief is held that the apprenticeship process represents a moment for health education, with the capacity of the dissemination of knowledge and the application of technology of public health nursing. In other words, during the apprenticeship, the apprentices should be encouraged to apply the knowledge learned about their health and on the future work
References
[1]
K. Sabitu, Z. Iliyasu, and M. M. Dauda, “Awareness of occupational hazards and utilization of safety measures among welders in Kaduna metropolis, Northern Nigeria,” Annals of African Medicine, vol. 8, no. 1, pp. 46–51, 2009.
[2]
P. Jayawardana and C. Abeysena, “Respiratory health of welders in a container yard, Sri Lanka,” Occupational Medicine, vol. 59, no. 4, pp. 226–229, 2009.
[3]
P. Rolland, C. Gramond, A. Lacourt et al., “Occupations and industries in France at high risk for pleural mesothelioma: a population-based case-control study (1998-2002),” American Journal of Industrial Medicine, vol. 53, no. 12, pp. 1207–1219, 2010.
[4]
E. Ibfelt, J. P. Bonde, and J. Hansen, “Exposure to metal welding fume particles and risk for cardiovascular disease in Denmark: a prospective cohort study,” Occupational and Environmental Medicine, vol. 67, no. 11, pp. 772–777, 2010.
[5]
S. Sardas, G. Z. Omurtag, A. Tozan, H. Gül, and D. Beyoglu, “Evaluation of DNA damage in construction-site workers occupationally exposed to welding fumes and solvent-based paints in Turkey,” Toxicology and Industrial Health, vol. 26, no. 9, pp. 601–608, 2010.
[6]
D. P. Simon, L. L. P. Gutierrez, S. M. D. Macedo, et al., “Hematologic and Morphocytologic alterations in biologic fluids of workers of the industrial district of Erechim, RS,” Revista Brasileira de Análises Clínicas, vol. 41, no. 1, pp. 55–59, 2009 (Portuguese).
[7]
P. Slovic, The Perception of Risk, Earthscan, London, UK, 2000.
[8]
N. Pidgeon, “Risk perception,” in Risk Analysis, Perception and Management, pp. 89–134, Royal Society, London, UK, 1992.
[9]
M. Douglas and A. Wildavsky, Risk and Culture. An Essay on the Selection of Technological and Environmental Dangers, University of California Press, Berkeley, Calif, USA, 1982.
[10]
P. Slovic, “Perception of risk,” Science, vol. 236, no. 4799, pp. 280–285, 1987.
[11]
M. V. Hayes, “On the epistemology of risk: language, logic and social science,” Social Science and Medicine, vol. 35, no. 4, pp. 401–407, 1992.
[12]
J. Barnett and G. M. Breakwell, “Risk perception and experience: hazard personality profiles and individual differences,” Risk Analysis, vol. 21, no. 1, pp. 171–177, 2001.
[13]
ILO, Guidelines on the Prevention of Toxic Exposures. Education and Public Awareness Activities, International Labour Organization (ILO), Geneva, Switzerland, 2004.
[14]
ILO, Skills For Health, International Labour Organization (ILO), Geneva, Switzerland, 2001.
[15]
D. Eden and G. Ravid, “Pygmalion versus self-expectancy: effects of instructor- and self-expectancy on trainee performance,” Organizational Behavior and Human Performance, vol. 30, no. 3, pp. 351–364, 1982.
[16]
C. J. Tassava, “Weak seams: controversy over welding theory and practice in American shipyards, 1938–1946,” History and Technology, vol. 19, no. 2, pp. 87–108, 2003.
[17]
E. A. Benway, “As national welder shortage looms, proper training becomes a critical asset,” Plant Engineering, vol. 64, no. 5, pp. 43–45, 2010.
[18]
A. D. Bloom, G. Sewell, S. Neriishi, et al., “Chromosomal abnormalities among welder trainees,” Environment International, vol. 3, no. 6, pp. 459–464, 1980.
[19]
M. El-Zein, J.-L. Malo, C. Infante-Rivard, and D. Gautrin, “Incidence of probable occupational asthma and changes in airway calibre and responsiveness in apprentice welders,” European Respiratory Journal, vol. 22, no. 3, pp. 513–518, 2003.
[20]
W. Laohaudomchok, X. Lin, R. F. Herrick et al., “Neuropsychological effects of low-level manganese exposure in welders,” NeuroToxicology, vol. 32, no. 2, pp. 171–179, 2011.
[21]
L. Sj?berg, “The methodology of risk perception research,” Quality and Quantity, vol. 34, no. 4, pp. 407–418, 2000.
[22]
T. Leoni, “What drives the perception of health and safety risks in the workplace? Evidence from European labour markets,” Empirica, vol. 37, no. 2, pp. 165–195, 2010.
[23]
U.S. Public Health Service, “Risk communication: working with individuals and communities to weigh the odds,” Prevention Report, Public Health Service, Washington, DC, USA, 1995.
[24]
ILO, Occupational Safety and Health Act of 16 June 1999, International Labour Organization (ILO), Geneva, Switzerland, 1999.
[25]
C. C. Ramirez, D. G. Federman, and R. S. Kirsner, “Skin cancer as an occupational disease: the effect of ultraviolet and other forms of radiation,” International Journal of Dermatology, vol. 44, no. 2, pp. 95–100, 2005.
[26]
L. Andreassi, “UV exposure as a risk factor for skin cancer,” Expert Review of Dermatology, vol. 6, no. 5, pp. 445–454, 2011.
[27]
K. Turaka, C. L. Shields, C. P. Shah, E. A. T. Say, and J. A. Shields, “Bilateral uveal melanoma in an arc welder,” Graefe's Archive for Clinical and Experimental Ophthalmology, vol. 249, no. 1, pp. 141–144, 2011.
[28]
S. S. Leonard, B. T. Chen, S. G. Stone et al., “Comparison of stainless and mild steel welding fumes in generation of reactive oxygen species,” Particle and Fibre Toxicology, vol. 7, article 32, 2010.
[29]
A. R. S?rensen, A. M. Thulstrup, J. Hansen et al., “Risk of lung cancer according to mild steel and stainless steel welding,” Scandinavian Journal of Work, Environment and Health, vol. 33, no. 5, pp. 379–386, 2007.
[30]
N. Aragonés, M. Pollán, and P. Gustavsson, “Stomach cancer and occupation in Sweden: 1971–89,” Occupational and Environmental Medicine, vol. 59, pp. 329–337, 2002.
[31]
J. C. Cavallari, S. C. Fang, C. B. Dobson, et al., “161 Ventricular arrhythmia events in boilermaker construction workers exposed to metal-rich fine particles,” Occupational and Environmental Medicine, vol. 64, no. 12, 2007.
[32]
M. T. Abreu and F. A. Suzuki, “Avalia??o audiométrica de trabalhadores ocupacionalmente expostos a ruído e cádmio,” Revista Brasileira de Otorrinolaringologia, vol. 68, pp. 488–494, 2002.
[33]
M. R. Guerra, P. M. C. Louren?o, M. T. Bustamante-Teixeira, et al., “Prevalência de perda auditiva induzida por ruído em empresa metalúrgica,” Revista de Saúde Pública, vol. 39, pp. 238–244, 2005.
[34]
Y. Chen, J. C. McDonald, and N. M. Cherry, “Incidence and suspected cause of work-related musculoskeletal disorders, United Kingdom, 1996-2001,” Occupational Medicine, vol. 56, no. 6, pp. 406–413, 2006.
[35]
T. L. Lyon, “Knowing the dangers of actinic ultraviolet emissions,” Welding Journal, vol. 81, no. 12, pp. 28–30, 2002.
[36]
M. R. Cezar-Vaz, Health, Risks and Occupational Diseases: An Integrated Study in Different Work Environments, Universidade Federal do Rio Grande, Rio Grande (RS), Brazil, 2010.
[37]
M. R. Cezar-Vaz, L. P. Rocha, C. A. Bonow, et al., “Risk perception and occupational accidents: a study of gas station workers in Southern Brazil,” International Journal of Environmental Research and Public Health, vol. 9, no. 7, pp. 2362–2377, 2012.
[38]
M. R. Cezar-Vaz, C. A. Bonow, L. P. Rocha, et al., “Risk communication as a tool for training apprentice welders: a study about risk perception and occupational accidents,” The Scientific World Journal, vol. 2012, Article ID 140564, 10 pages, 2012.
[39]
National Library of Medicine Cataloging in Publication, Communicating in A Crisis: Risk Communication Guidelines for Public Officials, 2002.
[40]
NR15—Atividades e Opera??es Insalubres, Ministério do Trabalho e do Emprego, Brasília, Brazil, 2011.
[41]
C. Francisco and T. Edwin, “Implementation of an ergonomics program for the welding department inside a car assembly company,” Work, vol. 41, no. 1, pp. 1618–1621, 2012.
[42]
M. C. V. Almeida, M. R. Cezar-Vaz, J. F. S. Soares, et al., “The prevalence of musculoskeletal diseases among casual dock workers,” The Revista Latino-Americana de Enfermagem, vol. 20, pp. 243–250, 2012.
[43]
L. Burstr?m, M. Hagberg, I. Liljeind, et al., “A follow-up study of welders’exposure to vibration in a heavy engineering production workshop,” Journal of Low Frequency Noise, Vibration and Active Control, vol. 29, pp. 33–39, 2010.
[44]
M. A. Coggins, E. Van Lente, M. McCallig, G. Paddan, and K. Moore, “Evaluation of hand-arm and whole-body vibrations in construction and property management,” The Annals of Occupational Hygiene, vol. 54, no. 8, pp. 904–914, 2010.
[45]
Ministério da Saúde (BR), Doen?as Relacionadas ao Trabalho: Manual de Procedimentos para os Servi?os de Saúde, Ministério da Saúde, Brasília, Brazil, 2001.
[46]
T. Okuno, J. Ojima, and H. Saito, “Blue-light hazard from CO2 arc welding of mild steel,” The Annals of Occupational Hygiene, vol. 54, no. 3, pp. 293–298, 2010.
[47]
P. Guénel, L. Laforest, D. Cyr et al., “Occupational risk factors, ultraviolet radiation, and ocular melanoma: a case-control study in France,” Cancer Causes and Control, vol. 12, no. 5, pp. 451–459, 2001.
[48]
V. Casini, “Overview of electrical hazards. National Institute for Occupational Safety and Health: worker deaths by electrocution: a summary of surveillance findings and investigative case reports,” DHHS (NIOSH) Publication 98-131US Government Printing Office, Washington, DC, USA, pp. 5–8, 1998.
[49]
T. A. Fordyce, M. Kelsh, E. T. Lu, J. D. Sahl, and J. W. Yager, “Thermal burn and electrical injuries among electric utility workers, 1995–2004,” Burns, vol. 33, no. 2, pp. 209–220, 2007.
[50]
K. Hug, L. Grize, A. Seidler, P. Kaatsch, and J. Schüz, “Parental occupational exposure to extremely low frequency magnetic fields and childhood cancer: a German case-control study,” American Journal of Epidemiology, vol. 171, no. 1, pp. 27–35, 2010.
[51]
I. Nishimura, A. Oshima, K. Shibuya, and T. Negishi, “Lack of teratological effects in rats exposed to 20 or 60kHz magnetic fields,” Birth Defects Research B, vol. 92, no. 5, pp. 469–477, 2011.
[52]
ILO, Welder, Arc, International Labour Organization, 2000.
[53]
E. Kiesswetter, M. Sch?per, M. Buchta et al., “Longitudinal study on potential neurotoxic effects of aluminium: II. Assessment of exposure and neurobehavioral performance of Al welders in the automobile industry over 4 years,” International Archives of Occupational and Environmental Health, vol. 82, no. 10, pp. 1191–1210, 2009.
[54]
X. Ding, Q. Zhang, H. Wei, and Z. Zhang, “Cadmium-induced renal tubular dysfunction in a group of welders,” Occupational Medicine, vol. 61, no. 4, pp. 277–279, 2011.
[55]
S. Sudha, S. K. Kripa, P. Shibily, S. Joseph, and V. Balachandar, “Biomonitoring of genotoxic effects among shielded manual metal arc welders,” Asian Pacific Journal of Cancer Prevention, vol. 12, no. 4, pp. 1041–1044, 2011.
[56]
G. Iarmarcovai, I. Sari-Minodier, T. Orsière et al., “A combined analysis of XRCC1, XRCC3, GSTM1 and GSTT1 polymorphisms and centromere content of micronuclei in welders,” Mutagenesis, vol. 21, no. 2, pp. 159–165, 2006.
[57]
M. A. Balkhyour and M. K. Goknil, “Total fume and metal concentrations during welding in selected factories in Jeddah, Saudi Arabia,” International Journal of Environmental Research and Public Health, vol. 7, no. 7, pp. 2978–2987, 2010.
[58]
Z. Loukzadeh, S. A. Sharifian, O. Aminian, and A. Shojaoddiny-Ardekani, “Pulmonary effects of spot welding in automobile assembly,” Occupational Medicine, vol. 59, no. 4, pp. 267–269, 2009.
[59]
K. Danadevi, R. Rozati, B. S. Banu, and P. Grover, “Genotoxic evaluation of welders occupationally exposed to chromium and nickel using the Comet and micronucleus assays,” Mutagenesis, vol. 19, no. 1, pp. 35–41, 2004.
[60]
E. N. Haynes, C. Beidler, R. Wittberg et al., “Developing a bidirectional academic-community partnership with an appalachian-American community for environmental health research and risk communication,” Environmental Health Perspectives, vol. 119, no. 10, pp. 1364–1372, 2011.
[61]
M. Burkle, “Apprenticeship students learning online: opportunities and challenges for polytechnic institutions,” Comunicar, vol. 18, no. 37, pp. 45–53, 2011.