Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector3491710.17816/KMJ2020-550Research ArticleMental health of chemical workers: violation risk factorsKuzminaS Vskouzmina21@list.ruGaripovaR Vskouzmina21@list.ruBerhkeevaZ Mskouzmina21@list.ruYakhinK Kskouzmina21@list.ruKazan State Medical University1208202010145505600207202022072020Copyright © 2020, Kuzmina S.V., Garipova R.V., Berhkeeva Z.M., Yakhin K.K.2020<p><strong>Aim.</strong> To study the structure of psychosocial maladjustment in chemical workers and assess the contribution of industrial and non-industrial risk factors in the formation of mental illness.</p>
<p><strong>Methods.</strong> It was analysed of hygienic assessment of the leading harmful production factors chemical, physical, factors of severity and intensity of labor. During the periodic medical examination, the mental health status of 1,226 people was examined, with a focus on professional experience, mental hygiene aspects of production factors, as well as individual and personal characteristics of employees. Confidence intervals and standard errors estimating, the logistic regression models fitting were performed using R Statistical Software with significance level 0.05.</p>
<p><strong>Results.</strong> The working environment hazards in organic synthesis included chemical risk factor, continuous noise exceeding the permissible exposure limit, emotional stress and life-threatening conditions (fire and explosion hazards in the work). The general assessment of working conditions was performed using clauses 5.15.11 P 2.2.2006-05-harmful working conditions of the second-third degree (3.23.3). Working conditions at all stages of the manufacturing process of pyroxylin powders were assessed as harmful to the third-fourth degree (3.33.4), including the chemical factor, the severity and intensity of work, fire and explosion hazards in the work. It was revealed the dependence of the development of psychosocial maladjustment on non-work-related factors (such as the level of education, marital status), conditional work-related factors (level of material security). Also, the dependence of the structure of pre-existing mental health condition on the work-related and developmental characteristics (work experience) of labor in chemical production was found.</p>
<p><strong>Conclusion.</strong> Working conditions in the studied industries correspond to the 3rd harmful class, 2nd and 3rd degrees in the production of organic synthesis (3.23.3), while at the production of pyroxylic powders, it is close to dangerous (3.33.4); the structure and risk of the developmental process of employee maladjustment are determined by the feature effect of workplace hazards.</p>mental healthchemical productionadverse working conditionspsychosocial maladjustmentemployee healthoccupational diseaseпсихическое здоровьехимическое производствонеблагоприятные условия трудапсихическая дезадаптацияздоровье работниковпрофессиональное заболевание[WHO European Ministerial Conference on Mental Health. Facing The Challenges, Building Solutions, Helsinki, Finland, 14 January 2005. http://www.euro.who.int/ru/publications/policy-documents/mental-health-declaration-for-europe/ (access date: 12.06.2020).][Environmental health inequalities in Europe. Assessment report 2010. http://www.euro.who.int/en/what-we-publish/abstracts/environmental-health-inequalities-in-europe.-assessment-report (access date: 12.06.2020).][MOT. Perechen' professional'nyh zabolevanij (peresmotrennyj v 2010 g.) Rekomendacija 194. «Rekomendacija o perechne professional'nyh zabolevanij, uvedomlenii o neschastnyh sluchajah na proizvodstve i professional'nyh Zabolevanijah i ih registracii». https://www.ilo.org/wcmsp5/groups/public/---ed_norm/-normes/documents/normativeinstrument/wcms_r194_ru.pdf (access date: 12.06.2020).][Decree of the President of the Russian Federation №254 issued at 06.06.2019 “On the Strategy for the development of healthcare in the Russian Federation for the period up to 2025”. (In Russ.)][World Mental Health Day 2017: Mental health in the workplace. https://www.who.int/mental_health/world-mental-health-day/2017/ru/ (access date: 13.06.2020).][Strategija razvitija sistemy ohrany psihicheskogo zdorov'ja v Rossijskoj Federacii (2019–2025 g.). https://psychiatr.ru/news/987 (access date: 13.06.2020). (In Russ.)][Dmitrieva T.B., Polozhiy B.S. Prospects for the development of social psychiatry Rossiyskiy psikhiatricheskiy zhurnal. 2000 (1): 68–70.][Semke V.Ya. Psihogenii sovremennogo obshhestva. (Psychogenies of modern society.) Tomsk: Izd-vo Tom. un-ta. 2003; 408 р.][Rukovodstvo po gigienicheskoj ocenke faktorov rabochej sredy i trudovogo processa. Kriterii i klassifikacija uslovij truda. (Rukovodstvo R 2.2.2006-05.) http://docs.cntd.ru/document/1200040973 (access date: 13.06.2020). (In Russ.)][2.2.1766-03. Руководство по оценке профессионального риска для здоровья работников. Организационно-методические основы, принципы и критерии оценки. https://ohranatruda.ru/ot_biblio/norma/246225/ (дата обращения: 13.06.2020). [2.2.1766-03. “Rukovodstvo po ocenke professional'nogo riska dlja zdorov'ja rabotnikov. Organizacionno-metodicheskie osnovy, principy i kriterii ocenki”. https://ohranatruda.ru/ot_biblio/norma/246225/ (access date: 13.06.2020). (In Russ.)]][The Order of the Ministry of Health and Social Development of Russia №302н, issued at 13.12.2019 “On the approval of the lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and in work with harmful and (or) dangerous working conditions”. (In Russ.)][Jahin K.K., Mendelevich D.M. Klinicheskij oprosnik dlja vyjavlenija i ocenki nevroticheskih sostojanij. Metodicheskie rekomendacii dlja internov i vrachej. (Clinical questionnaire for the identification and assessment of neurotic conditions. Methodical recommendations for interns and doctors.) Kazan'. 1978; 23 р.][Zajcev O.S., Urakov S.V., Matveev E.V., Nadezhdin D.S. Clinical methods and capabilities of the “rhythmotest” device in measuring the sense of time in patients with craniocerebral trauma. Sotsial'naya i klinicheskaya psikhiatriya. 1996; 6: 94–96.][Sobchik L.N. Metod cvetovyh vyborov — modifikacija vos'micvetovogo testa Ljushera. Prakticheskoe rukovodstvo. (The color selection method is a modification of the eight-color Luscher test. A practical guide.) M.: Rech'. 2018; 128 p.][R Core Team (2018). R: A language and environment for statistical computing. Austria, Vienna: R Foundation for Statistical Computing. https://www.R-project.org/ (access date: 14.06.2020).][McCullagh P., Nelder J.A. (1989) Generalized linear models. London: Chapman and Hall. 1989; 532 p. https://www.routledge.com/Generalized-Linear-Models/McCullagh-Nelder/p/book/9780412317606 (access date: 14.06.2020).][Venables W.N., Ripley B.D. Modern applied statistics. New York: Springer. 2002; 271–300. DOI: 10.1007/978-0-387-21706-2.][Kuz'mina S.V. Chemical Production Risk Factors and Their Impact on Workers' Mental Health, in Sbornik nauchnyh statej XI Rossijskoj nauchno-prakticheskoj konferencii. (Abstract book of XI Russian Scientific and Practical Conference. Human health in the 21st century.) Kazan. 2019; 568–573.][ICD-10 for Mortality and Morbidity Statistics (version: 04/2019). https://mkb-10.com/index.php?pid=4257 (access date: 15.06.2020). (In Russ.)][ICD-11 for Mortality and Morbidity Statistics (version: 04/2019). https://icd.who.int/browse11/l-m/en (access date: 15.06.2020). (In Russ.)]