title: Worker education level is a factor in self-compliance with dust-preventive methods among small-scale agate industrial workers.
abstract: OBJECTIVE
  High incidences of silicosis are continuing to be reported among the agate workers of small-scale household agate processing units in the Khambhat region of Gujarat (India). The objective of this study was to investigate reasons behind the high prevalence of silicosis, and factors affecting the noncompliance with preventive methods among agate workers.
  
  
  METHODS
  The study was conducted using a questionnaire-based structured interview method among 82 agate workers in Khambhat to assess their awareness level about silicosis and preventive methods, existing morbidity, worker's attitude toward health, and the prevalence of actual use of preventive methods to avoid silica exposure.
  
  
  RESULTS
  The majority of the workers (55%) were aware of silicosis and the harmful effects of silica dust exposure (72%) and knew about simple preventive methods to avoid silica dust exposure (80%), but only a minority of the workers (22%) were actually using the simple and available dust-preventive methods. Only 9% of the uneducated workers were using the preventive methods, while usage was higher among educated workers (28%), who had five or more years of schooling, and these workers had fewer health conditions or less morbidity. Gender and job duration had no effect on the usage of dust-preventive methods.
  
  
  CONCLUSIONS
  The data suggest that noncompliance with use of dust-preventive methods could be the reason behind the higher prevalence of silicosis and health morbidity in agate workers, and that years of schooling plays a significant role in the increased usage and self-compliance with dust-preventive methods among agate workers.
authors.affiliation: Environmental Carcinogen Unit, National Institute of Occupational Health (Indian Council of Medical Research).
authors.forename: Bhagwan D
authors.initials: BD
authors.lastname: Aggarwal
mesh_terms: D000328:Adult; D004391:Dust; D004522:Educational Status; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007221:Industry; D008297:Male; D016273:Occupational Exposure / Q000517:prevention & control*; D016272:Occupational Health; D012822:Silicon Dioxide; D012829:Silicosis / Q000517:prevention & control; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D004391:Dust; D012822:Silicon Dioxide