title: Influence of multiple factors on the incidence of occupational blood and body fluid exposures in health care workers in Guizhou, China: A structural equation modeling approach.
abstract: BACKGROUND
  We investigated the influence of multiple factors on the incidence of occupational blood and body fluid exposures (BBFEs) in health care workers (HCWs) in Guizhou, China, using structural equation modeling (SEM).
  
  
  METHODS
  SEM tested in general hospitals was evaluated using survey data from a sample of 1,774 HCWs from 25 hospitals in Guizhou, China, between January and April 2014.
  
  
  RESULTS
  The incidence of occupational BBFEs in HCWs was affected by HCWs' knowledge of safe work practices, HCWs' belief in their ability to use safe work practices, HCWs' use of safe work practices, the workplace safety environment, sufficiency of the controls implemented at health care facilities, and workloads. Knowledge of safe work practices had the most influence on the incidence of occupational BBFE in doctors and laboratory technicians. Ability to use safe work practices had the most influence on the incidence of occupational BBFEs in nurses.
  
  
  CONCLUSIONS
  The workplace safety environment, sufficiency of controls implemented at health care facilities, HCWs' knowledge of safe work practices, HCWs' belief in their ability to use safe work practices, HCWs' use of safe work practices, and workload influence the incidence of occupational BBFEs in HCWs.
authors.affiliation: Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Mingtao
authors.initials: M
authors.lastname: Quan
authors.affiliation: Xiang Ya Nursing School of Central South University, (Second Xiangya Hospital, Central South University), Changsha, Hunan, China. Electronic address: 1181770407@qq.com.
authors.forename: Lezhi
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Nursing, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Yuan
authors.affiliation: Department of Nursing, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Zhixia
authors.initials: Z
authors.lastname: Jiang
authors.affiliation: Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Xuyao
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Hualian
authors.initials: H
authors.lastname: Wu
authors.affiliation: Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China.
authors.forename: Xiaojuan
authors.initials: X
authors.lastname: Li
mesh_terms: D000328:Adult; D001826:Body Fluids; D002681:China; D005260:Female; D006282:Health Personnel; D006761:Hospitals; D006801:Humans; D015994:Incidence; D008297:Male; D016273:Occupational Exposure; D016272:Occupational Health; D012307:Risk Factors
keywords: Bloodborne; Health care workers; Occupational exposure; Structural equation modeling