O mapeamento e a estimação de riscos e incidências são ferramentas muito úteis para a Epidemiologia pois, auxiliam na prevenção de agravos da saúde e, também auxiliam no planejamento e avaliação dos serviços de saúde. Este trabalho busca utilizar uma ferramenta estatística que incorpora de forma adequada este tipo de análise ao estudo de outras características que estejam relacionadas a estes agravos. No presente trabalho utiliza-se como aplicação dados do estudo caso-controle espacial com base populacional de acidentes de trabalho com a proposta de estimar a distribuição espacial do risco de sofrer acidente de trabalho na área urbana do município de Piracicaba/SP entre trabalhadores que se encontravam na situação de precarização do trabalho em associação com outras variáveis de interesse através de modelos aditivos generalizados (MAG) e, através disso, mostrar que ao incorporar de forma explícita o espaço no processo de modelagem dos dados ocorre um ganho significativo na explicação da variação do risco. O modelo MAG utilizado tem variável resposta binomial (caso e controle) e multinomial (caso e controle separados pela gravidade do acidente sofrido). Com os modelos ajustados, mapas foram desenhados com indicações de diferentes cores para a intensidade do risco de sofrer acidente de trabalho. Outra abordagem utilizada para os dados espaciais de acidentes de trabalho foi a INLA (INTEGRATED NESTED LAPLACE APPROXIMATIONS), a qual é utilizada como processo de modelagem para a família dos modelos Gaussianos latentes através de novos métodos para esta família de modelos. A intenção foi mostrar como essa nova abordagem lida com dados do tipo espacial e, fazer uma comparação com a abordagem feita pela modelagem GAM / Mapping and estimation of risks and impacts are very useful tools for Epidemiology at the assistance in prevention of injuries and health, also assists in planning and evaluation of health services. This paper seeks to use a statistical tool that adequately incorporates this type of analysis to the study of other characteristics that are related these illnesses. In the present work is used as application data from case-control study space-based population accidents with the proposal to estimate the spatial distribution of risk of suffering an accident at work in the urban area of Piracicaba/SP among workers who were in employed as casual labor in combination with other variables of interest using generalized additive models (GAM) and, thereby, show that by incorporating explicitly space in the process of data modeling is a gain significant in explaining the variation in risk. The GAM model have used binomial response variable (case and control) and multinomial (case and control separated by the severity of the accident suffered). With the adjusted models, maps were drawn with indications of different colors to the intensity of the risk of accident. Another approach used for spatial data on accidents at work was the INLA (INTEGRATED NESTED LAPLACE APPROXIMATIONS), which is used as a modeling process for the family of latent Gaussian models through new methods for this family of models. The intention was to show how this new approach deals with spatial data and a comparison with the approach made by GAM modeling.

O mapeamento e a estimação de riscos e incidências são ferramentas muito úteis para a Epidemiologia pois, auxiliam na prevenção de agravos da saúde e, também auxiliam no planejamento e avaliação dos serviços de saúde. Este trabalho busca utilizar uma ferramenta estatística que incorpora de forma adequada este tipo de análise ao estudo de outras características que estejam relacionadas a estes agravos. No presente trabalho utiliza-se como aplicação dados do estudo caso-controle espacial com base populacional de acidentes de trabalho com a proposta de estimar a distribuição espacial do risco de sofrer acidente de trabalho na área urbana do município de Piracicaba/SP entre trabalhadores que se encontravam na situação de precarização do trabalho em associação com outras variáveis de interesse através de modelos aditivos generalizados (MAG) e, através disso, mostrar que ao incorporar de forma explícita o espaço no processo de modelagem dos dados ocorre um ganho significativo na explicação da variação do risco. O modelo MAG utilizado tem variável resposta binomial (caso e controle) e multinomial (caso e controle separados pela gravidade do acidente sofrido). Com os modelos ajustados, mapas foram desenhados com indicações de diferentes cores para a intensidade do risco de sofrer acidente de trabalho. Outra abordagem utilizada para os dados espaciais de acidentes de trabalho foi a INLA (INTEGRATED NESTED LAPLACE APPROXIMATIONS), a qual é utilizada como processo de modelagem para a família dos modelos Gaussianos latentes através de novos métodos para esta família de modelos. A intenção foi mostrar como essa nova abordagem lida com dados do tipo espacial e, fazer uma comparação com a abordagem feita pela modelagem GAM / Mapping and estimation of risks and impacts are very useful tools for Epidemiology at the assistance in prevention of injuries and health, also assists in planning and evaluation of health services. This paper seeks to use a statistical tool that adequately incorporates this type of analysis to the study of other characteristics that are related these illnesses. In the present work is used as application data from case-control study space-based population accidents with the proposal to estimate the spatial distribution of risk of suffering an accident at work in the urban area of Piracicaba/SP among workers who were in employed as casual labor in combination with other variables of interest using generalized additive models (GAM) and, thereby, show that by incorporating explicitly space in the process of data modeling is a gain significant in explaining the variation in risk. The GAM model have used binomial response variable (case and control) and multinomial (case and control separated by the severity of the accident suffered). With the adjusted models, maps were drawn with indications of different colors to the intensity of the risk of accident. Another approach used for spatial data on accidents at work was the INLA (INTEGRATED NESTED LAPLACE APPROXIMATIONS), which is used as a modeling process for the family of latent Gaussian models through new methods for this family of models. The intention was to show how this new approach deals with spatial data and a comparison with the approach made by GAM modeling.

The aim of the thesis is to approach the issues of health and safety at work and work-related accidents in the construction industry. The theoretical part is devoted to the historical development of occupational health and safety in general, and consequently the development of inspection bodies operating in this area at present. Then there is also handled accident statistics for 2012. The practical part is a form of treatment for specific health and safety plan construction contract with a subsequent risk analysis.

L’objectif principal de ce mémoire est de mieux comprendre le rôle des différents acteurs que rencontrent des travailleurs en arrêt de travail, en raison d’un accident survenu par le fait ou à l’occasion de leur travail, sur la trajectoire et la santé mentale de ceux-ci. Dans un deuxième temps, il est important de déterminer l’effet que peut avoir le soutien social sur le niveau de détresse psychologique ressenti par ces travailleurs. Pour réaliser cette recherche, des données ont été recueillies provenant d’entretiens réalisés auprès de patients d’une polyclinique à Montréal qui étaient en arrêt de travail. Basée sur un échantillon de 12 travailleurs, l’étude réalisée a révélé que les différents acteurs ont une influence sur la trajectoire de ces travailleurs et que plusieurs facteurs du soutien social ont un impact sur le niveau de bien-être ou de détresse psychologique ressentis. En effet, le fait d’avoir un soutien émotionnel, d’estime, d’affiliation, tangible, instrumental et/ou encore informationnel, d’être intégré socialement, d’avoir l’occasion de se sentir utile et nécessaire, de pouvoir confirmer sa valeur ainsi que d’obtenir de l’aide concrète et matérielle sont des facteurs du soutien social qui agissent comme protecteur contre la détresse psychologique. À l’inverse, le fait d’être en marge du marché du travail et de ne pas avoir accès à ces différentes formes de soutien ou simplement le fait de penser que c’est le cas sont des facteurs qui font augmenter significativement le niveau de détresse psychologique. / The main objective of this master’s thesis is to better understand the role of the different actors encountered by workers in work stoppage, due to an accident which occurred because of work or while working, on their mental health and on their path. Secondly, it is important to determine the effect that social support can have on the level of psychological distress felt by these workers. In order to carry out this research, data were collected from interviews with patients of a polyclinic of Montreal who were in work stoppage. Based on a sample of 12 workers, this study revealed that different actors have an influence on the path of those workers and that multiple social support factors have an impact on the level of well-being or psychological distress of those individuals. Indeed, having emotional, material, instrumental, informational, esteem, affiliation or tangible support, being integrated socially, feeling useful and needed, being able to confirm its value and to obtain practical or material support, are all social support factors which protect against psychological distress. Conversely, being excluded from the labor market, not being able to have access to those different forms of support or even the simple fact of perceiving it as such, are all factors which significantly increase the level of psychological distress.

L’étude de la protection sociale de l’agriculteur victime d’accidents fait le constatd’inégalités manifestes entre les victimes elles-mêmes et entre le régime des accidents dutravail et celui du droit commun. Ces inégalités sont inhérentes à la qualité d’agriculteur ;qu’il soit salarié ou non, ce dernier ne bénéficie pas des mêmes droits. En outre, l’agriculteurblessé dans le cadre de son activité professionnelle n’aura qu’une réparation forfaitaire. Cettedernière tend à compenser la perte de revenu et l’incidence professionnelle de l’accident.L’indemnisation des préjudices personnels est exclue, sauf dans l’hypothèse d’une fauteinexcusable de l’employeur. Quant aux victimes d’accidents de droit commun, leur protectionsociale n’est optimisée que si elles possèdent une complémentaire prévoyance qui va parfaireles remboursements en espèces et en nature du régime agricole. En dehors de la prise encharge du régime légal de base, la réparation des accidents de droit commun tend à êtreintégrale. Afin que toutes les victimes d’accidents soient traitées de manière égale par le droitet qu’une réparation de tous leurs préjudices puisse être réalisée, nous préconisons dessolutions pour tenter de faire disparaître les inégalités entre les agriculteurs victimesd’accidents. / The study of the social welfare of the farmer victim of accidents reveals theexistence of disparities between the victims themselves and between the industrial accidentsand the common law. These disparities are inherent to farmer’s quality; whether he isemployed or not, the latter does not benefit from the same rights. In addition, the injuredfarmer in the course of his professional activity will have only a fixed compensation. Thelatter tends to compensate the loss of income and the professional incidence of the accident.Compensation for personal injury is excluded except in the hypothesis of unforgivablemisconduct of the employer. As for the victims of accidents of common law, their socialwelfare is only optimized if they possess a top up insurance plan that will completerepayments in cash and in kind of the agricultural system. Except the coverage of the basiclegal system, the compensation of accidents of common law tends to be complete. In order toensure that all accident victims are treated with equal manner by law and that compensationfor all their injuries can be achieved, we recommend solutions so that the disparities betweenthe farmers victims of accidents can disappear.

Qualified persons in the field of occupational risks Abstract Qualified persons in the field of occupational risks are persons dealing with different levels of risk, different extent and type of risks. In this set is not only the person for health and safety, but there are other qualified persons as well. For example, a qualified person who provides and performs the ccupational health services, a qualified person for fire protection, a construction safety coordinator, as well as an inspection technician of dedicated technical equipment, etc. A key qualified person in occupational risk and health and safety prevention is a person who assist employers in occupational risk prevention by managing risk identification, providing risk assesments, identification of source and risks causes and incidents. This person takes care about risk factors on worplaces such as microclima, chemical and biological hazards, noise, ergonomy and many others risks and continuosly advises employers of identificated risk on workplaces. He leads as a expert in health and safety, but not responsible, for applying right and effective principles of work safety and accident prevention and provide high qualified consultating job for employers. As well as is need to be noticed that employers has a legal obligation to have minimum one these...