Adherence to Radiation Safety Measures and Its Impact on Self-Reported Occupational Health Problems among Radiology Staff
Main Article Content
Abstract
Background: Radiology personnel may experience occupational radiation exposure alongside ergonomic and psychosocial health risks. Adherence to established safety practices is essential, but its relationship with self-reported occupational health problems remains insufficiently understood. Objective: To assess radiation-safety adherence, self-reported occupational health problems, and the association between these outcomes among radiology staff. Methods: This descriptive analytical cross-sectional study included 96 radiology personnel selected through convenience sampling from public and private hospitals. Participants completed a self-administered questionnaire covering professional characteristics, radiation-safety adherence, and occupational health problems. Descriptive statistics, Cronbach’s alpha, independent-samples t-tests, and Pearson and Spearman correlations were calculated using IBM SPSS Statistics version 27.0. Results: Most participants were female (91.7%) and worked in general diagnostic imaging (76.0%). The mean radiation-safety adherence score was 16.97 ± 4.82, and the scale demonstrated acceptable internal consistency (α = 0.757). The mean occupational health-problem score was 19.34 ± 4.51, although its internal consistency was weak (α = 0.573). Neither radiation-safety adherence (p = 0.987) nor occupational health-problem scores (p = 0.583) differed significantly by sex. Radiation-safety adherence was moderately and positively correlated with occupational health-problem scores using Pearson analysis (r = 0.480, 95% CI: 0.309–0.621; p < 0.001) and Spearman analysis (ρ = 0.501, 95% CI: 0.334–0.637; p < 0.001). Conclusion: Greater reported safety adherence was associated with greater reporting of occupational health problems; however, the cross-sectional design prevents causal interpretation
Article Details
Issue
Section

This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
References
1. Hall EJ, Giaccia AJ. Radiobiology for the radiologist. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
2. International Commission on Radiological Protection. The 2007 recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP. 2007;37(2–4):1–332.
3. Vañó E, González L, Guibelalde E, Fernández JM, Ten JI. Radiation exposure to medical staff in interventional and cardiac radiology. Br J Radiol. 2008;81(969):954–960.
4. Shungube A, Khoza TE. Compliance with radiation protection among radiographers in Eswatini public health facilities. Health SA Gesondheid. 2024;29:a2727.
5. Eze KC, Nzotta CC, Marchie TT, Okegbunam B, Eze TE. The knowledge and practice of radiation protection among radiographers in Lagos, Nigeria. Niger J Clin Pract. 2014;17(5):587–593.
6. Cheng HC, Yen AMF, Chen SL, et al. Hospital safety culture and radiation-protection compliance among healthcare personnel. Saf Sci. 2018;103:1–8.
7. Akroyd D, Caison A, Adams R. Patterns of radiation-protection behaviour among radiographers. Radiol Technol. 2017;88(5):467–474.
8. Kinyua AW, et al. Radiation-safety practices among radiographers. Afr J Health Sci. 2016;29(2):45–52.
9. Brady Z, Cain TM, Johnston PN, Juste B. Occupational radiation exposure in radiology departments. J Med Radiat Sci. 2012;59(3):112–120.
10. Bennett L, et al. Work-related fatigue in radiographers. Radiography. 2016;22(2):123–128.
11. Lee CI, et al. Occupational hazards in radiology departments. Radiology. 2015;276(3):901–909.
12. Keller R, et al. Psychological stress in radiation workers. Occup Med (Lond). 2013;63(6):407–412.
13. Shettigar D, Sukumar S, Pradhan A, Dkhar W, Paramashiva PS, Chandrasekaran B, et al. Occupational health challenges in radiography: a systematic review and meta-analysis. Radiography (Lond). 2025.
14. Berrington de González A, et al. Occupational radiation exposure and cancer risk. Lancet. 2010;375(9725):123–130.
15. Nikodemova D, Jankowski J. Radiation-protection awareness among radiology staff. Radiat Prot Dosimetry. 2013;155(4):505–512.
16. Shubayr N. Operating-room radiation-safety measures: awareness, compliance, and perceived risks among nurses and other healthcare workers. Int Nurs Rev. 2025;72:1–7.
17. Lopes R, Teles P, Santos J. A systematic review of the occupational-health impacts of ionising-radiation exposure among healthcare professionals. J Radiol Prot. 2025;45(2):021002.