Strengthening OHS Perspective through Asbestos Training in the Turkish Construction Industry

Öz

This study evaluates the effectiveness of an asbestos awareness training program targeting stakeholders in Turkey's construction sector who are considered the most important individuals in preventing asbestos exposure at both occupational safety and public health levels. Conducted across five regions, the study engaged 813 participants, including civil engineers, students, and practitioners. Using pre- and post-surveys, the study assessed participants’ knowledge of asbestos-related hazards, regulatory frameworks, and safe handling practices. Participants demonstrated significant knowledge improvements, with post-survey scores increasing by up to 300% in certain regions. Statistical analysis using paired t-tests revealed that the improvements were statistically significant across all cities (p < 0.05). Findings underline the critical role of educational initiatives in addressing knowledge gaps and raising awareness. This study demonstrates that structured asbestos awareness training can significantly enhance knowledge and preparedness, serving as a model for similar public health issues aimed at reducing occupational and environmental risks globally. Unlike research that measures public awareness, this study specifically addresses the high-risk groups.

Anahtar Kelimeler

• Asbestos
• awareness
• training
• pre-post survey
• construction sector
• occupational health

Kaynakça

1. IBAS, Current asbestos ban. International Ban Asbestos Secretariat, 2021. http://www.ibasecretariat.org/alpha_ban_list.php
2. Güneş, M., Güneş, A., İlbeyli, N., Kaya B. Asbestos Exposure and Its Effects. Türk Bilimsel Derlemeler Dergisi, 10(1), 1-5, 2017.
3. Tetik, Y.Ö., Bayram Zümrüt, İ., Çamurcu, A.G., Akboğa Kale, Ö., Baradan, S. Measurement and removal of asbestos in residential dwellings to be demolished—urban transformation experience in Izmir, Turkey. Environmental Science and Pollution Research, 31(6), 9857-9866, 2024. https://doi.org/10.1007/s11356-023-31819-4
4. Bozdoğan, K. Bakan Kurum: Türkiye’de öncelikli dönüştürülmesi gereken 6,7 milyon konut var, 2020. https://www.aa.com.tr/tr/turkiye/bakan-kurum-turkiyede-oncelikli-donusturulmesi-gereken-6-7-milyon-konut-var/2046153 (Access date: 05.10.2025)
5. Prazakova, S., Thomas, P. S., Sandrini, A., Yates, D. H. Asbestos and the lung in the 21st century: an update. The Clinical Respiratory Journal, 8(1), 1-10, 2014.
6. Selçuk, Z.T., Cöplü, L., Emri, S., et al. Malignant pleural mesothelioma due to environmental mineral fiber exposure in Turkey. Analysis of 135 cases. Chest., 102, 790–796, 1992.
7. Metintas, S., Metintas, M., Ak, G. et al. Environmental asbestos exposure in rural Turkey and risk of lung cancer. Int J Environ Health Res., 22, 468–479, 2012.
8. Akboğa Kale, Ö., Gürcanlı, G. E., Baradan, S. Asbestos exposure and prevention methods in urban renewal process. Pamukkale Universitesi Mühendislik Bilimleri Dergisi, 23(6). 694-706, 2017. https://doi.org/10.5505/pajes.2016.66049

9. Curado, A., Nunes, L.J.R., Carvalho, M.A., Abrantes, J.C.C., Lima, E.R., Tomé, M. The use of asbestos and its consequences: an assessment of environmental impacts and public health risks. Fibers, 12, 102. 2024. https://doi.org/10.3390/fib12120102
10. Hernández, M., Pereira, D., Bloise, A. Asbestos: Communicating the health issues derived from fibrous minerals to society. Appl. Sci., 14, 8980, 2024. https://doi.org/10.3390/app14198980
11. Khamhing, K., McArdle, S., Ross, J. Awareness and profiling of high-risk asbestos exposure groups in Australia. Sustainability, 15, 5806, 2023. https://doi.org/10.3390/su15075806.
12. Monnerais, I., Loizeau, M. Supporting companies dealing with asbestos risk: Practical tools for occupational health services, risk prevention specialists, and companies. Am. J. Ind. Med., 68, S8–S11, 2025. https://doi.org/10.1002/ajim.23660.
13. Hasan, S.E. Public awareness is key to successful waste management. J. Environ. Sci. Health A, 39, 483–492, 2004. https://doi.org/10.1081/ESE-120027539.
14. Heger, I., Köhler, S., van Boxtel, M. et al. Raising awareness for dementia risk reduction through a public health campaign: a pre-post study. BMJ Open, 10, e041211, 2020. https://doi.org/10.1136/bmjopen-2020-041211.
15. Paauw, D., Heger, I., Bjerre, J.F. et al. Increasing awareness for dementia risk reduction through a public awareness campaign in Denmark: a pre-post study. Prev. Med. 179, 107848, 2024. https://doi.org/10.1016/j.ypmed.2024.107848.
16. Leszkowicz, J., Pieńkowska, A., Nazar, W., Bogdan, E., Kwaka, N., Szlagatys-Sidorkiewicz, A., Plata-Nazar, K. Does informal education training increase awareness of anaphylaxis among students of medicine? Before-after survey study. Int. J. Environ. Res. Public Health, 18, 8150, 2021. https://doi.org/10.3390/ijerph18158150.
17. Sholihah, Q., Hanafi, A. S., Bachri, A. A., Fauzia, R. Ergonomics awareness as efforts to increase knowledge and prevention of musculoskeletal disorders on fishermen. Aquatic Procedia, 7, 187-194, 2016. https://doi.org/10.1016/j.aqpro.2016.07.026.
18. Baird, K. M., Saito, A. S., Eustace, J., Creedy, D. K. Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study. Women and Birth, 31(4), 285-291, 2018.
19. Chapman, R., Martin, C., Smith, T. Evaluation of staff cultural awareness before and after attending cultural awareness training in an Australian emergency department. International Emergency Nursing, 22(4), 179-184, 2014.
20. Kyle, R. G., Forbat, L., Rauchhaus, P., Hubbard, G. Increased cancer awareness among British adolescents after a school-based educational intervention: a controlled before-and-after study with 6-month follow-up. BMC Public Health,(13), 1-11, 2013.
21. Sheffer, C. E., Barone, C. P., Anders, M. E. Training health care providers in the treatment of tobacco use and dependence: pre‐and post‐training results. Journal of Evaluation in Clinical Practice, 15(4), 607-613, 2009.
22. Neşer, G., Ünsalan, D., Tekoğul, N., Stuer-Lauridsen, F. The shipbreaking industry in Turkey: environmental, safety and health issues. J. Clean Prod., 16, 350–358, 2006. https://doi.org/10.1016/j.jclepro.2006.08.018.
23. Bianet News. Workers' mortality rate in Türkiye's Aliağa ship recycling facility 30 times the country average. Available online: https://bianet.org/haber/workers-mortality-rate-in-turkiye-s-aliaga-ship-recycling-facility-30-times-the-country-average-265061
24. Dündar-Mustafa, D. The use of asbestos as a construction material in public buildings: a case study. Master’s Thesis, Middle East Technical University, Ankara, Turkey, 2020.
25. Metintaş, M., Ak, G., Metintaş, S. Environmental asbestos exposure and lung cancer. Lung Cancer, 194, 107850, 2024. https://doi.org/10.1016/j.lungcan.2024.107850.
26. Nunnally, J., Berstein, I. Psychometric Theory, 3rd ed.; MacGraw-Hill: New York, NY, USA, 1994.
27. Field, A. Discovering Statistics Using SPSS, 3rd ed.; Sage Publications: London, UK, 2005.
28. Craig, S., Stark, P., Wilson, C.B. et al. Evaluation of a dementia awareness game for undergraduate nursing students in Northern Ireland: a Pre-/Post-Test study. BMC Nurs., 22, 177, 2023. https://doi.org/10.1186/s12912-023-01345-2
29. Madeni, F., Horiuchi, S., Iida, M. Evaluation of a reproductive health awareness program for adolescence in urban Tanzania quasi-experimental pre-test post-test research. Reprod Health, 8, 21, 2011. https://doi.org/10.1186/1742-4755-8-21
30. Bodoque, J.M., Díez-Herrero, A., Amerigo, M., García, J.A., Olcina, J. Enhancing flash flood risk perception and awareness of mitigation actions through risk communication: A pre-post survey design, Journal of Hydrology, 568, 2019. https://doi.org/10.1016/j.jhydrol.2018.11.007
31. Lee, H.J., Park, E.K., Wilson, D., Tutkun, E., Oak, C. Awareness of asbestos and action plans for its exposure can help lives exposed to asbestos. Saf. Health Work, 4, 84–86, 2013. https://doi.org/10.1016/j.shaw.2013.04.005.
32. Gogou, E., Hatzoglou, C., Siachpazidou, D., et al. Asbestos ban policies and mesothelioma mortality in Greece. BMC Public Health, 24, 1177, 2024.. https://doi.org/10.1186/s12889-024-18030-x.
33. Hickey, J., Saunders, J., Davern, P. The extent and influence of asbestos safety awareness training among managers who had previously commissioned an asbestos survey in their workplace buildings. Ind. Health, 53, 398–409, 2015. https://doi.org/10.2486/indhealth.2014-0162.
34. Miklič Milek, D., Dodič-Fikfak, M. Asbestos-safe (work) places: raising awareness of roofers working with asbestos. In Proceedings of the 2nd Balkan OSH International Conference, 115, 2016.
35. Rutar, M. The role of a safety manager in the verification of occupational diseases related to asbestos exposure. In Proceedings of the 2nd Balkan OSH International Conference, 133, 2016.
36. Ripabelli, G., Salzo, A., Sammarco, M.L., Tamburro, M. Awareness, knowledge, and training gaps regarding asbestos among general practitioners: a pilot study. J. Prev. Med. Hyg., 62, 539–543, 2021. https://doi.org/10.15167/2421-4248/jpmh2021.62.2.1797.
37. Işık, Z., Budayan, C., Aladağ, H., … Demirdöğen, G. (2019). İnşaat Sektöründe Mesleki Eğitim Performans Göstergeleri. Teknik Dergi, 30(3), 9147-9174. https://doi.org/10.18400/tekderg.362251
38. Mahoney, K., Driscoll, T., Collins, J., Ross, J. The past, present and future of asbestos-related diseases in Australia: what are the data telling us? Sustainability, 15, 8492, 2023. https://doi.org/10.3390/su15118492.
39. Alqassim, A.Y.; Alharbi, A.A.; Muaddi, M.A.; et al. Assessing environmental health hazard awareness for sustainability: a survey of adults in Saudi Arabia. Sustainability, 16, 593, 2024. https://doi.org/10.3390/su16020593
40. Aryal, A., Morley, C. Mitigation of contamination and health risk: asbestos management and regulatory practices. Sustainability, 16, 9740, 2024. https://doi.org/10.3390/su16229740
41. Bertolotti, M., Tamburro, M., Salzo, A., Cassinari, A., Crivellari, S. et al. Knowledge and awareness of asbestos risk among general practitioners: validation of a questionnaire in an area with high incidence of asbestos-related diseases. Prev. Med. Rep., 49, 102940, 2025. https://doi.org/10.1016/j.pmedr.2024.102940
42. Miao, X., Yao, T., Dong, C., et al. Global, regional, and national burden of non-communicable diseases attributable to occupational asbestos exposure 1990–2019 and prediction to 2035: worsening or improving? BMC Public Health, 24, 832, 2024. https://doi.org/10.1186/s12889-024-18099-4