In or out of reach? Long-term trends in the reach of health assessments in the Swedish occupational setting.

IF 4.7 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Scandinavian journal of work, environment & health Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI:10.5271/sjweh.4192

Elin Ekblom-Bak, Magnus Lindwall, Linnea Eriksson, Andreas Stenling, Magnus Svartengren, Robert Lundmark, Lena Kallings, Erik Hemmingsson, Daniel Väisänen

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引用次数: 0

Abstract

Objectives: This study aimed to investigate the reach of a large-scale health assessment delivered by the occupational health service in Sweden for almost 30 years.

Methods: A total of 418 286 individuals who participated in a health assessment (Health Profile Assessment, HPA) between 1995-2021 were included. A comparative sample was obtained from Statistics Sweden, comprising the entire working population for each year (4 962 127-6 011 829 unique individuals per time period). Sociodemographic and work organization characteristics were compared between the HPA and comparative population for six different periods. Under- and overrepresented groups in the private and public sectors were identified using the most recent data (2015-2021).

Results: With negative per cent indicating underrepresentation, the most notable changes over time in representation in the HPA population compared to the comparative were observed for women (-1.2% to -12.8%), private sector employees (-9.4% to 14.9%), individuals with ≥3 years of employment (14.5% to 0.9%), in personal care (0.8% to -8.8%) and manufacturing (0.7% to 6.4%) occupations. Consistently overrepresented groups (median representation across periods) included individuals who had a single income source (6.3%) and were middle-aged (10.8%), born in Sweden (5.9%), associate professionals (8.7%), and employed in companies with high operating profit (17.9%) and low staff turnover (14.3%). Conversely, individuals with low income (-34.0%) and employed in small companies/organizations (-10.9%) were consistently underrepresented. Middle-aged women in education occupations were most underrepresented in the public sector, while in the private sector, it was young women in service and shop sales occupations.

Conclusions: This health assessment has reached many professionals, including hard-to-reach groups, but did not fully represents the Swedish workforce throughout the years.

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够得着还是够不着？瑞典职业环境中健康评估覆盖范围的长期趋势。

研究目的本研究旨在调查近 30 年来瑞典职业健康服务机构提供的大规模健康评估的覆盖范围：研究共纳入了 1995-2021 年间参加健康评估（健康档案评估，HPA）的 418 286 人。比较样本来自瑞典统计局，包括每年的全部工作人口（每个时间段有 4 962 127-6 011 829 个独立个体）。对六个不同时期的 HPA 和对比人群的社会人口和工作组织特征进行了比较。使用最新数据（2015-2021 年）确定了私营和公共部门中代表性不足和过高的群体：由于负百分比表示代表性不足，与对比人群相比，HPA人群中代表性随时间推移发生最显著变化的是女性（-1.2%至-12.8%）、私营部门雇员（-9.4%至14.9%）、就业≥3年的个人（14.5%至0.9%）、个人护理（0.8%至-8.8%）和制造业（0.7%至6.4%）职业。代表人数持续偏高的群体（各时期代表人数的中位数）包括：单一收入来源（6.3%）、中年（10.8%）、在瑞典出生（5.9%）、准专业人士（8.7%）、受雇于高营业利润（17.9%）和低员工流动率（14.3%）的公司。相反，低收入者（-34.0%）和受雇于小型公司/组织者（-10.9%）所占比例一直较低。在公共部门，从事教育职业的中年妇女所占比例最低，而在私营部门，从事服务和商店销售职业的年轻妇女所占比例最高：这项健康评估覆盖了许多专业人士，包括难以接触到的群体，但并不能完全代表瑞典多年来的劳动力情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian journal of work, environment & health 医学-公共卫生、环境卫生与职业卫生

CiteScore

8.20

自引率

9.50%

发文量

审稿时长

>12 weeks

期刊介绍： The aim of the Journal is to promote research in the fields of occupational and environmental health and safety and to increase knowledge through the publication of original research articles, systematic reviews, and other information of high interest. Areas of interest include occupational and environmental epidemiology, occupational and environmental medicine, psychosocial factors at work, physical work load, physical activity work-related mental and musculoskeletal problems, aging, work ability and return to work, working hours and health, occupational hygiene and toxicology, work safety and injury epidemiology as well as occupational health services. In addition to observational studies, quasi-experimental and intervention studies are welcome as well as methodological papers, occupational cohort profiles, and studies associated with economic evaluation. The Journal also publishes short communications, case reports, commentaries, discussion papers, clinical questions, consensus reports, meeting reports, other reports, book reviews, news, and announcements (jobs, courses, events etc).