Association of workplace stressors prior to infection and the development of Long COVID among workers during the COVID-19 pandemic: a cohort study in Japan.

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yu Igarashi, Seiichiro Tateishi, Arisa Harada, Ayako Hino, Mayumi Tsuji, Hajime Ando, Shinya Matsuda, Yoshihisa Fujino, Koji Mori
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引用次数: 0

Abstract

Objectives: Long COVID is a global health concern. Although various risk factors are known, the link between workplace factors and Long COVID is underexplored. We conducted a cohort study to examine the impact of preinfection workplace stressors on Long COVID among Japanese workers, with the aim of improving understanding of its disease process and inform workplace management.

Methods: This prospective cohort study used online survey data collected in December 2020 and December 2022 from 1539 participants with no initial infection history but later reported COVID-19. Workplace stressors were assessed at baseline using the Job Content Questionnaire, which measured job demands, job control, and social support. At the follow-up survey, COVID-19 infection was determined by self-reported positive SARS-CoV-2 test by polymerase chain reaction or antigen, and development of Long COVID was defined as symptoms persisting for over 2 months. Univariate and multivariate logistic regression analyses estimated odds ratios (ORs) for the association between workplace stressors and the development of Long COVID.

Results: Of the participants, 248 reported Long COVID. Univariate analysis showed that both high job demands (OR: 1.55; 95% CI, 1.09-2.20) and poor job control (OR: 1.50; 95% CI, 1.04-2.18) increased the odds. Poor supervisor support (OR: 1.73; 95% CI, 1.16-2.58) and co-worker support (OR: 1.59; 95% CI, 1.13-2.23) were also significant. On multivariate analysis, job demands remained significantly associated with Long COVID.

Conclusions: Our findings indicate that preinfection workplace stressors may contribute to Long COVID development in workers. Managing workplace stressors effectively could be a preventive measure.

COVID-19大流行期间工人感染前与长期COVID-19发展的关系:日本的一项队列研究。
目的:新冠肺炎是全球关注的健康问题。虽然已知各种风险因素,但工作场所因素与长期COVID之间的联系尚未得到充分探讨。我们进行了一项队列研究,研究了感染前工作场所压力源对日本工人长COVID的影响,旨在提高对其疾病过程的了解,并为工作场所管理提供信息。方法:本前瞻性队列研究使用了2020年12月和2022年12月收集的1539名参与者的在线调查数据,这些参与者最初没有感染史,但后来报告了COVID-19。使用工作内容问卷对工作压力源进行基线评估,该问卷测量了工作要求、工作控制和社会支持。在随访调查中,通过PCR或抗原自报阳性的SARS-CoV-2检测确定是否感染,症状持续2个月以上定义为长冠状病毒。单变量和多变量logistic回归分析估计了工作压力源与长冠肺炎发展之间关联的比值比。结果:参与者中有248人报告长COVID。单因素分析显示,高工作要求(OR: 1.55, 95% CI: 1.09-2.20)和差的工作控制(OR: 1.50, 95% CI: 1.04-2.18)都增加了几率。较差的主管支持(OR: 1.73, 95% CI: 1.16-2.58)和同事支持(OR: 1.59, 95% CI: 1.13-2.23)也很显著。在多变量分析中,工作需求与长COVID仍然显着相关。结论:我们的研究结果表明,感染前的工作场所压力因素可能有助于工人的长期covid发展。有效地管理工作场所的压力源可能是一种预防措施。
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
Journal of Occupational Health
Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
3.30%
发文量
57
审稿时长
6-12 weeks
期刊介绍: The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.
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