Medycyna pracy最新文献

{"title":"[Anti-smoking policy in Poland in the context of Polish and foreign legal regulations: current status and proposed changes].","authors":"Dagmara Różyk, Krzysztof Nojszewski, Andrzej Śliwczyński","doi":"10.13075/mp.5893.01655","DOIUrl":"10.13075/mp.5893.01655","url":null,"abstract":"<p><p>Legal regulations regarding anti-smoking policy in Poland were analyzed in comparison to solutions adopted in other countries around the world. Based on the 2022 National Health Survey of Poles conducted by the Polish Oncological Society and a report from the Polish Academy of Sciences, the smoking rate was nearly 30%, 3 pp higher than in 2021. At the same time, alternative nicotine products are becoming increasingly popular. The authors reviewed available reports and scientific publications on this topic and proposed directions for legislative changes. The goal is to reduce the scale of smoking and nicotine addiction, so that in the long term, the percentage of smokers in Poland decreases to 5%. Med Pr Work Health Saf. 2025;76(5):407-416.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"407-416"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Influenza prevention among hospital employees in Poland - a narrative review].","authors":"Dominika Rykowska, Ernest Kuchar","doi":"10.13075/mp.5893.01606","DOIUrl":"10.13075/mp.5893.01606","url":null,"abstract":"<p><p>Healthcare workers having close contact with patients are particularly vulnerable to influenza virus infection and may serve as a source of transmission. Despite WHO recommendations regarding annual influenza vaccination, the vaccination rate in this professional group in Poland remains very low. Scientific data on the effectiveness of influenza prevention methods are presented in the article. Additionally, attitudes toward influenza vaccination in Poland are analyzed based on a cross-sectional survey conducted at 3 university hospitals in Warsaw. The survey revealed that only 29.9% of respondents perceived vaccination as effective in preventing influenza, while 52.8% pointed to hand hygiene as the primary preventive measure. Significant differences were identified between professional groups, with physicians more likely than nurses to recognize vaccination efficacy (84% vs. 42.4%). The lack of willingness to undergo vaccination is primarily attributed to insufficient knowledge regarding vaccine safety and efficacy, concerns about adverse effects, and limited access to vaccines. Implementation of free workplace vaccinations and educational campaigns is suggested as a means to significantly increase vaccination coverage among healthcare personnel in Poland. Med Pr Work Health Saf. 2025;76(5):397-406.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"397-406"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the economic burden of cervical cancer in Poland: the critical role of productivity loss.","authors":"Michał Seweryn, Tomasz Banaś, Agnieszka Leszczyńska, Joanna Augustyńska, Joanna Streb","doi":"10.13075/mp.5893.01601","DOIUrl":"10.13075/mp.5893.01601","url":null,"abstract":"<p><strong>Background: </strong>Absenteeism due to cervical cancer (CC) poses a considerable challenge for both employers and employees, with implications for productivity. The aim of the article is to assess the costs of lost productivity associated with CC in Poland 2018-2022.</p><p><strong>Material and methods: </strong>The analysis is based on the human capital method and a societal perspective, focusing on 2 main aspects of productivity losses: absence and premature mortality.</p><p><strong>Results: </strong>The average number of sick leave days for CC patients ranged 23-25 days annually, and productivity losses from this cause increased from EUR 10.3 million in 2018 to over EUR 14 million in 2022. During the analyzed period, 1742 deaths of women of working age due to CC were recorded. Expenditures by the National Health Fund on CC treatment for women of working age 2018-2022 averaged EUR 11 million/year, while the Social Insurance Institution covered benefits such as pensions and sickness allowances ranging from EUR 5.3 million to EUR 6.4 million annually.</p><p><strong>Conclusions: </strong>Productivity losses due to CC were nearly 5 times higher than direct public expenditures. The findings highlight the need to prioritize prevention programs and to consider indirect costs in the assessment of disease burden and health policy decisions. Med Pr Work Health Saf. 2025;76(5):353-359.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"353-359"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Voice disorders due to excessive voice effort - preventive and judicial aspects].","authors":"Kamila Sroka, Marcin Rybacki, Marta Wiszniewska","doi":"10.13075/mp.5893.01645","DOIUrl":"10.13075/mp.5893.01645","url":null,"abstract":"<p><p>In some professions, the load on the vocal apparatus is particularly high, and professional functioning depends on maintaining vocal function for many hours a day. The aim of the study is to identify risk factors for the development of work-related and non-work-related diseases of the vocal organs and to indicate tests assessing the efficiency of the vocal organ in order to improve preventive care for employees exposed to vocal strain. The article discusses work-related diseases of the vocal organs and the law criteria for recognizing them as occupational diseases. The scope of preventive activities as part of preventive care for employees exposed to work requiring constant and excessive vocal effort was also determined. Med Pr Work Health Saf. 2025;76(5):417-427.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"417-427"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voice disorders among teachers from the perspective of affective temperament and occupational burnout syndrome.","authors":"Lidia Nawrocka, Hanna Mackiewicz-Nartowicz, Agnieszka Garstecka, Agata Kozakiewicz-Rutkowska, Paweł Solarz, Anna Sinkiewicz","doi":"10.13075/mp.5893.01595","DOIUrl":"10.13075/mp.5893.01595","url":null,"abstract":"<p><strong>Background: </strong>Teachers are the occupational group most at risk for dysphonia. Therefore, it is important to introduce effective methods to support the rehabilitation process of occupational voice disorders. Knowledge about temperamental conditioning responsible for susceptibility or resistance to workplace stress and the occupational burnout syndrome in teachers is very important for the rehabilitation process due to further voice work.</p><p><strong>Material and methods: </strong>The dependence of subjective voice assessment of professionally active teachers on affective temperament and occupational burnout was analyzed. The study included 174 female teachers who participated in a 24-day inpatient voice rehabilitation program at the Health Resort Hospital in Ciechocinek, Poland, 2019-2021. Subjective voice impairment was assessed using the<i> Voice Handicap Index</i> (VHI) self-assessment questionnaire. Affective temperament types were assessed using the <i>Temperament Evaluation of the Memphis, Pisa, Paris and San Diego Autoquestionnaire</i> (TEMPS-A). The <i>Maslach Burnout Inventory</i> (MBI) questionnaire was used to measure burnout. The VHI, TEMPS-A and MBI questionnaires were administered to the teachers at the beginning of the rehabilitation stay.</p><p><strong>Results: </strong>Total self-report of voice dysfunction, as assessed by the VHI questionnaire, was shown to be significantly associated with occupational burnout in all its dimensions (p = 0.00). The association of the subjective assessment of voice dysfunction in the teachers surveyed with affective temperament types was not confirmed.</p><p><strong>Conclusions: </strong>The study could be expanded to include a control group. The research on the relationship between occupational burnout and voice disorders could also be repeated with another group of voice professionals, such as singers. Demonstrating a correlation based on results obtained regardless of occupation would increase the reliability and confirm the universal value of the present study. Prophylaxis that takes into account temperamental conditioning and occupational burnout, as well as practical preparation of teachers for voice work, may be helpful in preventing voice dysfunction in this professional group. Med Pr Work Health Saf. 2025;76(5):361-371.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"361-371"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of a study on occupational and non-occupational determinants of obesity among blue-collar workers.","authors":"Elżbieta Łastowiecka-Moras","doi":"10.13075/mp.5893.01641","DOIUrl":"10.13075/mp.5893.01641","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a serious health problem among workers. Blue-collar workers, despite the fact that their work involves physical effort, may also have difficulty maintaining a healthy body weight. A survey was conducted to determine the prevalence of overweight and obesity among blue-collar workers employed in various sectors of industry. The study also examined the influence of selected occupational and non-occupational factors on excessive body mass in this group of workers.</p><p><strong>Material and methods: </strong>The survey was conducted using the computer assisted personal interview method among a group of 542 men, blue-collar workers aged 25-65 years, with an average age of 43.9 years.</p><p><strong>Results: </strong>Excessive body weight, defined by body mass index, was present in 61.1% of the study group of men. In almost half of the overweight and obese subjects, waist circumference values exceeded 94 cm, which is characteristic of abdominal obesity. Overweight and obese workers were significantly more likely to work >40 h/week, had poorer work ability measured by the <i>Work Ability Index</i> (WAI) and lower activity measured by the<i> International Physical Activity Questionnaire</i> (IPAQ) compared to normal-weight workers.</p><p><strong>Conclusions: </strong>It seems that for the subjects studied, the key to achieving or maintaining normal weight should be to strengthen lifestyle activities. Workplaces should play a supportive role by encouraging recreational activities and providing adequate time for rest and recovery. Med Pr Work Health Saf. 2025;76(5):373-383.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"373-383"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality and work ethic vs. workaholism: temperament, personality traits, and work-valuing beliefs as predictors of compulsive and excessive work.","authors":"Damian Grabowski, Agata Chudzicka-Czupała, Patrycja Stawiarska, Katarzyna Stapor","doi":"10.13075/mp.5893.01628","DOIUrl":"10.13075/mp.5893.01628","url":null,"abstract":"<p><strong>Background: </strong>The research presented here was designed to look for possible relationships between personality traits, including temperament, work ethic components and workaholism. Workaholism, i.e., work addiction, was conceptualized as obsession and compulsion to work and excessive work.</p><p><strong>Material and methods: </strong>The<i> NEO-Five Factor Inventory</i> and the <i>Emotionality, Activity, Sociability-Temperament Survey</i> were used to measure personality, including temperament. Work ethic was measured using the <i>Multidimensional Work Ethic Profile</i>, and workaholism was measured using the<i> Dutch Work Addiction Scale</i>. The survey was conducted at 2 time points 5 weeks apart. Predictors (personality, work ethic) were examined first and workaholism was examined after 5 weeks. A sample of 211 employees from various Polish organizations was surveyed.</p><p><strong>Results: </strong>The results of the canonical analysis indicate that negative emotionality, a tendency to react with emotions such as dissatisfaction (distress), and selected components of work ethic - namely, perceiving work as a moral obligation, work centrality, aversion to wasting time, and, to a lesser extent, the valuation of hard work - are significant predictors of work-related obsession, compulsion, and excessive work involvement. Activity also emerged as a significant, though weaker, predictor of workaholism. Low agreeableness was found to be a weak predictor of workaholism.</p><p><strong>Conclusions: </strong>The results of the study show that high arousability, i.e., the ease of responding with emotional arousal, and beliefs that value work, such as viewing work as a value and a duty, are important in predicting levels of workaholism. High activity, understood as vigor and sociability, as well as low agreeableness, are weaker predictors of work addiction. Med Pr Work Health Saf. 2025;76(5):385-395.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"385-395"},"PeriodicalIF":0.9,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessibility of public space in Gdańsk, Poland, for senior citizens.","authors":"Dorota Dominika Kamrowska-Załuska, Weronika Mazurkiewicz, Elżbieta Marczak, Magdalena Stramska, Weronika Glaubert, Agnieszka Gębczyńska-Janowicz","doi":"10.13075/mp.5893.01620","DOIUrl":"10.13075/mp.5893.01620","url":null,"abstract":"<p><strong>Background: </strong>The ageing population presents new challenges for modern cities, particularly in adapting public spaces to meet the needs of senior citizens. This study aims to identify and analyse the inclusivity of public spaces in selected districts of Gdańsk, considering urban and social factors, and assess how well these spaces accommodate the needs of the elderly population.</p><p><strong>Material and methods: </strong>The study began with a demographic analysis of Gdańsk 2003-2023, focusing on the increasing number of residents aged ≥60 years. Based on this analysis, 3 districts were selected: Przymorze Wielkie, Młyniska, and Wzgórze Mickiewicza. They differ in terms of building typology and access to public transport and green spaces, which were studied using quality research methods. Finally, a geo-survey was conducted to collect spatial data on how seniors interact with their environment and identify barriers to accessibility in public spaces.</p><p><strong>Results: </strong>The demographic analysis revealed a rapid increase in the elderly population, which accounted for 28.1% of Gdańsk's population in 2022. The study found varying levels of access to green spaces and the quality of infrastructure in the selected districts. In Przymorze Wielkie, most seniors were satisfied with the availability of green spaces, while in Młyniska and Wzgórze Mickiewicza satisfaction levels were significantly lower. Additionally, the study highlighted differences in access to public transportation and infrastructure designed to meet the needs of older adults.</p><p><strong>Conclusions: </strong>The findings indicate a need to adapt public spaces and urban infrastructure to the needs of the ageing population. The diverse experiences of seniors across the districts of Gdańsk underscore the necessity for targeted urban interventions to improve the quality of life for older adults, particularly by enhancing access to green spaces, infrastructure, and essential services. Med Pr Work Health Saf. 2025;76(4):259-267.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"259-267"},"PeriodicalIF":0.9,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The need to supplement the architectural design guidelines for care and treatment facilities].","authors":"Rafał Janowicz, Marta Koperska-Kośmicka, Marzena Mrozek, Bartosz Kohnke, Laura Pacud, Bartosz Dąbrowski, Aleksandra Krupa","doi":"10.13075/mp.5893.01636","DOIUrl":"10.13075/mp.5893.01636","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of architectural guidelines for care and treatment facilities in Poland. The aim of the study was to assess the adequacy of existing regulations for the design of such facilities and to identify any shortcomings.</p><p><strong>Material and methods: </strong>The methodology included an analysis of legislation and literature, as well as an assessment of the quality of space based on research conducted in the nursing home in Dzierżążno in 2025 using the post-occupancy evaluation method and interviews with staff.</p><p><strong>Results: </strong>The literature review shows that space in care and treatment facilities has a significant impact on the quality of life of patients and staff. Statistics show that care and treatment facilities have a high number of geriatric patients, most of whom stay in the facility >1 year, often for the rest of their lives.</p><p><strong>Conclusions: </strong>The conclusions point to the need for new regulations on the design of nursing facilities to provide better conditions, more functional spaces and a higher standard of medical care for patients. Med Pr Work Health Saf. 2025;76(4):319-329.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"319-329"},"PeriodicalIF":0.9,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Architectural analysis of the space of public libraries in Białystok in the context of accessibility for the elderly and disabled].","authors":"Andrzej Dudziński","doi":"10.13075/mp.5893.01629","DOIUrl":"10.13075/mp.5893.01629","url":null,"abstract":"<p><strong>Background: </strong>The constantly growing number of elderly and disabled people in Polish society forces decision-makers, investors, and architects to take action to eliminate obstacles in access to public buildings. Educational and cultural facilities, including libraries, are particularly important for ensuring the well-being of this particular group. These facilities should be characterized by universal accessibility, including appropriate location that facilitates integration with the environment not only geographically but also socially, the reduction of all barriers, and the implementation of solutions that enable the use of all their areas by people with special needs. The spatial solutions of these facilities should counteract social exclusion. The aim of the article is an attempt to diagnose the current state of adaptation of public libraries to the needs of elderly and disabled people in one of the representative cities in Poland.</p><p><strong>Material and methods: </strong>The article describes the conducted survey research. The main research tool used was correlated quantitative-statistical and qualitative research methods. The undertaken activities were both theoretical (analysis of the relevant literature and sample solutions) and practical (field research, field trips). The research concludes with a comparative analysis of the correlations between specific variable parameters of the outdoor and indoor spaces within the analyzed facilities.</p><p><strong>Results: </strong>This article presents the results of research related to the accessibility of public libraries in Białystok for seniors. It was found that most libraries in the city are located in facilities that were not originally planned, designed and implemented to perform their current function. The research results indicate that in a significant number of facilities there are architectural barriers that make it difficult and often impossible to overcome them not only for people in wheelchairs, but also for people with limited mobility and other psychomotor dysfunctions.</p><p><strong>Conclusions: </strong>The analysis of the results of the conducted research confirms the accepted thesis about the insufficient adaptation of buildings in which libraries are located in the city of Białystok to the needs of senior citizens and disabled. The research results can be used in planning remedial actions and improving the quality of the architectural space of existing and planned public libraries. Med Pr Work Health Saf. 2025;76(4):305-318.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"305-318"},"PeriodicalIF":0.9,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}