International Archives of Occupational and Environmental Health最新文献

{"title":"The consequences of a compressed workweek: a systematic literature review.","authors":"Vilde Bernstrøm, Daniele Alves, Inge Houkes, Andreas Lillebråten, Wendy Nilsen","doi":"10.1007/s00420-025-02153-8","DOIUrl":"https://doi.org/10.1007/s00420-025-02153-8","url":null,"abstract":"<p><strong>Purpose: </strong>Compressed workweek arrangements, where employees work extended daily hours in exchange for fewer workdays, are adopted to address individual and organizational needs. While advocates highlight benefits such as improved work-life balance and reduced commuting time, the effects on employee health/well-being and work outcomes remain unclear. The objective of the current paper is to summarize existing knowledge on the longitudinal relationship between compressed workweeks and employee health/wellbeing and work outcomes.</p><p><strong>Methods: </strong>We conducted a systematic search in Medline, Embase, PsycINFO, Cinahl, and Web of Science in March 2023. We included peer-reviewed publications that empirically investigated the longitudinal relationship between compressed work schedules and employee health/well-being or work outcomes in employees working no more than 55 h a week. Twenty studies met the inclusion criteria. The study is registered in Prospero (CRD42020172595).</p><p><strong>Results: </strong>The 20 longitudinal studies yielded mixed results, identifying positive and negative effects on health/well-being and work outcomes. Most studies found no significant differences in at least one outcome. Results suggest that a compressed workweek increases sickness absence but also improves shift satisfaction. Predominantly negative health effects were observed when comparing a compressed workweek to fixed day work, mixed effects when comparing a compressed workweek with 12 h shifts to alternative shifts arrangements, and limited evidence for a compressed workweek with 10 h shifts.</p><p><strong>Conclusion: </strong>The impact of compressed workweeks remains uncertain, demonstrating mixed results on employee health and work outcomes. The findings vary depending on the length of shifts and alternative schedule.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational health of employees with mental health issues: the role of the psychosocial working conditions and sense of coherence.","authors":"Anja I Lehmann, Georg F Bauer","doi":"10.1007/s00420-025-02154-7","DOIUrl":"https://doi.org/10.1007/s00420-025-02154-7","url":null,"abstract":"<p><strong>Background: </strong>The high prevalence of mental health issues (MHI) among employees poses significant societal challenges. However, little is known about factors that influence their ability to remain employed, maintain productivity, and thrive at work.</p><p><strong>Objective: </strong>This study examines differences in occupational health outcomes (burnout, work engagement, and work ability) between employees with and without MHI and the applicability of the Job Demands-Resources model (including job demands, job resources as psychosocial working conditions and sense of coherence (SOC) as a personal resource) among employees with MHI, while particularly controlling for disease-specific factors.</p><p><strong>Methods: </strong>Pooled data from two measurement waves were analyzed, including employees with current MHI (N = 92) and those without MHI (N = 877) from German-speaking countries. Mixed-effects models examined relationships between sociodemographic, disease-specific factors, psychosocial working conditions, SOC, and occupational health outcomes.</p><p><strong>Results: </strong>Employees with MHI showed lower occupational health levels (higher burnout, reduced work ability) than those without. Among employees with MHI, SOC and job resources were significantly associated with all occupational health outcomes, while job demands primarily predicted burnout. Sickness absence correlated negatively with both burnout and work ability. The association between SOC and work ability was stronger for employees with MHI than for those without.</p><p><strong>Conclusions: </strong>Job resources and SOC play a role for occupational health in employees with MHI. Targeted interventions to strengthen these resources should be prioritized.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of an app-based health intervention on somatic symptoms among employees of the DHL Group: a longitudinal pilot study.","authors":"Naby May, Stefanie Kasten, Thomas Schwan, Matthias Scharle, Andreas Tautz, Stephan Letzel, Pavel Dietz","doi":"10.1007/s00420-025-02145-8","DOIUrl":"https://doi.org/10.1007/s00420-025-02145-8","url":null,"abstract":"<p><strong>Background: </strong>Somatic symptoms significantly contribute to absenteeism and healthcare costs, particularly in physically demanding professions such as postal and delivery services. The FC-Fit Challenge, an app-based workplace health intervention, aims to promote healthier lifestyles through personalized feedback, social interaction, and professional guidance, targeting lifestyle changes and reducing somatic symptoms.</p><p><strong>Objectives: </strong>This study evaluated the effect of the FC-Fit Winterchallenge 2021/22 on somatic symptoms over time, considering sociodemographic and work-related differences, and identified predictors of somatic symptoms to inform workplace health strategies.</p><p><strong>Methods: </strong>A longitudinal design with three measurement points was employed: at the start of the intervention (T1), immediately post-intervention (T2), and three-month follow-up (T3). At T1, 497 participants completed the survey. Sociodemographic and work-related variables, health behaviors, and mental health indicators were analyzed. Multiple regression identified significant predictors of somatic symptoms.</p><p><strong>Results: </strong>Somatic symptoms significantly decreased post-intervention (T1: 7.0 ± 4.6 vs. T2: 5.9 ± 4.5, p < 0.001), with sustained effects at T3. Women, full-time employees, and administrative staff showed the most pronounced reductions. Predictors of higher somatic symptom severity included female gender, lower education, painkiller use, stress, and burnout, while high physical activity was associated with lower severity. Subgroup analysis revealed variability in intervention effectiveness based on sociodemographic and occupational factors.</p><p><strong>Conclusions: </strong>The FC-Fit Challenge is a promising, scalable tool for workplace health promotion. Tailoring interventions to specific employee profiles and addressing predictors like stress and burnout can optimize outcomes. Future studies should target underrepresented groups, such as delivery workers, and use randomized controlled designs to validate findings.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between shift/night work and irregular periods and period pain among two cohorts of Australian women 16 years apart: findings from the Australian longitudinal study on women's health.","authors":"Biresaw Wassihun Alemu, Michael Waller, Leigh R Tooth","doi":"10.1007/s00420-025-02152-9","DOIUrl":"https://doi.org/10.1007/s00420-025-02152-9","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the associations between shift or night work and irregular periods and period pain among two cohorts of Australian women, using data collected 16 years apart.</p><p><strong>Methods: </strong>We used data from the 1989-95 (n = 6,767) and 1973-78 (n = 7,527) cohorts from the Australian Longitudinal Study on Women's Health, when participants were aged 24-30 years. Logistic regression models were used to assess the association between night or shift work and severe period pain and irregular periods, and to compare them to non-shift or night workers.</p><p><strong>Results: </strong>Women from the 1989-95 cohort who did night work reported higher odds of having experienced irregular periods (AOR = 1.28, 95% CI: 1.03, 1.59) compared to those who undertook shift work. However, there was no association between night work and severe period pain (AOR = 1.10, 95% CI: 0.86, 1.41). Among women in the 1973-78 cohort, neither severe period pain (AOR = 1.20, 95% CI: 0.82, 1.76) nor irregular periods (AOR = 1.38, 95% CI: 0.92, 2.06) were associated with night work. Across both cohorts, no associations were found between shift or night work and irregular or severe period pain when comparing shift or night workers combined to non-shift or night workers.</p><p><strong>Conclusions: </strong>Night workers reported higher odds of irregular periods compared to shift workers in the 1989-95 cohort; however, no consistent association was found with severe period pain. Future research should investigate whether this association is causal. Supportive workplace practices may benefit night workers experiencing irregular periods.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality in firefighters: extended follow-up of a Danish cohort, 1970-2021.","authors":"Julie Elbaek Pedersen, Kajsa Ugelvig Petersen, Maria Helena Guerra Andersen, Anne Thoustrup Saber, Ulla Vogel, Niels E Ebbehøj, Tina Kold Jensen, Regitze Sølling Wils, Jens Peter Bonde, Johnni Hansen","doi":"10.1007/s00420-025-02150-x","DOIUrl":"https://doi.org/10.1007/s00420-025-02150-x","url":null,"abstract":"<p><strong>Objectives: </strong>Firefighters face numerous occupational hazards that raise concerns regarding adverse health effects and mortality. Therefore, we conducted an updated evaluation of mortality in a cohort of Danish firefighters by adding 7 years of follow-up.</p><p><strong>Methods: </strong>The updated cohort comprised 11,888 male Danish firefighters, and the assessment of mortality spanned from 1970 through 2021. Data on vital status, emigration and mortality was retrieved from the Danish Civil Registration System and the Danish Register of Causes of Death. Standardized Mortality Ratios (SMRs) were calculated for the cohort, along with 95% confidence intervals (95% CI), utilizing a population of employees from the general working population as a reference.</p><p><strong>Results: </strong>For the firefighters, we observed lower overall mortality (SMR = 0.78; 95% CI: 0.74-0.82), while cancer mortality was even (SMR = 0.99; 95% CI: 0.92-1.08). Significantly reduced mortality was observed for mental disorders, conditions of the nervous system and sensory organs, pneumonia, non-traffic related accidents, suicide, as well as symptoms and ill-defined conditions. Mortality rates for most other causes were also reduced, including circulatory and respiratory diseases. However, higher mortality from specific cancers were observed, including cancer of the thyroid gland, kidney, urinary bladder and brain. Finally, we noticed a trend indicating a higher mortality rate among full-time firefighters when compared to their part-time counterparts.</p><p><strong>Conclusions: </strong>Our findings in a large cohort of Danish firefighters generally indicated a decrease in all-cause mortality as well as from most specific causes compared to other employees. However, slightly higher mortality rates were observed for certain cancers in full-time firefighters.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cytogenetic evaluation of vaginal and buccal epithelium of pregnant women living in conditions of radioactive, chemical and combined environmental contamination.","authors":"Anton V Korsakov, Alexandra S Domakhina, Vladislav P Troshin, Olga Yu Milushkina","doi":"10.1007/s00420-025-02144-9","DOIUrl":"https://doi.org/10.1007/s00420-025-02144-9","url":null,"abstract":"<p><strong>Introduction: </strong>Many pollutants constantly worsen the ecological situation, thereby causing irreparable harm to the health of the population. Technogenic impact on the biosphere has become one of the significant factors dictating our conditions of existence on Earth.</p><p><strong>Purpose of the study: </strong>to conduct a comparative analysis of the frequency of cytogenetic abnormalities, indicators of proliferation disorders and nuclear destruction of vaginal and buccal epithelium of pregnant women 26-33 years old living in conditions of radioactive, chemical and combined environmental contamination of the Bryansk region.</p><p><strong>Methods: </strong>micronucleus test, staining method by Kvik, fluorescence method, immunocytochemistry method, Shapiro-Wilk test, Mann-Whitney U test.</p><p><strong>Results: </strong>the frequency of cytogenetic abnormalities, indicators of proliferation disorders and nuclear destruction in the vaginal epithelium of pregnant women living in areas of radioactive, chemical and combined environmental contamination is 1.3-4.9 times higher, and in the buccal epithelium 1.6-7.8 times higher compared to ecologically safe (control) areas (p < 0.01-0.001). The combined effect of radioactive contamination and chemical pollution resulted in a significantly higher (increase from 12.8% to 81.4% in vaginal epithelium and from 22.6% to 2.3 times in buccal epithelium) frequency of cells with micronuclei, cells with protrusions, binuclear cells, cells with double nuclei, as well as cells with karyopyknosis and karyolysis in pregnant women compared to areas with only one pollution factor.</p><p><strong>Conclusion: </strong>The results demonstrate the synergistic effects of radiation contamination and chemical pollution on the cytogenetic status of pregnant women.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synergic effect of arsenic exposure related methylation changes in three cohorts exposed to levels of this toxicant.","authors":"Katarzyna Ewa Sokolowska, Jacek Antoniewski, Marta Sobalska-Kwapis, Dominik Strapagiel, Wojciech Marciniak, Jan Lubiński, Tomasz Kazimierz Wojdacz","doi":"10.1007/s00420-025-02147-6","DOIUrl":"https://doi.org/10.1007/s00420-025-02147-6","url":null,"abstract":"<p><strong>Purpose: </strong>The results of studies assessing impact of arsenic exposure on methylome are to large extent inconsistent. To contribute to understanding of effect of arsenic exposure on methylome of the exposed cells, we assess the impact of low-level arsenic exposure on methylome of blood cells in three cohorts of exposed individuals.</p><p><strong>Methods: </strong>The Infinium MethylationEPIC array (Illumina Inc.) was used for genome-wide methylation profiling and robust linear regression to identify arsenic-related methylation changes in blood cells from healthy individuals with a 12-year cancer-free follow-up and breast cancer patients, sampled on average 4.29 years before diagnosis, as well as methylomics data from cord blood samples of Biomarkers of Exposure to Arsenic cohort.</p><p><strong>Results: </strong>Our analysis identified a 2,453 arsenic-associated methylation changes in blood from healthy individuals, 9,662 in breast cancer patients and 6,745 in cord blood samples. Similarly to previous studies methylation changes that we identified in each cohort, overlapped only to some extent. However, molecular processes linked to identified methylation changes were very similar in each of the cohorts. And included pathways that could be clearly associated with the adverse effects of arsenic exposure and specifically cancer in the cohort of cancer patients. Moreover, the genomic regions harboring identified in each cohort methylation changes were similar and predominantly included regions participating in regulation of gene transcription.</p><p><strong>Conclusion: </strong>Overall, our findings show that specificity of arsenic related methylation changes is low but the impact of these changes on cell physiology is very similar across three cohorts we studded.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noise-induced hearing injuries among military working dog handlers, 2012-2023.","authors":"Jessica H Murray, Sithembile L Mabila, Edward A Sheriff, Alexis A McQuistan, Shauna L Stahlman","doi":"10.1007/s00420-025-02146-7","DOIUrl":"https://doi.org/10.1007/s00420-025-02146-7","url":null,"abstract":"<p><strong>Objective: </strong>This study examines noise-induced hearing injuries, among active component service members in Military Working Dog (MWD) handler occupations compared to active component veterinary personnel, military police, and all other active component service members between 2012 and 2023.</p><p><strong>Methods: </strong>A total of 3,373,990 active component service members were included, with 5,112 service members in the MWD handler occupation. 2,726 veterinary personnel, and 157,811 service members working as military police. Crude incidence rates and adjusted incidence rate ratios were calculated for any noise-induced hearing injury, as well as for significant threshold shifts, sensorineural hearing loss, noise-induced hearing loss, and tinnitus.</p><p><strong>Results: </strong>During the surveillance period, MWD handlers sustained the highest incidence rate of noise-induced hearing injuries (416.84 cases per 10,000 person-years) compared to veterinary personnel, military police, and other military occupations. Incidence rates of tinnitus were higher than other noise injury types for all occupations and were highest among MWD handlers (262.51 cases per 10,000 person-years). During the surveillance period, incidence rates of tinnitus among MWD handlers steadily increased from 2016 (150.37 cases per 10,000 person-years) until it peaked in 2023 (607.80 cases per 10,000 person-years). Regardless of occupation, the incident rate ratio of any hearing injury increased with increasing age and was highest among MWD handlers who were 45 years and older [IRR = 5.63 (95%CI: 2.89-10.98)].</p><p><strong>Conclusions: </strong>This study is among the first investigations into MWD handlers' noise-induced hearing injuries.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of manual handling weight for lifting and carrying on the severity of acute occupational low back pain.","authors":"Kazuyuki Iwakiri, Keiichi Miki, Takeshi Sasaki","doi":"10.1007/s00420-025-02148-5","DOIUrl":"https://doi.org/10.1007/s00420-025-02148-5","url":null,"abstract":"<p><strong>Purpose: </strong>Preventing the progression of occupational low back pain (LBP) is a critical occupational safety and health concern, alongside reducing its incidence. Manual handling of heavy loads may increase LBP severity. This study investigates the impact of lifting and carrying weights on LBP severity in affected workers.</p><p><strong>Methods: </strong>A total of 2418 cases of acute occupational LBP, each resulting in more than four days of absence from work, were analyzed. These cases, reported as industrial accidents in Japan 2018-2019, were categorized into four weight-handling groups: < 10, 10-20, 20-30, and ≥ 30 kg. LBP severity was defined based on the duration of work absence, as determined by a physician's diagnosis at the onset, and was categorized into four groups: 4-7, 8-14, 15-30, and ≥ 31 days. Multinomial logistic regression analysis was conducted to assess the relationship between handling weights and absence duration.</p><p><strong>Results: </strong>The odds ratio (OR) for absence of ≥ 31 days compared with 4-7 days increased with heavier handling weights. Notably, workers handling 30 kg or more weights had a significantly higher OR than those under 10 kg (OR: 1.75; 95% CI: 1.11-2.77). The ORs for absence of 8-14 and 15-30 days compared with 4-7 days showed no significant association with handling weight.</p><p><strong>Conclusion: </strong>Lifting and carrying heavier loads were associated with increased LBP severity and prolonged work absences. Minimizing manual handling loads may be a practical strategy to reduce the severity of acute occupational LBP and prevent prolonged work absences.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) study: a seven- and twelve-year prospective analysis of occupational exposures and health outcomes among police officers.","authors":"John M Violanti, Desta Fekedulegn, Cecil M Burchfiel, Erin McCanlies, Samantha K Service, Anna Mnatsakanova, Ja K Gu, Penelope Allison, Micheal E Andrew, Luenda E Charles","doi":"10.1007/s00420-025-02142-x","DOIUrl":"https://doi.org/10.1007/s00420-025-02142-x","url":null,"abstract":"<p><strong>Objective: </strong>Overall, police officers have higher rates of several adverse health conditions (e.g., cardiovascular health profiles and post-traumatic stress disorder (PTSD)) compared to persons in many other occupations. Our objective was to conduct a comparative study of occupational exposures and health outcomes among police officers across: (a) a 7-year period, from the baseline examination (2004-2009) to the 1st follow-up examination (2011-2015) and (b) a 12-year period, from baseline to the 2nd follow-up examination (2015-2019).</p><p><strong>Methods: </strong>Participants were from the Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) Study. Variables were assessed through self-report, standardized validated questionnaires, or standardized medical procedures. We computed the 7- and 12-year changes in mean values (for continuous/numeric variables) or prevalence (for categorical variables) and the corresponding 95% confidence intervals (CIs) using MIXED and GENMOD procedures in SAS.</p><p><strong>Results: </strong>Occupational stress significantly increased over 12 years [3.4; (95% CI 1.2, 5.6)]. The percentage of officers who reported excellent/very good health significantly decreased across both time periods: [- 11.8%; (- 17.8, - 5.9)] across seven years and [- 17.3%; (- 24.2, - 10.4)] across 12 years. The prevalence of metabolic syndrome increased over seven years [10.7%; (5.3-16.0)] and over 12 years [7.4%; (0.1-14.0)]. Abdominal obesity and glucose intolerance significantly increased over both time periods while hypertension and elevated triglyceride levels increased slightly but not significantly over both time periods.</p><p><strong>Conclusion: </strong>Occupational stressors and some health outcomes of officers worsened over time indicating the need for self-health monitoring and wellness programs for police.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}