International Archives of Occupational and Environmental Health最新文献

{"title":"Preconception and gestational versus postnatal exposure to air pollutants and risk of autism spectrum disorder: a systematic review and meta-analysis.","authors":"Mohammed A Mamun, Firoj Al-Mamun, Nitai Roy, Ahsan Raquib, Mark Mohan Kaggwa, Moneerah Mohammad ALmerab, David Gozal, Md Shakhaoat Hossain","doi":"10.1007/s00420-024-02112-9","DOIUrl":"10.1007/s00420-024-02112-9","url":null,"abstract":"<p><strong>Purpose: </strong>The rising prevalence of ASD has prompted extensive research into potential environmental risk factors, with air pollution particularly emerging as a major concern. A systematic review and meta-analysis on the effect of air pollutants and time of exposure (particularly, PM_2.5, PM₁₀, NO₂, and O₃) and the risk of ASD was therefore performed.</p><p><strong>Methods: </strong>Following PRISMA guidelines and PROSPERO registration (Ref: CRD42023464592), a thorough literature search was conducted across multiple databases, including Scopus, PubMed/MEDLINE, Embase, PsycINFO, Web of Science, and Cochrane Library. The analysis included 27 studies encompassing 369,460 participants, 47,973 of whom were diagnosed with ASD.</p><p><strong>Results: </strong>Preconception exposure to air pollutants showed a protective trend for PM_2.5, PM₁₀, and O₃ with a 10%, 5%, and 19% reduced risk of ASD, whereas NO₂ had a 28% higher likelihood of ASD. During gestation, PM_2.5 exposure increased ASD risk by 15%, with 13% and 9%, 25% and 7%, and 25% and 10% increases in ASD risk with PM_2.5 and NO₂ for the first, second, and third trimesters, respectively. In the first year of life, 20%, 8%, 33%, and 14% increases in risk were found for PM_2.5, PM₁₀, NO₂, and O₃, respectively, while such risk estimates increased to 179%, 60%, 12%, and 179% for the second year of life.</p><p><strong>Conclusions: </strong>In this meta-analysis, the relationships between air pollutants and ASD risk revealed significant associations, particularly for PM_2.5 and NO₂. Exposure during preconception exhibited a protective trend, while postnatal exposure, particularly during the second year of life uncovered substantially higher ASD risk.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"33-57"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828469","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":"Does mindfulness-based stress reduction training have an impact on the occupational burnout and stress experienced by nurses? A randomized controlled trial.","authors":"Nasim Talebiazar, Babak Choobi Anzali, Mahdiyeh Abbasi, Negin Azizi, Rasoul Goli, Navid Faraji, Mojde Bagheri, Negar Amiri, Sahar Kazemi","doi":"10.1007/s00420-024-02078-8","DOIUrl":"10.1007/s00420-024-02078-8","url":null,"abstract":"<p><strong>Background: </strong>In an effort to combat burnout, a study investigates Mindfulness-Based Stress Reduction (MBSR) training for nurses. The goal is to reduce stress and improve job satisfaction, ultimately enhancing patient care. These findings may inspire the development of mindfulness-based support systems for healthcare professionals to promote overall well-being in the workplace.</p><p><strong>Materials and methods: </strong>A single-blinded, randomized controlled trial with 60 emergency medical center nurses was conducted to assess the effectiveness of an eight-session MBSR program in reducing stress and burnout. The randomization process, utilizing sealed envelopes, ensured unbiased allocation to intervention or control groups. The training program included group sessions focused on meditation, yoga, and discussions, with participants receiving educational materials and CDs for home practice. Collected data included demographics, Maslach Burnout Inventory, and Occupational Stress Questionnaire results. Statistical analysis, utilizing SPSS version 21, featured Kolmogorov-Smirnov, Mann-Whitney U, and Wilcoxon tests to evaluate outcomes.</p><p><strong>Results: </strong>Following MBSR Training, the intervention group displayed statistically significant differences in all occupational stress subscales compared to the control group (P < 0.05). Post-intervention, the intervention group also exhibited significant differences in burnout subscale scores (P < 0.001) compared to the control group.</p><p><strong>Conclusion: </strong>MBSR can boost resilience and job satisfaction, enhancing patient care. Healthcare organizations should integrate MBSR programs for nursing staff well-being and combat stress and burnout. Research should probe long-term impacts and effective delivery methods for sustained stress relief in nursing.</p><p><strong>Trial registration: </strong>This study has registered in Iranian Registry of Clinical Trials by the number of IRCT20131112015390N5 on Jun 2022.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142728048","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":"Causal effects of promotion to managerial positions on mental health and satisfaction in Japanese male workers.","authors":"Ryohei Kashima, Masaya Takahashi","doi":"10.1007/s00420-024-02113-8","DOIUrl":"10.1007/s00420-024-02113-8","url":null,"abstract":"<p><strong>Purpose: </strong>We estimated the static and dynamic effects of promotion to managerial positions on mental health and satisfaction using the recent estimation method; we addressed the gap in extant research by considering the heterogeneity in treatment timing to reconfirm evidence regarding the causal effects of promotion.</p><p><strong>Methods: </strong>We used a modified estimation method of two-way fixed effects recommended by (Callaway and Sant'Anna, J Econom 225:200-230, 2021). To check for robustness, we compared the analyses using propensity sample matching, an alternative treatment timing heterogeneity-robust analysis, and a normal two-way fixed effects event study. We used four years of complete panel data on a sample of 1454 Japanese males (5816 overall).</p><p><strong>Results: </strong>The results indicated that becoming a manager worsened mental health with a two-year lag. We tested the effects of promotion to managerial positions on variables shown in previous studies to have negative effects on mental health (e.g., increased working hours) and positive effects (e.g., increased job role clarity) as outcomes to explore the mechanisms. Some of both variables indicate statistical significance. These results were robust.</p><p><strong>Conclusion: </strong>The promotion to managerial positions deteriorated mental health with a two-year lag. Promotion to managerial positions exhibited both positive and negative effects. The findings have potential implications for firms' human resources allocation.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"79-98"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of occupational sitting time and occupation on cardiometabolic health in Japanese workers.","authors":"Rina So, Fumiko Murai, Jaehoon Seol, Tomoaki Matsuo","doi":"10.1007/s00420-024-02111-w","DOIUrl":"10.1007/s00420-024-02111-w","url":null,"abstract":"<p><strong>Purpose: </strong>Prolonged sitting time (ST) has been suggested as a risk factor for CVD. Particularly, occupational ST (OST) is determined by occupation-specific activities and can impact the health status of workers. However, there is limited information on the impact of OST across different occupations among Japanese workers. This study aimed to examine how OST and occupation associate to CVD risks.</p><p><strong>Methods: </strong>Using a cross-sectional design, a total of 1874 workers were included in this study. ST was assessed using the Worker's Living Activity-time Questionnaire during working and non-working days. CVD risks were evaluated using a combination of questionnaires and medical checkup records. We conducted multivariable-adjusted logistic regression analyses to assess the associations between occupations (clerical support, professionals, service, and sales) and OST (categorized as long, middle, or short) with CVD risks. All analyses were adjusted for sex, age, smoking status, alcohol consumption, exercise habits, and either OST or occupation, depending on the primary exposure.</p><p><strong>Results: </strong>The results indicated that workers in services and sales had significantly lower odds ratios (ORs) for hypertension (OR = 0.52, 95% CI: 0.40-0.69) and CVD risk (OR = 0.61, 95% CI: 0.47-0.78) compared to clerical support, while professionals showed higher ORs for dyslipidemia (OR = 1.49, 95% CI: 1.16-1.91). When analyzed by OST categories, the short OST group showed reduced risks for obesity (OR = 0.77, 95% CI: 0.59-1.00) compared to the long OST group.</p><p><strong>Conclusion: </strong>This study emphasizes the need to consider both occupation and OST when assessing health risks, highlighting the importance of targeted interventions for specific occupational groups.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"25-32"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785630","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 psychosocial stressors and ergonomic strain during pregnancy and sex-specific risk of childhood asthma.","authors":"Mette Møller Dornfeldt, Sandra Søgaard Tøttenborg, Esben Meulengracht Flachs, Luise Mølenberg Begtrup, Ida Elisabeth Huitfeldt Madsen, Karin Sørig Hougaard, Camilla Sandal Sejbaek","doi":"10.1007/s00420-024-02107-6","DOIUrl":"10.1007/s00420-024-02107-6","url":null,"abstract":"<p><strong>Objectives: </strong>Previous studies have indicated that maternal occupational psychosocial stressors may affect the risk of asthma in the offspring, but their results are inconsistent. Maternal occupational ergonomic strain is associated with predictors of fetal lung development, including preterm birth and low birthweight; however, it is not known, whether ergonomic strain during pregnancy is a risk factor for asthma in offspring. The aim was to investigate maternal psychosocial stressors and ergonomic strain during pregnancy relative to the risk of offspring asthma.</p><p><strong>Methods: </strong>Live- and firstborn singletons (1996-2018) and their mothers were identified from Danish nationwide registers. Job code at time of conception was assigned to each mother and linked with exposure estimates from job exposure matrices (JEMs) of psychosocial stressors and ergonomic strain. Diagnoses of childhood asthma were retrieved from the Danish National Patient Register. Incidence rate ratios (IRR) of asthma were estimated using Poisson regression; adjusted for maternal asthma, age at conception, socioeconomic position, and body mass index, and calendar year.</p><p><strong>Results: </strong>Maternal employment in occupations with low decision authority (IRR: 1.08, 95% CI 1.00-1.16) and high ergonomic strain (IRR: 1.09, 95% CI 1.02-1.16) was associated with increased risk of asthma among male offspring. Largely similar, but less consistent, associations were observed among female offspring due to low decision authority.</p><p><strong>Conclusion: </strong>We found a minor increased risk of asthma among offspring whose mothers worked in an occupation with low decision authority or high ergonomic strain, most pronounced among male offspring.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"13-23"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sitting time at work and cardiovascular disease risk-a longitudinal analysis of the Study on Mental Health at Work (S-MGA).","authors":"Nicole Schmidt, Karla Romero Starke, Martha Sauter, Hermann Burr, Andreas Seidler, Janice Hegewald","doi":"10.1007/s00420-024-02118-3","DOIUrl":"10.1007/s00420-024-02118-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzed longitudinal data to examine whether occupational sitting time is associated with increases in body mass index (BMI) and five-year cardiovascular disease (CVD) risk.</p><p><strong>Methods: </strong>We included 2,000 employed men and women (aged 31-60) from the German Study on Mental Health at Work (S-MGA) for a BMI analysis and 1,635 participants free of CVD at baseline (2011/2012) for a CVD analysis. Occupational sitting time was categorized into five groups (< 5, 5 to < 15, 15 to < 25, 25 to < 35, and ≥ 35 h per week). BMI change was measured from baseline (2011/2012) to follow-up (2017). Incident CVD included hypertension, heart disease, myocardial infarction, and stroke (all self-reported). Multiple linear regression examined the association between sitting time and BMI change, while modified Poisson regression analyzed CVD incidence, adjusting for age, sex, occupation, shift work, leisure activity, and smoking by sex. Covariates were self-reported.</p><p><strong>Results: </strong>Over five years, the average BMI change was 0.49 (SD 1.9). We found no association between baseline occupational sitting time and BMI changes, with consistent results in sensitivity analyses. During this period, 245 participants developed cardiovascular disease. There was no increased risk of CVD among those with more sitting time compared to less. No differences in risk were found between women and men.</p><p><strong>Conclusion: </strong>There was no association between occupational sitting time and five-year changes in BMI or incident CVD.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"119-133"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, anxiety and stress in taxi drivers: a systematic review of the literature.","authors":"Marta Marín-Berges, Enrique Villa-Berges, Pablo A Lizana, Alejandro Gómez-Bruton, Isabel Iguacel","doi":"10.1007/s00420-024-02117-4","DOIUrl":"10.1007/s00420-024-02117-4","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health is a global public health challenge, with mental disorders being a major cause of morbidity. Particularly, taxi drivers face unique challenges related to long working hours, economic instability, and hazardous working conditions. To summarise the existing scientific literature on mental disorders in taxi drivers and identify associated variables.</p><p><strong>Methods: </strong>PubMed, Scopus and Web of Science databases were examined from inception to April 2024 following the PRISMA guidelines. Two authors independently selected original studies. We included observational studies published in English or Spanish or Portuguese, which assessed the mental health of taxi drivers. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies of the National Heart, Lung, and Blood Institute (NHBLI) was used to assess the quality of the articles.</p><p><strong>Results: </strong>From an initial pool of 618 studies, eleven met the inclusion criteria and were included in the present systematic review. The findings indicate a considerable prevalence of mental health issues among taxi drivers in comparison to the general population. The prevalence of depression ranged from 14.3 to 60.5% and were driven by a number of factors, including perceived mental strain, lack of respect from operators, a stressful personal life, insufficient sleep, poor working conditions, work-family conflict and low work engagement. Anxiety was reported by 24.1-47% of drivers, with a lack of sufficient sleep being identified as a primary contributing factor. The prevalence of stress ranged from 19 to 55%, with key contributing factors including discrimination, smoking, limited language proficiency, sleep disorders and younger age. Furthermore, 33% of drivers displayed elevated levels of psychological distress, frequently linked to traumatic experiences and occupational hazards.</p><p><strong>Conclusions: </strong>Rates of depression, anxiety, stress and psychological distress are higher in taxi drivers than in general population, therefore prevention strategies should target this group.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42023360073.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"135-154"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental disorders related to psychosocial factors among delivery workers: results of a web survey in Brazil.","authors":"Matheus F Dos Santos, Janaína S de Siqueira, Fernando R Feijó, Rita de Cássia P Fernandes","doi":"10.1007/s00420-024-02115-6","DOIUrl":"10.1007/s00420-024-02115-6","url":null,"abstract":"<p><strong>Purpose: </strong>The number of delivery workers (DW) has grown significantly with the rise of the platform economy. Evidence suggests that the working conditions faced by these workers are precarious, however, less is known about the health implications among workers. This study aims to investigate the prevalence of mental disorders (MD) and occupational factors related to this condition among DW.</p><p><strong>Methods: </strong>This is a cross-sectional study, a web survey with DW in Brazil. Data collection lasted four months, starting in February 2022. Anxiety, panic disorder, and depression were measured based on self-reported medical diagnosis. Those with at least one of the three diagnoses were considered to have MD. Cox regression analysis, presenting prevalence ratios, showed the factors related to MD.</p><p><strong>Results: </strong>A total of 563 DW participated in the study. The overall prevalence of MD was 25.6%. Lack of support from the company (PR = 1.71), accelerated work pace (PR = 1.55) and experience of conflicts with company customers (PR-1.48) were psychosocial factors associated to MD. In addition, working in the South, Southeast or Central-West regions is related to a higher prevalence of MD (PR = 2.10).</p><p><strong>Conclusions: </strong>The high prevalence of MD and its association with psychosocial stressors at work require regulation of the practices of companies operating in the platform economy, aiming to control the intensification of work. In addition to health and social security policies, it is crucial to ensure fair remuneration to reduce the pace of work in a non-strenuous workday, protecting workers from conflicts with dissatisfied customers of the company.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"99-107"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065453","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":"Exposure to multiple heavy metals associated with levels of inflammatory cytokines in workers in vulnerable conditions.","authors":"Ana Karen González Palomo, Juan Diego Cortés García, Kelvin Saldaña Villanueva, Fernando Díaz Barriga Martínez, Karen Beatriz Méndez Rodríguez, Luz Eugenia Alcantara Quintana, Julio César Martínez Álvarez, Francisco Javier Pérez Vázquez","doi":"10.1007/s00420-024-02116-5","DOIUrl":"10.1007/s00420-024-02116-5","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals in occupational environments are particularly susceptible to the impacts of pollutants; making it crucial to assess systemic inflammation markers. The study aimed to evaluate the immune response to inflammation through the assessment of a cytokine profile in individuals working in vulnerable conditions exposed to heavy metals.</p><p><strong>Methods: </strong>A total of 137 adults participated in this study from three work environments: brickyards, waste scavenging and quarries. Levels of 12 metals were evaluated in urine using inductively coupled plasma mass spectrometry (ICP-MS), and serum levels of 6 cytokines were analyzed using Multi-Bead Cytokine Assay.</p><p><strong>Results: </strong>In the brickyard scenario, a significant percentage of subjects presented concentrations above the reference levels of Hg, As, and Pb (83.7%, 62.8%, and 16.3%; respectively). The waste scavenging and quarry workers scenario exhibited percentages of 100% and 49% for Ni, respectively. Additionally, the brickyard and waste scavenging scenarios showed the highest levels of TNF-α and INF-γ and, lower levels of IL-4 and IL-10. In the quarry scenario, an increase of IL-6 and a decrease in INF-γ were observed. Furthermore, a clustering pattern based on the type of scenario was identified, indicating a higher exposure to As, Pb, and Hg in the brickyard scenario, along with TNF-α, IL-4, and IL-10 levels.</p><p><strong>Conclusions: </strong>The results suggest that exposure to heavy metals in workers with precarious work conditions, present elevated levels of inflammatory cytokines, which are related to the type of occupational environment.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"109-118"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931420","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":"Sickness absence trajectories among young and early midlife employees with psychological distress: the contributions of social and health-related factors in a longitudinal register linkage study.","authors":"Jatta Salmela, Noora Amanda Heinonen, Jade Knop, Marianna Virtanen, Pi Fagerlund, Anne Kouvonen, Tea Lallukka","doi":"10.1007/s00420-024-02114-7","DOIUrl":"10.1007/s00420-024-02114-7","url":null,"abstract":"<p><strong>Purpose: </strong>Psychological distress has been associated with sickness absence (SA), but less is known about whether there are distinct patterns in the development of SA among people with psychological distress. We examined trajectories of short- and long-term SA among employees with psychological distress and how social and health-related factors are associated with them.</p><p><strong>Methods: </strong>We used the employer's register data on all-cause short- (≤ 10 working days) and long-term (> 10 working days) SA with a two-year follow-up. We prospectively linked the Helsinki Health Study survey data on 19-39-year-old employees of the City of Helsinki, Finland, in 2017, to the SA data. We included 1060 participants (81% women) who reported experiencing psychological distress, measured by the emotional wellbeing scale of RAND-36. Survey responses of age; gender; education; marital status; social support, procedural and interactional organisational justice, and bullying at work; physical activity; diet; tobacco and alcohol use; prior SA; and the level of psychological distress were included as exposures. Group-based trajectory modelling and multinomial logistic regression were used for the analyses.</p><p><strong>Results: </strong>We identified four short-term SA trajectories: 'low' (n = 379, 36% of participants), 'descending' (n = 212, 20%), 'intermediate' (n = 312, 29%), and 'high' (n = 157, 15%); and two long-term SA trajectories: 'low' (n = 973, 92%) and 'high' (n = 87, 8%). A higher education, fewer prior SA, and lower levels of psychological distress were associated with the 'low' short- and long-term SA trajectories.</p><p><strong>Conclusion: </strong>SA trajectories differ among employees with psychological distress. Early intervention and support are needed among employees with mental health symptoms to prevent future SA.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"59-77"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142778971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}