International Archives of Occupational and Environmental Health最新文献

{"title":"Polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs) concentrations in the environment and blood of residents living near industrial waste incinerators in South Korea.","authors":"Mira Yoon, JunYoung Chang, Sang-Yong Eom, Young-Seoub Hong, SueJin Kim, Boeun Lee, Yong-Dae Kim","doi":"10.1007/s00420-025-02167-2","DOIUrl":"10.1007/s00420-025-02167-2","url":null,"abstract":"<p><p>OBJECTIVES: Industrial waste incinerators (IWIs) are the main sources of polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs), a group of persistent organic pollutants that include known carcinogens. However, data on PCDD/Fs exposure levels in the environment and among residents living near these facilities are insufficient. We aimed to identify PCDD/Fs exposure concentrations in the environment and blood of residents living near IWIs and examine factors affecting PCDD/Fs exposure. METHODS: PCDD/Fs concentrations were systematically measured at the outlets of IWIs, as well as in the atmosphere, soil, and blood. RESULTS: PCDD/Fs concentrations at the IWIs outlets (0.00108–0.36039 ng I-TEQ/ Sm3) were below the emission standards established by the Persistent Organic Pollutants Control Act in Korea. The average PCDD/Fs concentration in the atmosphere of the exposure area (0.0242 pg I-TEQ/Sm3) was significantly higher (p < 0.05) than that in the control area (0.0073 pg I-TEQ/Sm3). The blood PCDD/Fs concentrations in residents from the exposure area (3.13 pg WHO-TEQ/g lipids) were higher than those from the control area (2.74 pg WHO-TEQ/g lipids). However, this difference was not statistically significant. In the exposure area, blood PCDD/Fs concentrations were significantly associated with recent meat consumption (p < 0.05) and showed a borderline increase with longer residence duration (p = 0.07). CONCLUSION: This study confirmed that the current concentrations of PCDD/Fs in the environment and the blood of residents living near IWIs were not high. However, given the potential health impacts of PCDD/Fs, even at low concentrations, sustained efforts to mitigate exposure are essential through continuous environmental monitoring and effective source control.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"837-848"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145421223","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":"A systematic review and meta-analysis of the effectiveness of work-focused interventions for employees with symptoms of depression, anxiety, and psychological distress.","authors":"Samineh Sanatkar, Rosie Lipscomb, Katherine Petrie, Daniel Collins, Andrew Arena, Mei Xu, Isabelle Counson, Vita Ligaya Dalgaard, Arnstein Mykletun, Anthony D LaMontagne, Samuel B Harvey, Mark Deady","doi":"10.1007/s00420-025-02181-4","DOIUrl":"10.1007/s00420-025-02181-4","url":null,"abstract":"<p><strong>Purpose: </strong>It is estimated that, every year, one fifth of the working population is affected by common mental disorders. Common mental disorders are associated with functional impairments, including those that affect work performance, such as exhaustion and cognitive problems. This systematic review and meta-analysis was conducted to examine the mental health impacts of work-focused interventions involving organisational-level strategies through work modifications and manager cooperation.</p><p><strong>Methods: </strong>Studies were eligible for inclusion if interventions incorporated organisational strategies to improve work functioning outcomes for employees with symptoms of common mental disorders and compared the effectiveness of the intervention with a control group. The types of organisational strategies and therapeutic approaches utilised in interventions were also compared. In March 2024, a search was completed across Embase, PubMed, PsycINFO, and CINAHL databases.</p><p><strong>Results: </strong>A total of 30 studies met inclusion criteria. Data from 10 studies (n = 2281) was available post intervention to examine work functioning outcomes and from 22 studies (n = 3963) to examine mental health outcomes. Overall pooled effect sizes of work functioning (Standardised Mean Difference = 0.41, Standard Error = 0.08, 95% Confidence Interval = [0.25, 0.57]) and mental health (Standardised Mean Difference = 0.18, Standard Error = 0.05, 95% Confidence Interval = [0.08, 0.27]) outcomes post intervention were small but significant in favour of interventions. These effects were not sustained 12 to 24 months later. Organisational strategies with a focus on work modifications had superior benefits compared to those with a focus on manager cooperation.</p><p><strong>Conclusion: </strong>Findings suggests that employees completing work-focused interventions were better supported in the short term than those who received usual care or no intervention. More research needs to be undertaken to assess essential components of organisational strategies, under which circumstances and for whom the implementation of these strategies would be indicated.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"859-882"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488668","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":"Time trend of urine metal levels in preschool children in the electronic waste recycling area and its association with hemoglobin levels.","authors":"Rongyi Kang, Jieting Chen, Kaihui Li, Rui Sun, Jian Zhang, Chenxu Dai, Xijin Xu, Bo Xie, William W Au, Lei Tan, Xia Huo","doi":"10.1007/s00420-025-02166-3","DOIUrl":"10.1007/s00420-025-02166-3","url":null,"abstract":"<p><strong>Objectives: </strong>E-waste recycling releases toxic metals into the environment, posing a considerable threat to children's health. Since 2012, China has implemented strict regulations and import controls on the e-waste industry. This study investigates the six-year trends of urinary metal levels and health risks in preschool children, including exposure levels, health risks, and association with hemoglobin.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 762 preschool children in Guiyu, China. We measured levels of 20 urinary metals and hemoglobin levels. To explore the independent and joint associations between metals and hemoglobin, multiple linear regression and Bayesian kernel machine regression models were used.</p><p><strong>Results: </strong>Most metals decreased significantly over the period, but some metals remained relatively constant or even increased. Among the metals, lead may be a potential biomarker for e-waste control. The Hazard Index of four metals (nickel, arsenic, cadmium, and lead) exceeded 1 for 98.3% of children. The carcinogenic risk of nickel and arsenic exceeded the threshold for every child and 99.1% of children, respectively. Urinary metal and excretion levels were higher in female. Single metal and mixture metal exposures were significantly correlated with hemoglobin levels and highlight the gender-specific associations.</p><p><strong>Conclusions: </strong>Urinary metal levels showed a significant downward trend over time under e-waste control, but the risks from nickel and arsenic remain concerning. Female children face higher risks from metal exposure and elevated hemoglobin levels.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"807-820"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149031","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":"An increased risk of spontaneous abortion, congenital anomalies, and stillbirth among women occupationally exposed to anaesthetic gases: a meta-analysis of observational studies.","authors":"Priya Kumar, Marie-Pascale Lehucher-Michel, Anderson Loundou, Fabienne Bregeon, Françoise Martin, Mouloud Bouhadfane","doi":"10.1007/s00420-025-02182-3","DOIUrl":"10.1007/s00420-025-02182-3","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this meta-analysis was to evaluate the risk of spontaneous abortions, congenital anomalies, and stillbirths among women professionally exposed to anaesthetic gases.</p><p><strong>Methods: </strong>This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO), and we followed the PRISMA 2020 checklist to develop the study protocol. A systematic search was conducted in PubMed using specific keywords to identify observational studies involving women professionally exposed to anaesthetic gases. Data were extracted and analysed using a random-effects model.</p><p><strong>Results: </strong>A total of 32 studies were included, involving 155,437 healthcare professionals exposed to anaesthetic gases. The analysis revealed an increased risk of spontaneous abortions (OR = 1.47; 95% CI [1.19-1.81]), congenital anomalies (OR = 1.37; 95% CI [1.09-1.73]), and stillbirths (OR = 1.43; 95% CI: [1.09-1.86]) among these women. The risks varied across different professions and countries, with moderate heterogeneity observed in the analyses.</p><p><strong>Conclusion: </strong>This study confirms an elevated risk of spontaneous abortions, congenital anomalies, and stillbirths in women professionally exposed to anaesthetic gases. These findings highlight the need for preventive measures to minimize exposure and underscore the importance of further research to clarify the risks and develop effective strategies.</p><p><strong>Registration: </strong>International prospective register of systematic reviews; registration number: CRD42023450226.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"913-928"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540419","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":"Prevalence, subtypes, and risk factors of noise-Induced hearing loss in high-risk occupations: a cross-sectional study in Ningbo.","authors":"Fanfu Zeng, Xinning Gao, Guochuan Mao, Huayun Yi, Renhai Chen, Shangshu Yan","doi":"10.1007/s00420-025-02184-1","DOIUrl":"10.1007/s00420-025-02184-1","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the prevalence of hearing loss among welders, grinders, and stampers in a district of Ningbo City, identify distinct subtypes of hearing loss, and explore associated risk factors.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using occupational health examination records and on-site environmental monitoring data from enterprises in a district of Ningbo City in 2023. A data-driven clustering approach with a Gaussian mixture model, was used to identify subtypes of hearing loss. Mixed-effects logistic regression was used to assess factors associated with hearing loss.</p><p><strong>Results: </strong>The prevalence of hearing loss was 54.24% among welders (n = 695), 58.95% among grinders (n = 497), and 64.36% among stampers (n = 390). Increased age, male sex, high noise exposure, and employment within the Construction and Related Services were significant risk factors. Three subtypes of hearing loss were identified: Class 1 (mild, flat threshold elevation at 4-6 kHz), Class 2 (steep threshold elevation at 3-6 kHz), and Class 3 (elevation in speech-frequency ranges). Class 2 was the most prevalent and showed the strongest association with occupational noise exposure.</p><p><strong>Conclusion: </strong>Hearing loss is common among welders, grinders, and stampers, with stampers being the most affected. Class 2 audiometric pattern was consistent with noise - induced hearing loss. These findings highlight the need for targeted preventive measures in high-risk occupational settings.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"1013-1022"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145587068","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 impairments in Iranian airlines pilots: risk factors and occupational comparisons.","authors":"Asghar Akhavan, Mahdieh Hasanalifard, Reyhaneh Abolghasemi","doi":"10.1007/s00420-025-02170-7","DOIUrl":"10.1007/s00420-025-02170-7","url":null,"abstract":"<p><strong>Purpose: </strong>After vision, hearing is the most important sensory mechanism for obtaining essential and critical information during flight operations. Pilots are at risk of hearing loss due to exposure to excessive noise which usually causes permanent and incurable hearing damage. This study investigated the hearing status of Iranian pilots and explored the relationship between the severity of their impairment, age, work experience and flight hours.</p><p><strong>Methods: </strong>In this cross-sectional study, eligible pilots were selected. Demographic information, job characteristics, flight hours and auditory complaints were collected. Subsequently, the pilots underwent hearing tests (Pure tone Audiometry) and the hearing threshold was measured at different frequencies.</p><p><strong>Results: </strong>the study involved 100 pilots (57 fixed-wing pilots and 43 helicopter pilots) with the mean age of 47.77 ± 7.53 years (28-64 years). The average and standard deviation of work experience in all the studied subjects was equal to 24.84 ± 8.44 years. 55 pilots had no auditory impairments, while 45 were diagnosed with some form of hearing impairment. The findings indicate that older age, longer work experience, and more flight hours are significantly associated with greater hearing impairments. Individuals with any level of hearing impairment (slight to mild) had higher age, more work experience, and flight hours compared to those with normal hearing. Helicopter pilots exhibited higher hearing loss severity across frequencies compared to fixed-wing pilots, with statistically significant differences at 2000 Hz for the left ear and 1000, 2000, and 3000 Hz for the right ear. The comparison between the two ears showed that the hearing threshold in any of the flight devices (fixed wing or helicopter), in any of the investigated frequencies, has no significant difference between the left and right ears.</p><p><strong>Conclusion: </strong>Exposure to loud noise during flights can significantly impact the hearing of pilots. The severity of hearing loss in helicopter pilots is higher across all frequencies compared to fixed-wing pilots. Increased age, work experience, and flight hours are significantly associated with higher severity of hearing loss in both ears. Regular auditory assessments for pilots, especially helicopter pilots, are essential for early detection and monitoring of noise-induced hearing loss.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"787-795"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091621","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":"Air pollution and tuberculosis incidence in Vietnam: short- and long-term effects from a provincial-level study.","authors":"Minh Khac Nguyen, Tuyet Thi Nguyen, Ardeshir Sepehri","doi":"10.1007/s00420-025-02186-z","DOIUrl":"10.1007/s00420-025-02186-z","url":null,"abstract":"<p><strong>Purpose: </strong>Tuberculosis (TB) remains a major public health challenge in many low- and middle-income countries, where environmental pollution and uneven policy implementation may further exacerbate disease transmission. This study aims to assesss the short and long-term impacts of environmental factors, particularly fine particulate matter (PM_2.5), and TB prevention policies on new TB incidence in Vietnam.</p><p><strong>Methods: </strong>Panel data from 63 provinces from 2005 to 2023 were analyzed using the SYS-GMM model to estimate the effects of PM_2.5, temperature, per capita income, provincial government health expenditure, and the government's National Strategy for TB Prevention of 2014 on TB incidence. Long-term effects were also analyzed using long-term multipliers.</p><p><strong>Results: </strong>PM_2.5 had a statistically significant positive effect on TB incidence, consistent with prior findings that fine particulate matter damages respiratory defenses and increases infection risk. The long-term multiplier of PM_2.5 was even higher, indicating cumulative effects over time. Temperature was also positively correlated with the incidence of TB, while per capita income and health expenditure were negatively associated with TB incidence. The long-term impact of income was stronger than the short-term effect, highlighting the growing health benefits of economic development. The government's National Strategy for TB Prevention of 2014 was found to be statistically insignificant.</p><p><strong>Conclusion: </strong>Air pollution significantly increases TB incidence in Vietnam in the short and long term. In the context of climate change and persistent pollution, combining environmental and TB prevention strategies is essential to achieving the goal of TB elimination.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"1023-1035"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145633155","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 noise exposure and its effects on hearing threshold shifts and otolithic vestibular functions in male workers.","authors":"Tzu-Yin Kuo, Chen-Wei Chang","doi":"10.1007/s00420-025-02178-z","DOIUrl":"10.1007/s00420-025-02178-z","url":null,"abstract":"<p><p>OBJECTIVE: Occupational noise exposure is associated with hearing loss, yet its impact on vestibular function is often underrecognized. This study aimed to investigate the manifestations and risk factors of noise-induced hearing threshold shifts and vestibular dysfunction among male workers exposed to occupational noise. METHODS: Eighty-three male workers were recruited, and each completed a noise exposure questionnaire, audiometric examinations, and vestibular evoked myogenic potentials (VEMPs) testing. Participants were categorized into a noise exposure group (NE, n = 54) and a control group (CR, n = 29). RESULTS: The NE group had significantly higher annual noise exposure levels [t(80.35) = 20.71, p < 0.001] and a higher prevalence of vestibular dysfunction than the CR group (Chi-square test, p < 0.01). The overall odds ratio for abnormal VEMPs in the NE group was 4.46 times greater than that of the CR group (95% CI [1.48, 13.41]). The potential factors contributing to noise-induced hearing threshold shift (NITS) in the NE group included age, years of service, annual noise exposure level, and the frequency of use of hearing protection devices (HPDs). However, HPD use was not associated with abnormal VEMP results. CONCLUSIONS: This study showed that a substantial proportion of workers exposed to occupational noise exhibited NITS and signs of vestibular dysfunction. Monitoring occupational and daily noise exposure, emphasizing full-shift use of HPDs, and considering the impact of prolonged exposure on both auditory and vestibular systems are recommended.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"957-972"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563674","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":"Extreme temperatures, recent warming and seasonal influenza-linking human exposures to respiratory health in southern Germany.","authors":"Matteo Boser, Daria Luschkova, Monika Seemann, Claudia Traidl-Hoffmann, Maria P Plaza","doi":"10.1007/s00420-025-02179-y","DOIUrl":"10.1007/s00420-025-02179-y","url":null,"abstract":"<p><strong>Purpose: </strong>In the context of climate change, extreme ambient temperatures pose a major threat to human health. This study aims to provide detailed insights into how extreme temperatures and potential confounders affect respiratory morbidity.</p><p><strong>Methods: </strong>We employed a 14-year time series analysis (2006-2019) in southern Germany, applying penalized distributed lag non-linear models to estimate exposure-response relationships between extreme temperatures and respiratory health outcomes, considering emergency outpatient treatments and hospital admissions at the emergency department of the University Hospital Augsburg. We thereby explored the roles of relative humidity and seasonal influenza as potential confounders and vulnerabilities related to age and gender.</p><p><strong>Results: </strong>We found significantly elevated relative risks (RRs) for the short-term cumulative effect (Lag: 0-3 days) of extreme heat and the long-term cumulative effect (Lag: 0-21 days) of extreme cold on outpatient treatments and hospital admissions. Seasonal influenza was identified as a significant confounder, with attributable fractions comparable to those of cold temperatures. A sub-period analysis (2006-2012 and 2013-2019) revealed a correlation between the recent rise in temperature and the strong increase in the estimated short-term cumulative effect of extreme heat on hospital admissions (2006-2012, RR: 1.08 (95%CI [0.91, 1.27]) vs. 2013-2019, RR: 1.32 (95%CI [1.15, 1.51]).</p><p><strong>Conclusion: </strong>Our study demonstrated that extreme temperatures significantly affect respiratory morbidity, with notable influences from seasonal influenza. Sub-period analysis indicated that rising temperatures are already translating into measurable effects on respiratory health, foreshadowing the potentially devastating impacts of global warming on human health. Our results thereby provide highly relevant insights to support targeted public healthcare interventions.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"997-1012"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145581738","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":"Linking health lifestyle classes to blue-collar workers' participation in worksite health promotion programs in freight transport: a latent class analysis.","authors":"Marc A W Damen, Sarah I Detaille, Luuk P van Iperen, Josephine A Engels, Annet H De Lange","doi":"10.1007/s00420-025-02175-2","DOIUrl":"10.1007/s00420-025-02175-2","url":null,"abstract":"<p><p>PURPOSE: Worksite health promotion programs (WHPPs) are able to promote a healthier lifestyle for blue-collar workers in freight transport, yet their participation is generally low. This study aims to identify different health lifestyle classes among blue-collar workers in freight transport and investigate the relationship between class membership and WHPP participation. METHODS: Data from 16,897 employees were obtained from an online health questionnaire as part of a sector induced WHPP (89.1% male, 71.0% blue-collar worker, Mage = 49.3 years (SD = 12.7)). A latent class analysis was conducted to identify health lifestyle classes. Classes for blue-collar and white-collar workers were compared. Characteristics of the blue-collar workers’ classes were examined together with the likelihood of WHPP participation. RESULTS: For blue-collar workers, a 5-class solution provided the best fit. These classes were labeled: (1) “unhealthy diet” (14%), (2) “health promoting” (29%), (3) “lack of moderate physical activity” (31%), (4) “low physical activity” (15%), and (5) “sleep deprived” (11%). For white-collar workers, a 4-class solution provided the best fit, with three comparable classes and one “health compromising” class. Blue-collar workers of the “unhealthy diet” and “sleep deprived” class reported the lowest perceived health, and showed highest WHPP participation levels. “Low physical activity” class members reported unhealthy behaviors, yet showed lowest participation levels. CONCLUSIONS: These findings indicate that different lifestyle classes exist among blue-collar workers within the freight transport industry which can be linked to WHPP participation. Consequently, WHPPs and implementation strategies can be adjusted to serve existing classes among blue-collar workers within the industry, in order to enhance participation.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"883-897"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488641","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}