International Archives of Occupational and Environmental Health最新文献

{"title":"What it takes to reduce sitting at work: a pilot study on the effectiveness and correlates of a multicomponent intervention.","authors":"Jannik Porath, Laura I Schmidt, Juliane Möckel, Chiara Dold, Lisa Hennerkes, Alexander Haussmann","doi":"10.1007/s00420-023-02020-4","DOIUrl":"10.1007/s00420-023-02020-4","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the feasibility and effects of a simple-to-implement multicomponent intervention to reduce sedentary time of office workers.</p><p><strong>Methods: </strong>Six groups of eight to ten office workers took part in the two-week Leicht Bewegt intervention. Participants completed questionnaires at baseline (T0, n = 52), after 2 weeks (T1, n = 46), and after 5 weeks (T2, n = 38), including subjective sedentary measures and social-cognitive variables based on the health action process approach (HAPA). Objective sedentary measures were obtained using activPAL trackers.</p><p><strong>Results: </strong>The intention to reduce sedentary behavior during work increased significantly from T0 to T1. Participants' objective and subjective sitting time decreased significantly from T0 to T1, corresponding to an average decrease per 8-h-workday of 55 min (d = - .66) or 74 min (d = - 1.14), respectively. This reduction persisted (for subjective sitting time) at T2 (d = - 1.08). Participants indicated a high satisfaction with the intervention.</p><p><strong>Conclusions: </strong>The Leicht Bewegt intervention offers a feasible and effective opportunity to reduce sedentary behavior at work. Randomized controlled trials including longer follow-up time periods are needed to validate its benefits in different workplaces.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72209204","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 combined effect of air pollution and non-optimal temperature on mortality in Shandong Province, China: establishment of air health index","authors":"Shuyue Niu, Junli Tang, Kejia Hu, Xiaohui Xu, Jing Dong, Jie Chu, Xiaolei Guo, Haitao Wang, Yanwen Cao, Qi Zhao, Lovel Fornah, Zilong Lu, Wei Ma","doi":"10.1007/s00420-023-02036-w","DOIUrl":"https://doi.org/10.1007/s00420-023-02036-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>The air health index (AHI) captures the combined effects of air pollution and non-optimal temperatures and helps assess the atmospheric environment’s overall health risk. Shandong Province is a crucial industrial base in China, and the health effects of air pollution and non-optimal temperature cannot be ignored. To construct an AHI for Shandong Province and assess the district-level mortality burden due to AHI in the study area.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Daily district-specific mortality, meteorological, and air pollution data over 2013–2018 were collected in Shandong Province, China. The AHI construction eventually incorporated PM_2.5 and NO₂, O₃, and non-optimal temperatures. Attributable fraction (AF) and attributable number (AN) were used to estimate the district-specific mortality burden attributable to AHI.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The average AHI value observed in Shandong Province was 6. Our research revealed a positive association between the total AHI and total mortality, with an overall trend of a slow increase followed by a rapid increase. The exposure–response curves, when stratified by gender, age, and cause of death, were approximately consistent with the overall trend. The provincial attributable fraction (AF) was 5.31% (95% CI 4.58%, 5.91%), and the attributable number (AN) was 188,246 (95% CI 162,396, 209,533). Overall, higher ANs mainly appeared in the southwestern area, while higher values of AF were observed in the central-eastern and central-northern areas.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The air health index performs well in predicting death burden and can convey health risks related to exposure to the ambient environment to the public.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139067013","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-related exposure to diesel exhaust and risk of leukemia: systematic review and meta-analysis of cohort studies","authors":"Darshi Shah, Vincent DeStefano, Giulia Collatuzzo, Federica Teglia, Paolo Boffetta","doi":"10.1007/s00420-023-02034-y","DOIUrl":"https://doi.org/10.1007/s00420-023-02034-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Diesel exhaust (DE) is an established lung carcinogen. The association with leukemia is not well established. We conducted a systematic review and meta-analysis of cohort studies to determine the association between occupational DE exposure and risk of leukemia.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A systematic literature review was performed to identify all cohort studies on occupational exposure to DE and associated risk of leukemia. STROBE guidelines and PECOS criteria were followed. Meta-analyses with fixed effects (and random-effects model in cases of high heterogeneity) were performed to calculate summary relative risks (RR) and 95% confidence intervals (CI), including subgroup analyses by outcome (mortality or incidence), sex, geographic region, industry type, and study quality. Study quality was assessed using the the Joanna Briggs Institute (JBI) critical appraisal checklist for cohort studies.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Of the 30 studies retained, 20 (8 from North America, 12 from Europe) reported a total of 33 estimates of the risk of leukemia. Overall, the relative risk (RR) of leukemia was 1.01 (95% CI = 0.97–1.05, <i>I</i>² = 21.2%, <i>n</i> = 33); corresponding results for leukemia incidence and mortality were RR = 1.02 (95% CI = 0.98–1.06, <i>I</i>² = 27.9%, <i>n</i> = 19) and RR = 0.91 (95% CI = 0.81–1.02, <i>I</i>² = 0.0%, <i>n</i> = 15), respectively. The main results were confirmed in analyses by sex and geographic area. A statistically significant association was detected for miners (RR = 1.58, 95% CI = 1.15–2.15, <i>I</i>² = 77.0%, <i>n</i> = 2) but not for other occupational groups. Publication bias was not detected (<i>p</i> = 0.7).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Our results did not indicate an association between occupational DE exposure and leukemia, with the possible exception of miners. Residual confounding cannot be excluded.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139027896","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 exposure to vapors, gasses, dusts, and fumes in relation to causes of death during 24 years in Helsinki, Finland","authors":"Juuso Jalasto, Ritva Luukkonen, Ari Lindqvist, Arnulf Langhammer, Hannu Kankaanranta, Helena Backman, Eva Rönmark, Anssi Sovijärvi, Päivi Piirilä, Paula Kauppi","doi":"10.1007/s00420-023-02031-1","DOIUrl":"https://doi.org/10.1007/s00420-023-02031-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Environmental particulate matter (PM) exposure has been shown to cause excess all-cause and disease-specific mortality. Our aim was to compare disease-specific mortality by estimated occupational exposure to vapors, gasses, dusts, and fumes (VGDF).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The data source is the Helsinki part of the population-based FinEsS study on chronic obstructive pulmonary diseases including information on age, education level, main occupation, sex, and tobacco smoking combined with death registry information. We compared estimated VGDF exposure to mortality using adjusted competing-risks regression for disease-specific survival analysis for a 24-year follow-up.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Compared to the no-exposure group, the high occupational VGDF exposure group had sub-hazard ratios (sHR) of 1.7 (95% CI 1.3–2.2) for all cardiovascular-related and sHR 2.1 (1.5–3.9) for just coronary artery-related mortality. It also had sHR 1.7 (1.0–2.8) for Alzheimer’s or vascular dementia-related mortality and sHR 1.7(1.2–2.4) for all respiratory disease-related mortality.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Long-term occupational exposure to VGDF increased the hazard of mortality- to cardiovascular-, respiratory-, and dementia-related causes. This emphasizes the need for minimizing occupational long-term respiratory exposure to dust, gasses, and fumes.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138742678","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":"Club cell protein (CC16) in serum as an effect marker for small airway epithelial damage caused by diesel exhaust and blasting fumes in potash mining","authors":"","doi":"10.1007/s00420-023-02035-x","DOIUrl":"https://doi.org/10.1007/s00420-023-02035-x","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objective</h3> <p>The effect marker club cell protein (CC16) is secreted by the epithelium of the small respiratory tract into its lumen and passes into the blood. Increased amounts of CC16 in serum are observed during acute epithelial lung injury due to air pollutants. CC16 in serum was determined as part of this cross-sectional study in underground potash miners on acute and chronic health effects from exposures to diesel exhaust and blasting fumes.</p> </span> <span> <h3>Methods</h3> <p>Nitrogen oxides, carbon monoxide, and diesel particulate matter were measured in 672 workers at a German potash mining site on a person-by-person basis over an early shift or midday shift, together with CC16 serum concentrations before and after the respective shift. CC16 concentrations and CC16 shift-differences were evaluated with respect to personal exposure measurements and other quantitative variables by Spearman rank correlation coefficients. CC16 shift-differences were modeled using multiple linear regression. Above-ground workers as reference group were compared to the exposed underground workers.</p> </span> <span> <h3>Results</h3> <p>Serum concentrations of CC16 were influenced by personal characteristics such as age, smoking status, and renal function. Moreover, they showed a circadian rhythm. While no statistically significant effects of work-related exposure on CC16 concentrations were seen in never smokers, such effects were evident in current smokers.</p> </span> <span> <h3>Conclusion</h3> <p>The small airways of current smokers appeared to be vulnerable to the combination of measured work-related exposures and individual exposure to smoking. Therefore, as health protection of smokers exposed to diesel exhaust and blasting fumes, smoking cessation is strongly recommended.</p> </span>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138742673","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":"Impact of welding occupation on serum aluminium level and its association with physical health, cognitive function, and quality of life: a cross-sectional study","authors":"Ogochukwu Kelechi Onyeso, Arinze Kingsley Ugwu, Henrietha Chibuzor Adandom, Suha Damag, Kelechi Mirabel Onyeso, James Okechukwu Abugu, Okwukweka Emmanuela Aruma, Adesola Christiana Odole, Oluwaghohunmi A. Awosoga, Charles Ikechukwu Ezema","doi":"10.1007/s00420-023-02038-8","DOIUrl":"https://doi.org/10.1007/s00420-023-02038-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>There is an occupational health concern about welders’ inhalation of toxic aluminium fumes. We investigated whether serum aluminium level (SAL) and demographic variables can significantly predict physical health parameters, cognition, and quality of life (QoL) among welders.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The cross-sectional study involved 100 age- and location-matched men (50 welders and 50 non-welders). SAL obtained using a graphite furnace atomic absorption spectrometer, and data collected using blood pressure and body mass index (BMI) apparatuses, biodata form, pain rating scale, General Practitioner Assessment of Cognition, WHOQoL-BREF, and Nordic musculoskeletal symptoms (MSS) questionnaire were analysed using independent samples t test, chi-square, Pearson’s correlation, and hierarchical linear regression.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Welders had significantly higher SAL (mean difference [MD] = 1.77 µg/L, <i>p</i> &lt; 0.001), lower QoL (MD = 3.92, <i>p</i> = 0.039), and higher prevalence of MSS on the neck (<i>χ</i>² = 10.187, <i>p</i> = 0.001), shoulder (<i>χ</i>² = 9.007, <i>p</i> = 0.003), upper back (<i>χ</i>² = 6.832, <i>p</i> = 0.009), and knee (<i>χ</i>² = 12.190, <i>p</i> &lt; 0.001) than non-welders. There was a significant bivariate association between SAL, systolic blood pressure (β = 0.313, <i>p</i> = 0.002), and BMI (β = 0.279, <i>p</i> = 0.005), but not pain intensity, cognition, or QoL. SAL remained a significant predictor of systolic blood pressure after adjustment for physical health and QoL parameters (β = 0.191, <i>p</i> = 0.044). The association between SAL and social QoL became significant after adjustment for physical health and other QoL domains (β = − 0.210, <i>p</i> = 0.032) and demographic variables (β = − 0.233, <i>p</i> = 0.046).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Welders had significantly higher SAL, musculoskeletal symptoms, blood pressure, and lower QoL than non-welders. SAL was associated with adverse physical health parameters and social-related QoL, not cognition. We recommend routine aluminium bioavailability and physical health checks among welders.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138716581","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 physical activity, all-cause mortality and incidence of cardiovascular diseases: results from three Italian cohorts","authors":"Dario Fontana, Raffaele Ceron, Angelo d’Errico","doi":"10.1007/s00420-023-02028-w","DOIUrl":"https://doi.org/10.1007/s00420-023-02028-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To examine the association of exposure to Occupational Physical Activity (OPA) with all-cause mortality and incidence of cardiovascular diseases (CVD).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The study population was composed of three Italian cohorts: a national cohort of employees participating in the National Health Survey 2005, followed-up until 2014 (ILS 2005), and two urban cohorts of employees resident in Turin at 2001 and 2011 censuses (TLS 2001 and TLS 2011, respectively), both followed-up until 2018. Follow-up was conducted through individual record-linkage with death registries and hospital admissions archives. Exposure to OPA was assigned through an Italian job-exposure matrix (JEM). Relative Risks of both CVD incidence and overall mortality associated with OPA quartiles (IRR) were estimated using Poisson regression models adjusted for socio-demographics and health, and in the national cohort, also for leisure time physical activity, BMI, smoking, diabetes, and hypertension.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Compared to the lowest quartile, the highest OPA quartile was associated in both genders with significantly increased mortality in TLS 2001 (IRR = 1.11 among men, IRR = 1.20 among women) and in TLS 2011 (IRR = 1.27 among men and IRR = 1.73 among women), whereas in the ILS 2005 cohort no association was found. Among women, high OPA was also associated with CVD risk in TLS 2001 and 2011 (IRR = 1.39 and IRR = 1.16 for the highest quartile, respectively), while in the ILS cohort in both genders only the third quartile showed a significantly higher risk.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Our results indicate that OPA does not have a beneficial effect on CVD and mortality, but rather suggest that it may produce deleterious health effects.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138682404","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":"Risk of obstructive sleep apnea among health workers: results of a screening in a large Italian University Hospital","authors":"Gianluca Spiteri, Maria Grazia Lourdes Monaco, Angela Carta, Francesco Taus, Lorena Torroni, Giuseppe Verlato, Stefano Porru","doi":"10.1007/s00420-023-02029-9","DOIUrl":"https://doi.org/10.1007/s00420-023-02029-9","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Obstructive sleep apnea (OSA) is a common respiratory sleep disorder, related to increased mortality, poor quality of life, and higher risk of work accidents and injuries. Studies on the risk of OSA (rOSA) among health workers (HW) are scant. The aims of this study were to investigate this issue in a large University Hospital and to assess the effectiveness of a screening program.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The STOP-BANG questionnaire (SBQ) was sent via e-mail to the 5031 HW employed at the University Hospital of Verona. HW who completed the SBQ were classified at low, moderate, and high rOSA. HW at high rOSA were invited to undergo nocturnal polygraphy. The determinants of rOSA were studied by non-parametric Kruskal–Wallis test, Pearson's chi-squared, and multinomial logistic model.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Of 5031 HW, 1564 (31.1%) completed the online questionnaire. Responders with low, moderate, and high rOSA were 72.7%, 13.7%, and 13.6%. Male gender, older age, and higher body mass index (BMI) were significant predictors of high rOSA, as expected. Physicians had the lowest probability of being in the high-risk category. Polygraphy was performed in 64 subjects. The positive predictive value of the self-administered SBQ was 68.8% (95%C.I. 55.9–79.8%) but raised to 96.9% (95%C.I. 89.2–99.6%) when re-administered by medical staff.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>SBQ showed its effectiveness as a screening tool in detecting undiagnosed OSA in HW. Systematic screening for OSA in work settings could allow early diagnosis and treatment, reducing short- and long-term health effects of OSA.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138631980","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":"Relationship between exposure to metalworking fluids and nonalcoholic fatty liver disease","authors":"Weiling Chan, Geyang Li, Li Zhou, Jin Wang, Lin Song, Lejia Zhu, Lan Lin, Beining Wu, Jing Xiao, Yulong Lian","doi":"10.1007/s00420-023-02025-z","DOIUrl":"https://doi.org/10.1007/s00420-023-02025-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The relationship between metalworking fluids (MWFs) and nonalcoholic fatty liver disease (NAFLD) has not been previously explored. We aim to investigate the relationship between occupational exposure to MWFs and the prevalence of NAFLD and to determine the cumulative exposure threshold per day.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In 2020, 2079 employees were selected randomly from one computer numerical control machining factory in Wuxi for a questionnaire survey, and occupational health examinations were conducted at the affiliated branch of Wuxi Eighth People's Hospital. MWF samples were collected within the factory using the National Institute for Occupational Safety and Health (NIOSH) 5524 method. NAFLD was defined as having a hepatic steatosis index (HSI) ≥ 36 without significant alcohol consumption. The relationship between NAFLD and MWFs was analyzed using logistic regression, and the daily exposure threshold was calculated using R software.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>MWF exposure was found to be a risk factor for NAFLD in exposed workers compared to the non-exposed group. The OR for NAFLD in workers exposed to MWFs compared to controls was 1.42 (95% CI: 1.04–1.95). An increased risk of NAFLD was shown to be associated with an increasing dose. The daily exposure dose threshold to MWFs was found to be 6.54 mg/m³ (OR = 2.09, 95% CI: 1.24–3.52).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>An association between occupational exposure to MWFs and NAFLD was found. As the concentration of exposure rose, the prevalence of NAFLD was also escalated.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138561654","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":"Effects of ambient air pollution on the hospitalization risk and economic burden of mental disorders in Qingdao, China","authors":"Yuanyuan Cheng, Yujie Meng, Xiao Li, Junbo Yin","doi":"10.1007/s00420-023-02030-2","DOIUrl":"https://doi.org/10.1007/s00420-023-02030-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The aim of this study was to examine the impacts of short-term exposure to air pollutants on hospitalizations for mental disorders (MDs) in Qingdao, a Chinese coastal city, and to assess the corresponding hospitalization risk and economic cost.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Daily data on MD hospitalizations and environmental variables were collected from January 1, 2015, to December 31, 2019. An overdispersed generalized additive model was used to estimate the association between air pollution and MD hospitalizations. The cost of illness method was applied to calculate the corresponding economic burden.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>With each 10 μg/m³ increase in the concentration of fine particulate matter (PM_2.5) at lag05, inhalable particulate matter (PM₁₀) at lag0, sulfur dioxide (SO₂) at lag06 and ozone (O₃) at lag0, the corresponding relative risks (RRs) and 95% confidence intervals (CIs) were 1.0182 (1.0035–1.0332), 1.0063 (1.0001–1.0126), 1.0997 (1.0200–1.1885) and 1.0099 (1.0005–1.0194), respectively. However, no significant effects of nitrogen dioxide (NO₂) or carbon monoxide (CO) were found. Stratified analysis showed that males were susceptible to SO₂ and O₃, while females were susceptible to PM_2.5. Older individuals (≥ 45 years) were more vulnerable to air pollutants (PM_2.5, PM₁₀, SO₂ and O₃) than younger individuals (&lt; 45 years). Taking the Global Air Quality Guidelines 2021 as a reference, 8.71% (2,168 cases) of MD hospitalizations were attributable to air pollutant exposure, with a total economic burden of 154.36 million RMB.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Short-term exposure to air pollution was associated with an increased risk of hospitalization for MDs. The economic advantages of further reducing air pollution are enormous.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138555405","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}