International Archives of Occupational and Environmental Health最新文献

{"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}

{"title":"Shift work and metabolic dysfunction-associated steatotic liver disease: a systematic review of observational studies.","authors":"Bingya Ma, Yihang Fan, Wenjun Fan","doi":"10.1007/s00420-025-02171-6","DOIUrl":"10.1007/s00420-025-02171-6","url":null,"abstract":"<p><strong>Objective: </strong>Shift work disrupts the circadian rhythm and may increase the risk of metabolic disorders, including nonalcoholic fatty liver disease, recently redefined as metabolic dysfunction-associated steatotic liver disease (MASLD), and its progressive form, metabolic dysfunction-associated steatohepatitis. This systematic review aimed to synthesize observational studies on the association between shift work and MASLD.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in the PubMed, Scopus, and Web of Science databases up to November 25, 2024, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data were extracted and summarized based on pre-specified inclusion and exclusion criteria. The National Institutes of Health quality assessment tool was used to evaluate the quality of the included studies. Both data extraction and quality assessment were conducted independently by two authors, with disagreements resolved through consensus.</p><p><strong>Results: </strong>Nine studies met the criteria and were included in the review, including various occupational groups. Most studies reported a positive association between shift work and MASLD, with stronger effects observed in workers exposed to long-term or frequent shift work. Subgroup and interaction analyses suggested that gender, age, lifestyle, chronotype, and occupational factors may modify this association, while body mass index was identified as a potential mediator of the relationship between shift work and MASLD. However, methodological issues, such as imprecise exposure and outcome measurements and a lack of time-varying analysis, limit causal interpretation.</p><p><strong>Conclusion: </strong>The systematic review supports an association between shift work and increased MASLD risk. Further prospective studies with rigorous designs and diverse populations, as well as stronger mechanistic evidence, are needed to establish a causal link between shift work and MASLD.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"777-786"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075318","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":"Algorithmic management is associated with psychological distress, musculoskeletal pain, and occupational accidents: a cross-sectional study in logistics.","authors":"Karin Hennum Nilsson, Theo Bodin, Pille Strauss, Nuria Matilla-Santander, Kathryn Badarin, Emma Brulin, Carin Håkansta","doi":"10.1007/s00420-025-02180-5","DOIUrl":"10.1007/s00420-025-02180-5","url":null,"abstract":"<p><strong>Objective: </strong>Algorithmic Management (AM) is increasingly shaping work environments across various sectors, influencing how tasks are assigned and monitored. While concerns have been raised regarding its potential impact on worker health, empirical evidence remains limited. This study examines the association between level of AM exposure and adverse health outcomes among logistics workers.</p><p><strong>Methods: </strong>This cross-sectional study used an online survey, targeting logistics workers in Sweden. AM exposure was measured using an 11-item scale capturing aspects such as task allocation, surveillance, and performance monitoring. Health outcomes included psychological distress, musculoskeletal pain, headaches, sleep disturbances, and occupational accidents.</p><p><strong>Results: </strong>Higher AM exposure was associated with increased prevalence of psychological distress (PR 2·12, 95% CI 1·49-3·02), occupational accidents (PR 1·92, 95% CI 1·22-3·01), headaches (PR 1·68, 95%CI 1·09-2·58), and musculoskeletal pain (PR 1·54, 95% CI 1·23-1·92). Stratified analyses revealed stronger associations for drivers, particularly regarding psychological distress, headaches, and sleep disturbances, while warehouse workers exhibited less consistent patterns.</p><p><strong>Conclusions: </strong>These findings highlight AM as a potential occupational health hazard, particularly when involving high levels of automated oversight and direction. While AM can enhance efficiency, its impact on worker well-being and public health warrants further attention and potentially mitigation strategies to inform policies that balance technological advancements with worker health protection.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"929-942"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540483","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":"Beyond the numbers: rethinking evidence in pooled analyses of hand-arm vibration syndrome.","authors":"Muhammad Khubaib Iftikhar, Abdullah Khan","doi":"10.1007/s00420-025-02187-y","DOIUrl":"10.1007/s00420-025-02187-y","url":null,"abstract":"<p><p>Hand-arm vibration syndrome (HAVS) continues to weigh heavily on workers’ health, yet how we study it often limits what we learn. Bovenzi et al. make an important contribution by pooling Italian datasets, but the heavy reliance on cross-sectional designs restricts causal insight. Inconsistent exposure metrics, varied outcome definitions, and limited adjustment for confounders risk blurring the true picture of vibration-related harm. The continued use of the ISO 5349-1 standard, despite questions about its accuracy, further complicates interpretation. Perhaps most concerning is the underrepresentation of women, leaving gender differences in susceptibility largely unexplored. To move the field forward, HAVS research needs more than bigger datasets—it needs standardized definitions, better exposure models, stronger adjustment for confounders, and, crucially, prospective cohort studies. Only then can we deliver evidence that truly shapes occupational health policy and prevention.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"943-944"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540510","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":"Repeated exposure to psychosocial work-related factors and arterial stiffness among aging workers.","authors":"Victoria Kubuta Massamba, Alain Milot, Denis Talbot, Mahée Gilbert-Ouimet, Chantal Brisson, Xavier Trudel","doi":"10.1007/s00420-025-02177-0","DOIUrl":"10.1007/s00420-025-02177-0","url":null,"abstract":"<p><strong>Objective: </strong>Arterial stiffness is an independent risk factor for cardiovascular disease. Psychosocial work-related factors may be associated with higher arterial stiffness, but findings from previous studies have been inconsistent. No previous studies have examined the effect of repeated exposure to these factors. Therefore, the potential adverse effect of repeated exposure remains unclear. This study aimed to investigate the association between repeated exposure to psychosocial work-related factors and arterial stiffness among aging workers.</p><p><strong>Methods: </strong>The sample included 475 individuals (women: 52%) from the PROspective Quebec Study on Work and Health. Repeated exposure to psychosocial work-related factors from the job strain and the effort-reward imbalance (ERI) models in 1999-2001 (baseline) and 2015-2018 (follow-up) was assessed using validated instruments. Arterial stiffness (carotid-femoral pulse wave velocity, m/s) was assessed at follow-up.</p><p><strong>Results: </strong>Among women, ERI exposure onset [+ 0.34 m/s (95% CI: + 0.01; + 0.66)] and cessation [+ 0.52 m/s (95% CI: + 0.10; + 0.94)] were associated with higher arterial stiffness compared to unexposed women. The association was of lower magnitude among women repeatedly exposed to ERI [+ 0.16 m/s (95% CI: - 0.08; + 0.40)]. Among men, there was no association between repeated exposure to psychosocial work-related factors and arterial stiffness.</p><p><strong>Conclusions: </strong>Results from the current study suggest that repeated exposure to an ERI at work may contribute to higher arterial stiffness in women. Psychosocial work-related factors may be relevant targets to mitigate arterial stiffness progression.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"973-985"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563692","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 nickel and cobalt and health symptoms among lithium-ion battery workers in Korea.","authors":"Yong Lim Won, Hwa-Yeon Lee, Junhyeok Choi, Dong-Hee Koh","doi":"10.1007/s00420-025-02172-5","DOIUrl":"10.1007/s00420-025-02172-5","url":null,"abstract":"<p><strong>Objective: </strong>The manufacture of lithium-ion batteries involves hazardous substances such as nickel and cobalt, which may adversely affect the respiratory and dermatological health of workers. With the rapid growth of the electric vehicle and energy storage system industries, the production of lithium-ion batteries-and consequently the use of nickel and cobalt-has been steadily increasing. This study aims to assess occupational exposure to nickel and cobalt and to evaluate their potential health effects among male workers in the lithium-ion battery industry.</p><p><strong>Methods: </strong>We conducted a cross-sectional study to analyze urinary nickel and cobalt concentrations in 1298 male workers from 22 workplaces across nine industry types in Korea's lithium-ion battery sector. Work history and symptom data were collected via questionnaires, and the odds ratios for respiratory and skin symptoms were calculated relative to the reference value exceedances.</p><p><strong>Results: </strong>Urinary nickel concentrations were highest in lithium manufacturing and recycling industries (maximum: 753.84 µg/L), while cobalt concentrations were elevated in cathode active material manufacturing and recycling industries (maximum: 378.58 µg/L). Exceeding reference values for nickel and cobalt were significantly associated with respiratory symptoms (odds ratio [OR] 2.06-3.97) and skin symptoms (OR 1.70-2.28).</p><p><strong>Conclusions: </strong>Elevated urinary concentrations of Ni and Co were closely associated with respiratory and skin symptoms among workers in the lithium-ion battery industry. As the structure of the industry evolves, it is crucial to conduct continuous exposure assessments and establish comprehensive health management systems to better protect worker health.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"849-857"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145421289","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":"Associations between workplace aggression and subsequent mental distress and sick leave among home care workers.","authors":"Rigmor Harang Knutsen, Morten Birkeland Nielsen, Knut Inge Fostervold, Håkon A Johannessen","doi":"10.1007/s00420-025-02183-2","DOIUrl":"10.1007/s00420-025-02183-2","url":null,"abstract":"<p><p>OBJECTIVE: The Norwegian home care sector faces staff shortages and high sick leave due to common mental disorders, often linked to work-related stress. This study examined associations between workplace aggression (threats/violence, bullying, and unwanted sexual attention) and subsequent mental distress and sick leave among home care workers. METHODS: A total of 1426 employees (baseline n = 2591) from 130 randomly selected home care services completed surveys on workplace aggression and mental distress (HSCL-5 > 2) at baseline, 8 months, and 14 months. Registry data on medically certified sick leave (with diagnostic codes) were obtained for 1819 participants over 26 months. Mixed-effects lagged logistic regression estimated odds of mental distress, and negative binomial regression calculated incidence risk ratios (IRRs) for sick leave due to mental disorders. RESULTS: All types of workplace aggression were associated with increased risk of clinically relevant mental distress. Only colleague-perpetrated bullying significantly predicted sick leave for mental disorders (IRR 1.62, 95% CI 1.17–2.23). CONCLUSION: Workplace aggression was common and associated with poorer mental health and increased absenteeism. Targeted, multicomponent interventions are needed to prevent aggression and reduce its mental health impact.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"899-911"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145512587","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":"Work-related risk factors of sleep apnea: evidence from the Korean work, sleep, and health study.","authors":"Heejoo Ko, Seong-Sik Cho, Hye-Eun Lee, Jeehee Min, Mo-Yeol Kang","doi":"10.1007/s00420-025-02173-4","DOIUrl":"10.1007/s00420-025-02173-4","url":null,"abstract":"<p><strong>Objective: </strong>Occupational exposures are hypothesized to contribute to obstructive sleep apnea (OSA) risk, yet evidence from large, population-based studies remains scarce. This study aimed to investigate the association between a wide range of work-related factors and sleep apnea risk among Korean workers.</p><p><strong>Methods: </strong>We analyzed data from the Korean Work, Sleep, and Health Study (KWSHS), a nationwide longitudinal panel survey conducted between 2022 and 2024. Work-related exposures included long working hours, shift work, occupational stress, emotional labor, physical or chemical hazards, and ergonomic factors. Sleep apnea risk was assessed using the Berlin Questionnaire. To account for repeated measurements within individuals, generalized estimating equation models were applied to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs), adjusting for age, sex, and occupation. Subgroup analyses were performed according to obesity status.</p><p><strong>Results: </strong>Among 8,976 workers, long working hours (> 52 h per week; OR 1.22, 95% CI 1.04-1.43), high occupational stress (OR 1.93, 95% CI 1.76-2.12), high emotional labor (OR 1.74, 95% CI 1.50-2.02), physical or chemical exposures (OR 1.37, 95% CI 1.25-1.50), and ergonomic strains (OR 1.36, 95% CI 1.25-1.48) were significantly associated with increased odds of high sleep apnea risk. Shift work was not significantly associated with OSA risk, which may be partially explained by the healthy worker effect or adaptation among long-term shift workers. Associations with physical and chemical exposures were stronger among non-obese participants.</p><p><strong>Conclusions: </strong>Work-related psychosocial and environmental factors contribute meaningfully to sleep apnea risk. Addressing workplace conditions may represent an important strategy for sleep apnea prevention.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"797-805"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137306","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":"Associations between parental shift work exposure and pregnancy outcomes: role of father's shift work status.","authors":"Chih-Fu Wei, Mei-Huei Chen, Ching-Chun Lin, Yueliang Leon Guo, Shio-Jean Lin, Ya-Wen Chen, Wu-Shiun Hsieh, Pau-Chung Chen","doi":"10.1007/s00420-025-02176-1","DOIUrl":"10.1007/s00420-025-02176-1","url":null,"abstract":"<p><strong>Purpose: </strong>Shift work is a common occupational exposure that disrupts circadian rhythms which increases the risk of unhealthy behaviours and metabolic disorders. Maternal shift work is known to increase the risk of negative pregnancy outcomes, but the health impact when combining father's shift work status remains uncertain. This study investigated the association between parental shift work before pregnancy and pregnancy outcomes, with a focus on the effect estimates of father's shift work.</p><p><strong>Methods: </strong>We analysed data from the Taiwan Birth Cohort Study, a prospective cohort of Taiwanese women who gave birth in 2005. We collected fathers' and mothers' shift work status before pregnancy and pregnancy outcomes [Caesarean section, excessive gestational weight gain (GWG), large or small for gestational age, low birth weight, nausea and vomiting, gestational hypertension, and gestational diabetes] from 13,221 families with term singletons. Multivariable linear models were used to analyse the associations between different maternal shift work statuses and pregnancy outcomes.</p><p><strong>Results: </strong>Parental shift work before pregnancy was associated with higher odds of excessive GWG, Caesarean section, nausea and vomiting in the study population. Meanwhile, father's shift work exposure was associated with higher odds of excessive GWG among mothers not doing shift work before pregnancy, but not among mothers doing shift work.</p><p><strong>Conclusion: </strong>This study found that both mother's and father's shift work were associated with an increased risk of adverse pregnancy outcomes. Father's shift work may be an unconsidered risk factor for adverse pregnancy outcomes, particularly in mothers without shift work exposure.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"987-996"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563616","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":"Effectiveness of ergonomics training and exercise in tea workers: a randomized controlled trial.","authors":"İlayda Gür, Ömer Şevgin, Beyzanur Dikmen Hoşbaş","doi":"10.1007/s00420-025-02185-0","DOIUrl":"10.1007/s00420-025-02185-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the combined effects of a 12-week ergonomic training and exercise program on musculoskeletal pain and ergonomic risks in tea workers.</p><p><strong>Methods: </strong>The study included 60 tea workers (aged 25-70) with musculoskeletal pain, randomly assigned to an intervention group (ergonomic training and exercise) or a control group (only ergonomic training). The assessments were done at baseline and 12 weeks after the intervention. Outcomes included the Nordic Musculoskeletal Questionnaire (NMQ), Disabilities of the Arm, Shoulder and Hand QuestionnairIndex, kg: kilogram, m: metere (DASH), Visual Analog Scale (VAS), and Pittsburgh Sleep Quality Index (PSQI) assessment.</p><p><strong>Results: </strong>In the intervention group, a significant difference was observed in the NMQ, DASH 1 and 2, PSQI, and VAS scores for all regions in the intra-group (pre-post intervention) comparison (p < 0.05). In the control group, a significant difference was observed in the NMQ (shoulder and waist only), DASH 1, and PSQI scores (p < 0.05). When comparing the post-treatment values of the two groups, significant differences in favor of the intervention group were found in all outcome measures (p < 0.05).</p><p><strong>Conclusion: </strong>An integrated approach of ergonomic training and exercise programs has the potential to alleviate musculoskeletal discomfort among tea workers. These interventions may be an effective strategy to improve the well-being of physically demanding tea workers.</p><p><strong>Trial registration: </strong>NCT06407453.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":"945-955"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540591","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}