International journal of occupational medicine and environmental health最新文献

{"title":"Premature mortality from respiratory disease attributable to PM_2.5 exposure in Lanzhou, Gansu Province, China.","authors":"Yipakezi Aiken, Lingqing Wang, Xiaoning Liu","doi":"10.13075/ijomeh.1896.02721","DOIUrl":"10.13075/ijomeh.1896.02721","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to particulate matter 2.5 (PM_2.5) remains a critical public health issue in China. Understanding its spatial distribution and associated mortality burden is crucial for developing effective preventive strategies.</p><p><strong>Material and methods: </strong>This study analyzed PM_2.5 distribution and estimated premature mortality from chronic obstructive pulmonary disease (COPD) and lung cancer attributable to PM_2.5. The analysis covered different districts and 3 age groups in Lanzhou City, using the global exposure mortality model (GEMM).</p><p><strong>Results: </strong>From 2014 to 2023, PM_2.5 concentrations were significantly reduced city-wide. However, the number of PM_2.5-attributable premature deaths did not decline substantially. In some districts, these deaths even increased against a backdrop of rising overall mortality. The majority of premature deaths occurred in people aged ≥65 years. Lowering PM_2.5 concentrations remains important for controlling mortality from both diseases. However, the trends were not entirely consistent, indicating a complex relationship between PM_2.5 and mortality.</p><p><strong>Conclusions: </strong>Particulate matter 2.5 continues to have a substantial impact on health. Sustained efforts in air quality improvement and targeted health interventions for the elderly population are necessary. Int J Occup Med Environ Health. 2026;39(1):39-54.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"39-54"},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibrinogen-to-albumin ratio as a novel biomarker in pneumoconiosis: a retrospective cohort study.","authors":"Seval Müzeyyen Ecin, Semra Özkan","doi":"10.13075/ijomeh.1896.02711","DOIUrl":"10.13075/ijomeh.1896.02711","url":null,"abstract":"<p><strong>Objectives: </strong>Pneumoconiosis is the most common occupational respiratory disease in Turkey and is associated with chronic systemic inflammation. Both occupational dust exposure and heavy metals such as lead may contribute to inflammatory responses. Novel inflammatory indices, including the fibrinogen-to-albumin ratio (FAR), have gained attention; however, their supportive role in occupational lung diseases remains insufficiently defined.</p><p><strong>Material and methods: </strong>This retrospective study included 156 workers who presented to an Occupational Diseases Outpatient Clinic in Mersin, Turkey, in 2019-2023. Demographic, occupational, hematological, biochemical, and inflammatory parameters were collected. Pneumoconiosis was diagnosed based on occupational silica exposure and high-resolution computed tomography findings. Univariable and multivariable logistic regression analyses were performed to evaluate associations between pneumoconiosis and selected biomarkers. Receiver operating characteristic analysis was used to assess the discriminative performance of FAR.</p><p><strong>Results: </strong>Thirty-two workers (20.5%) were diagnosed with early-stage pneumoconiosis. Glass workers represented the largest subgroup (37.5%). Compared with non-pneumoconiosis participants, pneumoconiosis patients were older and had longer work duration, higher hemoglobin, fibrinogen, blood lead levels, and FAR, as well as lower platelet count, albumin, and glomerular filtration rate. In univariable analyses, lower albumin and higher fibrinogen and FAR were associated with pneumoconiosis. In multivariable analysis, only FAR remained independently associated with pneumoconiosis (OR = 1.1, 95% CI: 1.0-1.3, p = 0.004). Receiver operating characteristic analysis demonstrated that a FAR cut-off value >69.9 predicted pneumoconiosis with 73.9% sensitivity and 72.1% specificity (AUC = 0.741).</p><p><strong>Conclusions: </strong>Fibrinogen-to-albumin ratio was independently associated with pneumoconiosis, whereas albumin, fibrinogen, and blood lead did not retain significance after adjustment. Given its moderate discriminative ability, FAR should be considered a supportive and complementary biomarker reflecting systemic inflammation rather than a stand-alone diagnostic tool. Larger multicenter prospective studies are warranted to validate these findings. Int J Occup Med Environ Health. 2026;39(1):28-38.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"28-38"},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective assessment of working conditions on watercrafts.","authors":"Dariusz Pleban, Łukasz Kapica, Julia Idczak, Magdalena Warszewska-Makuch, Witold Sygocki","doi":"10.13075/ijomeh.1896.02685","DOIUrl":"10.13075/ijomeh.1896.02685","url":null,"abstract":"<p><strong>Objectives: </strong>Vessels constitute a unique type of workplace, primarily due to their operation in non-standard external environments and the spatial constraints inherent to their design. As a result, onboard working conditions play a critical role in ensuring the health and safety of crew members. This study aimed to evaluate the subjective assessment of working conditions among seafarers and to analyze the relationship between perceived environmental burdens and job satisfaction.</p><p><strong>Material and methods: </strong>The study was conducted on a group of 300 employees working on inland, port, coastal, and Baltic Sea vessels. A questionnaire survey was used to collect data on the subjective evaluation of working conditions and the perceived intensity of environmental factors such as noise, vibrations, and microclimate. Correlations between these factors and job satisfaction were analyzed.</p><p><strong>Results: </strong>The assessment revealed that 84% of surveyed seafarers rated their overall working conditions positively. However, environmental burdens were prevalent: noise (82%), vibrations (71%), and microclimate (65%) were identified as the most common nuisances. A negative correlation was observed between the perception of environmental burdens and job satisfaction.</p><p><strong>Conclusions: </strong>Although the general assessment of working conditions on vessels was positive, noise, vibrations, and microclimate remain significant issues affecting the well-being and job satisfaction of seafarers. Preventive measures aimed at mitigating these burdens may contribute to improving occupational health and safety onboard vessels. Int J Occup Med Environ Health. 2026;39(1):1-15.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146124892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marketing awareness, professional experience, and support for e-cigarette advertising regulation among Polish legal professionals: a latent-class analysis.","authors":"Karolina Zajdel, Anna Merecz-Sadowska, Arkadiusz Sadowski, Piotr Wojtysiak, Dorota Kaleta","doi":"10.13075/ijomeh.1896.02737","DOIUrl":"10.13075/ijomeh.1896.02737","url":null,"abstract":"<p><strong>Objectives: </strong>To examine whether marketing awareness - operationalized as recognition of e-cigarette advertising persuasiveness - relates to support for advertising regulation among Polish legal professionals, and to identify sociodemographic and occupational correlates of regulatory attitudes.</p><p><strong>Material and methods: </strong>Cross-sectional survey of 471 legal professionals in Poland. Latent class analysis identified 3 marketing awareness segments based on 5 perception indicators. The 3-class solution (Bayesian information criterion = 3121.23, entropy = 0.941) distinguished low (38.5%), moderate (47.0%), and high (14.5%) awareness groups. Binary logistic regression modeled support for advertising regulation (\"yes\" vs. \"not-yes\"), with awareness class membership and covariates (age, experience, sector, profession) as predictors.</p><p><strong>Results: </strong>The relationship between marketing awareness and regulatory support could not be established (moderate awareness: odds ratio [OR] = 1.67, 95% CI: 0.99-2.81, p = 0.054; high awareness: OR = 1.82, 95% CI: 0.85-3.90, p = 0.125). Professional experience >10 years (OR = 3.22, 95% CI: 1.02-10.20, p = 0.047) and corporate sector employment (OR = 0.53, 95% CI: 0.30-0.94, p = 0.030) were the only significant predictors.</p><p><strong>Conclusions: </strong>This exploratory study could not determine whether marketing awareness relates to regulatory support among legal professionals. Professional experience emerged as the primary correlate, suggesting regulatory attitudes may be shaped by professional socialization. Policy efforts should prioritize enforcement of existing restrictions and professional education for early-career practitioners. Int J Occup Med Environ Health. 2026;39(1):79-92.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 1","pages":"79-92"},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-based stereotype threat and intention to work beyond retirement age: testing the indirect effect through stress.","authors":"Zofia Mockałło, Sylwia Bedyńska, Dorota Żołnierczyk-Zreda","doi":"10.13075/ijomeh.1896.02627","DOIUrl":"10.13075/ijomeh.1896.02627","url":null,"abstract":"<p><strong>Objectives: </strong>Stereotype threat arises when an individual worries about the possibility of confirming or being perceived through the lens of a negative stereotype about one's group. Previous research has shown that stereotype threat at work is related to higher stress appraisal and an increased intention to quit among older employees. The present study extends these investigations by examining the links between stereotype threat and post-retirement work intention, as well as indirect effects through stress.</p><p><strong>Material and methods: </strong>The level of age-related stereotype threat, stress, and intention to continue working beyond the retirement age were assessed using self-reported measures in a cross-sectional study among working adults aged ≥50 years (N = 1007). The average age of participants was 56.3 years (standard deviation 4.2 years). The sample included both men and women, with diverse education levels and job types (mental, physical, and mixed work), and was drawn from various sectors, including public and private organizations.</p><p><strong>Results: </strong>The authors' findings indicated that a higher level of stereotype threat was linked to higher level of stress and willingness to resign from work after reaching retirement age in aging workers. Stress level partly transmitted the relationship between stereotype threat and intention to resign from work after reaching the retirement age.</p><p><strong>Conclusions: </strong>It can be concluded that stress is a significant variable constituting the indirect effect of age-based stereotype threat at work on post-retirement work intention, when physical health is statistically controlled. These results are discussed in the context of recent studies on age-related stereotype threat in occupational settings. Int J Occup Med Environ Health. 2025;38(6):629-40.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"629-640"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular risk factors in diabetic internet users - comparative analysis.","authors":"Bartosz G Trzeciak, Piotr Gutknecht, Szymon Grymek, Janusz Siebert","doi":"10.13075/ijomeh.1896.02586","DOIUrl":"10.13075/ijomeh.1896.02586","url":null,"abstract":"<p><strong>Objectives: </strong>This study presents a comprehensive analysis of cardiovascular risk factors in individuals with diabetes mellitus compared to a non‑diabetic control group, utilizing data from a risk program - the Ryzyko Program of the Medical University of Gdańsk, Gdańsk, Poland.</p><p><strong>Material and methods: </strong>The research encompasses a sample of 2959 diabetic and 33 865 non-diabetic internet users. Variables such as gender, systolic blood pressure (SBP), total cholesterol (TC), smoking status, and the prevalence of coronary artery disease (CAD) were analyzed. Significant gender differences in smoking habits and cholesterol levels were observed in the diabetic group compared to the control group.</p><p><strong>Results: </strong>Diabetic individuals exhibited a higher prevalence of hypertension (SBP ≥140 mm Hg), with 58.7% of diabetic participants having poorly controlled hypertension. The study also reveals a higher incidence of CAD in the diabetic group, with a prevalence of 31.0%, compared to 8.3% in the control group. Notably, the diabetic group showed higher rates of cigarette smoking and elevated levels of arterial pressure, both in the entire group and across gender subgroups. The diabetic group demonstrated significantly increased SBP and TC levels compared to the non-diabetic control group as well as higher rates of CAD, and smoking in individuals with diabetes mellitus.</p><p><strong>Conclusions: </strong>These findings underscore the necessity for targeted cardiovascular risk management in the diabetic population. Int J Occup Med Environ Health. 2025;38(6):621-8.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"621-628"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of COVID-19 disinfection recommendations on microbial environment contamination: focus on emergency physicians' stethoscopes and smartphones.","authors":"Prabakar Vaittinada Ayar, Angèle Cassagne, Pradeebane Vaittinada Ayar, Bruno Ferrao, Simone Nerome, Matthieu Gay","doi":"10.13075/ijomeh.1896.02444","DOIUrl":"10.13075/ijomeh.1896.02444","url":null,"abstract":"<p><strong>Objectives: </strong>The coronavirus disease 2019 (COVID-19) has considerably changed the game in the field of hygiene. The aim of the study was to compare microbiological colonization present on the emergency physicians' stethoscopes and smartphones before and after the outbreak of COVID-19.</p><p><strong>Material and methods: </strong>This was a prospective cohort study in 1 academic hospitals' emergency department. A microbiological analysis was conducted on the emergency doctors' stethoscopes and smartphones for a month in 2018 and 2021. Analysis concerned stethoscopes diaphragms and the most used surface of the cellphones screen around to the main button. The authors used a solid growth medium irradiated Count-Tact® 3P agar (CT3P) (BioMerieux, Lyon, France) for collecting samples. Results were obtained after 5 days of growth at 30°C to collect all the saprophytes environmental flora.</p><p><strong>Results: </strong>A total of 27 doctors were included in 2018 and 30 doctors in 2021. Stethoscope diaphragm contamination was very high in both period with a geometric mean (GM) without difference before and after COVID respectively, GM = 68 colony-forming unit (cfu) per 25 cm² (95% CI: 50-94 cfu/25 cm²) vs. 68 cfu/25 cm² (95% CI: 44-105 cfu/25 cm²), p > 0.05. Smartphones were cleaner than stethoscopes with a GM <50 cfu/25 cm² without significant difference between 2 periods, respectively GM = 45 cfu/25 cm² (95% CI: 34-59 cfu/25 cm²) vs. 31 cfu/25 cm² (95% CI: 20-48 cfu/25 cm²), p > 0.05.</p><p><strong>Conclusions: </strong>The study shows an urgent need to regularly inform of the hygiene of the medical tools and COVID-19 does not really bring improvements in the matter. Particularly in emergency department, where physicians examine several patients per day and can possibly transmit pathogens. Int J Occup Med Environ Health. 2025;38(6):611-20.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"611-620"},"PeriodicalIF":2.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to mental health treatment in Polish employer-based health plans: insurance limitations and policy gaps.","authors":"Agata Olearczyk, Kuba Sękowski, Mateusz Jankowski, Andrzej Silczuk","doi":"10.13075/ijomeh.1896.02683","DOIUrl":"10.13075/ijomeh.1896.02683","url":null,"abstract":"<p><strong>Objectives: </strong>The current employment market faces many challenges, both from the employers' perspective and that of employees. One of the key health challenges is employees' mental health. Poland has over 17.6 million of active workforce, but each year the number of sick leaves due to mental disorders and occupational burnout is rising, and so are the costs. This leads to lower incomes, higher utilization of medical services, higher spending on medications, and higher social transfers, impacting the country's economy and individuals' quality of living. This research aims to present the current market practice, gaps, and limitations in the coverage of mental health services available through employee medical plans, as well as to provide epidemiological characteristics of sick leave due to mental health issues in Poland.</p><p><strong>Material and methods: </strong>This analysis included general terms and conditions of insurance companies providing employee medical plans (group health insurance) available on their websites. Mental health cover and exclusions of liability were analyzed using 6 different criteria. Epidemiological data on sick leaves (absenteeism) were derived from the annual reports published by the Polish Social Insurance Institution.</p><p><strong>Results: </strong>All insurance companies introduce strong limitations on mental health cover. The gaps apply to the number of packages that cover consultations with psychologists and psychiatrists, as well as the number and type of visits. Most insurers cover no more than 4 visits with a psychologist and psychiatrist per year, excluding psychotherapy (with 1 exception). The main exclusions of liability include treatment of mental illnesses or behavioral disorders and treatment of addiction. There is no coverage for the costs of medications.</p><p><strong>Conclusions: </strong>The offer for mental health treatment through employee medical plans is strongly limited and does not cover the actual needs. Employees must seek treatment through the public sector or pay out of pocket for services with limited income during sick leave. Int J Occup Med Environ Health. 2025;38(6):654-63.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"654-663"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the factors of loneliness in older adults: the role of employment and work activity - a scoping review.","authors":"Katarzyna Domosławska-Żylińska, Magdalena Łopatek, Dominik Olejniczak","doi":"10.13075/ijomeh.1896.02722","DOIUrl":"10.13075/ijomeh.1896.02722","url":null,"abstract":"<p><p>Loneliness and social isolation are increasingly recognized as major public health challenges, particularly among older adults. This review aims to identify and map the key risk and protective factors associated with loneliness and social isolation, with particular emphasis on the role of employment and work activity in later life. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, peer-reviewed studies published in 2019-2025 in the PubMed and Scopus databases were analyzed. The results showed that health-related, psychological, sociocultural, and socio-environmental factors are closely associated with the experience of loneliness in old age. The most numerous were health-related and sociocultural factors. Employment and social engagement played a particularly important role in mitigating loneliness by providing structure, purpose, and social contact. The transition from work to retirement was identified as a critical life stage that can either intensify or alleviate loneliness, depending on individual circumstances and the cultural context. Future research should adopt a longitudinal and cross-cultural approach to better understand how the moment of retirement affects loneliness in the long term. There is also a need to explore gender and socioeconomic differences in how older adults experience and cope with social isolation. Moreover, evaluating the effectiveness of workplace and community-based interventions aimed at fostering social connectedness after retirement could provide valuable evidence for developing public health strategies that support healthy and active ageing. Int J Occup Med Environ Health. 2025;38(6):572-85.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"572-585"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between employee motivation and professional burnout among nurses in Germany: an analytical study.","authors":"Katarzyna Swakowska, Dominik Olejniczak, Łukasz A Poniatowski, Anna Staniszewska","doi":"10.13075/ijomeh.1896.02638","DOIUrl":"10.13075/ijomeh.1896.02638","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of the following paper is to elaborate on the connections between motivation and professional burnout. The analytical study will concern nurses employed in Germany. In particular, the study focuses on explaining how different types of motivation influence burnout indicators.</p><p><strong>Material and methods: </strong>The study employed a quantitative research approach using the <i>Areas of Worklife Survey</i> (AWS), the <i>Work Extrinsic and Intrinsic Motivation Scal</i>e (WEIMS), and the <i>Maslach Burnout Inventory</i> (MBI) to assess burnout and motivation among 301 nurses.</p><p><strong>Results: </strong>The results revealed that nurses with higher intrinsic motivation experienced lower burnout levels, while those relying on external regulation and amotivation exhibited greater emotional exhaustion and depersonalization. Moreover, older and more experienced nurses reported higher burnout levels and declining intrinsic motivation, while younger nurses demonstrated stronger engagement but faced significant workplace stress. Workplace factors such as fairness, workload, and rewards were found to significantly influence motivation and burnout.</p><p><strong>Conclusions: </strong>The findings emphasize the need for healthcare institutions to implement strategies that would support development of intrinsic motivation and improve working conditions to reduce burnout and support long-term professional engagement of nurses. Int J Occup Med Environ Health. 2025;38(6):586-95.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"586-595"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}