International journal of occupational medicine and environmental health最新文献

{"title":"Violence from patients and visitors in the emergency department - reporting of aggression by medical staff.","authors":"Anna Małgorzata Burak, Ewa Teresa Kamińska, Kamila Katarzyna Szulc, Patryk Krzewiński, Przemysław Żuratyński","doi":"10.13075/ijomeh.1896.02640","DOIUrl":"10.13075/ijomeh.1896.02640","url":null,"abstract":"<p><strong>Objectives: </strong>Most hospital emergency department (ED) medical staff experience violence from patients and visitors every day, but the level of reporting and documenting acts of violence is very low. The aim of the study was to analyze the reporting of violence from patients and visitors by hospital ED medical staff.</p><p><strong>Material and methods: </strong>The study was conducted retrospectively in the ED of a university hospital in Poland. The department admits 48 000 patients/year. The records kept by nurses and paramedics from 7 years (2017-2023) were analyzed for reports of acts of aggression from patients and visitors. The Python programming language was used for statistical analyses.</p><p><strong>Results: </strong>During the 7-year period, 445 cases of violence from patients and visitors were reported, with the number of reports decreasing significantly over the years. The average age of the aggressors was 47 years. Most of them were male (N = 318, 71.5%). Half of the aggressors were under the influence of alcohol (N = 218, 49%).</p><p><strong>Conclusions: </strong>The results suggest that not all incidents of violence are reported by staff and that their documentation may be influenced by various factors, both institutional and external. The descriptions of incidents of aggression are short and not very detailed, which makes it difficult to analyze their circumstances and nature. Effective prevention of aggression requires a thorough assessment of the scale and characteristics of this phenomenon. By reporting all incidents of aggression, staff can contribute to a reliable analysis of the problem and thus lead to increased safety in the workplace. Int J Occup Med Environ Health. 2025;38(6):596-610.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"596-610"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145723290","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":"Post-stroke risk stratification in primary care: implications for occupational and preventive medicine.","authors":"Piotr Gutknecht, Bartosz G Trzeciak, Marek Tałałaj, Walenty Nyka, Krzysztof Dziewiatowski, Grzegorz Wochyń, Dariusz Świetlik, Janusz Siebert","doi":"10.13075/ijomeh.1896.02655","DOIUrl":"10.13075/ijomeh.1896.02655","url":null,"abstract":"<p><strong>Objectives: </strong>Acute ischemic stroke stands as a significant contributor to high disability and mortality rates. Patient after stroke require vigilant supervision from general practitioners. Cardiovascular prevention emerges as a critical aspect. Physicians play a vital role in managing post-acute care and preventing secondary complications in patients with stroke after discharge. The aim of the study was to characterize and evaluate the cerebrovascular risk factors for stroke in patients under the care of general practitioners.</p><p><strong>Material and methods: </strong>Data were collected from 277 patients after ischemic brain stroke under general practitioner care. Baseline demographic and clinical characteristics were gathered for all study participants.</p><p><strong>Results: </strong>Data were collected from 277 patients after ischemic brain stroke under general practitioner care. Baseline demographic and clinical characteristics were gathered for all study participants. Results: Gender distribution among the study cohort was 143 females (51.6%) aged mean (M) ± standard deviation (SD) 76.4±11.8 years and 134 males (48.4%), aged 78.5±11.9 years. Hypertension emerged as the most prevalent risk factor, affecting 75.8% of participants. Ischemic heart disease, lipid disorders, and atrial fibrillation, observed in 30.32%, 30.7%, and 29.6% of patients respectively. Diabetes mellitus was present in 23.1% of the cohort. The body weight was M±SD 76.9±16 kg, with BMI 27.6±6.6 kg/m². The presence of atrial fibrillation and chronic kidney disease showed statistically significant differences between survival and death groups. Statistically significant differences were observed in diastolic blood pressure in women vs. men (p = 0.0383). Regarding stroke severity, women presented with more severe symptoms (National Institutes of Health Stroke Scale score M = 10.5 vs. 8.3, p = 0.0163) and poorer functional outcomes in modified Rankin Scale (M = 3.3 vs. 2.8, p = 0.0062), a higher prevalence of hypertension and atrial fibrillation among women compared to men (35.0% vs. 17.5%, p = 0.0045).</p><p><strong>Conclusions: </strong>The authors' findings highlight the necessity for sex-specific approaches in stroke management, particularly considering the impact of comorbid conditions such as hypertension and atrial fibrillation on stroke outcomes. Despite the availability of general guidelines, it would be valuable to develop specific guidelines for general practitioners on ischemic stroke risk factors. Int J Occup Med Environ Health. 2025;38(6):641-53.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"641-653"},"PeriodicalIF":1.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768099","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":"Parental influence and multiple nicotine product use patterns among adolescents: a cross-sectional study of family context and e-cigarette use.","authors":"Karolina Zajdel, Anna Merecz-Sadowska, Arkadiusz Sadowski, Aneta Jęcek, Magdalena Bakalarz, Dorota Kaleta","doi":"10.13075/ijomeh.1896.02618","DOIUrl":"10.13075/ijomeh.1896.02618","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescent e‑cigarette use is a growing public health concern, yet the influence of family context and risk perceptions on usage patterns remains poorly understood.</p><p><strong>Material and methods: </strong>This cross-sectional study investigated relationships between family context, risk perceptions, and e‑cigarette use patterns among a nationally representative sample of 4797 Polish adolescents aged 15-18 years who were current e‑cigarette users (defined as use in the past 30 days). Using computer-assisted web interviews, the authors assessed family factors (parental awareness, attitudes, and nicotine use), risk perceptions, and e‑cigarette use behaviors.</p><p><strong>Results: </strong>Among adolescent e‑cigarette users, 92.6% engaged in poly-nicotine use (i.e., used ≥1 other nicotine product) with only 7.4% reporting exclusive e‑cigarette use. Notably, 46.7% of participants reported extensive multiple product use (concurrent use of ≥5 products). Structural equation modeling demonstrated that family context significantly influenced e‑cigarette use patterns, both directly (β = 0.31, p < 0.001) and indirectly through risk perceptions (β = 0.12). Risk perception emerged as the strongest direct predictor of e‑cigarette use patterns (β = 0.41, p < 0.001). Parental e‑cigarette use was associated with a 70% increase in adolescents' likelihood of intensive e‑cigarette use (≥10 times daily) (OR = 1.70, 95% CI: 1.39-2.07, p < 0.001). Traditional cigarette initiation (compared to e‑cigarette initiation) was associated with almost twice the likelihood of multiple nicotine product use (OR = 1.89, 95% CI: 1.67-2.13, p < 0.001).</p><p><strong>Conclusions: </strong>These findings highlight the significant influence of family context and risk perceptions on adolescent nicotine use behaviors, suggesting that family-based interventions addressing these factors could be effective prevention strategies. IInt J Occup Med Environ Health. 2025;38(5):512-27.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"512-527"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444086","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":"Relationship between job stress and burnout among Korean workers in small and medium-sized enterprises.","authors":"Ji-Hoon Kim, Shin-Goo Park, Seong-Cheol Yang, Hwan-Cheol Kim, Sang-Hee Hwang","doi":"10.13075/ijomeh.1896.02650","DOIUrl":"10.13075/ijomeh.1896.02650","url":null,"abstract":"<p><strong>Objectives: </strong>Burnout is a work-related syndrome with growing relevance in occupational health. This study explored the association between job stress factors and burnout in Korean workers at small- and medium-sized enterprises (SMEs).</p><p><strong>Material and methods: </strong>A total of 1024 employees from SMEs (50-299 workers) receiving outsourced occupational health services completed a cross-sectional survey. Job stress was measured using the <i>Korean Occupational Stress Scale</i> short form (KOSS), and burnout was assessed with the Korean version <i>Burnout Syndrome Scale</i> (KBOSS), aligned with International Classification of Diseases, 11th Revision (ICD-11) criteria. Burnout was evaluated across 3 dimensions: exhaustion, cynicism, and reduced efficacy. Burnout syndrome was defined as meeting all 3 dimensions. Multiple logistic regression analyses were performed to assess the associations between job stress factors and burnout.</p><p><strong>Results: </strong>Burnout syndrome was found in 3.3% of participants. Key findings with statistical measures include: 1) burnout syndrome association - high job demand (Q3: OR = 12.62, 95% CI: 2.03-78.41, p < 0.05) and high overall job stress (Q4: OR = 17.56, 95% CI: 1.40-220.76, p < 0.05); 2) exhaustion predictors - high job demand (Q3: OR = 10.71, 95% CI: 3.64-31.48, p < 0.001), inadequate compensation (Q4: OR = 2.06, 95% CI: 1.02-4.16, p < 0.05), and poor workplace culture (Q4: OR = 2.63, 95% CI: 1.11-6.24, p < 0.05); 3) paradoxical findings - low job autonomy associated with reduced exhaustion (Q4: OR = 0.23, 95% CI: 0.11-0.48, p < 0.001).</p><p><strong>Conclusions: </strong>Specific job stressors differentially impact burnout dimensions in Korean SMEs: Job demand and overall stress critically predict burnout syndrome, while inadequate compensation and poor workplace culture significantly affect exhaustion. The counterintuitive protective effects of reduced autonomy warrant further investigation. Organizations should prioritize evidence-based workload management and compensation fairness aligned with ICD-11 diagnostic patterns. Int J Occup Med Environ Health. 2025;38(5):528-44.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"528-544"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444652","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":"Management of acute intoxication with carbon monoxide - Polish Medical Society, Section of Clinical Toxicology position statement.","authors":"Jacek Anand, Natalia Pawlas, Daria Schetz, Jacek Kot","doi":"10.13075/ijomeh.1896.02653","DOIUrl":"10.13075/ijomeh.1896.02653","url":null,"abstract":"<p><p>Carbon monoxide (CO) poisoning remains a significant public health concern, often leading to both acute and delayed neurological and cardiac complications.This article presents the official position statement of the Section of Clinical Toxicology of the Polish Medical Society regarding the management of acute CO poisoning, with particular emphasis on oxygen therapy. The cornerstone of CO poisoning treatment is the immediate initiation of normobaric oxygen therapy using 100% oxygen at the highest possible flow rate, preferably via a non-rebreather mask. Oxygen administration should continue until the carboxyhemoglobin (COHb) level drops to approx. 3%, but for no less than 6 h. In pregnant patients, extended oxygen therapy is recommended due to slower fetal CO elimination. Hyperbaric oxygen therapy (HBOT) is not mandatory in all cases but should be considered in selected patients-primarily those with persistent neurological or cardiac symptoms or metabolic acidosis despite normobaric oxygen, regardless of COHb levels. In pregnant women, HBOT is always indicated, irrespective of COHb concentration or clinical presentation. When indicated, the first HBOT session should be performed as soon as possible - ideally within 6 h of exposure-taking into account the availability of hyperbaric facilities and transport logistics. This article provides detailed, practical recommendations for the management of CO poisoning, highlighting the essential role of normobaric oxygen therapy and the complementary use of HBOT in appropriately selected cases. Int J Occup Med Environ Health. 2025;38(5):457-73.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"457-473"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438036","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":"Occupational vulnerability profiles in the Polish workforce: a narrative review of AVEM-based research.","authors":"Wiktor Warchałowski, Ivana Mašková, Dana Buršíková","doi":"10.13075/ijomeh.1896.02642","DOIUrl":"10.13075/ijomeh.1896.02642","url":null,"abstract":"<p><p>The inventory <i>Work-related Coping Behavior and Experience Patterns</i> (<i>Arbeitsbezogenes Verhaltens- und Erlebensmuster</i> - AVEM) serves as a valuable preventive tool for the early identification of individuals at risk of burnout and occupational health issues by evaluating their work-related patterns, which may be either health-promoting or indicative of increased health risk. The aim of this narrative review was to map and synthesize research on AVEM conducted in Poland across occupational groups. A structured search of selected databases and search engines was performed, resulting in the identification of 29 sources whose findings were synthesized and compared with international evidence. The results showed that the overall proportion of Polish participants assigned to risk patterns was significantly higher than in the international context, particularly among teaching and healthcare professionals, indicating greater vulnerability to burnout and occupational health issues in these occupations. Beyond people-centered professions, women, older workers, individuals with an additional job, those living in smaller towns and villages, and those experiencing mobbing also emerged as highly vulnerable groups. These individuals also tended to be extrinsically motivated and exhibited higher levels of neuroticism, elevated stress, and poorer mental and physical health. In contrast, having a hobby and a better perceived material standing were mainly associated with healthy patterns. Individuals assigned to healthy patterns tended to be intrinsically motivated and reported higher job satisfaction, greater levels of fluid and emotional intelligence, and more adaptive personality traits. There is a clear need for targeted workplace interventions across professions in Poland to address the heightened risk of occupational health issues. Int J Occup Med Environ Health. 2025;38(5):434-56.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"434-456"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438103","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":"Individual interventions to reduce nighttime light exposure in a representative sample of adults aged 18-64 years in Poland.","authors":"Radosław Sierpiński, Mateusz Jankowski, Filip Raciborski","doi":"10.13075/ijomeh.1896.02668","DOIUrl":"10.13075/ijomeh.1896.02668","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to nighttime light pollution has a multidimensional environmental impact and is associated with harmful health effects. This study aimed to characterize individual interventions to reduce nighttime light exposure among adults in Poland and to identify factors associated with the implementation of individual interventions to reduce nighttime light exposure.</p><p><strong>Material and methods: </strong>This is a secondary analysis of data obtained from the nationwide cross-sectional survey conducted in December 2024 in a representative sample of 5006 adults (18-64 years) in Poland. Respondents were asked about the implementation of 5 different interventions to reduce nighttime light exposure.</p><p><strong>Results: </strong>Among all respondents (N = 5006), the most common intervention to reduce nighttime light exposure was the use of blackout curtains in the bedroom (41.4% of respondents), followed by limiting screen time in the evening (17.6% of respondents). Among the respondents, 14.7% declared turning off indicator lights on electronic devices or using light bulbs with a warmer color. The least common method was using an eye mask (3.9% of respondents). In total, 65% of respondents had implemented ≥1 individual intervention to reduce exposure to nighttime light pollution. Age 18-44 years, having a full-time or part-time job, good financial situation, having sleep problems, and looking for health-related information were significantly associated (p < 0.05) with the implementation of ≥1 intervention to reduce exposure to nighttime light pollution. The most important factor associated with the intervention to reduce exposure to nighttime light pollution was active seeking health information (OR = 2.17, 95% CI: 1.9-2.48, p < 0.001). There was no significant impact of gender, educational level or place of residence (p > 0.05).</p><p><strong>Conclusions: </strong>This study revealed a gap in the implementation of individual interventions to reduce exposure to nighttime light pollution among adults in Poland. There is an urgent need to promote the prevention of environmental hazards like light pollution among adults in Poland. Int J Occup Med Environ Health. 2025;38(5):559-71.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"559-571"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145409022","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":"Factors associated with respiratory symptoms in communities living near to and away from the railway used for coal transportation in La Guajira, Colombia.","authors":"Jeannette Liliana Amaya-Lara, Jesús Rodríguez-García, Rolando Enrique Peñaloza-Quintero, Marino Mauricio Mejía-Rocha","doi":"10.13075/ijomeh.1896.02424","DOIUrl":"10.13075/ijomeh.1896.02424","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the level of association between the reporting of respiratory symptoms by individuals living near and away from the railway used for coal transportation, and risk factors related to living conditions, health history, environmental characteristics, and air quality in the area.</p><p><strong>Material and methods: </strong>Prospective longitudinal study with 3 cross-sectional moments over a year and a half. A structured survey was conducted, through which individuals with respiratory symptoms and associated risk factors were identified. Particular matter 2.5 (PM_2.5) and particular matter 10 (PM₁₀) concentrations were obtained from air monitoring stations available in the area. Pooled logistic models were estimated to identify factors influencing the probability of experiencing respiratory disease symptoms.</p><p><strong>Results: </strong>Over 60% of households are located near unpaved roads with heavy traffic, and dwelling conditions are not suitable for human lodging with low or no exchange of air from the outside to the inside, and critical overcrowding. The results showed a higher risk of respiratory symptoms in children with a history of asthma or malnutrition living in homes with large windows that allow air to enter and exit, and in adults with a history of asthma, hypertension, or cigarette smoking. No significant association was found between the population's respiratory symptoms and the concentration of particulate matter (PM_2.5 and PM₁₀), which may be related to limitations in terms of the availability of air monitoring stations near the communities that were part of the study.</p><p><strong>Conclusions: </strong>There are various factors associated with the respiratory symptoms of communities located around the road used for coal transportation by train, including the history of certain diseases in the population and characteristics of the indoor and outdoor environment of households. Int J Occup Med Environ Health. 2025;38(5):545-58.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"545-558"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437965","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":"Mental health and work ability of female kindergarten teachers in Germany and Ukraine and their relationship with individual work-related behaviors.","authors":"Sabine Darius, Angela Sommer, Maryna Lysak, Igor Zavgorodnii, Irina Böckelmann","doi":"10.13075/ijomeh.1896.02606","DOIUrl":"10.13075/ijomeh.1896.02606","url":null,"abstract":"<p><strong>Objectives: </strong>People face stressful situations in different ways and exhibit different work-related behaviors and experiences that can be assigned to a pattern (<i>Arbeitsbezogenes Verhaltens- und Erlebensmuster</i> - AVEM). The aim of the study was to determine the mental health and work ability of female kindergarten teachers and their relationship to their individual AVEM patterns.</p><p><strong>Material and methods: </strong>In the cross-sectional study, 185 German teachers (D) and 107 Ukrainian teachers (UA) filled out AVEM-questionnaire. Mental health and work ability were recorded using questionnaires. Group comparisons were carried out between the kindergarten teachers in both countries.</p><p><strong>Results: </strong>A total of 126 German and 83 Ukrainian kindergarten teachers could be clearly assigned to 1 of the 4 AVEM patterns: A - effort (18.3% G vs. 38.6% UA), B - burnout (24.6% D vs. 24.1% UA), G - health (17.5% D vs. 25.3% UA) and S - protection (39.7% D vs. 12.0% UA, p < 0.001). German kindergarten teachers rated their work ability (mean [M] ± standard deviation [SD] 7.3±1.7 pts) lower than Ukrainian kindergarten teachers (M±SD 8.0±1.4 pts, p < 0.001). Both groups cope equally well with physical demands, but Ukrainian teachers cope better with mental demands (M±SD 3.7±0.7 pts vs. 3.4±0.8 pts, p = 0.005). Mental health was subjectively impaired in 16.7% of German and 9.6% of Ukrainian kindergarten teachers (p = 0.160). Overall, German teachers rated their mental health worse with M±SD 11.8±5.3 pts (<i>General Health Questionnaire</i> total score) than their Ukrainian colleagues with M±SD 8.9±4.6 pts (p < 0.001).</p><p><strong>Conclusions: </strong>The analysis of individual AVEM patterns can be a helpful basis for identifying health-endangering patterns as well as resources and thus establishing measures to maintain the health of teachers. Int J Occup Med Environ Health. 2025;38(5):495-511.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"495-511"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145443937","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":"Caffeine consumption as a potential risk factor of osteoporosis development among night shift workers: epidemiological evidences and hypothesis.","authors":"Agnieszka Bukowska-Damska, Joanna Jurewicz, Ewa Jabłońska","doi":"10.13075/ijomeh.1896.02646","DOIUrl":"10.13075/ijomeh.1896.02646","url":null,"abstract":"<p><p>Night workers have demonstrated an increased risk of bone fracture. The mechanisms underlying the observed bone changes among night workers remain unclear. They have been attributed to hormonal changes resulting from exposure to light during nighttime, sleep restrictions and distur- bances in expression of circadian rhythms genes. An additional factor that may contribute to increased bone loss among night workers is the con- sumption of caffeinated products. The aim of the work was to review the epidemiological evidence on the association between caffeine consumption and bone density or fracture risk and to sum up the current knowledge on the association between night shift work and osteoporosis among workers. A search of the literature was conducted in order to identify proper studies using PubMed, Scopus, Elsevier, and Springer databases. A total of 31 articles were identified. The articles were divided to 2 groups of papers assessing the bone fracture risk and osteoporosis among caffeinated beverages drinkers (24 studies) and assessing bone strength in night shifts workers (7 studies). Findings from studies assessing the relationship between caffeine consumption and bone strength appear inconsistent. However, the results of the some presented studies highlight that high caffeine intake increases bone loss. Thus development of osteoporosis among night workers exposed to light during nighttime might be accelerated by high caffeine consumption. No epidemiological study has examined the effect of caffeine intake on the bone fracture risk among night shifts workers yet. There is a great need to better understand the etiology of osteoporosis among workers. Int J Occup Med Environ Health. 2025;38(5):474-94.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"474-494"},"PeriodicalIF":1.4,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438061","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}