Journal of Occupational Health最新文献

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Machine learning in the analysis of mental health at work: a scoping review. 机器学习在工作中的心理健康分析:范围审查。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-03-09 DOI: 10.1093/joccuh/uiag014
Pekka Varje, Ari Väänänen, Olli Haavisto, Ilkka Kivimäki, Simo Taimela, Tiina Kalliomäki-Levanto
{"title":"Machine learning in the analysis of mental health at work: a scoping review.","authors":"Pekka Varje, Ari Väänänen, Olli Haavisto, Ilkka Kivimäki, Simo Taimela, Tiina Kalliomäki-Levanto","doi":"10.1093/joccuh/uiag014","DOIUrl":"https://doi.org/10.1093/joccuh/uiag014","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aims to assess the role of machine learning in workplace mental health research by systematically analyzing existing studies to understand current methodologies, applications, and trends.</p><p><strong>Methods: </strong>We conducted a comprehensive search across multiple databases, including Ebsco, Scopus, ProQuest, Web of Science, PsycINFO, IEEE, and ACM, screening a total of 5600 abstracts. Altogether, we analyzed 92 journal articles, conference papers, and book chapters published before September 2025.</p><p><strong>Results: </strong>Since 2020, there has been a notable increase in publications on the topic. Studies have mainly employed cross-sectional designs (73%) and workplace questionnaires (51%) targeting specific occupational groups (67%), particularly from Asia excluding China (41%). Supervised learning methods, such as Random Forest and Neural Networks, have been frequently utilized to investigate conditions like depression, burnout, and anxiety. Most studies predicting mental health at work using machine learning are currently conducted by data scientists as single-measurement studies, whereas longitudinal studies from medicine, epidemiology, social sciences, or behavioral sciences are comparatively rare. In the context of machine learning, prediction denotes the model's ability to infer outcomes based on input data. However, most publications do not systematically analyze the temporal dynamics of mental health or forecast mental health outcomes from an epidemiological perspective.</p><p><strong>Conclusions: </strong>The application of machine learning in occupational mental health research remains in its preliminary stages, with a primary focus on methodology and computer science. The review highlights the necessity for interdisciplinary collaboration to fully leverage the potential of machine learning in advancing occupational health research.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author reply to comments on "association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis." 作者回复关于“轮班工人健康素养与行为之间的关系:一项具有中介分析的观察性横断面研究”的评论。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-03-09 DOI: 10.1093/joccuh/uiag012
Yuko Morikawa, Keiko Teranishi, Masaru Sakurai, Masao Ishizaki, Teruhiko Kido, Hideaki Nakagawa
{"title":"Author reply to comments on \"association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis.\"","authors":"Yuko Morikawa, Keiko Teranishi, Masaru Sakurai, Masao Ishizaki, Teruhiko Kido, Hideaki Nakagawa","doi":"10.1093/joccuh/uiag012","DOIUrl":"https://doi.org/10.1093/joccuh/uiag012","url":null,"abstract":"","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the editor: "the impact of overseas assignments on metabolic factors: Panasonic cohort study 23". 致编辑的信:“海外派遣对代谢因素的影响:松下队列研究23”。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-03-07 DOI: 10.1093/joccuh/uiag015
Yuchi Maeda, Atsuhiko Ota
{"title":"Letter to the editor: \"the impact of overseas assignments on metabolic factors: Panasonic cohort study 23\".","authors":"Yuchi Maeda, Atsuhiko Ota","doi":"10.1093/joccuh/uiag015","DOIUrl":"https://doi.org/10.1093/joccuh/uiag015","url":null,"abstract":"","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to "Association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis". 对“轮班工人健康素养与行为之间的关系:一项带有中介分析的观察性横断面研究”的回应。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.1093/joccuh/uiag009
I Wayan Gede Suarjana, Hanifa M Denny
{"title":"Response to \"Association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis\".","authors":"I Wayan Gede Suarjana, Hanifa M Denny","doi":"10.1093/joccuh/uiag009","DOIUrl":"10.1093/joccuh/uiag009","url":null,"abstract":"","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"68 1","pages":"uiag009"},"PeriodicalIF":2.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698602","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}
引用次数: 0
Current status of support activities for balancing medical treatment and work by company size and its relationship with turnover rates. 按公司规模划分的平衡医疗和工作的支助活动现状及其与离职率的关系。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-29 DOI: 10.1093/joccuh/uiag005
Noriko Nishikido, Hitomi Abe, Etsuko Yoshikawa, Satoko Shimamoto, Kota Fukai, Makoto Tajima, Minako Sasaki, Michiyo Ito
{"title":"Current status of support activities for balancing medical treatment and work by company size and its relationship with turnover rates.","authors":"Noriko Nishikido, Hitomi Abe, Etsuko Yoshikawa, Satoko Shimamoto, Kota Fukai, Makoto Tajima, Minako Sasaki, Michiyo Ito","doi":"10.1093/joccuh/uiag005","DOIUrl":"https://doi.org/10.1093/joccuh/uiag005","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to clarify the current status of support activities for balancing medical treatment and work by company size and to examine their relationships with turnover rates.</p><p><strong>Methods: </strong>Managers and human relations personnel registered with an internet research firm were surveyed. A total of 1500 subjects were incorporated in this anonymous online survey, with 300 subjects in each of the five tiers of company size. The questionnaire included company size, turnover rate, and 24 items of support activities for balancing treatment and work rated on a four-point scale. A confirmatory factor analysis (CFA) was conducted on these 24 items. Adjusted means were calculated for each factor score by company size using analysis of covariance, with the post hoc tests to identify specific differences among company sizes. Multiple logistic regression analyses were conducted to examine relationships between initiatives and turnover rates.</p><p><strong>Results: </strong>A CFA supported a 7-factor model of support activities. Significant differences among company sizes were found for five factors. For example, fostering a workplace climate that facilitates balancing treatment and work showed higher score among companies with less than 50 employees. Associations between various initiatives for treatment-work balance and turnover rates varied by company size.</p><p><strong>Conclusions: </strong>This study revealed that multifaceted initiatives for balancing treatment and work, assessed using a 7-factor, 24-item index, differed by company size and were associated with turnover rates. These findings provide important implications for promoting support for balancing treatment and work across companies of all sizes.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and validation of brief measures of workplace loneliness. 工作场所孤独感简要测量方法的开发与验证。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-06 DOI: 10.1093/joccuh/uiaf068
Izumi Ayase, Akihito Shimazu, Masahito Tokita, Kentaro Sakamaki, Norito Kawakami
{"title":"Development and validation of brief measures of workplace loneliness.","authors":"Izumi Ayase, Akihito Shimazu, Masahito Tokita, Kentaro Sakamaki, Norito Kawakami","doi":"10.1093/joccuh/uiaf068","DOIUrl":"10.1093/joccuh/uiaf068","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop and validate 2 concise measures of workplace loneliness.</p><p><strong>Methods: </strong>A 3-item scale for loneliness at work (SLAW-3) and a single-item scale for loneliness at work (SLAW-1) were developed by modifying existing scales for general loneliness. A cross-sectional online survey was conducted of 1228 full-time employees in Japan to test the reliability and validity of these scales. Internal consistency of the SLAW-3 was assessed using Cronbach α coefficient, and the construct validity was examined through correlations with established measures of workplace loneliness, psychological distress, well-being, self-rated health, and workplace social support.</p><p><strong>Results: </strong>The SLAW-3 demonstrated strong internal consistency (Cronbach α = .91) and unidimensionality. It correlated positively with established measures of workplace loneliness and psychological distress measures and negatively with well-being and workplace social support measures. The SLAW-1 also demonstrated significant correlation with the SLAW-3 and with psychological indicators such as distress, well-being, self-rated health, and workplace social support.</p><p><strong>Conclusions: </strong>The SLAW-3 was found to be a reliable and valid measure of workplace loneliness. The SLAW-1 also demonstrated adequate construct validity, despite its single-item format. Both scales are short and may be effectively used to assess workplace loneliness in large-scale employee surveys or brief screenings.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13057720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634928","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}
引用次数: 0
Young adults with a history of depression and/or anxiety: the role of sociodemographic and health-related factors in not being sickness absent. 有抑郁和/或焦虑史的年轻人:社会人口统计学和健康相关因素在未来不发病中的作用
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-06 DOI: 10.1093/joccuh/uiaf077
Jurgita Narusyte, Iman Alaie, Annina Ropponen, Mo Wang, Pia Svedberg
{"title":"Young adults with a history of depression and/or anxiety: the role of sociodemographic and health-related factors in not being sickness absent.","authors":"Jurgita Narusyte, Iman Alaie, Annina Ropponen, Mo Wang, Pia Svedberg","doi":"10.1093/joccuh/uiaf077","DOIUrl":"10.1093/joccuh/uiaf077","url":null,"abstract":"<p><strong>Objectives: </strong>The continuity of mental health problems from childhood to adulthood is well acknowledged, as is the impact on work ability. However, knowledge is scarce about individuals who maintain work ability and have no sickness absence (SA), despite mental health problems. The aim was to identify sociodemographic and health-related factors among private and public employees with a history of depression and/or anxiety, and no SA.</p><p><strong>Methods: </strong>This prospective cohort study included 9039 Swedish twin individuals born between 1975 and 1986, with and without a history of depression and/or anxiety, and employed in the private or public sectors. Survey data from 2005 were used to classify self-rated depression, anxiety, and overall health. Data on SA, education, occupational class, outpatient health care use, and prescribed antidepressants were obtained from national registries. Participants were prospectively followed for SA from 2006 to 2020. Logistic regression analyses were applied to calculate odds ratios (ORs) with 95% CIs.</p><p><strong>Results: </strong>Approximately 37% of individuals with previous depression and/or anxiety were not on SA during follow-up, compared with 54% of those without such history. Lower use of antidepressants implied higher odds for no SA among both private (OR: 2.09; 95% CI, 1.64-2.66) and public (OR: 2.38; 95% CI, 1.78-3.19) employees with previous depression and/or anxiety. Having fewer visits to outpatient health care was significantly associated with no SA (ORs: 2.22-3.60). Being a white-collar worker implied higher odds for no SA only among those privately employed (OR: 1.39; 95% CI, 1.10-1.76).</p><p><strong>Conclusions: </strong>Primarily, health-related factors seemed to play a role in no SA among young employees with previous depression and/or anxiety.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833921","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}
引用次数: 0
COVID-19 vaccination status and motivators among Canadian health care workers: are they different from the general population? 加拿大卫生保健工作者的COVID-19疫苗接种状况和激励因素:他们与一般人群不同吗?
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-06 DOI: 10.1093/joccuh/uiag002
Camille Léger, Vincent Gosselin Boucher, Frédérique Deslauriers, Samir Gupta, Maximilien Vakambi Dialufuma, Michael Vallis, Simon L Bacon, Kim L Lavoie
{"title":"COVID-19 vaccination status and motivators among Canadian health care workers: are they different from the general population?","authors":"Camille Léger, Vincent Gosselin Boucher, Frédérique Deslauriers, Samir Gupta, Maximilien Vakambi Dialufuma, Michael Vallis, Simon L Bacon, Kim L Lavoie","doi":"10.1093/joccuh/uiag002","DOIUrl":"10.1093/joccuh/uiag002","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the prevalence and correlates of COVID-19 vaccine hesitancy among Canadian health care workers (HCWs) and identify motivators for COVID-19 vaccination, compared with the general population (GPop).</p><p><strong>Methods: </strong>As part of the iCARE study, 4 cross-sectional age-, sex-, and province-weighted population-based samples of 12 009 Canadians aged 18+ years were recruited between May 2021 and February 2022. Participants self-reported HCW and vaccine status.</p><p><strong>Results: </strong>A total of 738 participants identified as HCWs, with 8.5% being vaccine hesitant, versus 12.6% of the GPop (P = .005). In multivariate analyses, those with a chronic disease were less likely (HCW odds ratio [OR] = 0.34; GPop OR = 0.77) and parents with children <18 years of age in the household were more likely (HCW OR = 2.29; GPop OR = 1.39) to be vaccine hesitant. Needing only a single-dose vaccine (86%; 82.6%), and vaccine safety (46%; 42%) and effectiveness (38%; 37%) were most likely to motivate hesitant HCWs and GPop to get vaccinated.</p><p><strong>Conclusions: </strong>Our findings highlight less vaccine hesitancy in HCWs compared with the GPop, despite demographic and motivator correlates being similar. In terms of policy implications, shared interventions emphasizing vaccine safety, reduced illness severity, shorter disease duration, and the advantages of single-dose options may benefit all groups.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086095","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}
引用次数: 0
Climatic effects on urinary hippuric acid concentrations: a 3-year occupational health study in a manufacturing workforce. 气候对尿马尿酸浓度的影响:一项为期三年的制造业劳动力职业健康研究。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-06 DOI: 10.1093/joccuh/uiaf070
Yuchi Maeda, Masaaki Matsunaga, Yuito Hosaka, Satoshi Michii, Nanpei Hattori, Koji Ishikawa, Atsuhiko Ota
{"title":"Climatic effects on urinary hippuric acid concentrations: a 3-year occupational health study in a manufacturing workforce.","authors":"Yuchi Maeda, Masaaki Matsunaga, Yuito Hosaka, Satoshi Michii, Nanpei Hattori, Koji Ishikawa, Atsuhiko Ota","doi":"10.1093/joccuh/uiaf070","DOIUrl":"10.1093/joccuh/uiaf070","url":null,"abstract":"<p><strong>Objectives: </strong>Various factors influence urinary hippuric acid concentrations; however, the role of climatic factors on such concentrations has not been thoroughly investigated.</p><p><strong>Methods: </strong>This study examined the correlation between urinary hippuric acid concentrations and climatic factors. Data were obtained from health examinations of 2236 employees at a large manufacturing company who used organic solvents over a 3-year period. Each participant underwent a health examination for organic solvent use during both the summer (June to August) and winter (December to February). Urinary hippuric acid concentrations were log-transformed, and a linear mixed-effects model was applied to assess their association with average temperature, relative humidity, and atmospheric pressure recorded in Nagoya City, Japan.</p><p><strong>Results: </strong>In a multivariate linear mixed-effects model including all meteorological variables, average temperature showed a significant positive association with log-transformed urinary hippuric acid concentrations (estimate = 0.013; 95% CI: 0.007-0.020; P < .001). This corresponds to an estimated 1.3% increase in urinary hippuric acid concentrations per 1°C rise in temperature. In contrast, neither average atmospheric pressure nor relative humidity showed a statistically significant association (P = .981 and P = .817, respectively). Among the confounding variables, smoking was significantly positively associated with concentration (P = .001), whereas alcohol consumption showed a significant negative association (P = .031).</p><p><strong>Conclusions: </strong>Urinary hippuric acid concentrations exhibited seasonal variation among workers at a large manufacturing company, with elevated levels observed during the summer. These findings underscore the importance of considering climatic factors when interpreting urinary metabolic biomarkers.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12788858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660301","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}
引用次数: 0
Association between allergic rhinitis and work productivity in a nonclinical setting: a cross-sectional study. 非临床环境下过敏性鼻炎与工作效率之间的关系:一项横断面研究。
IF 2 4区 医学
Journal of Occupational Health Pub Date : 2026-01-06 DOI: 10.1093/joccuh/uiaf071
Yasuhiro Sekine, Kazuhiro Watanabe, Hyogo Horiguchi, Go Muto, Eriko Miyajima, Naoki Kikuchi, Akizumi Tsutsumi
{"title":"Association between allergic rhinitis and work productivity in a nonclinical setting: a cross-sectional study.","authors":"Yasuhiro Sekine, Kazuhiro Watanabe, Hyogo Horiguchi, Go Muto, Eriko Miyajima, Naoki Kikuchi, Akizumi Tsutsumi","doi":"10.1093/joccuh/uiaf071","DOIUrl":"10.1093/joccuh/uiaf071","url":null,"abstract":"<p><strong>Objectives: </strong>Allergic rhinitis (AR) is a prevalent condition in Japan that negatively affects workers by reducing their productivity. However, previous studies primarily focused on patients with severe AR symptoms. This exploratory study aimed to examine the association between AR, including mild cases, and reduced work productivity in the general working population. Methods A questionnaire survey was conducted between March and April 2024, recruiting adult workers living in the Kanto region through a health care center and affiliated companies. Absenteeism, presenteeism, and weekly economic costs were compared between individuals with and without AR. Multiple regression analysis was performed to examine the association between AR severity and productivity. A causal mediation analysis was also conducted to explore the indirect effects of depressive symptoms, positive and negative affect, and sleep quality on the association between AR and presenteeism.</p><p><strong>Results: </strong>Of the 555 participants, 347 (62.5%) reported having AR, whereas 208 (37.5%) reported not having AR or were unsure. No significant differences were observed in absenteeism or presenteeism between the AR and non-AR/unknown groups. In the AR group, AR severity was significantly associated with increased presenteeism (unstandardized partial regression coefficient B = 4.19; 95% CI, 3.48-4.90; P < .001). Causal mediation analysis revealed a significant total natural indirect effect (TNIE) only for depressive symptoms (TNIE = 5.246; 95% CI, 0.059-10.432; P = .047).</p><p><strong>Conclusions: </strong>In the nonclinical setting, the overall impact of AR on work productivity may be limited among Japanese workforces.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12788859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145714866","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}
引用次数: 0
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