Journal of Occupational Health最新文献

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Association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis. 轮班工人健康素养与行为的关系:一项具有中介分析的观察性横断面研究。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-03-09 eCollection Date: 2025-01-01 DOI: 10.1093/joccuh/uiae070
Yuko Morikawa, Keiko Teranishi, Masaru Sakurai, Masao Ishizaki, Teruhiko Kido, Hideaki Nakagawa
{"title":"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/uiae070","DOIUrl":"10.1093/joccuh/uiae070","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research has indicated that shift workers exhibit fewer healthy behaviors than those working regular daytime hours. Although health literacy influences health behaviors, studies comparing health literacy levels between shift and fixed-day workers and investigating whether differences in health behaviors between these 2 groups are mediated by health literacy are lacking.</p><p><strong>Methods: </strong>This cross-sectional study used a self-administered questionnaire in a large-scale manufacturing company. Overall, 2152 manual workers aged 18-64 years were enrolled in this study (961 and 1191 fixed-day and shift workers, respectively). Logistic regression structural equation models were used for analyzing the mediating role of health literacy in the relationship between shift work and health behaviors.</p><p><strong>Results: </strong>Shift and fixed-day workers did not show differences in age-adjusted health literacy. Compared with fixed-day workers, the odds ratios of shift workers for leisure time exercise, not currently smoking, having breakfast, brushing their teeth, and eating green and yellow vegetables were 0.85 (95% CI, 0.70-1.02), 0.68 (95% CI, 0.56-0.80), 0.63 (95% CI, 0.52-0.76), 0.79 (95% CI, 0.65-0.95), and 0.58 (95% CI, 0.48-0.70), respectively. Mediation analysis showed that the odds ratios of the direct effects of shift work on favorable habits were almost the same as the total effect.</p><p><strong>Conclusions: </strong>This study observed that health literacy did not mediate health behavior and shift work. Further research is needed to clarify the causes of these differences.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"67 1","pages":"uiae070"},"PeriodicalIF":2.6,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605244","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
Health risks of N,N -dimethylacetamide (DMAC) in humans. N,N -二甲基乙酰胺(DMAC)对人体的健康风险
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-02-07 DOI: 10.1093/JOCCUH/uiaf010
Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa
{"title":"Health risks of N,N -dimethylacetamide (DMAC) in humans.","authors":"Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa","doi":"10.1093/JOCCUH/uiaf010","DOIUrl":"10.1093/JOCCUH/uiaf010","url":null,"abstract":"<p><p>N,N-Dimethylacetamide (DMAC), which is widely used as an industrial solvent, can be absorbed via the respiratory tract and skin of humans exposed to DMAC. Hepatotoxicity is a main health risk of DMAC exposure in humans, and the relevant cases and epidemiological studies are reviewed herein. No hepatotoxicity was identified in workers exposed to approx. 3-ppm DMAC, and among workers exposed to > 9-ppm DMAC the DMAC exposure was not observed to contribute significantly to the liver damage. However, a case of liver damage was identified in which the calculated 8-hour weighted average was 12.8 mg/m3 (3.6 ppm). The skin absorption notation for DMAC is indicated based on human volunteer studies. The evidence regarding DMAC's potential carcinogenicity in humans is not sufficient, and our literature search identified no report of DMAC as a reproductive toxicant in humans. Further case reports and epidemiological studies are necessary to determine the acceptable DMAC exposure limit for workers and thus protect them from DMAC's toxicity.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605242","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
Health risks of N,N -dimethylacetamide (DMAC) in humans. N,N -二甲基乙酰胺(DMAC)对人体的健康风险
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-02-07 DOI: 10.1093/joccuh/uiaf010
Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa
{"title":"Health risks of N,N -dimethylacetamide (DMAC) in humans.","authors":"Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa","doi":"10.1093/joccuh/uiaf010","DOIUrl":"https://doi.org/10.1093/joccuh/uiaf010","url":null,"abstract":"<p><p>N,N-Dimethylacetamide (DMAC), which is widely used as an industrial solvent, can be absorbed via the respiratory tract and skin of humans exposed to DMAC. Hepatotoxicity is a main health risk of DMAC exposure in humans, and the relevant cases and epidemiological studies are reviewed herein. No hepatotoxicity was identified in workers exposed to approx. 3-ppm DMAC, and among workers exposed to > 9-ppm DMAC the DMAC exposure was not observed to contribute significantly to the liver damage. However, a case of liver damage was identified in which the calculated 8-hour weighted average was 12.8 mg/m3 (3.6 ppm). The skin absorption notation for DMAC is indicated based on human volunteer studies. The evidence regarding DMAC's potential carcinogenicity in humans is not sufficient, and our literature search identified no report of DMAC as a reproductive toxicant in humans. Further case reports and epidemiological studies are necessary to determine the acceptable DMAC exposure limit for workers and thus protect them from DMAC's toxicity.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605243","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
Health risks of N,N-dimethylacetamide (DMAC) in humans. N,N-二甲基乙酰胺(DMAC)对人体的健康风险。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1093/joccuh/uiaf010
Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa
{"title":"Health risks of <i>N,N</i>-dimethylacetamide (DMAC) in humans.","authors":"Tetsuo Nomiyama, Teruomi Tsukahara, Kohei Hasegawa","doi":"10.1093/joccuh/uiaf010","DOIUrl":"10.1093/joccuh/uiaf010","url":null,"abstract":"<p><p><i>N,N</i>-Dimethylacetamide (DMAC), which is widely used as an industrial solvent, can be absorbed via the respiratory tract and skin of humans exposed to it. Hepatotoxicity is a main health risk of DMAC exposure in humans, and the relevant cases and epidemiological studies are reviewed herein. No hepatotoxicity was identified in workers exposed to ~3 ppm DMAC, and among workers exposed to >9 ppm DMAC the DMAC exposure was not observed to contribute significantly to liver damage. However, a case of liver damage was identified in which the calculated 8-hour weighted average was 12.8 mg/m<sup>3</sup> (3.6 ppm). The skin absorption notation for DMAC is indicated based on human volunteer studies. The evidence regarding DMAC's potential carcinogenicity in humans is not sufficient, and our literature search identified no report of DMAC as a reproductive toxicant in humans. Further case reports and epidemiological studies are necessary to determine the acceptable DMAC exposure limit for workers and thus protect them from DMAC's toxicity.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"67 1","pages":"uiaf010"},"PeriodicalIF":2.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078575","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
Increased risk of proximal tubular dysfunction due to occupational cadmium exposure: a survival analysis study. 职业性镉暴露增加近端肾小管功能障碍的风险:一项生存分析研究。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiaf016
Kento Hoshino, Satoko Iwasawa, Noriyuki Yoshioka, Satoko Suzuki, Itsumi Hashimoto, Shoko Ukita, Genta Toshima, Kengo Nagashima, Toru Takebayashi, Masashi Tsunoda
{"title":"Increased risk of proximal tubular dysfunction due to occupational cadmium exposure: a survival analysis study.","authors":"Kento Hoshino, Satoko Iwasawa, Noriyuki Yoshioka, Satoko Suzuki, Itsumi Hashimoto, Shoko Ukita, Genta Toshima, Kengo Nagashima, Toru Takebayashi, Masashi Tsunoda","doi":"10.1093/joccuh/uiaf016","DOIUrl":"10.1093/joccuh/uiaf016","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the current study was to elucidate the relationship between blood cadmium (Cd-B) levels and proximal tubular dysfunction using urinary β2-microglobulin (B2M-U) as an indicator among workers in nickel-cadmium battery plants in Japan.</p><p><strong>Methods: </strong>Medical check-up data from 338 workers exposed to cadmium at 2 plants were collected from 1997 through 2020. Workers with at least 2 check-ups were included, excluding those with other renal dysfunctions. Proximal tubular dysfunction was defined as a B2M-U of 300 μg/g creatinine or higher in 2 or more consecutive check-ups. A multivariable Cox proportional-hazards regression model with time-dependent covariates was performed to analyze the relationship between Cd-B levels and the time to onset of proximal tubular dysfunction, adjusting for age, sex, and smoking history.</p><p><strong>Results: </strong>Of the 338 workers, 238 met the study eligibility criteria for the analyses. The geometric mean of Cd-B was 1.97 μg/L. The Cox proportional hazards analysis demonstrated that higher time-dependent Cd-B levels were significantly associated with an increased risk of proximal tubular dysfunction, with a hazard ratio of 1.17 (95% CI: 1.06-1.29).</p><p><strong>Conclusions: </strong>Higher Cd-B levels are associated with an increased risk of proximal tubular dysfunction in workers exposed to cadmium, indicating an increased risk of renal disease under the current industrial health management in Japan. Continuous monitoring and improved management of cadmium exposure are necessary to protect workers' health even in developed countries such as Japan.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557127","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
Occupational health topics series on the effects of chemicals: epidemiological and toxicological risk assessments of ortho-toluidine for bladder cancer. 关于化学品影响的职业健康专题系列:邻甲苯胺对膀胱癌的流行病学和毒理学风险评估。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiaf005
Makiko Nakano, Min Gi, Tatsushi Toyooka, Shugo Suzuki, Hideki Wanibuchi, Toru Takebayashi
{"title":"Occupational health topics series on the effects of chemicals: epidemiological and toxicological risk assessments of ortho-toluidine for bladder cancer.","authors":"Makiko Nakano, Min Gi, Tatsushi Toyooka, Shugo Suzuki, Hideki Wanibuchi, Toru Takebayashi","doi":"10.1093/joccuh/uiaf005","DOIUrl":"10.1093/joccuh/uiaf005","url":null,"abstract":"<p><strong>Objectives: </strong>Our aim was to report integrative evidence for the health risk assessment of ortho-toluidine (OT) in bladder cancer in a mini-review of the recent studies of humans, experimental animals, and OT skin permeability.</p><p><strong>Methods: </strong>Bladder cancer cases were identified in workers in Japan who were occupationally exposed in 2014-2017 to aromatic amines, primarily to the human carcinogen OT.</p><p><strong>Results: </strong>A key epidemiological study of 98 aromatic amine-exposed workers in Japan showed a clear OT exposure-response relationship with a standardized incidence ratio. A rat model experimental study also indicated that OT and acetoaceto-o-toluidine are potent bladder carcinogens. Multiple mechanisms of OT-related bladder cancer have been proposed: metabolic activation to reactive metabolites that bind DNA and proteins, mutagenicity, oxidative DNA damage, chromosomal damage, and cytotoxicity by OT. Recent comprehensive analyses of DNA adducts in rats identified a number of common oxidative DNA adducts, including 8-OHdG, in the rat urothelium and indicated that oxidative stress may play a crucial role in the development of urinary cancer caused by OT. The skin permeability of 6 aromatic amines (o-toluidine, aniline, p-toluidine, o-anisidine, 2,4-dimethylaniline, and o-chloroaniline) was examined with the use of a 3-dimensional (3D) reconstructed human skin model; ~70%-80% of the 6 aromatic amines had permeated through the 3D skin within 8 hours. Genotoxic potency testing in a human urothelial cell line using γ-H2AX, a marker of DNA damage, suggested that OT exhibited strong γ-H2AX generation.</p><p><strong>Conclusions: </strong>Prolonged dermal exposure to OT along with other genotoxic aromatic amines over many years may contribute to the development of bladder cancer.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389948","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
Effect of perceived workplace health support on absenteeism and presenteeism among Japanese workers: a prospective cohort study. 感知工作场所健康支持对日本员工旷工和出勤的影响:一项前瞻性队列研究。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiaf018
Kazushirou Kurogi, Kazunori Ikegami, Hajime Ando, Akira Ogami
{"title":"Effect of perceived workplace health support on absenteeism and presenteeism among Japanese workers: a prospective cohort study.","authors":"Kazushirou Kurogi, Kazunori Ikegami, Hajime Ando, Akira Ogami","doi":"10.1093/joccuh/uiaf018","DOIUrl":"10.1093/joccuh/uiaf018","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the impact of perceived workplace health support (PWHS) on absenteeism and presenteeism among Japanese workers to determine the significance of health and productivity management in improving labor productivity.</p><p><strong>Methods: </strong>This prospective cohort study, using data from the Work Systems & Health Internet Research (WSHIR) study, involved 1879 Japanese workers aged 20-69 years. The intensity of PWHS was assessed using self-administered questionnaires. The participants were followed up from October 2021 to October 2022 to evaluate the incidence of absenteeism and presenteeism based on the level of PWHS.</p><p><strong>Results: </strong>The study findings revealed that higher PWHS significantly correlated with lower presenteeism, indicating better work productivity. Conversely, the relationship between PWHS and absenteeism was less clear, with no consistent trend observed across different levels of PWHS intensity.</p><p><strong>Conclusions: </strong>Enhanced PWHS was associated with reduced presenteeism among Japanese workers, underscoring the importance of workplace health support for improving employee productivity. This finding emphasizes the need for companies to focus on health promotion activities and recognize the potential of PWHS as a performance indicator in corporate health management.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649354","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
Correction to: Associations of physical activity and sedentary time with psychological distress among Japan self-defense forces personnel dispatched overseas: a prospective cohort study. 更正:派驻海外的日本自卫队人员体力活动和久坐时间与心理困扰的关系:一项前瞻性队列研究。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiaf011
{"title":"Correction to: Associations of physical activity and sedentary time with psychological distress among Japan self-defense forces personnel dispatched overseas: a prospective cohort study.","authors":"","doi":"10.1093/joccuh/uiaf011","DOIUrl":"https://doi.org/10.1093/joccuh/uiaf011","url":null,"abstract":"","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"67 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972289","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
Chronic occupational paronychia secondary to digital pilonidal sinus from dog grooming. 继发于狗美容引起的数字皮炎窦的慢性职业性脓疱疮。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiae076
Mikko P Räisänen, Heidi Furu, Aleksi Reito, Randy R Bindra
{"title":"Chronic occupational paronychia secondary to digital pilonidal sinus from dog grooming.","authors":"Mikko P Räisänen, Heidi Furu, Aleksi Reito, Randy R Bindra","doi":"10.1093/joccuh/uiae076","DOIUrl":"10.1093/joccuh/uiae076","url":null,"abstract":"<p><p>Pilonidal sinus is a recognized occupational condition sometimes seen in barbers and pet groomers, and it involves most commonly interdigital spaces. We present a previously unreported case of chronic paronychia with 2 separate digital pilonidal sinuses resulting from multiple embedded hair fragments in the eponychium of a dog groomer, who had been repeatedly treated with antibiotics with no success and ended up having surgical treatment. The objective of this study is to remind readers of this rare but possible occupational disease, particularly among employees working with hair, and to emphasize the importance of preventive measures to prevent its occurrence. Intraoperatively, a crescent of eponychial skin parallel to the proximal nail fold was excised, which incorporated the sinuses. Additionally, the nail plate was removed, and multiple hair fragments were retrieved from the nail folds. At the follow-up, the infection had resolved, and nail growth had resumed. Additional animal hair was found in the nail folds, as the patient continued to work without protective gloves. This case highlights the importance of considering embedded hair as a potential cause for chronic paronychia in individuals with occupations involving hair cutting and grooming. Chronic hand infection poses a risk of infection contaminating clients or patients; for example, a veterinarian should not operate with an infected hand. The costs of sickness absences are considerable for all the stakeholders. The use of protective gloves, hand hygiene, skin care, and thorough removal of loose hair fragments should be emphasized for workers in professions dealing with animal or human hair.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829126","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 health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis. 轮班工人健康素养与行为的关系:一项具有中介分析的观察性横断面研究。
IF 2.6 4区 医学
Journal of Occupational Health Pub Date : 2025-01-07 DOI: 10.1093/joccuh/uiae070
Yuko Morikawa, Keiko Teranishi, Masaru Sakurai, Masao Ishizaki, Teruhiko Kido, Hideaki Nakagawa
{"title":"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/uiae070","DOIUrl":"10.1093/joccuh/uiae070","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research has indicated that shift workers exhibit fewer healthy behaviors than those working regular daytime hours. Although health literacy influences health behaviors, studies comparing health literacy levels between shift and fixed-day workers and investigating whether differences in health behaviors between these 2 groups are mediated by health literacy are lacking.</p><p><strong>Methods: </strong>This cross-sectional study used a self-administered questionnaire in a large-scale manufacturing company. Overall, 2152 manual workers aged 18-64 years were enrolled in this study (961 and 1191 fixed-day and shift workers, respectively). Logistic regression structural equation models were used for analyzing the mediating role of health literacy in the relationship between shift work and health behaviors.</p><p><strong>Results: </strong>Shift and fixed-day workers did not show differences in age-adjusted health literacy. Compared with fixed-day workers, the odds ratios of shift workers for leisure time exercise, not currently smoking, having breakfast, brushing their teeth, and eating green and yellow vegetables were 0.85 (95% CI, 0.70-1.02), 0.68 (95% CI, 0.56-0.80), 0.63 (95% CI, 0.52-0.76), 0.79 (95% CI, 0.65-0.95), and 0.58 (95% CI, 0.48-0.70), respectively. Mediation analysis showed that the odds ratios of the direct effects of shift work on favorable habits were almost the same as the total effect.</p><p><strong>Conclusions: </strong>This study observed that health literacy did not mediate health behavior and shift work. Further research is needed to clarify the causes of these differences.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"67 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605245","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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