Scandinavian journal of work, environment & health最新文献

{"title":"Effectiveness of short active breaks for reducing sedentary behavior and increasing physical activity among Japanese office workers: one-year quasi-experimental study.","authors":"Naruki Kitano, Takashi Jindo, Kaori Yoshiba, Daisuke Yamaguchi, Yuya Fujii, Kyohsuke Wakaba, Kazushi Maruo, Yuko Kai, Takashi Arao","doi":"10.5271/sjweh.4224","DOIUrl":"https://doi.org/10.5271/sjweh.4224","url":null,"abstract":"<p><strong>Objectives: </strong>We examined the effects of a one-year multicomponent workplace intervention that introduced short active breaks from prolonged sitting on occupational movement behaviors and health among Japanese office workers.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted in Tokyo, Japan (2019-2020). In the intervention group (N=172), activity breaks from sitting were introduced to the work schedule (approximately 10 minutes/working hour) together with support strategies to encourage participation (eg, social support, provision of information). Workers in the control group (N=323), who worked at the same company group as those in the intervention group, did not receive any intervention. We evaluated accelerometer-measured sedentary behavior and physical activity during working hours as primary outcomes, and mental health and subjective job performance as secondary outcomes. Propensity score weighting using overlap weights was performed to examine between-group differences in outcomes at one year.</p><p><strong>Results: </strong>At the one-year follow-up assessment, sedentary behaviors during working hours in the intervention group decreased by 24.4 minutes (95% confidence interval 31.6-17.3), with physical activity increasing by a comparable amount (P for group difference <0.05). However, at the one-year follow-up, psychological distress had worsened and work engagement had declined in the intervention group relative to baseline (P for group difference <0.05).</p><p><strong>Conclusions: </strong>Our findings suggest that this program is a feasible approach to reducing sedentary behavior and promoting physical activity during work hours among office workers. However, methodological limitations prevent the definitive attribution of the effects to the intervention. Further rigorous research is needed to assess its effectiveness and external validity before broad implementation.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Night-shift work and susceptibility to infectious diseases: a systematic review and meta-analysis.","authors":"Bette Loef, Esmee Bosma, Linda W M van Kerkhof, Karin I Proper, Debbie van Baarle, Martijn E T Dollé","doi":"10.5271/sjweh.4225","DOIUrl":"https://doi.org/10.5271/sjweh.4225","url":null,"abstract":"<p><strong>Objectives: </strong>A growing body of research on infection susceptibility among night-shift workers has emerged, particularly since the COVID-19 pandemic. However, a comprehensive overview is still lacking. Therefore, this review aimed to synthesize the evidence on the association between night-shift work and susceptibility to infectious diseases.</p><p><strong>Methods: </strong>Embase and PsycINFO were systematically searched for studies published up to September 2024. Studies were included if they comprised a working population, night-shift workers were compared to non-shift workers, and the outcome was an infectious disease. Results were descriptively synthesized for common respiratory infections (flu and common cold), SARS-CoV-2 infection, and other infections. Pooled effect estimates were calculated using random-effects meta-analysis.</p><p><strong>Results: </strong>In total, 16 articles describing 14 studies among 191 320 workers were included. Based on 4 studies, night-shift work was not associated with a significantly increased risk of common respiratory infections [odds ratio (OR) 1.11, 95% confidence interval (CI) 0.97-1.27, I²=65.8%[. However, night-shift workers had a higher risk of SARS-CoV-2 infection than non-shift workers (OR 1.31, 95% CI 1.09-1.58, I²=92.2%, N=10 studies). This association was stronger in higher-quality studies and studies conducted in the first year of the COVID-19 pandemic. For other infections, insufficient studies were available to conduct a meta-analysis. The certainty of evidence was graded very low due to a limited number of (prospective cohort) studies and high inconsistency in the available studies.</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis showed that night-shift work was associated with an increased risk of SARS-CoV-2 infection, but not of common respiratory infections. To address the lack of high-certainty evidence, more studies are needed that apply a prospective design with appropriate adjustment for confounding factors and more extensive information on night-shift work exposure.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does economic skills obsolescence increase older workers' absenteeism?","authors":"Angela Messioui, Andries de Grip, Jos Sanders, Marion Smit","doi":"10.5271/sjweh.4222","DOIUrl":"https://doi.org/10.5271/sjweh.4222","url":null,"abstract":"<p><strong>Objectives: </strong>This paper is the first multidisciplinary study into the impact of new skill requirements in the job on absenteeism. The aim of this study was to investigate whether economic skills obsolescence (ESO) increased both absence frequency and average duration mediated by burnout and/or work engagement.</p><p><strong>Methods: </strong>A longitudinal study was conducted on data from the Dutch Study on Transitions in Employment, Ability and Motivation (N=4493). Structural equation modelling was used to test the specific direct and indirect effects of ESO on absence frequency and average duration, followed by bootstrapping to compute the confidence intervals.</p><p><strong>Results: </strong>ESO at baseline had a positive relationship with burnout at follow-up. In turn, burnout was positively related to both absence frequency and average absence duration at follow-up. The bootstrap indirect effect test showed that ESO had a significant positive indirect effect, via burnout and (lower) work engagement, on absence frequency and average duration. Furthermore, ESO at baseline was negatively related to work engagement at follow-up. Work engagement, in turn, was negatively related to absence frequency and average duration at follow-up. The bootstrap test showed that ESO had a significant indirect effect, via work engagement, on absence frequency.</p><p><strong>Conclusion: </strong>ESO is associated with subsequent absence frequency and average duration of workers, both mediated by burnout and decreased work engagement.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shift workers' experiences and views of sleep disturbance, fatigue and healthy behaviors: a systematic review and qualitative evidence synthesis.","authors":"Jack S Benton, Charlotte L Lee, Hannah A Long, Thavapriya Sugavanam, Leah Holmes, Annie Keane, Neal Thurley, Simon Kyle, David Ray, David P French","doi":"10.5271/sjweh.4223","DOIUrl":"https://doi.org/10.5271/sjweh.4223","url":null,"abstract":"<p><strong>Objective: </strong>Shift work is common across most societies but poses significant risks to the health of shift workers. In part, this risk is due to the disruption of healthy sleep-wake schedules. This systematic review identified qualitative research on shift workers' experiences of sleep disturbance, fatigue and healthy behaviors.</p><p><strong>Methods: </strong>We conducted a systematic search of four databases (CINAHL, EMBASE, MEDLINE, PsycINFO) and identified 28 eligible studies involving 1519 participants. We appraised the studies using an adapted Critical Appraisal Skills Programme (CASP) checklist, and confidence in the review findings was formally assessed using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) approach. Data were thematically synthesized.</p><p><strong>Results: </strong>Three analytical themes were generated. 'Inevitability of fatigue and tiredness' outlines how shift workers experience a culture where they feel \"peer pressure to soldier through\" their shifts regardless of fatigue. 'Balancing sleep needs with competing responsibilities' highlights how shift workers struggle to balance the need for daytime sleep with family, leisure, and work responsibilities, often prioritizing family needs over their own sleep. 'Obstacles to engaging in healthy behaviors' describes how shift workers often know which actions would benefit their health and reduce fatigue but find it challenging to translate this knowledge into behavior due to fatiguing and stressful work environments. For the purposes of the GRADE-CERQual assessment, short summary statements were developed to describe 22 review findings: there was moderate or high confidence in all but one of these findings.</p><p><strong>Conclusion: </strong>This review suggests that sleep education alone is unlikely to be effective. Interventions should focus on helping shift workers self-regulate their behaviors, thoughts, and emotions to better manage sleep and fatigue.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of minority stress and employment discrimination with job quality among sexual- and gender-minority workers.","authors":"David J Kinitz, Nguyen K Tran, Faraz Vahid Shahidi, Joelle T Maslak, Annesa Flentje, Micah E Lubensky, Juno Obedin-Maliver, Mitchell R Lunn","doi":"10.5271/sjweh.4221","DOIUrl":"https://doi.org/10.5271/sjweh.4221","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe how minority stress and employment discrimination are associated with job quality (ie, employment type and income) among sexual- and gender-minority (SGM) workers.</p><p><strong>Methods: </strong>We conducted a pooled cross-sectional analysis of the 2021 and 2022 surveys from a national study of SGM adults in the United States. Using multinomial logistic regression models and stratification by six gender groups, we examined associations of minority stress and past-year employment discrimination with job quality.</p><p><strong>Results: </strong>Among 4221 workers, 22.0% experienced precarious employment and 6.8% were unemployed. Approximately half earned ≤US$50 000. The mean minority stress score was 14.41, indicating moderate-to-severe minority stress. A one-standard-deviation increase in minority stress was associated with higher odds of precarious employment [adjusted odds ratio (OR_adj) 1.17, 95% confidence interval (CI) 1.08-1.26], unemployment [OR_adj 1.36 (95% CI 1.19-1.56)], earning ≤$20 000 USD [OR_adj 1.57 (95% CI 1.36-1.80)], and earning US$20 001-50 000 [OR_adj 1.48 (95% CI 1.32-1.66)]. Employment discrimination was reported by 14.4% of all workers and was associated with precarious employment [OR_adj 1.25 (95% CI 1.01-1.54)], unemployment [OR_adj 2.11 (95% CI 1.54-2.89)], and earning US$20 001-50 000 compared to ≥US$100 001 [OR_adj 1.45 (95% CI 1.07-1.96)]. Transgender and gender-diverse (TGD) workers faced poorer job quality, greater minority stress, and employment discrimination than cisgender sexual minority workers.</p><p><strong>Conclusions: </strong>Higher minority stress levels and employment discrimination were associated with worse job quality among SGM workers. Future labor market reforms should reduce minority stress and employment discrimination, as well as improve job quality, for SGM workers.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the association between working from home and higher frequency of drinking and heavy episodic drinking causal? A longitudinal analysis in the Norwegian workforce.","authors":"Torleif Halkjelsvik, Inger Synnøve Moan","doi":"10.5271/sjweh.4217","DOIUrl":"https://doi.org/10.5271/sjweh.4217","url":null,"abstract":"<p><strong>Objectives: </strong>There have been concerns that the shift to more home-based work might result in increased alcohol consumption due to reduced supervision and increased accessibility of alcohol. Empirical studies indicate associations between working from home and alcohol consumption. We go beyond cross-sectional associations by using longitudinal data and directly inquiring about alcohol consumption while working from home.</p><p><strong>Methods: </strong>Based on demographics of the Norwegian workforce, participants were recruited from an online research panel (sample sizes N=1257-4294) before (2018-2019), during (2020-2021) and after (2022-2023) pandemic restrictions that encouraged or mandated remote work. Fixed effects regression analyses controlled for stable individual-level characteristics.</p><p><strong>Results: </strong>On average, employees working from home reported 28% more drinking episodes and 26% more heavy episodic drinking (HED) compared to other employees. However, changes in the frequency of remote workdays were not notably related to the frequency of drinking [B=0.02, 95% confidence interval (CI) -0.12-0.16] or HED (B=0.05, 95% CI -0.08-0.19). Furthermore, relative to other employees, employees working from home during the pandemic restrictions in 2020 and 2021 did not increase their drinking or HED frequency from pre-pandemic levels (B= -0.28, 95% CI -0.74-0.18 and B=0.02, 95% CI -0.21-0.24, respectively). Few workers reported weekly alcohol consumption during office hours while working from home (1%).</p><p><strong>Conclusions: </strong>The cross-sectional relation between working from home and alcohol consumption found in past studies was replicated, but, using longitudinal data, we demonstrated that employee characteristics confound the relation. Our findings indicate that alcohol consumption during home-based work is unlikely to constitute a significant public health threat.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of leader-targeted stress management interventions: A systematic review and meta-analysis.","authors":"Indra Dannheim, Helena Ludwig-Walz, Halina Kirsch, Martin Bujard, Anette E Buyken, Katherine M Richardson, Anja Kroke","doi":"10.5271/sjweh.4219","DOIUrl":"https://doi.org/10.5271/sjweh.4219","url":null,"abstract":"<p><strong>Objective: </strong>Based on the well-documented role of supervisors` in fostering healthy workplaces and managing the impact of work-related stress, the aim of this study was to determine the effectiveness of leader-targeted stress management interventions (SMI) on their psychological stress, mindfulness, mental health, and work- and leadership-related outcomes.</p><p><strong>Methods: </strong>Eligible studies, including randomized controlled trials or controlled before-after studies, examining the effects of leader-targeted SMI on supervisors` psychological stress, mindfulness, mental health, and work- and leadership-related outcomes, were identified in four electronic databases and supplemented by manual search strategies. Screening for eligibility, data extraction, risk of bias assessment, and certainty of evidence grading, following PRISMA guidelines and Cochrane Handbook recommendations, were done in duplicate. Data were pooled in random effects models to synthesize g-scores. Sensitivity and moderator analyses were used to assess the robustness of the results and explore potential sources of heterogeneity.</p><p><strong>Results: </strong>The 25 studies (N=2466 participants) meeting the full inclusion criteria varied widely in population characteristics, intervention types, duration, delivery methods, and examined outcomes. The overall intervention effect was g=0.13 [95% confidence interval (CI) -0.24- -0.01] after excluding outliers. Significant intervention effects were found for mental health [g=-0.38 (95% CI -0.69- -0.08)] and, after excluding influential cases, work- [g=-0.32 (95% CI -0.63- -0.00)] and leadership-related outcomes [g=-0.23 (95% CI -0.44- -0.02)].</p><p><strong>Conclusion: </strong>Our meta-analysis suggests that leader-targeted SMI can be an effective approach for promoting occupational health.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational history of psychosocial work environment exposures and risk of autoimmune rheumatic diseases - a Danish register-based cohort study.","authors":"Helena Breth Nielsen, Camilla Sandal Sejbaek, Lene Wohlfahrt Dreyer, Ida E H Madsen, Esben Meulengracht Flachs, Karin Sørig Hougaard","doi":"10.5271/sjweh.4220","DOIUrl":"https://doi.org/10.5271/sjweh.4220","url":null,"abstract":"<p><strong>Objectives: </strong>This population-based cohort study examined the association between psychosocial work environment exposures and autoimmune rheumatic diseases, including rheumatoid arthritis (RA), systemic sclerosis (SS), and systemic lupus erythematosus (SLE).</p><p><strong>Methods: </strong>The total Danish working population, 19-58 years of age (N=2 319 337) was followed from 1997-2018 (37 529 977 person years). Quantitative demands, decision authority, emotional demands, job insecurity, physical violence, role conflicts and possibilities for development at work, as well as a combined psychosocial index were assessed by job-exposure matrices (JEM) and linked with diagnoses of autoimmune rheumatic diseases, ie, RA, SS, and SLE identified in The Danish National Patient Registry. For each psychosocial work environment exposure, recent exposure, accumulated exposure, and number of years with high exposure level were calculated for every employee. Associations with autoimmune rheumatic diseases were assessed by Poisson regression analyses.</p><p><strong>Results: </strong>The results show that employees in occupations with higher decision authority and, to some degree, possibilities for development at work, have lower risks of autoimmune rheumatic diseases, while employment in occupations with high risk of physical violence involves a higher risk of rheumatoid arthritis. No association was observed for job insecurity or role conflicts at work. The results on quantitative demands, emotional demands and the psychosocial index were less conclusive.</p><p><strong>Conclusion: </strong>These findings generally do not support that psychosocial work environment exposures are major risk factors for autoimmune rheumatic diseases, but low decision authority, possibilities for development at work, physical violence and possibly the sum of recent adverse psychosocial exposure may be of importance.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the 'fit for work' principle: The association between occupational physical activity, cardio-respiratory fitness, and mortality - a meta-analysis of male worker data.","authors":"Margo Ketels, Bart Cillekens, Els Clays, Maaike A Huysmans, Dirk De Bacquer, Andreas Holtermann, Richard P Troiano, Paul Jarle Mork, Steinar Krokstad, Henry Völzke, Marcus Dörr, Martin Bahls, Till Ittermann, Johan Clausen, Magnus T Jensen, Jussi Kauhanen, Ari Voutilainen, Miriam Wanner, Matthias Bopp, Willem van Mechelen, Allard J van der Beek, Pieter Coenen","doi":"10.5271/sjweh.4218","DOIUrl":"https://doi.org/10.5271/sjweh.4218","url":null,"abstract":"<p><strong>Objectives: </strong>This individual participant data meta-analysis investigates the association between occupational physical activity (OPA) and both cardiovascular mortality and all-cause mortality across different cardio-respiratory fitness (CRF) groups among male workers.</p><p><strong>Methods: </strong>Data were pooled from five European cohort studies. OPA was categorized into three levels and CRF into low, moderate, and high tertiles. OPA was assessed using self-reports and CRF through objective measurements. Two-stage meta-analyses were conducted. First, we analyzed each cohort using Cox-regression models then we pooled results with random effects model to evaluate the associations between OPA and both cardiovascular and all-cause mortality, stratified by CRF. Models were adjusted for age, body mass index, smoking status, leisure-time physical activity, and educational level.</p><p><strong>Results: </strong>Among 9922 men (mean age 46.8, standard deviation 6.7, years), 55.7% died during an average 25.6-year follow-up, of which 29.3% died from cardiovascular causes. Individuals with low CRF and high levels of OPA showed increased risks of cardiovascular [hazard ratio (HR) 1.27, 95% confidence interval (CI) 1.04-1.55] and all-cause mortality (HR 1.22, 95% CI 1.07-1.40) compared to those with low CRF and low levels of OPA. High CRF mitigated cardiovascular mortality risk (HR 1.08, 95% CI 0.79-1.48) but not all-cause mortality (HR 1.27, 95% CI 0.98-1.83) for those with high OPA.</p><p><strong>Conclusions: </strong>Our findings for cardiovascular mortality suggest that high CRF levels may protect workers with physically demanding jobs from adverse cardiovascular outcomes, supporting the 'fit for work' principle. However, this protective effect was not observed for all-cause mortality.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of the relation between ten potential occupational sensitizing exposures and asthma.","authors":"Annett Dalbøge, Henrik Albert Kolstad, Alexander Jahn, Charlotte Suppli Ulrik, David Lee Sherson, Harald William Meyer, Niels Ebbehøj, Torben Sigsgaard, Xaver Baur, Vivi Schlünssen","doi":"10.5271/sjweh.4214","DOIUrl":"https://doi.org/10.5271/sjweh.4214","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review was to identify, evaluate, and synthesize the relation between ten potential occupational sensitizing exposure groups and asthma.</p><p><strong>Methods: </strong>A systematic literature search was conducted in three databases for peer-reviewed articles published between July 2011 and March 2023. Exposures included ten potential occupational sensitizing exposure groups (amines, anhydrides, biocides [eg, pesticides], crustaceans, enzymes, mammals, metals, \"mold, fungi and yeast\", molluscs, and other chemicals [eg, cleaning agents]) classified as having no or limited evidence of a causal relation with asthma in our previous overview of systematic reviews. We included observational and case studies. Study selection, data extraction, risk of bias assessment, and evidence level evaluation were conducted independently by two reviewers, who also upgraded or downgraded the level of evidence found in our overview.</p><p><strong>Results: </strong>This review included 55 articles. The overall confidence in study results was rated high in 8, moderate in 18, and low in 29 studies. No new studies were found for molluscs. For the remaining exposures, we upgraded main groups of crustaceans and enzymes to moderate evidence, mammals and metals to limited/contradictory, and amines and biocides to very limited/contradictory. For subgroups/specific exposures, pesticides, cleaning agents - such as chloramine and disinfection products - and an unspecified group of other chemicals, specifically acrylates and epoxy, were upgraded to moderate.</p><p><strong>Conclusion: </strong>New occupational sensitizing exposures with moderate evidence include crustaceans, enzymes, pesticides, cleaning agents such as chloramine and disinfection products, and chemicals such as acrylates and epoxy.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}