Scandinavian journal of work, environment & health最新文献

{"title":"Productivity changes during the COVID-19 pandemic and its associated risk factors.","authors":"Guilherme Monteiro Sanchez Dalla Riva, Sander K R van Zon, Patricia Ots, Gerard van den Berg, Sandra Brouwer, Raun van Ooijen","doi":"10.5271/sjweh.4237","DOIUrl":"https://doi.org/10.5271/sjweh.4237","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate productivity loss during the COVID-19 pandemic and identify risk factors by examining indicators of work productivity loss in a population-based cohort in The Netherlands.</p><p><strong>Methods: </strong>Longitudinal data from the Lifelines COVID-19 cohort were used, enriched with registry data from Statistics Netherlands. Data of N=11 462 workers were collected from 2020-2022. Productivity loss was measured using four indicators: unemployment, sickness absence rate, loss of work hours, and loss of work quality. Generalized estimating equations were used to examine the association between socioeconomic, health-, and work-related characteristics and the four indicators.</p><p><strong>Results: </strong>Unemployment remained low (<0.5%) throughout the pandemic. In contrast, prevalence of sickness absence, reduction of work hours and work quality peaked at 8.7%, 15%, and 4.7%, respectively. Critical work was associated with higher odds of sickness absence and quality loss, but lower odds of unemployment and loss of hours. Younger age and recent COVID-19 were associated with higher odds of sickness absence, loss of work hours and quality. Chronic health conditions were associated with higher odds of sickness absence and quality loss. Having children was associated with lower odds of unemployment and loss of hours.</p><p><strong>Conclusion: </strong>Despite low unemployment rates, productivity loss was observed at other indicators: sickness absence, loss of hours and quality. In addition, productivity was lost unequally among groups. When preparing for future crises, attention should be paid to broader indicators of productivity loss among different groups. Findings may help for offering targeted interventions to minimize losses in productivity and protect higher risk groups of workers.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326838","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":"The effects of prenatal psychosocial work stress on adverse pregnancy outcomes: A comprehensive systematic review and meta-analysis.","authors":"Wubet Taklual Admas, Ai Ni Teoh, Kunchana Chonu","doi":"10.5271/sjweh.4236","DOIUrl":"https://doi.org/10.5271/sjweh.4236","url":null,"abstract":"<p><strong>Objective: </strong>Psychosocial work stress is a predictor of adverse pregnancy outcomes. However, there is limited comprehensive and conclusive evidence available on the associations between psychosocial work stress and adverse pregnancy outcomes. This systematic review and meta-analysis paper addressed this gap by synthesizing the available evidence.</p><p><strong>Methods: </strong>Studies were retrieved from six electronic databases that include pregnant mothers as study population, psychosocial work stress as variable exposure, and adverse pregnancy outcomes - including pregnancy loss, gestational hypertension and diabetes mellitus, preterm birth, low birth weight, and low fetal growth - as the outcomes of interest. The quality and certainty of evidence were assessed. Depending on the study characteristics, either a fixed or random effect model was employed. Heterogeneity was assessed using I² statistics, and further subgroup and sensitivity analysis was employed as appropriate.</p><p><strong>Results: </strong>A total of 26 studies (N=1 346 686) were included. Psychosocial work stress decreased birth weight by 77.09 grams, increased the occurrence of preeclampsia by 50%, and preterm birth by 18% with moderate certainty of evidence, and increased the chance of pregnancy loss by 20% with low certainty of evidence. With a low grading scale, low birth weight and small-for-gestational-age had no significant association with psychosocial work stress.</p><p><strong>Conclusions: </strong>Psychosocial work-stress increased the risks of pre-eclampsia, preterm birth, and pregnancy loss, and decreased fetus weight. Therefore, occupational therapists, employers, policy makers, and relevant stakeholders should work together to minimize the impact of psychosocial work-stress on the mother and baby.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235043","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":"The impact of telework allowance and utilization on physiological and perceived stress among Swedish white-collar workers.","authors":"Leticia Bergamin Januario, Marina Heiden, Svend Erik Mathiassen, Gunnar Bergström, David M Hallman","doi":"10.5271/sjweh.4234","DOIUrl":"10.5271/sjweh.4234","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to assess the impact of telework conditions on stress levels among 294 Swedish white-collar workers.</p><p><strong>Methods: </strong>Telework during the COVID-19 pandemic was evaluated in terms of the allowance to telework (ie, the degree to which the employee could decide whether to telework), and the utilization of that allowance, using self-reported questions with answers dichotomized into 'high' and 'low'. Perceived stress was measured using the Single Item Stress Question and physiological stress was measured using parameters of heart rate variability (HRV) continuously for three days [root mean square of successive differences (RMSSD) and standard deviation of the interbeat intervals of normal heart beats (SDNN)]. Multilevel linear mixed models examined the effects of telework allowance and utilization on perceived stress and HRV during work, leisure and sleep.</p><p><strong>Results: </strong>High allowance was associated with higher HRV (lower stress), while a high utilization of telework was associated with higher perceived stress and lower HRV (more stress). After adjusting for age, sex, body mass index, and objectively measured physical activity, these associations became smaller and/or non-significant, with exception of high allowance still being positively associated with higher RMSSD.</p><p><strong>Conclusions: </strong>Our findings indicate that allowing employees more autonomy in telework decisions (ie, a high allowance in this study) is associated with reduced physiological stress. These results can be used by organizations to improve telework conditions (how, where and how much), while being observant that white-collar workers do not utilize increased autonomy to work extensively and for long hours outside work. Further verification, preferably using prospective designs, is needed to confirm our results.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174716","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":"Capturing occupational risk of airborne disease: An international job-exposure matrix based on five exposure factors.","authors":"Karen M Oude Hengel, Susan Peters, Zara A Stokholm, Alex Burdorf, Anjoeka Pronk, Henrik A Kolstad, Martie van Tongeren, Ioannis Basinas, Vivi Schlünssen","doi":"10.5271/sjweh.4235","DOIUrl":"https://doi.org/10.5271/sjweh.4235","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to construct a job-exposure matrix (JEM) for the risk of being infected by infectious agents through airborne or droplet transmission in an occupational setting, which might lead to a respiratory disease.</p><p><strong>Methods: </strong>An established COVID-19-JEM formed the basis for the development of the general airborne infectious agents JEM. Nine researchers in occupational epidemiology from three European countries (Denmark, The Netherlands and the United Kingdom) discussed and agreed on which factors from the COVID-19-JEM were relevant and whether new factors or adjustments of risk levels were needed. Adjustments to the COVID-19 JEM were made in a structured iterative. based on an expert assessment, a JEM on solar ultraviolet radiation (UVR) exposure including information on hours per day working inside, and national data on hours per week on site. Finally, a risk score was assigned to all factors for each job title within the International Standard Classification of Occupations system 2008 (ISCO-08).</p><p><strong>Results: </strong>This airborne infectious agents JEM contains five factors: (i) hours spent per week on site, (ii) hours spent per day working inside, (iii) number and (iv) nature of contacts, and (v) being in close physical contact to others. Per occupation, a risk score ranging from 1 (low risk) to 3 (high risk) was provided for all five factors separately.</p><p><strong>Conclusion: </strong>This newly developed infectious agents JEM assesses the risk at population level using five factors. Following validation, this JEM could serve as a valuable tool in future studies investigating the role of work in the occurrence of a respiratory disease.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120672","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":"Workplace violence and fear of violence: an assessment of prevalence across industrial sectors and its mental health effects.","authors":"Vanessa Gash, Niels Blom","doi":"10.5271/sjweh.4230","DOIUrl":"https://doi.org/10.5271/sjweh.4230","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to (i) examine variance in the prevalence of workplace violence and fear of violence in the United Kingdom by industrial sector and (ii) determine the mental health effects thereof using longitudinal data.</p><p><strong>Methods: </strong>We used the United Kingdom Household Panel Study (UKHLS), a nationally representative survey with mental health indicators collected annually allowing us to determine common mental disorders (CMD) at baseline, one year prior and one year later. Using weighted logistic regression and lagged dependent variable regression, we examined prevalence of violence and fear of violence by sector and the effect of violence on CMD risk. We supplemented our analyses with the views of those with lived experience.</p><p><strong>Results: </strong>Workers employed in public administration and facilities had the highest risks of workplace violence, with predicted probabilities (PP) of 0.138 [95% confidence interval (CI) 0.116-0.160], and these were not statistically different from the second highest sector of health, residential care, and social work (PP 0.118, 95% CI 0.103-0.133). Workplace violence increased CMD risk [adjusted odds ratio (ORadj) 1.400, 95% CI 1.182-1.658] as did fear of violence at work (ORadj 2.103, 95% CI 1.779-2.487), adjusting for prior CMD. Moreover, the effect of violence and fear of violence on CMD remained when we investigated CMD one year later.</p><p><strong>Conclusions: </strong>A high prevalence of workplace violence and fear of workplace violence was found in multiple different industrial sectors - >1 in 10 workers were exposed to violence in the last 12 months in 30% of sectors and >1 in 20 workers were exposed in 70% of sectors. Both violence and fear of violence were associated with enhanced CMD risk at baseline and one year later.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051775","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":"Detailed mapping of mesothelioma cases in Denmark to identify areas with elevated risk: a nationwide population-based study.","authors":"Heidi Søgaard Christensen, Rikke Hedegaard Jensen, Lars Hernández Nielsen, Lise Dueholm Bertelsen, Christian Teglgaard, Jakob Hjort Bønløkke, Marianne Tang Severinsen, Martin Bøgsted","doi":"10.5271/sjweh.4229","DOIUrl":"https://doi.org/10.5271/sjweh.4229","url":null,"abstract":"<p><strong>Objectives: </strong>Previous studies mapping pleural mesothelioma in Denmark have found that the risk varies between Danish regions. However, evaluating disease risk for such relatively large geographical units ignores any heterogeneity within the unit and can thus diminish more local spikes in risk, missing smaller areas of excess risk. In this study, we examined the distribution of pleural mesothelioma in Denmark on an unprecedented detailed scale, mapping cases to each of the Danish parishes.</p><p><strong>Methods: </strong>We identified individuals diagnosed with pleural mesothelioma between 1990 and 2021 in the Danish Cancer Registry. Considering age- and sex-standardized incidence rate ratios (IRR), we used a conditional autoregressive random effects model to smooth IRR across parishes. Parishes with a smoothed parish-to-national IRR >1.25 or >2.0 with a posterior probability of >95% were flagged as parishes with an excess risk of pleural mesothelioma.</p><p><strong>Results: </strong>We identified 3105 incident cases of pleural mesothelioma in the study period. A total of 74 and 14 parishes were flagged with IRR significantly above 1.25 and 2.0, respectively. These parishes had posterior mean smoothed IRR of 1.82-4.13.</p><p><strong>Conclusions: </strong>We provided a detailed mapping of pleural mesothelioma cases in Denmark and found five distinct areas, each covering several parishes, with a significantly elevated risk. All these areas were in the proximity of previous asbestos-using industries.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978789","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":"Cost analysis comparing guideline-oriented biopsychosocial management to usual care for low-back pain: a cluster-randomized trial in occupational health primary care.","authors":"Maija Paukkunen, Jaro Karppinen, Birgitta Öberg, Leena Ala-Mursula, Eveliina Heikkala, Katja Ryynänen, Riikka Holopainen, Samuel Booth, Neill Booth, Allan Abbott","doi":"10.5271/sjweh.4212","DOIUrl":"10.5271/sjweh.4212","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effect of a brief training intervention for occupational health services (OHS) professionals on multiprofessional resource utilization and the costs of biopsychosocial management of patients with low-back pain (LBP) compared to usual care among all participants and those in work disability-based risk groups.</p><p><strong>Methods: </strong>OHS utilization and back-related sick leave data were collected from electronic patient records over one-year follow-up comparing 232 patients in the intervention arm and 80 control-arm patients, stratified for risk of work disability based on the Örebro Musculoskeletal Pain Screening Questionnaire. We estimated costs using linear mixed models by multiplying unit costs (in euros) by each type of OHS resource use (visits to physicians, physiotherapists, nurses, use of imaging) and the number of sick leaves. Estimated mean cost differences with confidence intervals (CI) were reported using bootstrapping to deal with skewed cost data.</p><p><strong>Results: </strong>The median number of visits to physicians and physiotherapists in the intervention versus control arms was 1 [interquartile range (IQR) 0-3] and 2 (IQR 1-4) versus 2 (IQR 1-3) and 1 (IQR 0-2), respectively. The intervention arm accrued lower physician costs (€-43, 95% CI €-82- -3, P=0.034) and higher physiotherapist costs (€55, 95% CI €26-84, P<0.001) compared to the control arm. There was no statistically significant difference in average total costs between the arms (€-1908, 95% CI €-6734-2919). In the low- and medium-risk groups of work disability, physiotherapist costs were higher in the intervention than control arm, but no statistically significant differences were observed between the arms in the total resource utilization or sickness absence costs.</p><p><strong>Conclusions: </strong>Brief biopsychosocial training may support shifting OHS resources towards multiprofessional physiotherapist-driven care, instead of solely physician-driven care, for management of patients with LBP in differing risk groups of work disability with no substantial differences in total costs.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"201-213"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational strategies of eldercare work and health - Is the daily number of residents cared for over 14 months associated with back pain?","authors":"Christian Tolstrup Wester, Stavros Kyriakidis, Anders Dreyer Frost, Charlotte Diana Nørregaard Rasmussen, Andreas Holtermann, David M Hallman","doi":"10.5271/sjweh.4207","DOIUrl":"10.5271/sjweh.4207","url":null,"abstract":"<p><strong>Objectives: </strong>The growing care demands of an aging population and a smaller workforce is a big societal problem. Therefore, knowledge on how to organize eldercare work without hampering workers` health is needed. We aimed to investigate if workers` daily number of residents cared for over 14 months is associated with low-back pain in eldercare workers.</p><p><strong>Methods: </strong>We included 513 eldercare workers from 122 wards. In each ward, we gathered quarterly data over 14 months on the number of residents, workers, and work schedules and calculated the daily numbers of residents each worker cared for. Workers reported intensity and days with low-back pain via monthly text messages over 14 months. Using generalized linear mixed models adjusted for confounders, we investigated the association between the number of residents workers cared for daily and low-back pain among those workers.</p><p><strong>Results: </strong>In 3-month periods over 14 months, caring for ≥1 resident per day was associated with a 4% [95% confidence interval (CI) 1.02-1.07] increased risk of more days with low-back pain, and a 2% (95% CI 1.00-1.03) increase in low-back pain intensity among workers.</p><p><strong>Conclusions: </strong>Eldercare workers are at a higher risk of experiencing low-back pain during periods when they care for a greater number of residents each day. Maintaining a consistent number of residents and workload for workers over a 14-month period could serve as an effective organizational strategy to prevent low-back pain.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"191-200"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"146-158"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047181/pdf/","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":"OA","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":"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":"226-236"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12071186/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}