Scandinavian journal of work, environment & health最新文献

{"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}

{"title":"Combined exposure to night work and noise in relation to hyperglycemia among long-term night workers: a nationwide population-based prospective cohort study.","authors":"Po-Ching Chu, Chen-Hsien Lee, Yu-Fang Lee, Joyce Lin, Jui Wang, Jing-Shiang Hwang","doi":"10.5271/sjweh.4215","DOIUrl":"https://doi.org/10.5271/sjweh.4215","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the association between combined exposures and hyperglycemia incidence, as well as the dose-response relationship between the duration of night work and hyperglycemia among long-term night workers.</p><p><strong>Methods: </strong>In this prospective cohort study, 12 716 night workers from the nationwide population were recruited. Hyperglycemia incidence was based on the one-year change in fasting blood glucose levels. Occupational noise exposure was defined as exposure to 8-hour time-weighted average sound levels of ≥85 decibels. Personal factors, including body mass index, and work-related factors, like monthly night work duration, were assessed. Multivariable logistic and linear regression models were used to explore the association.</p><p><strong>Results: </strong>In the multivariate logistic analyses, each additional day of night work was associated with an increased risk of hyperglycemia [adjusted odds ratio 1.05, 95% confidence interval (CI) 1.02-1.07]. In the normal fasting glucose group, each additional day of night work was associated with a linear increase of +0.07% (95% CI +0.03% - +0.12%) in the change in fasting glucose levels, and noise exposure was associated with a linear increase of +1.34% (95% CI +0.55% - +2.12%) increase in fasting glucose levels. Furthermore, the population exposed to noise and working ≥10 days of night work had a significantly higher increase of fasting glucose levels (β +5.71%, 95% CI +4.48% - +6.95%), with significant interaction effects (P for interaction <0.01).</p><p><strong>Conclusions: </strong>The possible dose-response relationship between duration of night work and changes in fasting glucose levels was found. The combined exposure to night work and noise posed a higher risk for hyperglycemia than exposure to night work alone.</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":"143586456","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 meta-analysis of unemployment risk factors for middle-aged workers.","authors":"Rahman Shiri, Joonas Poutanen, Mikko Härmä, Jenni Ervasti, Eija Haukka","doi":"10.5271/sjweh.4216","DOIUrl":"https://doi.org/10.5271/sjweh.4216","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to identify risk factors for unemployment among middle-aged workers.</p><p><strong>Methods: </strong>Searches were carried out in PubMed, Web of Science and Google Scholar until November 2024, focusing on observational longitudinal studies that involved workers aged 40-64 years. Three reviewers evaluated the quality of the studies. A random-effects meta-analysis was employed, and heterogeneity and publication bias were assessed.</p><p><strong>Results: </strong>Out of 10 432 reports, 19 longitudinal studies (N=374 585 participants) were included in the review. The meta-analysis identified multiple risk factors associated with unemployment, including suboptimal self-rated general health [hazard ratio (HR) 1.44, 95% confidence interval (CI) 1.21-1.70], mental health conditions [HR 1.48, 95% CI 1.30-1.68, particularly depressive symptoms (HR 1.42, 95% CI 1.14-1.76)], low job control (HR 1.30, 95% CI 1.17-1.43), and lack of physical activity (HR 1.56, 95% CI 1.13-2.15). Additionally, a higher risk of unemployment was observed among individuals with ≤12 years of education (HR 1.17, 95% CI 1.00-1.36), those who are unmarried, separated, or widowed (HR 1.43, 95% CI 1.14-1.79), and immigrants (HR 1.26, 95% CI 1.11-1.44). Age, gender, smoking, alcohol consumption, musculoskeletal disorders, cardiovascular and respiratory diseases, digestive diseases, diabetes, neoplasm, and limitations in daily activities did not increase unemployment risk.</p><p><strong>Conclusions: </strong>This meta-analysis highlights the impact of mental health conditions, low job control, and lack of leisure-time physical activity on unemployment risk among middle-aged workers. Interventions aimed at improving mental health and increasing job control and physical activity could reduce unemployment risk.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557885","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}