{"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}
Indra Dannheim, Helena Ludwig-Walz, Halina Kirsch, Martin Bujard, Anette E Buyken, Katherine M Richardson, Anja Kroke
{"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}
Helena Breth Nielsen, Camilla Sandal Sejbaek, Lene Wohlfahrt Dreyer, Ida E H Madsen, Esben Meulengracht Flachs, Karin Sørig Hougaard
{"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}
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
{"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}
Annett Dalbøge, Henrik Albert Kolstad, Alexander Jahn, Charlotte Suppli Ulrik, David Lee Sherson, Harald William Meyer, Niels Ebbehøj, Torben Sigsgaard, Xaver Baur, Vivi Schlünssen
{"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}
Rahman Shiri, Joonas Poutanen, Mikko Härmä, Jenni Ervasti, Eija Haukka
{"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}
Garin Lee, Karen Messing, Woojoo Lee, Ji-Hwan Kim, Hayoung Lee, Seung-Sup Kim
{"title":"Gender differences in occupational hazard exposures within the same occupation: A nationally representative analysis in South Korea.","authors":"Garin Lee, Karen Messing, Woojoo Lee, Ji-Hwan Kim, Hayoung Lee, Seung-Sup Kim","doi":"10.5271/sjweh.4204","DOIUrl":"10.5271/sjweh.4204","url":null,"abstract":"<p><strong>Objective: </strong>Occupational health researchers have often treated gender as a confounder in epidemiologic studies, but gender may influence exposure profiles. This study investigated gender differences in occupational hazard exposures within the same occupation.</p><p><strong>Methods: </strong>We analyzed the 6<sup>th</sup> Korean Working Conditions Survey (2020), a nationally representative dataset from South Korea. After restricting the study population to 22 511 full-time wage workers, we assessed 18 self-reported occupational exposures (4 physical, 4 chemical, 1 biological, 6 musculoskeletal, 3 psychosocial). To create matched samples, each man was matched with woman in the same occupational and industrial codes using `nearest neighbor matching` based on the propensity scores, considering age, education, employment status, the number of subordinates, and company size. This resulted in a matched study population of 3918 male and 3918 female workers in 403 occupations. Conditional logistic regression was applied to examine gender differences within the same occupation, adjusting for other covariates.</p><p><strong>Results: </strong>We found persistent gender differences in occupational hazard exposures, even after matching of men and women within the same occupation and industry based on propensity scores. Men reported a higher prevalence of exposure to physical (eg, loud noise) and chemical factors (eg, chemical products), while women were more likely to be exposed to psychosocial factors (eg, handling angry clients). The findings on musculoskeletal factors were mixed, with men being more exposed to standing and women to repetitive hand movements.</p><p><strong>Conclusions: </strong>Gender should be considered when planning interventions to reduce occupational harmful exposures, even within the same occupation.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"111-118"},"PeriodicalIF":4.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415094","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}
Svetlana Solovieva, Alexis Descatha, Ingrid Sivesind Mehlum, Eira Viikari-Juntura, Karina Undem, Karin Berglund, Fabien Gilbert, Francesca Wuytack, Angelo d'Errico, Kathryn Badarin, Bradley Evanoff, Katarina Kjellberg
{"title":"Development of a gender-specific European job exposure matrix (EuroJEM) for physical workload and its validation against musculoskeletal pain.","authors":"Svetlana Solovieva, Alexis Descatha, Ingrid Sivesind Mehlum, Eira Viikari-Juntura, Karina Undem, Karin Berglund, Fabien Gilbert, Francesca Wuytack, Angelo d'Errico, Kathryn Badarin, Bradley Evanoff, Katarina Kjellberg","doi":"10.5271/sjweh.4203","DOIUrl":"10.5271/sjweh.4203","url":null,"abstract":"<p><strong>Objectives: </strong>The aim was to develop a gender-specific European job exposure matrix (EuroJEM) for occupational physical workload and study its predictive validity for musculoskeletal pain in four European cohorts.</p><p><strong>Methods: </strong>National, gender-specific JEM from Finland, France, Norway and Sweden, based on self-reported exposure information, were evaluated for similarities in exposures, exposure definitions, and occupational coding. The EuroJEM harmonized five exposures: heavy lifting, faster breathing due to heavy workload, kneeling/squatting, forward bent posture, and working with hands above shoulder level. Our expert panel addressed disagreements and missing information to reach consensus on exposure levels across occupations. To assess predictive validity of the EuroJEM, we examined associations between the harmonized exposure measures and self-reported musculoskeletal pain across the four cohorts.</p><p><strong>Results: </strong>The EuroJEM provides semi-quantitative exposure estimates for 374 ISCO-88 (COM) occupational codes. Five categories of exposure were defined by the proportion of workers exposed within each occupation. Comparable and statistically significant associations were found between EuroJEM exposures and low back, shoulder, and knee pain across all cohorts and genders, except for knee pain among women in the Finnish cohort. For instance, in both genders heavy lifting, faster breathing due to heavy workload, and forward bent posture were statistically significantly associated with low-back pain in all four cohorts, with OR ranging from 1.25-2.18 (men) and 1.23-2.04 (women).</p><p><strong>Conclusions: </strong>Despite differences in study populations and outcome definitions, good predictive validity was observed in each national cohort, suggesting that EuroJEM can be an effective tool for exposure assessment in large-scale European epidemiological studies.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"119-129"},"PeriodicalIF":4.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142838871","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":"Remote work - the new normal needs more research.","authors":"Annina Ropponen","doi":"10.5271/sjweh.4213","DOIUrl":"10.5271/sjweh.4213","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"53-57"},"PeriodicalIF":4.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047503","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}