Scandinavian journal of work, environment & health最新文献

{"title":"Comparison of sedentary time, number of steps and sit-to-stand-transitions of desk-based workers in different office environments including working from home: analysis of quantitative accelerometer data from the cross-sectional part of the SITFLEX Study.","authors":"Martha Sauter, Eva Backé, Carina Pfab, Michaela Prigge, Claudia Brendler, Falk Liebers, Peter von Löwis, Andrea Pfeiffer, Falko Papenfuss, Janice Hegewald","doi":"10.5271/sjweh.4228","DOIUrl":"10.5271/sjweh.4228","url":null,"abstract":"<p><strong>Objectives: </strong>Sedentary behavior is associated with diseases (eg, cardiovascular, diabetes type 2). We aimed to describe the sitting and moving behavior of desk-based hybrid employees of a large company in Germany working in either a traditional open plan office (OPO) or an activity-based flex office (AFO) and when working from home. We also aimed to determine if the behaviors differ between both working environments (ie, working from home versus the office) and the office concepts (OPO versus AFO).</p><p><strong>Methods: </strong>We conducted a cross-sectional study to measure sedentary time, sit-to-stand-transitions (STS), standing, and physical activity (time spent physically active and steps) in different working environments with activPAL3. Time-use data were also examined using compositional data analysis. Mixed model regression was performed to estimate means and 95% confidence intervals (CI). The main models were adjusted for sex, age, profession and measurement phase (July-November 2021).</p><p><strong>Results: </strong>The sample comprised 102 employees (women: N=27, mean age 38.9 years). On average, OPO employees spent 351 minutes (95% CI 322-380) being sedentary, took 2763 steps (95% CI 2460-3066) and made 16.6 STS (95% CI 13.6-19.6). AFO workers averaged 333 sedentary minutes (95% CI 308-358), 2906 steps (95% CI 2645-3167) and 19.1 STS (95% CI 16.6-21.7). When working from home, workers spent 378 minutes (95% CI 359-396) being sedentary, took 1257 steps (95% CI 1063-1452) and made 20.9 STS (95% CI 19.0-22.8). Working from home was associated with increased sedentary time and fewer steps but more STS.</p><p><strong>Conclusion: </strong>Sedentary time of desk-based workers seems to be prolonged when working from home. As sedentary behavior increases the risk of disease, there is a need for measures to reduce employees` sedentary time in all working environments.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"333-343"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022229","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":"Improving health-promoting workplaces through interdisciplinary approaches. The example of WISEWORK-C, a cluster of five work and health projects within Horizon-Europe.","authors":"Deborah De Moortel, Michelle C Turner, Ella Arensman, Alex Binh Vinh Duc Nguyen, Víctor Gonzalez","doi":"10.5271/sjweh.4238","DOIUrl":"10.5271/sjweh.4238","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"259-264"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476600","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":"Response to Drs. Igor Burstyn and George Luta's letter: Advice on better utilization of validation data to adjust odds ratios for differential exposure misclassification (recall bias).","authors":"Henrik A Kolstad, Jesper Medom Vestergaard, Jens Peter Bonde, Sadie Costello, Annett Dalbøge, Åse Marie Hansen, Ann Dyreborg Larsen, Anne Helene Garde","doi":"10.5271/sjweh.4232","DOIUrl":"10.5271/sjweh.4232","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"347-348"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982287","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":"Advice on better utilization of validation data to adjust odds ratios for differential exposure misclassification (recall bias).","authors":"Igor Burstyn, George Luta","doi":"10.5271/sjweh.4226","DOIUrl":"10.5271/sjweh.4226","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"344-346"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014787","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":"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}

{"title":"Peer review: Together we can make it work.","authors":"Ute Bültmann, Cécile R L Boot","doi":"10.5271/sjweh.4233","DOIUrl":"https://doi.org/10.5271/sjweh.4233","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":"51 3","pages":"131-133"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019494","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":"Effectiveness of a team-level participatory approach aimed at improving sustainable employability among long-term care workers: a randomized controlled trial.","authors":"Ceciel H Heijkants, Madelon L M van Hooff, Astrid de Wind, Sabine A E Geurts, Cécile R L Boot","doi":"10.5271/sjweh.4201","DOIUrl":"10.5271/sjweh.4201","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate one-year effects of a team-level participatory workplace intervention on need for recovery and satisfaction of the needs for autonomy, competence and relatedness among long-term care workers by means of a randomized controlled trial.</p><p><strong>Methods: </strong>Teams of long-term care workers were randomly assigned to the intervention group (ten teams; N=78) or the wait-list control group (ten teams; N=58). The intervention consisted of a problem inventory, related to the needs for autonomy, competence and relatedness, a brainstorm towards solutions and an action plan divided over three meetings guided by a facilitator. The primary outcome was need for recovery and secondary outcomes were the satisfaction of the needs for autonomy, competence and relatedness. Outcomes were measured at baseline and after 6, 9 and 12 months. Linear mixed model analyses were performed in R.</p><p><strong>Results: </strong>There was no significant difference in need for recovery between groups over time. The intervention group did show a slight improvement of the satisfaction of the need for relatedness over time, while in contrast, the control group showed a decrease over time. The satisfaction of the need for autonomy and competence did not significantly differ between both groups over time.</p><p><strong>Conclusions: </strong>The approach had no significant effect on the primary outcome need for recovery. The intervention did have a significant positive impact on the satisfaction of the need for relatedness, possibly because, after a period of being unable to be close, it provided opportunity to gather and work together as a team.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"170-180"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865169","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}