Revista Brasileira de Medicina do Trabalho最新文献

{"title":"Health-related quality of life, fear of COVID-19, and work activity among informal workers in Bogotá, Colombia.","authors":"Jaime Moreno-Chaparro, Olga Beatriz Guzmán-Suárez, Mónica Bermúdez-Lugo","doi":"10.47626/1679-4435-2024-1309","DOIUrl":"10.47626/1679-4435-2024-1309","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic had an impact on health and self-perception, forced us to find new forms of social interaction due to the fear of contagion, and changed our way of working and our quality of life.</p><p><strong>Objectives: </strong>To determine the relationship between health-related quality of life, fear of COVID-19, and work activities in a group of informal workers (street vendors) during the pandemic in Bogotá, Colombia.</p><p><strong>Methods: </strong>Mixed-methods study was conducted in which the European Quality of Life 5-Dimension 5-Level Scale, European Quality of Life Visual Analogue Scale, and Fear of COVID-19 Scale questionnaires, as well as a semi-structured interview, were administered in December 2021 to a group of street vendors in Bogotá. A descriptive sociodemographic analysis, a differential analysis by subgroups, and a qualitative phenomenological analysis of the underlying conditions in the quality of life-health-work activity relationship were performed.</p><p><strong>Results: </strong>Overall, 191 street vendors included. The values of the European Quality of Life 5-Dimension 5-Level Scale and European Quality of Life Visual Analogue Scale scores were higher in men (p = 0.05), and scores decreased with increasing age. The mean score on the Fear of COVID-19 Scale was 17.2, ranging from 7-34 points, suggesting a mild to moderate level of fear. Qualitative analyses revealed perceptions related to daily life, basic needs, survival, and resilience.</p><p><strong>Conclusions: </strong>The results demonstrate differences between sex, age, and length of time working on the street. At the time of the survey, fear of the virus was lower due to the exacerbation of informal workers' needs and priorities. In this new context, they are exposed to greater vulnerability and are forced to give preference to work over health.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 1","pages":"e20241309"},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between psychosocial risk factors at work and musculoskeletal symptoms in university professors.","authors":"Carlos Manoel Lopes Rodrigues","doi":"10.47626/1679-4435-2025-1413","DOIUrl":"10.47626/1679-4435-2025-1413","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal disorders are prevalent among university professors. With the expansion of private higher education and the increasing demands on academic staff, psychosocial risk factors may exacerbate these conditions beyond ergonomic challenges.</p><p><strong>Objectives: </strong>To investigate the relationship between psychosocial risk factors and musculoskeletal symptoms among university professors in the private sector.</p><p><strong>Methods: </strong>This quantitative, cross-sectional, and correlational study involved 122 university professors. Data were collected using the Nordic Musculoskeletal Questionnaire and the Scale for Evaluating Psychosocial Stressors in the Workplace. Analyses included descriptive statistics, point-biserial correlations, and Structural Equation Modeling (SEM) to assess latent relationships between psychosocial factors and musculoskeletal outcomes.</p><p><strong>Results: </strong>The structural model demonstrated an adequate fit to the data (χ² _[38] = 58.590; p = 0.05124; comparative fit index = 0.98; Tucker-Lewis index = 0.97; standardized root mean square residual = 0.08; root mean square error of approximation = 0.06 [95%CI 0.02-0.06]), confirming a significant association between psychosocial factors and musculoskeletal symptoms. Psychosocial risk factors contributed to the occurrence of musculoskeletal symptoms in the past 12 months (β = 0.40; p < 0.001), work impairments (β = 0.34; p = 0.001), recent symptoms (β = 0.32; p < 0.001), and health care-seeking behavior (β = 0.52; p < 0.001). The most influential factors were job insecurity, work-family conflict, and role overload.</p><p><strong>Conclusions: </strong>Psychosocial factors in academic work significantly impact the manifestation of musculoskeletal symptoms and their functional consequences. Managing these factors is essential for preventing and mitigating their effects on faculty health.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 1","pages":"e20251413"},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial factors at work and common mental disorders in health care professionals and workers.","authors":"Mariana Aguiar do Vale, Evelyn Yamashita Biasi, Sergio Roberto de Lucca","doi":"10.47626/1679-4435-2025-1421","DOIUrl":"10.47626/1679-4435-2025-1421","url":null,"abstract":"<p><strong>Introduction: </strong>Psychosocial factors at work arise from the interactions between the organizational environment and the individual characteristics of workers, potentially affecting health, performance, and job satisfaction.</p><p><strong>Objectives: </strong>To investigate psychosocial work factors and the prevalence of psychological distress among health care professionals and workers in a general hospital.</p><p><strong>Methods: </strong>A convenience sample of 157 participants was analyzed. Quantitative data were collected using a sociodemographic questionnaire, the Health Safety Executive - Indicator Tool for assessing psychosocial work factors, and the Self-Reporting Questionnaire to screen for psychological distress. Qualitative data were gathered from three focus groups divided by job roles - nurses, nursing technicians, and administrative staff - totaling 20 volunteers.</p><p><strong>Results: </strong>The prevalence of common mental disorders among health care professionals and workers was 36%. An association was found between domains of the Health Safety Executive - Indicator Tool and psychological distress in health care professionals, particularly in the variables Colleague Support, Supervisor Support, and Communication. Among health care workers, this association was also observed in Demand, Relationships, Control, Supervisor Support, and Communication.</p><p><strong>Conclusions: </strong>Qualitative data highlighted the relevance of psychosocial factors in psychological distress. Sharing these findings with the health care organization is expected to lead to prompt concrete organizational and management actions to implement strategies to minimize psychosocial stressors affecting the health and well-being of workers.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 1","pages":"e20251421"},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial factors at work and their impact on health: contributions to current debates.","authors":"Frida Marina Fischer, Maria Carmen Martinez","doi":"10.47626/1679-4435-2025-231","DOIUrl":"10.47626/1679-4435-2025-231","url":null,"abstract":"","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 1","pages":"e2025231"},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increase in burnout among physicians and associated factors in the period before and during the COVID-19 pandemic.","authors":"Renilda Martins Prestes, Luciano Ferreira Drager, Silvia Gonçalves Conway, Almir Ribeiro Tavares Junior, Márcia Assis, Andrea Frota Bacelar Rego, Claudia Roberta de Castro Moreno","doi":"10.47626/1679-4435-2025-1442","DOIUrl":"10.47626/1679-4435-2025-1442","url":null,"abstract":"<p><strong>Introduction: </strong>Studies have demonstrated that individual and organizational factors contribute to burnout in health professionals. The COVID-19 pandemic increased demand for health care services, leading to work overload among health professionals, particularly physicians.</p><p><strong>Objectives: </strong>To determine the prevalence of burnout and identify possible individual, organizational, and sleep-related factors associated with burnout among physicians, before and during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We conducted a cross-sectional study on a subsample of 2,639 physicians extracted from a secondary database with health professionals from all regions of Brazil, between May and June 2020. Descriptive and inferential statistical analyses were performed. Burnout was assessed via the emotional exhaustion dimension.</p><p><strong>Results: </strong>Data for 2,374 (90.3%) physicians were analyzed. The prevalence of burnout before the pandemic was 18.9%, increasing to 31.3% during the pandemic. The factors predicting burnout during the pandemic included age 25-39 years (odds ratio = 2.76; 95%CI 1.94-3.92), female sex (odds ratio = 1.67; 95%CI 1.34-2.08), working on the front line (odds ratio = 1.62; 95%CI 1.30-2.02), poor sleep quality and quantity (odds ratio = 6.39; 95%CI 4.99-8.17), and not working from home (odds ratio = 1.31; 95%CI 1.08-1.60).</p><p><strong>Conclusions: </strong>Compared to the work routine before the pandemic, there was a marked increase in the prevalence of burnout among physicians during the pandemic. Independent factors associated with this increase were young adult age, female sex, frontline work, poor sleep quality and quantity, and traditional on-site work.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20251442"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of professional experience and work schedule on sleep quality.","authors":"Matheus de Souza Dias, Michael Jackson Oliveira de Andrade","doi":"10.47626/1679-4435-2025-1428","DOIUrl":"10.47626/1679-4435-2025-1428","url":null,"abstract":"<p><strong>Introduction: </strong>Extended work hours have been associated with negative impacts on workers' physical and mental health, including stress, fatigue, and sleep disorders. Night shift workers or those with irregular schedules are particularly affected due to circadian rhythm disruptions, which impair sleep quality and occupational health.</p><p><strong>Objectives: </strong>To investigate the sleep-wake patterns of daytime and nighttime shift workers by analyzing sleep efficiency, latency, total sleep duration, and frequency of nighttime awakenings.</p><p><strong>Methods: </strong>A longitudinal exploratory study was conducted with 15 workers (mean age = 27.93; standard deviation = ± 8.50) in Divinópolis, Minas Gerais. The instruments used were the Pittsburgh Sleep Quality Index, the Insomnia Severity Index, and actigraphy. Data collection was carried out using actigraphy for 7 consecutive days, covering the entire workweek, including weekends.</p><p><strong>Results: </strong>Workers with over 10 years of experience showed higher insomnia severity, lower sleep efficiency, and a greater number of awakenings (p < 0.05). Morning shift workers had better sleep patterns, with longer duration and higher efficiency compared to afternoon/night shift workers.</p><p><strong>Conclusions: </strong>Sleep quality among workers is influenced by professional experience, time in the role, and work schedule. Adjustments in working conditions that consider circadian rhythms and chronotype are essential for improving sleep health and productivity. Sleep management strategies should be implemented to promote well-being and performance.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20251428"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspects of telework associated with mental distress among labor court workers during the COVID-19 pandemic.","authors":"Francielle Barbosa Prado, Sergio Roberto de Lucca","doi":"10.47626/1679-4435-2025-1336","DOIUrl":"10.47626/1679-4435-2025-1336","url":null,"abstract":"<p><strong>Introduction: </strong>The abrupt imposition of teleworking during the COVID-19 pandemic brought challenges that negatively affected the mental health of workers.</p><p><strong>Objectives: </strong>To identify aspects of telework and individual characteristics associated with mental distress among Brazilian labor court staff during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This cross-sectional study included 1,028 workers. Independent variables were assessed using a sociodemographic and occupational questionnaire and a Likert scale instrument to measure participant perceptions about telework. Mental distress was assessed using the Self-Reporting Questionnaire. The relationship between variables was assessed with Pearson's chi-square test or Fisher's exact test. The association between the independent variables and the outcome was analyzed through logistic regression.</p><p><strong>Results: </strong>Mental distress was identified in 37.3% of the participants. The variables associated with the outcome were: women, not living with a partner, living with a care-dependent person, agreeing that telework has led to increased family conflict and loneliness. Mental distress was also associated with neutrality or agreement with statements on: difficulty with self-discipline, difficulty disconnecting from work, and feelings of guilt.</p><p><strong>Conclusions: </strong>The characteristics of individual workers and of telework are potential contributing factors to mental distress among teleworkers, indicating the relevance of preventive initiatives for this population.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20251336"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between destructive leadership styles and health workers' mental health: a systematic review.","authors":"Magdalena Ahumada, Elisa Ansoleaga, Raúl Ramírez-Vielma, María José Mera-Lemp, Elena Soto-Contreras, Dennisse Brito-Placencia","doi":"10.47626/1679-4435-2025-1378","DOIUrl":"10.47626/1679-4435-2025-1378","url":null,"abstract":"<p><p>Mental health has become a central topic, including its relationship with work. Health care workers are especially affected by the effects of work on mental health, with leadership emerging as a significant dimension for analysis. The aim of this study is to analyze the available evidence to understand the causes or antecedents of mental health problems among health care workers. A systematic review (International Prospective Register of Systematic Reviews CRD42022379794) was conducted, including empirical quantitative articles (experimental, quasi-experimental, and non-experimental) in English and Spanish that were related to the study variables. Theoretical and qualitative articles, systematic reviews, and meta-analyses were excluded. The data were analyzed through a narrative synthesis. Eighteen articles that presented various forms of destructive leadership were reviewed, such as abusive, toxic, <i>laissez-faire</i> leaderships and incivility behaviors. Destructive leadership styles were shown to increase the risk of mental health problems and affect workplace organizations, manifesting as absenteeism, turnover intention, and low satisfaction. The results of this literature review show the significant role of leadership in relation to mental health and, in particular, the negative effects of destructive leadership on health care workers.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20251378"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes of absenteeism and implementation of Regulatory Standard No. 36 in a beef processing plant: challenges in preventing musculoskeletal injuries and diseases.","authors":"Cintia Kaori Tomita Kikuta, Maria Luisa Alves Pereira, Driely Stephany Pedroso Dos Santos, Mariana Oliveira Vicente Dos Santos, Iracimara de Anchieta Messias","doi":"10.47626/1679-4435-2025-1371","DOIUrl":"10.47626/1679-4435-2025-1371","url":null,"abstract":"<p><strong>Introduction: </strong>Absenteeism among meat processing workers is high and mainly associated with the use of sharp hand tools, high production speeds, and adverse environmental and psychological factors.</p><p><strong>Objectives: </strong>To identify the main causes of absenteeism in a beef processing plant and evaluate the effectiveness of legal regulations, such as Regulatory Standard No. 36, in preventing absenteeism.</p><p><strong>Methods: </strong>We conducted an exploratory qualitative study to identify the causes and quantify the levels of absenteeism based on sociodemographic data and analysis of medical documents, according to the International Statistical Classification of Diseases and Related Health Problems - 10th Revision. Sick-leave data recorded by the company's health department between 2015 and 2018 were analyzed, covering the deboning, slaughter, and evisceration operational areas. Additionally, interviews were conducted with staff members from the Safety Engineering and Occupational Medicine Department.</p><p><strong>Results: </strong>The main causes of absenteeism were injuries and external causes and musculoskeletal disorders.</p><p><strong>Conclusions: </strong>Even with the implementation of Regulatory Standard No. 36, which specifically aims to prevent accidents and illnesses in meat processing plants, the rates of absenteeism remain high. These findings indicate that legal regulations, although specific, have proven insufficient to effectively prevent health issues and ensure the well-being of workers in the Brazilian meat packing industry.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20251371"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive symptoms in workers with subsistence jobs in the pandemic context, according to working and extra-working conditions, Medellín, Colombia 2021.","authors":"María Osley Garzón-Duque, Fabio León Rodriguez-Ospina, Estefanía Uribe Vallejo, Carolina Jerez Vélez, Tatiana Elizabeth Reina-Jojoa, Jennifer Alejandra Giraldo Ciro, Marcela Vargas Gómez","doi":"10.47626/1679-4435-2024-1276","DOIUrl":"10.47626/1679-4435-2024-1276","url":null,"abstract":"<p><strong>Introduction: </strong>Although mental health is a topic of interest in public health, there is still little evidence on depressive symptoms among informal workers in times of pandemic.</p><p><strong>Objectives: </strong>To identify the prevalence of depressive symptoms and their relationship with working and socioeconomic conditions among informal workers in the context of the pandemic, Medellin, Colombia, 2021.</p><p><strong>Methods: </strong>Cross-sectional study using primary data collected from 656 workers, after obtaining informed consent. A pilot test was conducted, and selection and information biases were controlled. Exploratory, bivariate, and multivariate analyses were performed using logistic regression.</p><p><strong>Results: </strong>A higher proportion of participants were men; 74% were aged ≥ 45 years, 85% were heads of household and experienced economic, labor and health difficulties during the isolation period. A prevalence of moderate/severe depressive symptoms of 4.3% was identified. These were associated (p < 0.05) with age (30 and 44 years old), belonging to a single-parent family, living in an urban area, consuming alcohol , lacking work authorization, not having received economic support during mandatory isolation, and having received economic support from their labor association. Higher levels of depressive symptoms were explained (p < 0.05) by age (30 and 44 years old), belonging to a blended or single-parent family, consuming alcohol, and not having received economic support during quarantine.</p><p><strong>Conclusions: </strong>The conditions that explain a higher prevalence of moderate/severe depressive symptoms in this population can be addressed in future emergencies through joint actions by the State, the families, and workers.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"23 2","pages":"e20241276"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}