Revista Brasileira de Medicina do Trabalho最新文献

{"title":"Evaluation of underreporting occupational accidents among workers who handle laboratory animals.","authors":"Flávia Soares Lessa, Isabella Brasil Succi, Gilberto Marcelo Sperandio da Silva","doi":"10.47626/1679-4435-2024-1275","DOIUrl":"10.47626/1679-4435-2024-1275","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational accidents pose a substantial health risk and represent a critical public health concern. While reporting occupational accidents is legally mandated, occupational accidents are significantly underreported, leading to institutional challenges and obstacles in planning and implementing preventive policies.</p><p><strong>Objectives: </strong>To evaluate how often workers who handle laboratory animals report their occupational accidents at the Instituto de Ciência e Tecnologia em Biomodelos/Fundação Oswaldo Cruz and to correlate this rate with their possible causes.</p><p><strong>Methods: </strong>This is an observational cohort study including workers who handle laboratory animals at the Instituto de Ciência e Tecnologia em Biomodelos/Fundação Oswaldo Cruz. Data were collected from questionnaires that these workers filled in and then compared to the accident records reported to the Núcleo de Saúde do Trabalhador (Brazil Workers' Health Center) between 2014 and 2019. We used the Research Electronic Data Capture for data entry and Stata 14 for statistical analysis.</p><p><strong>Results: </strong>Occupational accidents were underreported by 44.8% of the workers who handle laboratory animals at the Instituto de Ciência e Tecnologia em Biomodelos/Fundação Oswaldo Cruz. The characteristics of those who mostly underreported were women (63.6%), of mixed-race (55.6%), 35-44 years old (53.3%), with a doctorate degree (80%), and permanently employed (50%). The most common types of occupational accident reported in the questionnaires were scratches (17.2%) and bites (13.8%), while the most common injuries recorded were cuts (26.7%) and trips/falls (17.8%). Reasons for non-notification were apparent minor severity (57.2%), unwillingness to report (14.3%), no specific protocol to treat (14.3%), excessive bureaucracy (7.1%), and high occurrence (7.1%).</p><p><strong>Conclusions: </strong>The underreporting rate of occupational accidents is 44.8% at the Instituto de Ciência e Tecnologia em Biomodelos/Fundação Oswaldo Cruz. Workers' awareness of the importance and compulsory nature of reporting should be raised to reduce this rate.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241275"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433881","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":"Mental workload according to sociodemographic and occupational characteristics of professionals in charge of health programs.","authors":"Carolina Elena Luengo-Martínez, Jaime Sebastián Castro-Zapata, Nicole Constanza Guíñez-Pérez","doi":"10.47626/1679-4435-2024-1245","DOIUrl":"10.47626/1679-4435-2024-1245","url":null,"abstract":"<p><strong>Introduction: </strong>Primary health care services are focused on promotion, prevention, and rehabilitation, in addition to implementing various health programs. Mental workload is defined as mental, cognitive, or intellectual demands experienced by workers during their workday.</p><p><strong>Objectives: </strong>To describe mental workload according to sociodemographic and occupational characteristics of professionals responsible for health programs in primary care facilities in the Ñuble region, Chile.</p><p><strong>Methods: </strong>A descriptive, cross-sectional quantitative study was conducted with a sample of 69 professionals. Data were collected through surveys assessing sociodemographic and occupational characteristics, workplace environmental conditions, and the <i>Escala Subjetiva de Carga Mental de Trabajo</i> (Subjective Mental Workload Scale), validated for use in Chile.</p><p><strong>Results: </strong>The mental workload was moderate-to-high, with a mean score of 3.68. The dimensions \"cognitive demands and task complexity\" and \"task characteristics\" presented the highest mean scores, while \"time organization\" and \"work pace\" showed the lowest mean scores among the variables studied.</p><p><strong>Conclusions: </strong>Younger workers with fixed-term contracts, who perceived their work environment conditions as highly inadequate and were in charge of more than 16 people presented the highest levels of mental workload.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241245"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434057","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":"Mitigating burnout and suicidal ideation in the Brazilian health care workforce: the role of workplace support during COVID-19.","authors":"Carolina Meira Moser, Bárbara Tietbohl-Santos, Ana Margareth Siqueira Bassols, Pricilla Braga Laskoski, Simone Hauck","doi":"10.47626/1679-4435-2024-1290","DOIUrl":"10.47626/1679-4435-2024-1290","url":null,"abstract":"<p><strong>Introduction: </strong>The mental health of health care workers has become a major concern, especially in the context of the COVID-19 pandemic. Identifying associated factors that could be targeted for prevention and specific interventions is crucial.</p><p><strong>Objectives: </strong>To investigate burnout, suicidal ideation, and associated factors among Brazilian health care workers during the pandemic.</p><p><strong>Methods: </strong>A cross-sectional web-based survey was conducted from May 22 to June 22, 2020. The Copenhagen Burnout Inventory was used to assess three dimensions of burnout (personal, work-related, and client-related). Individual and occupational data were also evaluated.</p><p><strong>Results: </strong>Among 844 participants (81% female, age 41.9 ± 10.9 years), clinically relevant burnout rates were 54.6% according to the Copenhagen Burnout Inventory personal dimension, with an 8.3% incidence of suicidal ideation in the last month. Workplace support exhibited the strongest association with all three burnout dimensions (β = -0.29-0.37; p < 0.001) and suicidal ideation (Exp[b] = 0.95; p = 0.002), emerging as a crucial protective factor, even when adjusting for other variables. Older age, higher household income, and regular physical exercise also emerged as protective factors against burnout, but not against suicidal ideation. Female gender, direct involvement in care of COVID-19 patients, longer working hours, and self-perceived high-risk status for COVID were risk factors solely for burnout. Childhood trauma and a history of psychiatric diagnosis were associated with both burnout and suicidal ideation.</p><p><strong>Conclusions: </strong>Fostering a supportive work environment could prove to be an efective strategy to mitigate mental health risks among health care workers in response to chronic stress, even in vulnerable contexts such as major health crises.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241290"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434060","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":"A comprehensive multidisciplinary approach for identifying asbestos exposure among underground workers.","authors":"Alejandro Salvado, Lilian Capone, Paula Zamorano, Mayra Samudio, María Teresa Garcia-de-Dávila, Glenda Ernst","doi":"10.47626/1679-4435-2024-1271","DOIUrl":"10.47626/1679-4435-2024-1271","url":null,"abstract":"<p><strong>Introduction: </strong>Inhalation of asbestos fibers can lead to a range of diseases, including asbestosis, pleural plaques, lung cancer, and malignant mesothelioma. Despite regulatory efforts, asbestos-related diseases remain a significant public health issue.</p><p><strong>Objectives: </strong>This study aimed to assess the characteristics and prevalence of asbestos-related diseases among exposed workers.</p><p><strong>Methods: </strong>We conducted a descriptive cohort study with underground workers in Buenos Aires, Argentina, from March 2018 to March 2023. A comprehensive screening and surveillance program, including medical examinations, was implemented to identify exposure-related signs and symptoms. Histological sections from paraffin-embedded tissue blocks were analyzed using light and polarization microscopy for lung cancer cases.</p><p><strong>Results: </strong>A total of 2,690 participants were included, of whom 2.8% (n = 77) had asbestos-related diseases and 0.22% (n = 6) had lung cancer. Occupational exposure exceeding 20 years was significantly associated with an elevated risk of asbestos-related diseases (odd ratio: 3.02; 95%CI 1.7-5.3).</p><p><strong>Conclusions: </strong>The prevalence of occupational diseases among underground workers was consistent with findings from other surveillance programs for asbestos-exposed workers. Occupational exposure exceeding 20 years emerged as a significant risk factor, markedly increasing the likelihood of asbestos-related diseases.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241271"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433804","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":"Flexible work hours at the SUS: labor legislation at a specialized outpatient facility in Brazil.","authors":"Rodrigo França Gomes, Marco Antonio Pereira Querol","doi":"10.47626/1679-4435-2024-1288","DOIUrl":"10.47626/1679-4435-2024-1288","url":null,"abstract":"<p><strong>Introduction: </strong>The geographical shortage and poor distribution of physicians, their traditional autonomy with multiple jobs, and low salaries they are paid in the public sector have created a reality of widespread failure to comply with the work hours defined in the Brazil Unified Health System legislation, causing legal uncertainty for managers and physicians.</p><p><strong>Objectives: </strong>This report aims to analyze the perception of managers, health personnel, and users of the Unified Health System about the corporate experience of a new labor legislation that preserves statutory labor rights and sets flexible work hours for medical specialists in Praia Grande, São Paulo, Brazil.</p><p><strong>Methods: </strong>This is a qualitative study with a phenomenological basis, using ethnographic research. A total of 42 social actors were interviewed in person or remotely with a digital recorder, including managers, physicians, and clients of the Unified Health System at a specialized outpatient facility (mean interview length 24.1 minutes [95%CI 17.7-30.6]), and official documentation.</p><p><strong>Corporate experience: </strong>Emic and ethical perspectives from 489 units of meaning were compiled into 10 categories for analysis and presented in an ethnographic report for regrouping through nomothetic analysis, and records from an ideographic perspective for validity through integrative synthesis.</p><p><strong>Conclusions: </strong>The new legislation provided professional satisfaction, atracting and retaining specialist practitioners, providing legal certainty with external audit bodies and improving access to diagnostic and therapeutic procedures, microregulation between specialists and Primary Health Care, standing out as a successful experience for external audit bodies and atracting managerial interest from all over Brazil.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241288"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434053","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":"Investigation of occupational accidents in Brazil: a decade-long ecological study (2012-2022).","authors":"Raissa Sucar Pereira de Araújo","doi":"10.47626/1679-4435-2024-1289","DOIUrl":"10.47626/1679-4435-2024-1289","url":null,"abstract":"<p><strong>Introduction: </strong>This study conducted a time trend analysis of occupational accidents in Brazil from 2012 to 2022.</p><p><strong>Objectives: </strong>To contribute to more effective strategies for controlling the associated risks.</p><p><strong>Methods: </strong>Using an ecological, retrospective, descriptive, quantitative approach, public data were collected using the TABNET application from Brazil Unified Health System Department of Information. The collection covered all reported cases of occupational accidents among Brazilian residents in December 2023. The study focused on inequalities according to educational levels, age group, education level, and regions, while also investigating health care and the evolution of cases.</p><p><strong>Results: </strong>The results revealed a concerning increase in notifications, reaching 301,107 cases in 2022; an increase not only in quantity, but also in the severity of accidents.</p><p><strong>Conclusions: </strong>The method used provided a comprehensive and detailed analysis, allowing educational and regional disparities to be identified, and highlighted the importance of seeking health care. However, the gap in documentation highlights a need to improve data collection for a more complete grasp of the impacts of occupational accidents, guiding effective interventions to promote occupational safety.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241289"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434055","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":"Physical and mental fatigue in shift work and mitigation strategies: an integrative review.","authors":"Amanda Sorce Moreira, Sergio Roberto de Lucca","doi":"10.47626/1679-4435-2024-1267","DOIUrl":"10.47626/1679-4435-2024-1267","url":null,"abstract":"<p><p>The new configurations of society have fragmented working hours into shifts, resulting in greater fatigue which affects worker health. Our aim was to identify the relationship between physical and mental fatigue and shift work and the main strategies for mitigating these effects. This review study was conducted between March and May 2023 using the <i>Biblioteca Virtual em Saúde</i> (Virtual Health Library). Twenty seven of the 1,176 identified articles were selected, with health professionals (doctors and nursing professionals), drivers, and aircraft pilots being the most studied populations. The following strategies for mitigating fatigue in shift work stood out: work schedule adjustments, interand intra-workday rest associated with phototherapy, monitoring and evaluating early signs of fatigue, supervised prescription of stimulants (such as caffeine) and sedatives, use of monitoring equipment, and staff education and training.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241267"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434071","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":"The relevance of psychosocial risk factors at work in the NR-1 Risk Management Program.","authors":"Sergio Roberto de Lucca, Andrea Franco Amoras Magalhães","doi":"10.47626/1679-4435-2024-224","DOIUrl":"https://doi.org/10.47626/1679-4435-2024-224","url":null,"abstract":"","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e2024224"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434094","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":"Common mental disorders among health workers: prevalence, co occurrence, and associated factors.","authors":"Natália Nascimento Silva, Saulo Vasconcelos Rocha, Rosângela Souza Lessa, Fernanda Queiroz Rego de Sousa Lopes, Clarice Alves Dos Santos","doi":"10.47626/1679-4435-2024-1260","DOIUrl":"10.47626/1679-4435-2024-1260","url":null,"abstract":"<p><strong>Introduction: </strong>Common mental disorders are characterized as a set of symptoms that cause significant functional disability.</p><p><strong>Objectives: </strong>To assess the prevalence and clustering of the main symptoms of common mental disorders and the association between sociodemographic/occupational variables and common mental disorders among primary health care workers in the Brazilian cities of Vitória da Conquista, Bahia, and São Geraldo da Piedade, Minas Gerais.</p><p><strong>Methods: </strong>This cross-sectional survey is part of the Longitudinal Study of Physical Activity and Health of Workers in the Health Sector. The Self-Reporting Questionnaire was used to assess common mental disorders. Descriptive statistics, the chi-square test, cluster analysis, and binary logistic regression were performed in IBM SPSS Statistics 22.0.</p><p><strong>Results: </strong>A total of 107 primary health care workers from Vitória da Conquista (n = 92) and São Geraldo da Piedade (n = 15) participated. The prevalence of common mental disorders was 36.4%, with the most commonly reported symptoms being: feeling nervous, tense, or worried (51.4%); easily fatigued (46.7%); poor sleep (43.9%); frequent headaches (36.4%); and recent feelings of sadness (36.4%). Approximately one-third of the workers had common mental disorders, with 5 simultaneous symptoms being the most prevalent combination. Workers with lower education and those who lived with a partner had a higher and lower risk of common mental disorders, respectively.</p><p><strong>Conclusions: </strong>Identifying the prevalence and the main symptoms associated with common mental disorders can facilitate the development and implementation of more targeted and effective care actions for this population.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241260"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433853","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":"Work-family conflict and self-rated health trajectories among ELSA-Brasil workers: the moderating role of education.","authors":"Camila Arantes Ferreira Brecht D'Oliveira, Daniela Paula, Aline Silva-Costa, Susanna Toivanen, Luana Giatti, Odaleia Barbosa de Aguiar, Maria de Jesus Mendes da Fonseca, Rosane Harter Griep","doi":"10.47626/1679-4435-2024-1270","DOIUrl":"10.47626/1679-4435-2024-1270","url":null,"abstract":"<p><strong>Introduction: </strong>Studies on the association between work-family conflict and self-reported health are mostly cross-sectional; few studies have investigated the effect of education on this association.</p><p><strong>Objectives: </strong>To investigate association between work-family conflict, family-work conflict, lack of time for self-care and leisure due to family and work demands, and self-rated health trajectories, examining sex differences and the modifying effect of education on these associations.</p><p><strong>Methods: </strong>Data from active workers (women = 4,283; men = 3,851) from the three waves and annual follow-up (2008-2020) of the Longitudinal Study of Adult Health were analyzed using multinomial logistic models.</p><p><strong>Results: </strong>Work-family conflict, family-work conflict, and lack of time were associated with worse self-rated health trajectories in both sexes. However, among women who reported a lack of time for self-care and leisure, education was a modifying factor. The odds of a fair or poor self-reported health trajectory were higher among women with a high education level who reported a lack of time \"sometimes\" or \"often\" than in women with a low education level.</p><p><strong>Conclusions: </strong>Work-family conflict dimensions were associated with worse self-reported health trajectories among both women and men. Education only modified this effect among women.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 4","pages":"e20241270"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434098","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}