Journal of Occupational Medicine and Toxicology最新文献

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Welding and brazing fumes and lung cancer risk: a systematic review and meta-analysis. 焊接和钎焊烟雾与肺癌风险:一项系统综述和荟萃分析。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-06-01 DOI: 10.1186/s12995-026-00512-w
Yangwoo Kim, Eun Mi Kim, Inah Kim
{"title":"Welding and brazing fumes and lung cancer risk: a systematic review and meta-analysis.","authors":"Yangwoo Kim, Eun Mi Kim, Inah Kim","doi":"10.1186/s12995-026-00512-w","DOIUrl":"10.1186/s12995-026-00512-w","url":null,"abstract":"<p><strong>Background: </strong>Previous systematic reviews have adopted binary exposure classifications without characterizing the heterogeneity of welding fume exposures. We aimed to estimate lung cancer risk from welding fumes with systematic exposure characterization by process type, base material, and metal fume component, and to examine evidence for related high-temperature processes.</p><p><strong>Methods: </strong>We searched PubMed, Embase, and Web of Science through July 2025 for cohort, case-control and other epidemiological studies. Exposure information was systematically extracted from full-text descriptions and classified by welding process, base material, and metal fume component. Separate random-effects meta-analyses were performed for comparative risk and standardized ratio estimates.</p><p><strong>Results: </strong>Of 86 studies meeting inclusion criteria, 58 were included in quantitative synthesis after excluding 12 overlapping cohorts and 16 high-risk-of-bias studies; 39 comparative risk and 22 standardized ratio studies were analyzed. The pooled relative risk was 1.51 (95% CI: 1.36-1.67; I<sup>2</sup> = 39.4%) and standardized ratio was 1.32 (95% CI: 1.24-1.40; I<sup>2</sup> = 76.6%). The association was robust across subgroup analyses: studies adjusting for smoking (RR = 1.55; n = 31) and asbestos (RR = 1.53; n = 12) yielded estimates consistent with the overall finding. A significant dose-response gradient was observed for both comparative risk (p = 0.03) and standardized ratio studies (p = 0.013). Gas metal arc welding (GMAW) and gas tungsten arc welding (GTAW) showed elevated point estimates, with stainless steel welding showing suggestive evidence of increased risk; however, secondary analyses were based on few studies with wide confidence intervals. Evidence of publication bias was detected but adjusted estimates remained significant. Evidence certainty was moderate for comparative risk and low for standardized ratio estimates.</p><p><strong>Conclusions: </strong>Welding fume exposure is associated with approximately 50% increased lung cancer risk, with consistent sensitivity analyses. Process-specific analyses suggest elevated risks for GMAW and stainless steel welding, though based on limited data, warranting further investigation alongside prioritized prevention efforts. Data on brazing, soldering, and flame cutting were limited, representing evidence gaps for future research.</p><p><strong>Trial registration: </strong>PROSPERO CRD420251238410.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seven-year surveillance of latent tuberculosis infection using interferon-gamma release assay among health workers at a large tertiary hospital in Thailand. 使用干扰素- γ释放法对泰国一家大型三级医院卫生工作者中潜伏结核感染的7年监测
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-05-29 DOI: 10.1186/s12995-026-00514-8
Naesinee Chaiear, Chatpong Ngamchokwathana, Phanumas Krisorn, Warisa Soonthornvinit, Yingrit Chantarasuk, Arunya Chonlapan, Arpa Surapaitoon, Patimaporn Chanpho, Wipa Reechaipichitkul
{"title":"Seven-year surveillance of latent tuberculosis infection using interferon-gamma release assay among health workers at a large tertiary hospital in Thailand.","authors":"Naesinee Chaiear, Chatpong Ngamchokwathana, Phanumas Krisorn, Warisa Soonthornvinit, Yingrit Chantarasuk, Arunya Chonlapan, Arpa Surapaitoon, Patimaporn Chanpho, Wipa Reechaipichitkul","doi":"10.1186/s12995-026-00514-8","DOIUrl":"10.1186/s12995-026-00514-8","url":null,"abstract":"<p><strong>Background: </strong>Despite ongoing TB control efforts, health workers (HWs) in Thailand remain at risk for latent tuberculosis infection (LTBI), yet the burden of LTBI in Thai HWs is insufficiently characterized. This study aimed to determine LTBI proportions across preplacement, post-exposure, and annual screening approaches, and to identify factors associated with LTBI among HWs.</p><p><strong>Methods: </strong>This retrospective analysis (2016-2022) utilized secondary data from an LTBI surveillance program at a large Thai tertiary hospital. HWs underwent LTBI screening with interferon-gamma release assays (IGRAs) through three surveillance approaches: preplacement, post-exposure, and annual screening in high-risk units (2021-2022). LTBI was defined as IGRA-positive in the absence of active TB. Demographic and exposure characteristics were recorded; associations were analyzed using chi-square and Mann-Whitney U tests. An exploratory restricted analysis using multivariable logistic regression was also performed to assess between-cohort patterns.</p><p><strong>Results: </strong>Between 2016 and 2020, LTBI was detected in 198 of 1,823 HWs (10.9%; 95% CI: 9.5-12.4). Preplacement screening identified LTBI in 96 of 1,230 HWs (7.8%; 95% CI: 6.5-9.5), while post-exposure surveillance detected LTBI in 102 of 706 HWs (14.4%; 95% CI: 12.1-17.2). Annual surveillance (2021-2022) yielded 47 cases among 626 HWs (7.5%; 95% CI: 5.7-9.8). Among HWs diagnosed with LTBI in the preplacement and post-exposure cohorts, 40.9% of LTBI cases initiated TB preventive treatment. In post-exposure surveillance, older age and higher exposure-priority categories were associated with LTBI, although estimates for priority categories were imprecise because of sparse data.</p><p><strong>Conclusions: </strong>LTBI remains an important occupational health concern among HWs, with the highest detection proportion observed during post-exposure surveillance. These findings highlight the ongoing need for targeted, risk-based monitoring and efforts to enhance TB preventive treatment uptake in healthcare settings.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of musculoskeletal disorders among police officers from an organizational unit of a German federal state police force. 德国联邦州警察部队某组织单位的警察中肌肉骨骼疾病的患病率。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-04-17 DOI: 10.1186/s12995-026-00511-x
Janna Schlenke, Yunes Nazzal, Faiz Dogru, Fabian Holzgreve, Rejane Golbach, Ioannis Karrasavidis, Ulli Brand, Eileen M Wanke, David A Groneberg, Daniela Ohlendorf
{"title":"Prevalence of musculoskeletal disorders among police officers from an organizational unit of a German federal state police force.","authors":"Janna Schlenke, Yunes Nazzal, Faiz Dogru, Fabian Holzgreve, Rejane Golbach, Ioannis Karrasavidis, Ulli Brand, Eileen M Wanke, David A Groneberg, Daniela Ohlendorf","doi":"10.1186/s12995-026-00511-x","DOIUrl":"10.1186/s12995-026-00511-x","url":null,"abstract":"<p><p>BACKGROUND: Occupational activities involving prolonged postures, restricted movements, and wearing heavy protective equipment contribute significantly to work-related musculoskeletal disorders (MSDs) in police officers. Therefore, this study aims to assess the prevalence of MSDs at an organizational unit of a German federal state police force in relation to self-reported causes of MSD. METHODS: 255 (211 m/44 f) participants within the age from 21 to 57 years (28.29 ± 6.57 years) answered a modified version of the Nordic Musculoskeletal Questionnaire (NMQ) in nine different body areas (cervical spine/neck, thoracic spine, lower back/lumbar spine, shoulder, elbow, hand and wrists, hip, knee, foot and ankles). For statistical analyses descriptive analyses, Spearman’s rank correlation coefficient and the Rasch model analyses were applied. Significance level was set at 5%. RESULTS: Of the 255 participants 95.7% engage in physical activity during their leisure time, with the vast majority (78.1%) also involved in occupational sports activities. The overall 12-month prevalence of MSD was 92.9%, while the most affected areas were the lower back (64%), followed by the neck/cervical spine (57.8%), shoulder (48.6%) and the thoracic spine (33%). The 7-day prevalence stands at 56.1%. The regions most commonly affected are similar to the 12-month prevalence: the neck/cervical spine with 25.1%, followed by the lower back (20.4%), the shoulder (13.7%), and the thoracic spine (11.8%). Only 7.1% reported no symptoms at all. 1.6% indicated experiencing discomfort in all body regions. The Rasch-derived musculoskeletal symptom score showed significant positive correlations with age (r = 0.17, p < 0.01), BMI (p < 0.01, rho = 0.19), and years of service (r = 0.20, p < 0.01). Participants most frequently attributed their musculoskeletal complaints to carrying heavy equipment, prolonged sitting, and awkward postures, followed by stress and insufficient recovery. Only a minority associated their symptoms with sports or physical training, suggesting that ergonomic and organizational factors are perceived as the primary contributors to MSDs. CONCLUSION: Musculoskeletal disorders are highly prevalent among German police officers, affecting nearly all participants despite a young mean age and high physical activity levels. The predominance of multi-site pain, particularly in the lower back, neck, and shoulders, highlights the cumulative impact of occupational load rather than isolated risk factors. Equipment-related load carriage, prolonged static postures, and organizational demands appear to be key drivers, while age, BMI, and years of service exert additional but modest influence. These findings underscore the need for early, occupation-specific preventive strategies that integrate ergonomic optimization, task organization, and targeted physical training to preserve work ability and operational readiness over the course of a policing career. </p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review of health challenges experienced by Indian women engaged in informal labor. 对从事非正式劳动的印度妇女所面临的健康挑战进行系统审查。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-04-10 DOI: 10.1186/s12995-026-00510-y
Ankit Sheth, Ankit Viramgami, Mahendra Thakor, Garima Lohra, Anushree Mohanan, Nisha Bhati, Zulekha Khalil, Rakesh Balachandar
{"title":"Systematic review of health challenges experienced by Indian women engaged in informal labor.","authors":"Ankit Sheth, Ankit Viramgami, Mahendra Thakor, Garima Lohra, Anushree Mohanan, Nisha Bhati, Zulekha Khalil, Rakesh Balachandar","doi":"10.1186/s12995-026-00510-y","DOIUrl":"10.1186/s12995-026-00510-y","url":null,"abstract":"<p><strong>Background: </strong>The informal economy encompasses all economic activities carried out by workers or economic units that are not adequately covered by formal legal or regulatory frameworks. National data from India indicate that 53.7% of the 308 million unorganized workers are women. Given the multifaceted occupational risks associated with informal employment, women workers in the informal sector are vulnerable to a range of adverse health outcomes. The present study aims to synthesise existing evidence on occupationally related health challenges experienced by Indian women employed in the informal sector.</p><p><strong>Methods: </strong>Studies reporting health outcomes among Indian women engaged in informal labor were systematically searched in digital databases from their inception until September 09, 2024. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed. Owing to substantial heterogeneity in outcome reporting and the limited availability of measures of dispersion, a pooled effect size could not be estimated. The risk of bias in included studies was assessed using the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>Thirty-three studies involving women workers in the informal sector were included. Musculoskeletal disorders were the most frequently reported health outcome across occupations. The prevalence of upper limb and trunk discomfort (89-95%) was higher than that of lower trunk and lower limb discomfort (61-81%). High prevalence of cardiorespiratory (~ 73%), dermatological (32-78%), and ophthalmic (45-90%) symptoms was also reported. A small number of studies indicated that the odds of certain adverse health outcomes were higher among women compared with men in similar occupations. Overall, the majority of included studies were of low methodological quality and exhibited a high risk of bias.</p><p><strong>Conclusion: </strong>The findings highlight the substantial occupational health burden faced by women workers in India's informal sector. Although the evidence is largely derived from studies with high risk of bias, the growing participation of women in informal employment underscores the need for urgent, gender-responsive public health action. There is a pressing need to integrate informal women workers into primary healthcare systems and social protection programs.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
8th International Conference on the History of Occupational and Environmental Health (ICOH History 2026), Recognizing the rich history of occupational and environmental health. 第8届职业和环境健康历史国际会议(ICOH历史2026),认识到职业和环境健康的丰富历史。
IF 2.7 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-04-06 DOI: 10.1186/s12995-026-00505-9
{"title":"8th International Conference on the History of Occupational and Environmental Health (ICOH History 2026), Recognizing the rich history of occupational and environmental health.","authors":"","doi":"10.1186/s12995-026-00505-9","DOIUrl":"10.1186/s12995-026-00505-9","url":null,"abstract":"","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 Suppl 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of spirometric decline from silica dust: threshold values and calculation methods for cumulative exposure. 二氧化硅粉尘肺活量下降的评估:累积暴露的阈值和计算方法。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-03-25 DOI: 10.1186/s12995-026-00507-7
Christin Schröder, Dennis Nowak
{"title":"Assessment of spirometric decline from silica dust: threshold values and calculation methods for cumulative exposure.","authors":"Christin Schröder, Dennis Nowak","doi":"10.1186/s12995-026-00507-7","DOIUrl":"10.1186/s12995-026-00507-7","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the association between crystalline silica dust exposure and lung function decline. Understanding whether exposure-response relationships include threshold values is critical for contributing to workplace health protection. We compared four mechanistically different models to determine which best characterizes this association.</p><p><strong>Methods: </strong>Data from 1,418 workers from the Wismut German Uranium Mining Cohort Study from 1970 to 1991 with 7,116 spirometry measurements were analysed. Cumulative exposure was calculated using a job exposure matrix. Four models based on different pathophysiological mechanisms were compared: (1) constant annual threshold without overload, (2) constant annual threshold with overload, (3) delayed onset (cumulative threshold only), and (4) dynamic threshold decreasing over time.</p><p><strong>Results: </strong>Models 1, 3 and 4 showed a critical annual exposure value of approximately 0.09-0.10 mg/m<sup>3</sup> (the concentration below which no harmful accumulation occurs). Model 2 had convergence problems due to mathematical discontinuity. Model 1 demonstrated the biologically most plausible relationship between threshold exceedance and spirometric decline, with a cumulative threshold of 2 mg/m<sup>3</sup>. This model predicts clinically significant functional decline within realistic occupational timeframes (e.g., 10 years at 0.3 mg/m<sup>3</sup> exposure).</p><p><strong>Conclusion: </strong>The results confirm that high silica dust exposure leads to an accelerated decline in lung function. Model 1 appears to be the most appropriate, despite limitations such as limited age range and sole focus on spirometry. The results demonstrate an association between cumulative silica dust exposure above approximately 0.09 mg/m<sup>3</sup> and accelerated spirometric decline. Model 1 (constant annual threshold) provides the most consistent and biologically plausible results. These threshold estimates have high relevance in occupational health settings aimed at preventing workers exposed to silica dust from lung function decline. Study limitations include the limited follow up and lack of data on individuals reaching the cumulative threshold. The majority of included persons were smokers (84%), which also affected lung function.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adrien Proust - overlooked as an occupational health practitioner, author and teacher. 阿德里安·普鲁斯特——被忽视的职业健康从业者、作家和教师。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-03-21 DOI: 10.1186/s12995-026-00508-6
Kjell Torén, Carl Lindgren, Paul D Blanc
{"title":"Adrien Proust - overlooked as an occupational health practitioner, author and teacher.","authors":"Kjell Torén, Carl Lindgren, Paul D Blanc","doi":"10.1186/s12995-026-00508-6","DOIUrl":"10.1186/s12995-026-00508-6","url":null,"abstract":"","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13011693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The ability of the GENESIS-UV metric to reflect the positive dose-response relationship between cumulative occupational UV exposure and squamous cell carcinoma of the skin. GENESIS-UV指标反映累积职业紫外线照射与皮肤鳞状细胞癌之间正剂量反应关系的能力。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-03-13 DOI: 10.1186/s12995-026-00506-8
Andreas Seidler, Ulrich Bolm-Audorff, David Reissig, Andrea Bauer, Karla Romero Starke, Sven Connemann, Rolf Ellegast, Peter Knuschke, René Mauer, Henriette Rönsch, Wiho Stöppelmann, Claudine Strehl, Stephan Westerhausen, Marc Wittlich
{"title":"The ability of the GENESIS-UV metric to reflect the positive dose-response relationship between cumulative occupational UV exposure and squamous cell carcinoma of the skin.","authors":"Andreas Seidler, Ulrich Bolm-Audorff, David Reissig, Andrea Bauer, Karla Romero Starke, Sven Connemann, Rolf Ellegast, Peter Knuschke, René Mauer, Henriette Rönsch, Wiho Stöppelmann, Claudine Strehl, Stephan Westerhausen, Marc Wittlich","doi":"10.1186/s12995-026-00506-8","DOIUrl":"10.1186/s12995-026-00506-8","url":null,"abstract":"<p><p>BACKGROUND: The newly developed GENESIS-UV metric is based on occupational UV exposure measurements in about 1,000 outdoor-workers (covering 250 different occupational settings). The GENESIS-UV metric calculates occupational exposure values for the standard erythema dose (SED) that differ substantially from those produced by the “Wittlich metric” which applies multiple correction factors to a fixed SED reference value of 300 SED per year. This Wittlich metric has served as the basis for calculating occupational UV exposure of occupational disease No. 5103 (“squamous cell carcinoma or multiple actinic keratoses caused by natural UV radiation”) in Germany since 2015. In a large case-control study (“FB181”, 632 cases and 632 individually matched control subjects), a positive dose-response relationship between UV exposure estimated using the “Wittlich metric” and squamous cell carcinoma (SCC) of the skin could be derived. This study aimed to investigate whether the increased SCC risk for high occupational UV exposure found in the FB181 study can be reflected with the new GENESIS-UV metric. METHODS: Based on propensity-score matched data from the FB181 study, odds ratios (OR) with 95% confidence intervals (CI) for categorized occupational UV exposure were calculated using conditional logistic regression analysis. The analyses were adjusted for age, sex, skin phototype, and non-occupational UV exposure. To examine the suitability of the GENESIS-UV metric, exposure was calculated using both the Wittlich metric and the GENESIS-UV metric. The goodness of fit was assessed using the Akaike information criterion (AIC). RESULTS: When applying the Wittlich metric, individuals with high cumulative occupational UV exposure (≥ 90th percentile) show a statistically significant increase in OR of 1.95 (95% CI 1.19–3.18). When applying the GENESIS-UV metric, the corresponding OR for reaching or exceeding the 90th percentile is 2.23 (95% CI 1.36–3.65). The goodness of fit of the GENESIS-UV metric is substantially better than that of the Wittlich metric (AIC of 748.0 versus 758.6). CONCLUSIONS: Applying the newly developed GENESIS-UV metric, we were able to confirm the positive dose-response relationship between occupational UV exposure and squamous cell carcinoma of the skin in this sensitivity analysis of the FB181 case-control study. The GENESIS-UV metric proves to be suitable for determining occupational UV exposure. </p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental health impacts of climate-related hazards among farmers: evidence from a community-based study. 气候相关危害对农民心理健康的影响:来自社区研究的证据
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-03-07 DOI: 10.1186/s12995-026-00504-w
Ratanon Kaewvijit, Penradee Chanpiwat, Pornchai Sithisarankul, Patthrarawalai Sirinara, Thammasin Ingviya
{"title":"Mental health impacts of climate-related hazards among farmers: evidence from a community-based study.","authors":"Ratanon Kaewvijit, Penradee Chanpiwat, Pornchai Sithisarankul, Patthrarawalai Sirinara, Thammasin Ingviya","doi":"10.1186/s12995-026-00504-w","DOIUrl":"10.1186/s12995-026-00504-w","url":null,"abstract":"<p><p>BACKGROUND: Climate-related hazards are intensifying worldwide, posing escalating risks to not only agricultural productivity but also mental health. Farmers in low- and middle-income countries are particularly vulnerable, yet the psychological impacts of climate disasters on these populations remain underexplored. This study aimed to examine the associations between climate-related hazard exposure and mental health outcomes among farmers in southern Thailand, a region heavily affected by climate disasters, including floods, droughts, and storms. METHODS: A community-based cross-sectional survey was conducted among 346 farmers in four districts of Chumphon and Surat Thani Provinces, classified as high- or low-climate hazard exposure areas, via five-year disaster records. Data on sociodemographic and behavioral characteristics, climate experiences, and coping strategies were collected via structured questionnaires. Mental health outcomes were assessed via the validated Thai version of the Depression, Anxiety, and Stress Scales (DASS-21). Multivariable logistic regression was applied to estimate adjusted odds ratios (aORs) to assess the associations between climate hazard exposure and adverse mental health outcomes. RESULTS: Depression was significantly more prevalent among farmers in high-exposure areas (49.7%) than among those in low-exposure areas (36.0%; p = 0.010). Increased flooding frequency in the previous years was strongly associated with depression (aOR = 6.10; 95% CI: 2.26–16.47), anxiety (aOR = 3.33; 95% CI: 1.18–9.38), and stress (aOR = 9.81; 95% CI: 3.74–25.74). Conversely, farmers in low-exposure areas reported significantly higher engagement in institutional supports (p < 0.001), including community resource management (20.5% vs. 2.2%), financial compensation (19.3% vs. 2.2%), and adoption of drought-resistant seeds (25.5% vs. 3.2%) whereas farmers in high-exposure areas largely relied on self-directed coping. CONCLUSIONS: Climate-related hazards are significantly associated with increased risks of depression, anxiety, and stress among farmers. These findings underscore the importance of integrating mental health interventions into national climate adaptation frameworks, with a focus on early psychological screening, financial risk protection, and targeted psychosocial support for agricultural communities repeatedly affected by floods, droughts, and storms. </p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Scoping review on the effect of labour inspections on occupational health and safety: a meta-analytic update. 更正:关于劳动监察对职业健康和安全影响的范围审查:一项元分析更新。
IF 3.2 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2026-03-06 DOI: 10.1186/s12995-026-00502-y
Melanie Schubert, Ulrich Bolm-Audorff, Johan Hviid Andersen, Gabriela Petereit-Haack, David Reissig, Andreas Seidler
{"title":"Correction: Scoping review on the effect of labour inspections on occupational health and safety: a meta-analytic update.","authors":"Melanie Schubert, Ulrich Bolm-Audorff, Johan Hviid Andersen, Gabriela Petereit-Haack, David Reissig, Andreas Seidler","doi":"10.1186/s12995-026-00502-y","DOIUrl":"10.1186/s12995-026-00502-y","url":null,"abstract":"","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"21 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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