Medicina Del Lavoro最新文献

{"title":"Artificial Intelligence in Occupational Health Surveillance: Evaluating AI-Assisted ILO Classification of Radiographs of Pneumoconioses.","authors":"Antonio Baldassarre, Martina Padovan, Alessandro Palla, Augusto Quercia, Rita Leonori, Stefano Dugheri, Nicola Mucci, Veronica Traversini","doi":"10.23749/mdl.2026.18371","DOIUrl":"10.23749/mdl.2026.18371","url":null,"abstract":"<p><strong>Background: </strong>Pneumoconioses remain an important occupational health issue, particularly in low- and middle-income countries. The International Labour Organization (ILO) Classification standardizes chest radiograph interpretation but requires trained readers and is affected by inter-reader variability. This study evaluated whether generative multimodal artificial intelligence (AI) models can approximate ILO-based diagnostic reasoning.</p><p><strong>Methods: </strong>Eighty-two chest radiographs from the official NIOSH B Reader syllabus were analysed using four AI systems (GPT-4o, GPT-5, MedGemma-4B, MedGemma-27B). Each image was evaluated with a standardized prompt based on the 2022 revised ILO guidelines using deterministic settings. Model outputs were mapped to ILO codes and compared with the official answer keys of the ILO Standard Radiograph Set used for B Reader training and examination. Performance metrics included balanced accuracy, sensitivity, specificity, precision, and Matthews correlation coefficient (MCC). Bootstrap 95% confidence intervals, McNemar's test, and Cohen's κ assessed performance variability and agreement.</p><p><strong>Results: </strong>All four AI models showed moderate diagnostic performance, with balanced accuracy ranging from 60.8% to 70.3%. Sensitivity remained limited (35.5%-54.9%), while specificity was consistently high (84.6%-86.2%). MedGemma-27B performed best for small opacities, GPT-5 for pleural abnormalities and for technical quality. Large opacities and rare findings were systematically under-detected. Statistical comparisons showed significant differences between models, although agreement patterns were broadly similar.</p><p><strong>Conclusion: </strong>All AI models partially followed structured ILO radiographic criteria but did not achieve expert-level performance, confirming that they cannot replace certified B Readers. Larger, real-world datasets are needed to assess their potential clinical utility as supportive tools in occupational health surveillance programs.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 2","pages":"18371"},"PeriodicalIF":2.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787346","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}

{"title":"Alcohol Consumption at Work in Construction Workers Employed in Small Italian Companies.","authors":"Ivan Borrelli, Luca Fontana, Antongiulio Perrotta, Paolo Zita, Mauro Fedele, Ivo Iavicoli","doi":"10.23749/mdl.2026.18756","DOIUrl":"10.23749/mdl.2026.18756","url":null,"abstract":"<p><strong>Background: </strong>Alcohol consumption is an important occupational risk factor, especially in safety-sensitive sectors such as construction. Alcohol-related psychomotor impairment may increase the risk of workplace injuries and may also affect the safety of third parties. However, data on alcohol-related behaviors, workers' risk perception, and alcohol-focused health surveillance among Italian construction workers are still limited.  Methods: We conducted a cross-sectional survey between September 2023 and June 2024 in 315 construction workers employed in small Italian companies. All participants performed work activities for which local legislation mandates alcohol-use and alcohol-dependence checks as part of occupational health surveillance. Data were collected through an anonymous 27-item questionnaire exploring sociodemographic characteristics, alcohol consumption (AUDIT-C; cut-off ≥5 for men and ≥4 for women), alcohol use at work, knowledge of national regulations, alcohol-related risk perception, and accident/injury indicators. Nonparametric tests and multivariable linear regression were used to identify factors associated with AUDIT-C scores. Logistic regression analyses examined associations between perceived alcohol-related risks and awareness of, and exposure to, alcohol-dependence checks during health surveillance.</p><p><strong>Results: </strong>The sample was predominantly male (274/315; 86.98%), and 26.03% of workers were aged 46-55 years. The mean AUDIT-C score was 2.85±2.49 (3.13±2.47 in men; 0.95±1.75 in women); 32.7% of workers screened positive, mainly men. Alcohol consumption during the work shift was reported by 1.9% of participants (7.94% occasionally), and during breaks by 5.08% (19.37% occasionally). Most workers were aware of the workplace alcohol ban (90.48%), and 83.49% reported having undergone alcohol-related checks. Higher AUDIT-C scores were associated with alcohol consumption during the work shift and occasional drinking during breaks.</p><p><strong>Conclusions: </strong>Although average AUDIT-C scores were not high, a relevant subgroup of workers showed risky drinking patterns and some alcohol consumption at work.  These findings highlight the need to strengthen prevention strategies and ensure consistent alcohol-related health surveillance in construction settings.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 2","pages":"18756"},"PeriodicalIF":2.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787325","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}

{"title":"Self-Reported Non-Auditory Effects of High Sound Pressure Levels Exposure in Academic Musicians in Uruguay.","authors":"Alice Elizabeth González, Fernando Tomasina, Julián D Ortiz Umaña, Lady Carolina Ramírez, Bettina Tellechea, Adriana Pisani","doi":"10.23749/mdl.2026.18730","DOIUrl":"10.23749/mdl.2026.18730","url":null,"abstract":"<p><strong>Background: </strong>While hearing loss is the most emblematic effect of exposure to high sound pressure levels, it is not neither the first nor the only one. This article explores self-reported effects of exposure to high sound pressure levels among a population of 306 academic musicians (singers, choir members and instrumentalists) in Uruguay.</p><p><strong>Methods: </strong>A special anamnesis form was prepared for use in interviews of each of the participants. The collected information was anonymized and processed. Some interesting results were found, both through direct processing and PCA analysis.</p><p><strong>Results: </strong>Most participants reported several non-auditory effects. These were classified by sex, age, and role (singer or instrumentalist, voice type, or played instrument).</p><p><strong>Conclusions: </strong>Among the reported effects, the most prevalent were muscle contractures, fatigue/tiredness, difficulty sleeping, and noise sensitivity, followed by arthralgia and headaches. The most frequent effects in women were muscle contracture (86%), followed by tiredness/fatigue, noise susceptibility, and tinnitus. The most frequent effects in men were muscle contracture (68%), followed by tinnitus, noise susceptibility, and irritability after musical activity. It was possible to establish some \"effects profiles\" according to instrument and gender. For example, woodwind players experience muscle contracture, tinnitus, post-musical activity irritability, noise susceptibility, and decreased performance, while soprano singers have a higher prevalence of muscle contracture, tiredness/fatigue, noise sensitivity, difficulty sleeping, arthralgia, digestive disorders, headache, tinnitus, and vertigo. They are the second most affected category of musicians, according to their effect profile.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 2","pages":"18730"},"PeriodicalIF":2.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787319","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}

{"title":"Diagnostic Utility of Serum Krebs von den Lungen-6 (KL-6) and Surfactant Protein-D (SP-D) Levels in Hypersensitivity Pneumonitis.","authors":"Asuman Aslan Kara, Adem Koyuncu, Gülden Sarı, Tuğçe Şahin Özdemirel, Berna Akıncı Özyürek, Cebrail Şimşek","doi":"10.23749/mdl.2026.18283","DOIUrl":"10.23749/mdl.2026.18283","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the diagnostic and prognostic values of serum Krebs von den Lungen-6 (KL-6) and  ve Surfactant Protein-D (SP-D) levels in patients with hypersensitivity pneumonitis (HP).</p><p><strong>Methods: </strong>Serum samples were collected from patients diagnosed with HP and from a healthy control group. KL-6 and SP-D levels were measured using the ELISA method. HP cases were further compared according to fibrotic and non-fibrotic subgroups, as well as whether they were receiving treatment or not. The relationships between respiratory function tests (DLCO, FEV₁, FVC) and biomarker levels were examined.</p><p><strong>Results: </strong>Both KL-6 (median 5.95 ng/ml vs 5.4 ng/ml, p<0.001) and SP-D (median 14.87 ng/ml vs 14.72 ng/ml, p<0.05) levels were significantly higher in HP patients than in the control group. In non-fibrotic HP patients, KL-6 levels were higher than in the fibrotic group (median 6.07 ng/ml vs 5.62 ng/ml, p<0.05), while no significant difference was observed for SP-D (p=0.71). KL-6 levels were significantly higher in untreated cases compared to treated cases (median 6.30 ng/ml vs 5.65 ng/ml, p<0.01), while the difference in SP-D was not significant (p=0.26).</p><p><strong>Conclusion: </strong>KL-6 emerges as a sensitive biomarker in the diagnosis of HP, assessing of disease activity, and monitoring treatment response. SP-D, although reflecting inflammatory processes, seems to be have limitations in evaluating fibrotic progression.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 2","pages":"18283"},"PeriodicalIF":2.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787300","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}

{"title":"Breathing the Job: Impaired Pulmonary Function in Hairdressers due to Occupational Chemical Exposure.","authors":"Zeliha Demir Giden, Elif Demir, Ramazan Giden, Hasret Yağmur Sevinç Akın","doi":"10.23749/mdl.2026.18075","DOIUrl":"10.23749/mdl.2026.18075","url":null,"abstract":"<p><strong>Background: </strong>Hairdressers are occupationally exposed to harmful factors in the working environment and many cosmetic products. During the professional use of these products, there is exposure to many irritating, allergic, and carcinogenic chemicals, mainly through the skin and respiratory tract, and it is known that these occupational exposures are much more frequent and long-lasting than personal exposures. Hairdressing is one of the occupational groups with a high risk of respiratory diseases. In this study, we aimed to determine the extent to which the hairdressing profession affects respiratory functions.</p><p><strong>Methods: </strong>The present study included 50 people who had worked in hairdressing for at least three years, especially with hair products, had not been diagnosed with respiratory disease before this job, and did not smoke, and 50 healthy people with similar demographic characteristics. All respiratory complaints and sociodemographic information of the hairdressers were determined. Pulmonary function tests (PFTs) were performed on hairdressers and a healthy group, including FEV1, FVC, PEF, and FEV1/FVC ratio.</p><p><strong>Results: </strong>In the present study, we found that the hairdressing profession significantly increased the risk of respiratory symptoms. In addition, the increase in working hours as a hairdresser was associated with increased respiratory complaints, while hairdressers showed a statistically significant decrease in PFT values compared to the healthy group.</p><p><strong>Conclusions: </strong>Exclusion of smoking in our study reveals the occupational exposure more clearly. Our study provides additional evidence of a possible significant association between chemical exposure and increased respiratory symptom prevalence and decreased lung function.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"18075"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286044","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}

{"title":"General and Toxicologic Aspects of Occupational Fatalities in the Metropolitan Area of Lyon From 2000 to 2020, a Retrospective Study.","authors":"Céline Lamouroux, Guillaume Pouliquen, Emmanuel Fort, Marie Epain, Florent Marfaing, Barbara Charbotel, Laurent Fanton","doi":"10.23749/mdl.2026.17546","DOIUrl":"10.23749/mdl.2026.17546","url":null,"abstract":"<p><p>Over the past two decades, fatal workplace accidents have accounted for between 300,000 and 400,000 deaths a year worldwide. The aim of this study was to investigate the general characteristics and the toxicological profile of work-related deaths. A descriptive retrospective study was carried out on occupational-related deaths occurred in the Lyon metropolitan area from 2000 to 2020 from the autopsy reports of the University Institute of Legal Medicine. A total of 476 cases of work-related deaths were identified, of which 91% were men. The median age was 48 years, 44% of the deaths were due to cardiac origin, 34% to mechanical accidents and 18% to suicide. 16 homicides were also recorded. The cause of death differed significantly between socio-professional categories: suicide was the main cause of death among managers & intellectual occupations (50%), cardiovascular death among non-manual elementary workers (53%), manual elementary workers (49%) and craftsmen, shop keepers & business owners (33%), and physical accidents among farmers (50%) and manual elementary workers (48%). The main cause of death varied by sector: physical accidents in construction (61%), cardiovascular events in transportation and storage (67%) and manufacturing (51%). 27% (n = 130) tested positive for at least one psychoactive substance, including 75 for alcohol, 43 for sedative anxiolytics and 33 for cannabis. These results may help occupational health professionals to design policies and campaigns to prevent deaths among the workers concerned. Specific studies to assess the proportion of fatal accidents attributable to the use of alcohol, cannabis or benzodiazepines could contribute to reducing work-related deaths.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"17546"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286079","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}

{"title":"Occupational Exposure to Inhalation Anesthetics in Operating Room and Adverse Health Outcomes: A Systematic Review.","authors":"Andrea Caronna, Katia Vitale, Laura Ciccariello, Andrea De Giorgi, Sergio Gazzanelli, Lidia Ricci, Matteo Vitali, Carmela Protano","doi":"10.23749/mdl.2026.17428","DOIUrl":"10.23749/mdl.2026.17428","url":null,"abstract":"<p><p>Volatile anesthetics (VA) are essential agents for inducing and maintaining unconsciousness during specific surgical procedures, but they pose several health risks for exposed workers. The aim of the systematic review was to assess the effects of long-term VA occupational exposure in operating rooms. The review was conducted in accordance with the PRISMA Statement, and the search was conducted in PubMed, Scopus, and Web of Science to identify articles published between January 1, 1994, and December 31, 2024, that reported data from observational, quasi-experimental, and experimental studies. The protocol was registered in PROSPERO (ID: CRD42024500838). The quality of the studies was assessed using the standard Newcastle-Ottawa Scale versions for cohort and case-control studies, and an adapted version for cross-sectional studies. A total of 65 studies were included. Adverse effects were categorized into four groups: reproductive and Adverse pregnancy or offspring outcomes, neurotoxic alterations, laboratory parameter changes, and cyto- and genotoxicity. Overall, no significant associations were found between VA exposure and reproductive or pregnancy outcomes. One study reported neurological alterations (prolonged reaction times). Additionally, some studies have documented impairments in immune function and minor alterations in renal and hepatic function parameters. Finally, several studies indicated an increased risk of genotoxicity and oxidative stress. Given this evidence, protective measures and health surveillance for exposed workers remain crucial preventive measures.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"17428"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285698","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}

{"title":"Prevalence and Multivariate Impact of Musculoskeletal Disorders on General Health, Occupational Fatigue, and Productivity in an Industrial Workforce.","authors":"Alireza Choobineh, Mohammad Karami, Yaser Sahranavard, Mohammad Reza Fakhraei, Fatemeh Ghanbari Mohammad, Fatemeh Alibeygian, Somayeh Hossainie Nasab, Azam Alizadeh, Mina Shahbazi, Reza Tahmasebi","doi":"10.23749/mdl.2026.18043","DOIUrl":"10.23749/mdl.2026.18043","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal disorders represent a leading occupational health challenge in heavy-industry settings, yet their combined impact on workers' general health, fatigue, and productivity remains underexplored. This study aims to quantify the relationship between multisite musculoskeletal symptom burden and key health and performance outcomes among copper-industry employees.</p><p><strong>Methods: </strong>A cross-sectional survey of 585 workers used the Standardized Nordic Musculoskeletal Questionnaire, the 28-item General Health Questionnaire, the SOFI-20 fatigue inventory, and the HPQ-26 productivity survey. Spearman's rank correlation was used to examine bivariate relationships, and multivariable linear regression models adjusting generally for demographic, work-related, and psychosocial factors were employed to estimate the independent effect of the number of painful sites on health, fatigue, and productivity outcomes.</p><p><strong>Results: </strong>Fifty-seven percent of workers reported pain in at least one region during the preceding 12 months, with an average of 2.6 painful sites per person (standard deviation 2.4). The number of painful sites showed a moderate positive correlation with poorer general health scores (ρ = 0.43, p < 0.001) and higher fatigue scores (ρ = 0.53, p < 0.001), and a moderate negative correlation with productivity ratings (ρ = -0.30, p < 0.001). In adjusted regression analyses, each additional painful site was associated with a 1.9-point worsening in general health score (95% CI 1.5 to 2.2), an 8.4-point increase in fatigue score (95% CI 7.3 to 9.6), and a 1.6-point decrease in productivity score (95% CI -2.0 to -1.2), all with p-values < 0.001.</p><p><strong>Conclusions: </strong>There is a clear dose-response relationship between the number of painful anatomical sites and declines in health, increases in fatigue, and reductions in productivity among copper-industry workers. To address this multifaceted impact, interventions should integrate ergonomic workstation design, task rotation, optimized break schedules, and comprehensive health-promotion services targeting both physical and psychosocial risk factors.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"18043"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285670","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}

{"title":"Investigation of the Association Between COVID-19 and Hepatitis B Vaccination Among Healthcare Workers: A Cross-Sectional Study in Turkey.","authors":"Seval Müzeyyen Ecin, Abdulsamet Sandal","doi":"10.23749/mdl.2026.17965","DOIUrl":"10.23749/mdl.2026.17965","url":null,"abstract":"<p><p>  Backgrounds: Vaccination is a cornerstone of public health. While COVID-19 vaccination became globally prioritized during the pandemic, Hepatitis B immunization has remained a mandatory occupational requirement in Turkey, particularly among healthcare workers (HCWs). This study evaluated Hepatitis B immunization and factors associated with COVID-19 vaccination among Turkish HCWs.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted between February 1 and August 15, 2024, at Mersin City Training and Research Hospital. Employees and trainee students who underwent periodic health examinations were included. Participants were grouped as physicians, non-physician HCWs, and non-healthcare professionals. Data included demographics, vaccination history, hematological and biochemical parameters, and clinical characteristics. Logistic regression identified factors associated with COVID-19 vaccination status.</p><p><strong>Results: </strong>Of 4,048 participants, 92.1% received at least one COVID-19 vaccine dose and 90.0% were vaccinated against Hepatitis B. Physicians demonstrated the highest coverage for both vaccines. Male gender (OR=1.37, 95% CI: 1.04-1.80), non-physician HCW status (OR=2.51, 95% CI: 1.33-4.75), non-healthcare professional status (OR=2.99, 95% CI: 1.55-5.77), and behaviorally linked elevated platelet count (OR=1.54, 95% CI: 1.04-2.28) were independently associated with COVID-19 non-vaccination. A prior history of Hepatitis B vaccination showed a strong protective effect against COVID-19 non-vaccination (OR=0.30, 95% CI: 0.23-0.40).</p><p><strong>Conclusions: </strong>Vaccine uptake varied across occupational groups, with physicians achieving the highest rates. Prior compliance with mandatory Hepatitis B vaccination was positively associated with COVID-19 vaccine acceptance, emphasizing the role of previous immunization behavior in new vaccine adoption. Occupational health policies integrating vaccination counseling and follow-up are essential to improve coverage among non-physician HCWs.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"17965"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285489","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}

{"title":"Work-Related Accidents and Their Predictors Among Delivery Drivers in Egypt: A Cross-Sectional Study.","authors":"Omnia Ahmed Mahmoud Yousef, Mohamed El-Helaly, Adel El-Wehedy, Khadija Abdel Fattah Denewar","doi":"10.23749/mdl.2026.17721","DOIUrl":"10.23749/mdl.2026.17721","url":null,"abstract":"<p><strong>Background: </strong>The rapid growth of the delivery sector, driven by online shopping and the COVID-19 pandemic, has raised safety concerns for delivery drivers, particularly work-related accidents and injuries. This study aimed to estimate the frequency of work-related accidents and injuries among delivery drivers and to identify potential predictors associated with these accidents in Egypt.</p><p><strong>Methods: </strong>A descriptive cross-sectional study with an analytical component was conducted among 172 delivery drivers recruited from gathering areas in Mansoura, Egypt. Participants were interviewed using a semi-structured questionnaire.</p><p><strong>Results: </strong>Among participants, 57.0% reported at least one work-related road accident during their career, with most accidents (91.8%) resulting from collisions with other vehicles. All injured drivers sustained at least one post-accident injury, most commonly contusions (93.9%). The lower limbs were the most frequently affected body parts (80.6%). After adjusting for confounders, the multivariable logistic regression analysis revealed that the following workplace exposure factors were significantly independent predictors of work-related accidents: being a university student or graduate (AOR = 2.86, 95% CI: 1.35-6.08), having more than five years of driving experience (AOR = 4.62, 95% CI: 2.15-9.94), and using mobile phones while driving (AOR =3.22, 95% CI: 1.56-6.64).</p><p><strong>Conclusions: </strong>This study showed a high frequency of work-related road accidents among delivery drivers in Egypt. Key predictors included higher education, extensive driving experience, and mobile phone use while driving. These findings underscore the need for targeted interventions, including safety training, regulation of mobile phone use, and awareness campaigns, to mitigate accident risk among delivery drivers.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"117 1","pages":"17721"},"PeriodicalIF":2.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285648","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}