Environmental and occupational health practice最新文献

Long working hours among hospital-employed obstetricians and gynecologists and associated factors: a comparative study based on a nationwide survey. 在医院工作的妇产科医生工作时间长及相关因素：一项基于全国调查的比较研究。

Environmental and occupational health practice Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0018

Masatoshi Ishikawa, Ryoma Seto, Michiko Oguro, Yoshino Sato

{"title":"Long working hours among hospital-employed obstetricians and gynecologists and associated factors: a comparative study based on a nationwide survey.","authors":"Masatoshi Ishikawa, Ryoma Seto, Michiko Oguro, Yoshino Sato","doi":"10.1539/eohp.2024-0018","DOIUrl":"10.1539/eohp.2024-0018","url":null,"abstract":"Objectives: To elucidate the status of reduction in working hours following physician work-style reforms and factors associated with long working hours.Methods: A nationwide questionnaire survey was conducted among obstetricians and gynecologists (OB/GYNs) working in hospitals. The survey elucidated actual working conditions, including working hours and number of out-of-hour (OOH) shifts. To identify factors associated with long working hours, a multivariate logistic regression analysis was performed, with ≥60 or ≥80 working hours per week as dependent variables and OB/GYNs attributes (sex, age, job position, hospital type by ownership, total number of hospital beds, and regional characteristics) as independent variables.Results: Questionnaires were sent to 1,170 hospitals. Valid responses were obtained from 1164 OB/GYNs at 423 hospitals (response rate: 36%): 26.0% worked ≥60 hours per week, a reduction from 58.1% in 2019 (equivalent to over 960 hours of overtime annually), 5.4% worked ≥80 hours per week, a reduction from 41.2% in 2019 (equivalent to over 1,920 hours of overtime annually); and 46.9% worked OOH shifts ≥5 times per month. Factors significantly associated with long working hours per week included male sex, resident position, teaching duty, and number of OOH shifts.Conclusions: Although the working hours of OB/GYNs have decreased because of physician work-style reforms initiated in 2019, long working hours persist. To ensure health of OB/GYNs and patient safety, it is necessary to actively promote physician work-style reforms and advance measures aimed at the centralization of medical resources and addressing their maldistribution.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500213","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}

引用次数: 0

Attitude change to secondary health examination using social nudging through a spouse. 通过配偶的社交推动改变对二次健康检查的态度。

Environmental and occupational health practice Pub Date : 2025-05-28 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0017

Wataru Katagiri, Masaaki Shimono, Shunsuke Eguchi, Masaki Takebayashi, Kazuma Iekushi

{"title":"Attitude change to secondary health examination using social nudging through a spouse.","authors":"Wataru Katagiri, Masaaki Shimono, Shunsuke Eguchi, Masaki Takebayashi, Kazuma Iekushi","doi":"10.1539/eohp.2024-0017","DOIUrl":"10.1539/eohp.2024-0017","url":null,"abstract":"Objectives: Hypertension and dyslipidemia are major risk factors of cardiovascular diseases. Nevertheless, many people do not consider these risk factors important, even if they are noted during their annual health checkups and left untreated for a long time. Here, we report a novel nudge method to encourage people who had these risk factors and examine the resultant changes in the willingness to undergo secondary health examinations.Methods: Employees of Novartis Pharma K.K. and its affiliated companies who had elevated blood pressure and/or lipid levels during annual health checkups were allocated to either the social nudge group (postcards were sent to their spouses) or the control group (postcards were sent to themselves) after confirming their agreement to receive postcards in order to encourage them to take secondary health examination. A web-based survey via email was conducted before and after sending the postcards to understand the willingness to undergo secondary health examinations.Results: Regarding the willingness to undergo the secondary health examinations, a significant difference was observed in the social nudge group (n=58) before (12.1%) and after (46.6%) the postcard was sent (p<0.0001), and no significant difference was observed in the control group (n=9, p=1.0000). The proportion of employees who underwent secondary health examinations did not increase significantly in either group.Conclusions: This study suggested that a social nudge via spouse has a possibility of increasing the willingness to undergo secondary health examinations at low cost. To increase the proportion of undergoing it, combinations with other nudges might be necessary.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500210","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}

引用次数: 0

Environmental and occupational health practice Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0010

Motoko Ohira, Yoko Ichikawa, Madoka Tsuji, Tomoyuki Hasegawa, Shin Saito

{"title":"Factors related to self-rated health in teleworkers raising children: focusing on gender differences.","authors":"Motoko Ohira, Yoko Ichikawa, Madoka Tsuji, Tomoyuki Hasegawa, Shin Saito","doi":"10.1539/eohp.2024-0010","DOIUrl":"10.1539/eohp.2024-0010","url":null,"abstract":"Objectives: Teleworking is a flexible means of working to effectively utilize one's time and workplace using information and communication technology. However, teleworking can also lead to work-life conflict and health problems. To support the health of teleworkers, this study aimed to elucidate the factors correlated with the self-rated health of teleworkers raising children, focusing on differences between genders.Methods: The study sample included 1,000 teleworkers (500 women and 500 men).Results: The responses to questionnaire items about health differed between men and women. For men, \"marital status,\" \"walks and exercises,\" \"keeps an uplifted state of mind as much as possible,\" and \"work-to-family negative spillover\" were extracted. For women, \"leads a disciplined life,\" \"keeps an uplifted state of mind as much as possible,\" \"eating speed compared with others: slower,\" and \"sufficiently rests through sleep\" were found to affect self-rated health.Conclusions: For male teleworkers raising children, sufficient exercise and physical activity is a crucial aspect of health management. For female teleworkers raising children, self-discipline is needed.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500211","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}

引用次数: 0

Heat impacts on health and productivity: the case of two ready-made garment factories in tropical Bangladesh. 高温对健康和生产力的影响：热带孟加拉国两家成衣厂的案例。

Environmental and occupational health practice Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0009

Farzana Yeasmin, Aaron J E Bach, Jean P Palutikof, Fahim Tonmoy, Fahmida Tofail, Mahbubur Rahman, Shannon Rutherford

{"title":"Heat impacts on health and productivity: the case of two ready-made garment factories in tropical Bangladesh.","authors":"Farzana Yeasmin, Aaron J E Bach, Jean P Palutikof, Fahim Tonmoy, Fahmida Tofail, Mahbubur Rahman, Shannon Rutherford","doi":"10.1539/eohp.2024-0009","DOIUrl":"10.1539/eohp.2024-0009","url":null,"abstract":"Objective: The ready-made garment (RMG) sector is pivotal to Bangladesh's economy, providing export opportunities and employment. To ensure sustained productivity and a thriving workforce, workplace hazards like heat must be acknowledged, assessed and managed. This paper explores heat impacts on health and productivity of production-line workers in two RMG factories of Bangladesh.Methods: Focus group discussions and in-depth interviews were conducted with the workers of two RMG factories in Dhaka in 2022 to identify perceived heat-related health and productivity impacts and explore barriers to workers accessing heat-related medical care. Key informant interviews were conducted with factory officials, onsite health professionals, government officials, the RMG peak body, and non-government organisation professionals with expertise in industry and workplace issues.Results: Workers and health professionals attributed symptoms like headaches, dizziness, fatigue and nausea to heat. Factory health professionals observed changes in cardiovascular strain (eg, altered blood pressure responses) in workers during summer. Other key informants identified higher absenteeism across summer. Heat was identified as an impediment to overall productivity by workers themselves and others working across the sector.Conclusion: This qualitative study identified how heat exposure in indoor work environments of RMG in Bangladesh influences health of workers and how productivity is influenced directly by heat but also indirectly via necessary cooling measures to reduce heat strain that take workers away from the production line. Despite knowledge of access to hydration as an important heat health risk mitigation strategy, quota pressures inherent in these factories restrict the use of this vital measure.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500212","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}

引用次数: 0

Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study. 日本医疗机构健康与生产力管理及健康相关属性关系的生态学研究

Environmental and occupational health practice Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0008

Hajime Watanabe, Satoshi Miyata, Satoru Kanamori, Yoshinori Nakata

{"title":"Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study.","authors":"Hajime Watanabe, Satoshi Miyata, Satoru Kanamori, Yoshinori Nakata","doi":"10.1539/eohp.2024-0008","DOIUrl":"10.1539/eohp.2024-0008","url":null,"abstract":"Objective: To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals.Method: This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey from November to December 2023. The questionnaire enquired about the H&PM implementation status, which was the explanatory variable; and health-related attributes, which was the objective variable. The implementation status of the four items and the presence or absence of Excellent H&PM Corporation certification were used to divide the hospitals into three groups: certification, implementation, and non-implementation groups. Logistic regression analysis was conducted with H&PM implementation status and health-related attributes as the variables.Results: Data from 221 hospitals were analyzed. There were 25 hospitals in the certification group, 68 in the implementation group, and 128 in the non-implementation group. Logistic regression used average monthly physician overtime as the outcome, with non-implementation hospitals as the reference. Results showed significant positive associations for the implementation and certification groups. Clear written policies on H&PM promotion and full-time occupational health staff were also significantly associated. However, health issue understanding, plan formulation, and management training were not linked to physician overtime. Other health-related attributes were also unrelated to H&PM implementation status.Conclusion: Hospitals engaging in H&PM may provide an appropriate working environment for physicians.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766237","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}

引用次数: 0

Promoting occupational health information in small and medium-sized enterprises in Japan. 促进日本中小企业的职业健康信息。

Environmental and occupational health practice Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0014

Teppei Imai, Noriko Nishikido, Jiro Moriguchi, Sho Kondo, Hayato Terada, Akiko Saito, Eiji Shibata, Satoko Shimamoto, Yasuaki Jikumaru, Tamotsu Sugawara, Kuniaki Seiji, Masaji Tabata, Hiroto Nakadaira, Toshiyuki Hara, Mitsuo Hinoue, Izumi Matsumoto, Rie Narai, Hideyuki Takayama, Yoto Taguchi, Hiroko Makimoto

引用次数: 0

Effects of an online group program based on acceptance and commitment therapy for young employees on well-being: single-case A-B design. 基于接纳与承诺疗法的青年员工在线小组项目对幸福感的影响：单例A-B设计。

Environmental and occupational health practice Pub Date : 2025-01-28 eCollection Date: 2025-01-01 DOI: 10.1539/eohp.2024-0015-FS

Anna Tozawa, Masao Tsuchiya

{"title":"Effects of an online group program based on acceptance and commitment therapy for young employees on well-being: single-case A-B design.","authors":"Anna Tozawa, Masao Tsuchiya","doi":"10.1539/eohp.2024-0015-FS","DOIUrl":"10.1539/eohp.2024-0015-FS","url":null,"abstract":"Objectives: This study examined the effects of an online group program based on acceptance and commitment therapy for young employees on employee well-being.Methods: Using a single-case A-B design, this study implemented a program that spanned three 90-min sessions among 24 employees of a Japanese company, who were up to 3 years after graduation from university or postgraduate studies. The baseline (times 1-5) phase was conducted across 15 days, followed by the intervention, which was conducted over 16 days. The intervention (times 6-10) phase was conducted over 35 days following session 1.Results: Fourteen participants met the inclusion criteria. A hierarchical Bayesian model indicated that the hypotheses were not supported in terms of the primary outcome of well-being and process outcome of psychological inflexibility of 10 employees because the credible interval included 0 (well-being: expected a posteriori estimation [EAP] 0.22; 95% credible interval, -0.31 to 0.81; Acceptance and Action Questionnaire-II: EAP -2.20; 95% credible interval, -5.60 to 1.31). Tau-U for well-being varied from -0.56 to 0.84 among the participants. Similarly, for the secondary outcomes of 13 employees, the hypotheses were not supported for work performance, work engagement, and stress reaction (World Health Organization Health and Work Performance Questionnaire: EAP -0.32; 95% credible interval, -1.22 to 0.57; Utrecht Work Engagement Scale-3: EAP -0.08; 95% credible interval, -0.47 to 0.34; stress reaction: EAP -0.49; 95% credible interval, -3.76 to 2.66).Conclusions: The online group program implemented in this study did not improve employee well-being.Trial registration: The study protocol was registered with the University Hospital Medical Information Network Clinical Trials Registry (ID: UMIN000042912).","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723010","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}

引用次数: 0

Recognition of Reviewers. 审稿人的认可。

Environmental and occupational health practice Pub Date : 2024-12-25 eCollection Date: 2024-01-01 DOI: 10.1539/eohp.6.A1

引用次数: 0

A matched case-control study on the attributable risk of CES-D positivity to the incidence of COVID-19 breakthrough infections. CES-D阳性归因风险与COVID-19突破性感染发生率的匹配病例对照研究

Environmental and occupational health practice Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.1539/eohp.2024-0007-OA

Yosuke Shimada, Satoshi Hori, Hiroshi Fukuda, Narimasa Katsuta, Mizue Saita, Minoru Ohno, Masaya Satoh, Mari Sato, Toshio Naito

{"title":"A matched case-control study on the attributable risk of CES-D positivity to the incidence of COVID-19 breakthrough infections.","authors":"Yosuke Shimada, Satoshi Hori, Hiroshi Fukuda, Narimasa Katsuta, Mizue Saita, Minoru Ohno, Masaya Satoh, Mari Sato, Toshio Naito","doi":"10.1539/eohp.2024-0007-OA","DOIUrl":"10.1539/eohp.2024-0007-OA","url":null,"abstract":"Objectives: To investigate whether the Center for Epidemiologic Studies Depression Scale (CES-D) positivity (16 and above) is a risk factor for breakthrough infections of coronavirus disease 2019 (COVID-19), a matched case-control study was conducted among hospital employees.Methods: Participants were matched based on known risk factors, including serum SARS-CoV-2 anti-S antibodies. A multivariate logistic regression analysis was conducted with CES-D score measured at baseline as the explanatory variable and the presence of breakthrough infection after a specified period as the outcome variable, and gender, age, and other covariates were included.Results: Logistic regression analysis showed that CES-D positivity was significantly associated with the breakthrough COVID-19 infections (odds ratio 4.393; 95% confidence interval, 1.318-14.642, P=0.016).Conclusions: An increase in the number of hospital employees with CES-D positivity during the pandemic might contribute to a rise in breakthrough infections. It is considered necessary to alleviate people's stress levels through the enhancement of mental health care interventions, complementing infection control measures.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712720","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}

引用次数: 0

Influence of previous health guidance history: impact and limitations of a single health guidance session. 以往健康指导历史的影响：一次健康指导会议的影响和局限性。

Environmental and occupational health practice Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI: 10.1539/eohp.2024-0011-OA

Ayaka Hayase, Takeshi Onoue, Kazuki Nishida, Yoshio Nakata, Fumi Hayashi, Miki Marutani, Naoki Sakane, Tomonori Okamura, Keiichi Matsuzaki, Takashi Kawamura, Kazuyo Tsushita

{"title":"Influence of previous health guidance history: impact and limitations of a single health guidance session.","authors":"Ayaka Hayase, Takeshi Onoue, Kazuki Nishida, Yoshio Nakata, Fumi Hayashi, Miki Marutani, Naoki Sakane, Tomonori Okamura, Keiichi Matsuzaki, Takashi Kawamura, Kazuyo Tsushita","doi":"10.1539/eohp.2024-0011-OA","DOIUrl":"10.1539/eohp.2024-0011-OA","url":null,"abstract":"Objectives: Metabolic syndrome (MS) is a significant health concern in the working-age population. Since 2008, Japan has mandated health insurers to implement Specific Health Checkups to identify individuals with MS and preliminary groups, making Specific Health Guidance (SHG) compulsory for these groups. People receiving SHG multiple times is increasing as it is conducted as an annual public program. Therefore, we evaluated the influence of a health guidance history on the effectiveness of subsequent guidance.Methods: Using data from 10,191 participants in the 2017 Motivational Health Guidance (a type of SHG involving a single session), this longitudinal study assessed the changes in health checkup findings from 2017 to 2018. Participants were categorized based on their previous year's (2016) SHG eligibility and participation: Group 1 (n=3,903) met the 2016 SHG criteria and participated, Group 2 (n=2,305) met the criteria but did not participate, and Group 3 (n=3,983) had no MS risk factors and did not need to participate in the 2016 SHG.Results: The entire cohort and Groups 2 and 3 exhibited significant weight loss after 1 year. Group 1 showed a significant negative association, with a 3% (odds ratio [OR] 0.64; 95% confidence interval [CI], 0.55-0.75) and 5% body weight loss (OR 0.66; 95% CI, 0.54-0.81) than Group 3. Men in Group 1 showed a significant association with new-onset MS (OR 2.56; 95% CI, 1.93-3.40).Conclusions: The findings suggest that participants with a history of health guidance in the previous year may have low rates of achieving weight loss and a high incidence of new-onset MS after 1 year.","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589594","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}

引用次数: 0