Occupational medicine (Oxford, England)最新文献

Occupational physical activity and stroke mortality in male Swedish construction workers between 1971 and 2015. 1971年至2015年间瑞典男性建筑工人的职业体力活动与中风死亡率

Occupational medicine (Oxford, England) Pub Date : 2025-06-05 DOI: 10.1093/occmed/kqaf031

J Öhlin, A Stjernbrandt, M Andersson, B Järvholm, C Lewis, L Slunga Järvholm, V Wahlström, P Wester, P Liv

{"title":"Occupational physical activity and stroke mortality in male Swedish construction workers between 1971 and 2015.","authors":"J Öhlin, A Stjernbrandt, M Andersson, B Järvholm, C Lewis, L Slunga Järvholm, V Wahlström, P Wester, P Liv","doi":"10.1093/occmed/kqaf031","DOIUrl":"https://doi.org/10.1093/occmed/kqaf031","url":null,"abstract":"Background: Contrary to leisure-time physical activity, high levels of occupational physical activity (OPA) have been linked to cardiovascular disease and mortality. Many occupations in the construction industry are known to have high levels of OPA.Aims: This study investigated OPA and stroke mortality risk among 299 382 Swedish male construction workers.Methods: OPA was derived from job titles and categorized as low, medium or high, and stroke mortality was ascertained via the Swedish National Cause of Death Register. The average follow-up was 24 years resulting in a total of 6.9 million person-years, during which 4606 participants died from stroke. Relative risks were estimated with robust Poisson regressions and adjusted for age, calendar year, body mass index and smoking.Results: The relative risk for overall stroke mortality was higher in the medium and high OPA groups compared to the low OPA group [1.15 (1.04, 1.27) and 1.13 (1.04, 1.23), respectively], with no clear dose-response association. Age-stratified analyses showed that higher OPA increased stroke mortality risk in participants between 70 and 89 years. Participants with high versus low OPA had a higher risk of ischaemic stroke mortality [1.15 (1.01, 1.31)].Conclusions: Construction workers with high OPA have a slight increase in overall stroke mortality, mainly after retirement.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A psychometric analysis of the Stress Management Competency Indicator Tool. 压力管理能力指标工具的心理测量分析。

Occupational medicine (Oxford, England) Pub Date : 2025-05-27 DOI: 10.1093/occmed/kqaf028

T Dulal-Arthur, J Hassard, W Wang, J Yarker, L Thomson, H Blake

{"title":"A psychometric analysis of the Stress Management Competency Indicator Tool.","authors":"T Dulal-Arthur, J Hassard, W Wang, J Yarker, L Thomson, H Blake","doi":"10.1093/occmed/kqaf028","DOIUrl":"https://doi.org/10.1093/occmed/kqaf028","url":null,"abstract":"Background: Work-related stress is a growing concern in the UK, negatively impacting both employee well-being and organizational effectiveness. Addressing work-related stress through effective managerial practices is essential, however, existing tools are often lengthy and impractical for routine use.Aims: The study aimed to develop and validate a shortened version of the 36-item Stress Management Competency Indicator Tool (SMCIT) to enhance its practicality and relevance to changing working practices, while maintaining reliability and validity in assessing stress management competencies.Methods: A secondary data analysis was undertaken using data from 224 line managers across 12 organizations. Principle component analysis was applied to reduce the SMCIT from 36 to 19 items. Psychometric analysis, including Cronbach's alpha, factor loadings and total variance explained, was used to ensure the shortened tool retained its measurement rigour.Results: The 19-item SMCIT retained four latent constructs: respectful/ responsible, managing the individual within the team, conflict/problem management and organizational resources. The revised tool explained 46% of the variance, compared to 37% for the original, and showed factor loadings ranging from point 0.43 to 0.86. Reliability scores ranged from 0.65 to 0.69, indicating moderate internal consistency. We conclude that the shortened tool enhances measurement efficiency by removing redundant items, while maintaining key competencies.Conclusions: The shortened SMCIT is a reliable and practical tool for evaluating line management competencies, reducing response burden while improving data quality and relevance to hybrid working. We recommend further validation through confirmatory factor analysis and expert review to enhance its application in occupational settings.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between early job loss and prognosis among hepatocellular carcinoma survivors. 肝细胞癌幸存者早期失业与预后的关系

Occupational medicine (Oxford, England) Pub Date : 2025-05-23 DOI: 10.1093/occmed/kqaf013

B Yun, J Oh, S H Ahn, B K Kim, J-H Yoon

{"title":"Association between early job loss and prognosis among hepatocellular carcinoma survivors.","authors":"B Yun, J Oh, S H Ahn, B K Kim, J-H Yoon","doi":"10.1093/occmed/kqaf013","DOIUrl":"https://doi.org/10.1093/occmed/kqaf013","url":null,"abstract":"Background: Early job loss after curative treatment for hepatocellular carcinoma (HCC) is associated with significant socioeconomic and health challenges, potentially worsening patient outcomes.Aims: To examine the impact of early job loss on all-cause mortality among HCC survivors following curative treatment.Methods: We conducted a retrospective cohort study using Korean National Health Insurance Service data on 4578 HCC survivors (aged 35-54) with economic activity treated between 2009 and 2015. Primary and secondary outcomes were all-cause mortality and HCC recurrence, respectively. Early job loss was defined as a shift from insurer to dependent status. Adjusted hazard ratio (HR) and 95% confidence interval (CI) were estimated using multivariable Cox regression models, and subgroup analyses were performed. Causal mediation analysis assessed early HCC recurrence as a mediator between early job loss and all-cause mortality.Results: Among 4578 patients (median follow-up, 8.3 years), 1189 (26%) died including 989 (25%) in the job-maintained group and 200 (35%) in the early job loss group (P < .001). Early job loss was significantly associated with increased risk of all-cause mortality (adjusted HR 1.52 [95% CI 1.30-1.78]), but not with HCC recurrence (adjusted HR 1.07 [95% CI 0.91-1.25]). Subgroup analyses showed prominent association among middle-income level, non-liver cirrhosis, non-alcoholism, or surgical resection group. Early HCC recurrence plays a significant mediating role on the relationship between early job loss and all-cause mortality (mediated proportion 19%, 95% CI 5-31%).Conclusions: Early job loss may increase risk of all-cause mortality among HCC survivors undergoing curative treatment.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expression of Concern: Scottish Firefighters Occupational Cancer and Disease Mortality Rates: 2000-2020. 关注表达：苏格兰消防员职业癌症和疾病死亡率：2000-2020年。

Occupational medicine (Oxford, England) Pub Date : 2025-05-20 DOI: 10.1093/occmed/kqaf032

引用次数: 0

Illness and work matters: healthy workers, ill workers, dropins and dropouts. 疾病和工作问题：健康的工人、生病的工人、辍学者和辍学者。

Occupational medicine (Oxford, England) Pub Date : 2025-05-19 DOI: 10.1093/occmed/kqaf037

Arun Chind

引用次数: 0

Ending nuclear weapons, before they end us†. 在核武器终结我们之前终结它们。

Occupational medicine (Oxford, England) Pub Date : 2025-05-19 DOI: 10.1093/occmed/kqaf039

Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Arun Mitra, Richard Horton, Kati Juva, Olga Mironova, David Onazi, Tilman Ruff, Carlos Umaña, Jose F Lapena, Robert Mash, Carlos Monteiro, Elena N Naumova, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski

引用次数: 0

Occupational risk factors for lumbar spinal stenosis: a systematic review. 腰椎管狭窄的职业危险因素：系统回顾。

Occupational medicine (Oxford, England) Pub Date : 2025-05-19 DOI: 10.1093/occmed/kqaf005

S Y Kim, M-Y Yang, S Salo, R Sund, J Sirola, H Kröger, H Yoo, M-Y Kang

{"title":"Occupational risk factors for lumbar spinal stenosis: a systematic review.","authors":"S Y Kim, M-Y Yang, S Salo, R Sund, J Sirola, H Kröger, H Yoo, M-Y Kang","doi":"10.1093/occmed/kqaf005","DOIUrl":"https://doi.org/10.1093/occmed/kqaf005","url":null,"abstract":"Background: Lumbar spinal stenosis (LSS) is a clinical condition characterized by constriction of the nerve-carrying pathways of the intervertebral foramen and spinal canal. However, research examining the relationship between occupational factors and structural alterations involving the spine as well as the risk of LSS remains limited.Aims: This systematic literature review was performed to identify occupational risk factors for LSS.Methods: A systematic, comprehensive literature review was carried out across PubMed, EMBASE, and the Cochrane Library to identify studies published until January 2024 evaluating possible occupational risk factors of LSS (PROSPERO registration no. CRD42024513729). Extracted information included first author, year of publication, country, study design, participants, identified occupational risk factors, outcome variables, and key findings in accordance with the topic of this review. The RoBANS2 was employed for potential risk of bias evaluation.Results: Overall, our search and selection process yielded 8 articles suitable for review. The results of this review suggest that the risk of LSS was associated with heavy physical burden at work, such as occupational activities involving heavy lifting and other forms of lumbar spine loading. In addition, psychosocial factors in the workplace have been found to be significantly associated with both the duration and discogenic characteristics of pain in recent research.Conclusions: This systematic review raise awareness regarding the risk of LSS among workers with these factors. In the future, a more detailed study is needed to understand the causative mechanism for occupational contribution to the risk of LSS.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cardiorespiratory fitness is associated with sickness absence and work ability. 心肺健康与疾病缺勤和工作能力有关。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac070

P Kolu, J Raitanen, H Sievänen, K Tokola, H Vähä-Ypyä, E Nieminen, T Vasankari

{"title":"Cardiorespiratory fitness is associated with sickness absence and work ability.","authors":"P Kolu, J Raitanen, H Sievänen, K Tokola, H Vähä-Ypyä, E Nieminen, T Vasankari","doi":"10.1093/occmed/kqac070","DOIUrl":"https://doi.org/10.1093/occmed/kqac070","url":null,"abstract":"Background: Physical activity may sustain the physical aspect of work ability despite health problems such as musculoskeletal disorders and anxiety, which are the most prevalent work-related health problem in Europe.Aims: To evaluate the association of Finnish municipal workers' accelerometer-measured physical activity, sedentary behaviour, and cardiorespiratory and muscular fitness with their sickness absence levels, perceived work ability and health-related quality of life.Methods: In connection with a randomized controlled trial recruiting 185 municipal workers, the authors performed baseline data analysis utilizing quantile regression to examine relationships between the outcome variables (all-cause sickness absence for 6 months, perceived work ability and health-related quality of life) and cardiorespiratory fitness, muscular fitness, and physical activity, and sedentary behaviour. All results were adjusted for age, sex and education level.Results: The median duration of all-cause sickness absence over the preceding 6 months was lowest among participants with high cardiorespiratory fitness relative to the lowest tertile (2.0 versus 6.0 days; P < 0.05), and the highest perceived work ability was found among those with high or moderate cardiorespiratory fitness as compared to the lowest tertile (8.0 versus 7.0; P < 0.001). Moderate-to-vigorous physical activity correlated positively with the physical component of health-related quality of life (P < 0.01) and with a high cardiorespiratory-fitness level (P < 0.05).Conclusions: High cardiorespiratory fitness was associated with decreased all-cause sickness absence days and improved work ability among municipal workers.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"478-485"},"PeriodicalIF":5.1,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40718066","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: 1

Shift work and cardiovascular strain on working and non-working days. 在工作日和非工作日轮班工作和心血管紧张。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac075

L Stieler, B Hunger, R Seibt

{"title":"Shift work and cardiovascular strain on working and non-working days.","authors":"L Stieler, B Hunger, R Seibt","doi":"10.1093/occmed/kqac075","DOIUrl":"https://doi.org/10.1093/occmed/kqac075","url":null,"abstract":"Background: Shift work is often associated with adverse effects on cardiovascular health of employees. Only a few studies address the strain of shift and day workers on non-working days compared to working days.Aims: This study aims to determine how the cardiovascular strain of hotel and catering industry (HCI) employees who work alternating shifts differs from those working normal day shifts-on both a working day (WD) and a non-working day (ND).Methods: The sample consisted of 60 alternating shift (morning and afternoon, mean age: 31.5 ± 8.5 years) and 88 day workers (mean age: 35.3 ± 9.4 years). A 24-h ambulatory measurement of blood pressure (BP) and heart rate (HR) on WD and ND with the time phases DAY, SLEEP, and 24-h TOTAL was used to analyse cardiovascular strain. BP status was assessed by self-measurement (36% hypertensives).Results: The total strain over 24 h was slightly higher on WD than ND (mean BP: 134/79 versus 127/75 mmHg, P = 0.002-0.020; mean HR: 78 versus 75 bpm, P = 0.055). In trend, shift workers had higher systolic BP than day workers during the individual time phases of DAY, SLEEP, and 24-h TOTAL on WD. Known cardiovascular risk factors emerged as critical determinants of cardiovascular strain: older age, male gender, and hypertensive blood pressure status.Conclusions: The results revealed no clear association between the alternating shift system in HCI and increased cardiovascular strain. The 24-h ambulatory measurement is considered ideal for determining cardiovascular strain in everyday life and under working conditions.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"486-491"},"PeriodicalIF":5.1,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40620207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Occupational recovery of Dutch workers with low back pain. 荷兰工人腰痛的职业康复。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac067

I Brus, E Speklé, P P Kuijer, M Hardenberg, P Coenen

{"title":"Occupational recovery of Dutch workers with low back pain.","authors":"I Brus, E Speklé, P P Kuijer, M Hardenberg, P Coenen","doi":"10.1093/occmed/kqac067","DOIUrl":"https://doi.org/10.1093/occmed/kqac067","url":null,"abstract":"Background: Low back pain (LBP) is a world leading cause of disability and has substantial impact on individuals and society as a whole. The largest part of the societal burden of LBP is caused by indirect costs, including sick leave.Aims: We aimed to describe occupational recovery and associated costs for workers consulting an occupational physician (OP) with LBP, and to determine to what extent this differs by diagnoses: non-specific favourable LBP, non-specific unfavourable LBP, lumbosacral radicular syndrome (LRS) and specific LBP.Methods: We analysed longitudinal dynamic cohort data from an occupational health service, representing ~1.2 million workers from various companies and sectors throughout the Netherlands. The OP registered data on sick leave and LBP diagnoses. A survival analysis was performed on sick leave duration to determine recovery and a linear regression analysis on cost per episode, adjusting for sex, age and working hours.Results: We analysed 5951 LBP episodes from 5472 workers who consulted an OP, with a median and mean duration sick leave of 95 and 151 days, respectively. The probability of not recovering was 82% at 30 days and 10% at 1 year. The mean cost per episode was €15 350. Specific LBP (€22 999; beta (95% confidence interval [CI]): 16 278 (13 325-19 165)) and LRS (€20 111; beta (95% CI): 13 589 (12 527-14 659)) had the longest and most costly episodes, compared to non-specific favourable LBP (€6745; reference group).Conclusions: With LRS and non-specific unfavourable LBP accounting for over 83% of LBP-associated sick leave costs, the work-directed care of workers with these two diagnoses deserves increased attention.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"462-469"},"PeriodicalIF":5.1,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40545158","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: 1