Occupational medicine (Oxford, England)最新文献

Joint-statement supporting adequate undergraduate training in occupational medicine in medical schools. 联合声明支持在医学院开展充分的职业医学本科培训。

Occupational medicine (Oxford, England) Pub Date : 2025-07-16 DOI: 10.1093/occmed/kqaf056

Begoña Martínez-Jarreta, Fabriziomaria Gobba

引用次数: 0

A cross-sectional study of menstrual symptoms and workplace mistreatment. 月经症状和工作场所虐待的横断面研究。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf043

Naoya Sawamoto, Keiki Hirashima, Naoaki Ohkubo, Makoto Okawara, Tomohiro Ishimaru, Ning Liu, Yoshihisa Fujino

{"title":"A cross-sectional study of menstrual symptoms and workplace mistreatment.","authors":"Naoya Sawamoto, Keiki Hirashima, Naoaki Ohkubo, Makoto Okawara, Tomohiro Ishimaru, Ning Liu, Yoshihisa Fujino","doi":"10.1093/occmed/kqaf043","DOIUrl":"10.1093/occmed/kqaf043","url":null,"abstract":"Background: Stigma associated with menstruation has been identified and affects women's careers in the workplace. However, few studies have explored the details, particularly the link to workplace mistreatment, which is a serious human rights issue.Aims: This study aimed to examine the association between menstrual symptoms, including heavy menstrual bleeding (HMB), and workplace mistreatment.Methods: An internet-based, cross-sectional study was conducted in 2024. A total of 19 451 female workers in Japan, aged between 20 and 60 years, were included in the final analysis. In addition to menstruation-related symptoms, HMB was assessed at baseline using a six-item questionnaire (SAMANTA). Experiences of workplace mistreatment related to women's health were assessed using a follow-up survey. Poisson regression analysis with robust variance was used to estimate the associations between them.Results: Workers with SAMANTA scores ≥3, which indicated HMB, were significantly more likely to experience workplace mistreatment than those with scores <3 (age-adjusted prevalence ratio, 1.28; 95% CI 1.22-1.34). All menstruation-related symptoms were significantly associated with workplace mistreatment. The more severe the symptoms, the more likely workers were to experience workplace mistreatment. These symptoms remained significantly associated after adjusting for socioeconomic factors, and their trends and values did not change substantially.Conclusions: Female workers with menstrual symptoms, regardless of their position, were more likely to experience workplace mistreatment related to those symptoms. Workplaces may need to make efforts to accommodate the menstrual symptoms.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"203-209"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513070","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

Diagnostic test performance of screening questions for neurosensory hand-arm vibration injury. 神经感觉性手臂振动损伤筛查题的诊断试验表现。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf042

Albin Stjernbrandt, Ingrid Liljelind, Tohr Nilsson, Hans Pettersson

{"title":"Diagnostic test performance of screening questions for neurosensory hand-arm vibration injury.","authors":"Albin Stjernbrandt, Ingrid Liljelind, Tohr Nilsson, Hans Pettersson","doi":"10.1093/occmed/kqaf042","DOIUrl":"10.1093/occmed/kqaf042","url":null,"abstract":"Background: There is a need for efficient screening for hand-arm vibration injury.Aims: To evaluate the diagnostic test performance of screening questions for neurosensory injury in relation to clinical testing among hand-arm vibration (HAV)-exposed workers.Methods: HAV-exposed subjects responded to a screening survey on subjective perception of touch, warmth, cold, and vibration, as well as grip strength and manual dexterity. Perception of monofilament, two-point discrimination, temperature rollers, and tuning fork was tested on the index and little fingers of both hands, while grip strength was tested using a hydraulic dynamometer. Diagnostic test performance characteristics were calculated based on crosstabulation of survey responses and outcomes of clinical testing.Results: Our study recruited 225 subjects with exposure durations between one and 43 years. The sensitivity and specificity for the question about impaired ability to feel touch compared with monofilament was 65% and 71%; impaired ability to feel heat compared with temperature rollers 50% and 75%; impaired ability to feel cold compared with temperature rollers 39% and 77%; impaired ability to feel vibration compared with tuning fork 49% and 84%; reduced grip strength compared with hydraulic dynamometer 83% and 58%; and difficulty fastening buttons compared with two-point discrimination 40% and 76%, respectively.Conclusions: The diagnostic test performance of the currently used screening survey for neurosensory injury among HAV-exposed workers needs to be improved. Future development should focus on establishing more specific questions, balanced response alternatives, and a more sophisticated interpretation of the responses, possibly using an index made up of several screening questions.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"196-202"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510470","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

Identifying the sources of mercury exposure in dental workers. 确定牙科工作者接触汞的来源。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf024

Hinpetch Daungsupawong, Viroj Wiwanitkit

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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 : 2025-07-14 DOI: 10.1093/occmed/kqaf032

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Organizational stress and determinants of help-seeking among attorneys. 组织压力与律师寻求帮助的决定因素。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf049

K J Black, T W Britt, A Lesswing

{"title":"Organizational stress and determinants of help-seeking among attorneys.","authors":"K J Black, T W Britt, A Lesswing","doi":"10.1093/occmed/kqaf049","DOIUrl":"https://doi.org/10.1093/occmed/kqaf049","url":null,"abstract":"Background: Attorneys often report high levels of stress and mental health concerns. Research on the determinants of whether attorneys seek treatment for mental health problems is sparse.Aims: We examined workplace factors that correlate with mental health symptoms and treatment barriers, and how these workplace factors and personal/attitudinal factors related to mental health treatment seeking.Methods: An online survey was distributed to U.S. attorneys through professional organizations. Validated measures assessed work experiences, health, and treatment-seeking attitudes and behaviours.Results: In total, 283 attorneys responded to the survey. Work overload, stress-related stigma, and psychosocial safety climate correlated with mental health symptoms and barriers/facilitators of treatment seeking. A total of 182 attorneys were identified as having a current mental health concern; 92 had sought treatment within the past year. Those who had sought treatment (compared to those who had not) reported less tenure (OR = 0.86, CI 0.76-0.96), negative views of medication (OR = 0.44, CI 0.21-0.94), self-reliance (0.30, CI 0.12-0.73) and more depression/anxiety symptoms (OR = 1.52, CI 1.19-1.94), work overload (OR = 2.02, CI 1.21-3.35), positive treatment attitudes (OR = 4.18, CI 1.49-11.71), and stigma beliefs about others (OR = 6.92, CI 1.86-25.76; likely a statistical suppression effect). Relative weights analysis identified symptom severity, self-reliance, and positive treatment attitudes as the strongest predictors.Conclusions: Workload and work climate impact attorney's mental health and attitudes about treatment. Attorneys can be supported with a healthy organizational climate and education on treatment benefits and when self-reliance is insufficient.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639600","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 : 2025-07-14 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":"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":"188-195"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164611","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

Questionnaire Review: Management Standards Indicator Tool. 问卷审查：管理标准指标工具。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf002

Jonathan Houdmont

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Reply. 回复。

Occupational medicine (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqaf027

Watcharakorn Chuthong, Satariya Trakulsrichai, Patthrarawalai Sirinara

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Factors associated with excessive daytime sleepiness among firefighters in Indonesia. 印尼消防员日间过度嗜睡的相关因素。

Occupational medicine (Oxford, England) Pub Date : 2025-07-12 DOI: 10.1093/occmed/kqaf054

E Harlynadia, D Y Fitriani, D S Soemarko, N P Adi, A Fuady

{"title":"Factors associated with excessive daytime sleepiness among firefighters in Indonesia.","authors":"E Harlynadia, D Y Fitriani, D S Soemarko, N P Adi, A Fuady","doi":"10.1093/occmed/kqaf054","DOIUrl":"https://doi.org/10.1093/occmed/kqaf054","url":null,"abstract":"Background: Excessive daytime sleepiness (EDS) has a negative impact on quality of life, work productivity and potentially increasing the risk of work-related accidents. Due to their shift systems, firefighters are vulnerable to having EDS. However, there has been limited research on EDS among firefighters, particularly in Indonesia.Aims: To assess the prevalence of EDS among Indonesian firefighters and identify associated factors.Methods: A cross-sectional survey of firefighters working at a district level Firefighters Department in a district of West Java, Indonesia, was undertaken in October 2023. Firefighters were interviewed to assess factors related to EDS. Their sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) ('poor sleep' if PSQI score ≥6), and Epworth Sleepiness Scale (ESS) was used to assess the presence of EDS (if ESS score >9). Binary logistic regression was used to identify factors associated with EDS.Results: The overall respective mean (SD) scores of PSQI and ESS among firefighters were 5.02 (2.33) and 6.50 (3.48). Of 130 firefighters, 59 (45%) had poor sleep quality, and 35 (27%) experienced EDS. The EDS was statistically significantly correlated with poor sleep quality (aOR = 2.66; 95% CI 1.09-6.46) and undertaking shift working (aOR = 2.65; 95% CI 1.00-6.99).Conclusions: Firefighters had substantial EDS problems, correlated with poor sleep quality and shift working. Revisiting shift work policy and working practices, providing better facilities for taking a rest during working hours and early identification of poor sleep quality may reduce the prevalence of EDS among firefighters.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621756","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