Work and health最新文献

{"title":"Climate, Toxic Exposures and Work: Linking the Amazon, Africa, and Southern Europe through a COP30 Dialogue.","authors":"Roberto G Lucchini, Sila Apurina, Alexandra Almeida, Silvana Andreescu, Paulo Cesar Basta, Maria Elena Crespo Lopez, Gabriela de Paula Fonseca Arrifano, Alok Deoraj, Enatfenta Sewmehone Endalew, Carlos Espinal, Quentin Felty, Luis Fernandez, Maria Del Carmen Gastañaga, Luca Lombroso, Stefanny Magaly Moncada Barbosa, Ebba Malqvist, Desalew Meseret Moges, Cristina O'Callaghan-Gordo, Jesús Olivero-Verbel, Luciana Pitta, Claudia Vega, Kunihiko Yoshida, Luiz Augusto Galvão, Kurt Straif","doi":"10.53941/wah.2026.100017","DOIUrl":"https://doi.org/10.53941/wah.2026.100017","url":null,"abstract":"<p><p>Climate change, toxic pollution, and social inequities are converging to create new risks for workers and communities, particularly in the Global South. Yet occupational and environmental health research and policy still tend to address these stressors in isolation, not considering their interactions. To synthesize the main messages of the COP30 side event, \"Amazon and Heat: Community-First Climate-Environment-Health Action from the Amazon Basin to Africa and Europe\", presented in the context of the LIMA2025 Conference on Occupational Medicine, and to propose a framework for integrated climate-environment-health action in work and community settings. This conference report and policy perspective are based on a narrative synthesis of presentations and discussions delivered during the COP30 side event and subsequently presented at LIMA2025 by researchers, Indigenous leaders, occupational health practitioners and civil society organizations from the Amazon Basin, Africa and Europe. Contributions were grouped into thematic domains: (1) climate and toxic exposures in the Amazon; (2) work and heat in African and Southern European settings; and (3) cross-cutting challenges and policy opportunities. The analysis followed a qualitative thematic approach. Across regions, participants described intersecting exposures to heat, toxic chemicals, air pollution, deforestation and psychosocial stress, disproportionately affecting workers, Indigenous peoples, traditional populations, pregnant women and children. Evidence from cohort studies, intervention projects, and remote-sensing analyses highlighted: (i) elevated mercury exposure and increasing microplastics and diesel contamination in Amazonian communities, alongside climate-sensitive food-system vulnerabilities; (ii) growing heat-related health risks among children and pregnant women in African cities; and (iii) dehydration, kidney dysfunction, and cardiometabolic risks among agricultural and construction workers in Southern Europe. Cross-cutting themes included exposure mixtures, inequities in access to care and justice, persistent data gaps, and the need for locally owned technologies, capacity building, and sustainable solutions. The side event catalyzed the development of an Amazon Climate-Environment-Health Consortium and a shared policy agenda. Integrated, equity-focused action on heat, toxic exposures, and work is essential for a just climate transition.</p>","PeriodicalId":521257,"journal":{"name":"Work and health","volume":"2 3","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171410","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}

{"title":"The Relationship between Occupation and Lung Cancer Incidence in the Women's Health Initiative Observational Study.","authors":"Ripon Hosain, Yvonne L Michael, Robert B Wallace, Rowan T Chlebowski, David O Garcia, Rami Nassir, Lucy F Robinson, Rebecca A Seguin-Fowler, Julie C Weitlauf, Anneclaire J De Roos","doi":"10.53941/wah.2025.100010","DOIUrl":"10.53941/wah.2025.100010","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer remains the foremost cause of cancer mortality among US women, with a notable proportion arising in never-smokers. While occupational exposures contribute to lung cancer risk, women have been underrepresented in occupational studies. Therefore, we examined the relationship between occupational titles and lung cancer incidence in women, stratified by smoking exposure.</p><p><strong>Methods: </strong>Postmenopausal women (N = 93,676) entered the Women's Health Initiative Observational Study prospective cohort beginning in 1993. Participants reported their three longest-held paid jobs at the study baseline and women were followed for health outcomes. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for lung cancer incidence in association with ever working in a given occupation, as well as by employment duration (<10 years, ≥10 years), with adjustment for smoking, demographics, and lifestyle factors. Effect modification by smoking status was assessed in stratified models.</p><p><strong>Results: </strong>Higher lung cancer risks were observed among women employed in management, sales, food service, and personal care occupations, as well as for several less common occupations, including life sciences, museum-related technical roles, and farming, construction, and production jobs. For example, ever working as Archivists, Curators, and Museum Technicians was associated with higher risk (OR = 2.55; 95% CI: 1.22-5.32), as was employment in Farming, Fishing, and Forestry occupations (OR = 1.98; 95% CI: 1.11-3.55), compared to women who never worked in those jobs. Longer-duration employment (≥10 years) as Life Scientists was also associated with elevated risk (OR = 2.31; 95% CI: 1.19-4.49). Most associations did not differ significantly by smoking, or were stronger among never-smokers than smokers, suggesting potential occupational risks independent of smoking.</p><p><strong>Conclusions: </strong>Occupational factors may increase women's lung cancer risk beyond smoking, necessitating targeted prevention and future research.</p>","PeriodicalId":521257,"journal":{"name":"Work and health","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204693","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}