Occupational Medicine-Oxford最新文献

Psychosocial risk factors and perceived health of medical residents. 住院医师心理社会风险因素与感知健康。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-05-10 DOI: 10.1093/occmed/kqaf020

V Olivé, R Navinés, L Pujol, A Peña, M Tortajada, S Barroso, P Varela, E Vieta, R Martin-Santos

{"title":"Psychosocial risk factors and perceived health of medical residents.","authors":"V Olivé, R Navinés, L Pujol, A Peña, M Tortajada, S Barroso, P Varela, E Vieta, R Martin-Santos","doi":"10.1093/occmed/kqaf020","DOIUrl":"https://doi.org/10.1093/occmed/kqaf020","url":null,"abstract":"Background: Several investigations have shown that residents are especially vulnerable to work stress, with the greatest relevance placed on psychosocial factors.Aims: To investigate the relationship between psychosocial risk factors and general, mental and vitality perceived health and job satisfaction among residents in a teaching hospital for a preventive intervention program.Methods: This is a retrospective cross-sectional study. Data on psychosocial factors (F-PSICO-INSHT-4.0), perceived general, mental and vitality health (36-item Short Form Survey questionnaire), and overall job satisfaction were collected from an anonymous, online survey (2018). Univariate and multivariate analysis was done.Results: The survey was answered by 107 residents (31% response rate). Female residents had worse perceived mental health than males (P < 0.05). Residents showed a worsening of vitality from the second year to the residency end (P < 0.05). No gender or year of residency differences were found related to general health. Job satisfaction worsened during years of residency (P < 0.01), with no gender differences. The psychosocial factors identified as potential risk factors were workload, emotional demands, participation/supervision and role performance. Multivariate linear regression models showed that compensation and role clarity explain 18% of the variation in general health score (adjusted-R2 = 0.183); role clarity, emotional demands, interpersonal conflicts and difficulty at work the 32% of the variation in mental health outcome (adjusted-R2 = 0.315); and compensation, time pressure, gender and supervision the 32% of the variability of vitality outcome (adjusted-R2 = 0.320).Conclusions: These findings highlight the importance of psychosocial risk factors in perceived health, and overall satisfaction in medical residents during their specialist training.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: The Pittsburgh Sleep Quality Index: a brief review. 更正：匹兹堡睡眠质量指数：简要回顾。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-05-09 DOI: 10.1093/occmed/kqaf038

引用次数: 0

Occupational health literacy and affecting factors on healthcare workers. 医护人员职业健康素养及其影响因素。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-05-06 DOI: 10.1093/occmed/kqaf014

E Karasu, L Karasu, D Unalan

{"title":"Occupational health literacy and affecting factors on healthcare workers.","authors":"E Karasu, L Karasu, D Unalan","doi":"10.1093/occmed/kqaf014","DOIUrl":"https://doi.org/10.1093/occmed/kqaf014","url":null,"abstract":"Background: In the realm of occupational accidents, the healthcare sector holds a significant position as it is classified as a highly hazardous workplace, thus bearing a heightened probability of accidents. Consequently, it becomes imperative to assess the occupational Health Literacy (OHL) of healthcare workers and identify the influencing factors.Aims: The aim is to determine the OHL levels of healthcare workers and examine their relationship with demographic, socio-cultural characteristics, and variables related to the work environment.Methods: This cross-sectional survey was conducted among 200 healthcare workers employed in healthcare services, administrative services, and support services at an education and research hospital in Niğde, Turkey, from November-December 2023. Data collection involved the utilization of a personal information form encompassing participants' socio-demographic characteristics and occupational health practices, along with the OHL Scale. Descriptive statistics, intergroup difference analyses, and multiple regression analysis were employed for data analysis.Results: The participants demonstrated an average OHL score of 94.07 ± 11.33. They scored highest in Understanding occupational health and safety (OHS) Information (40.93) and lowest in Evaluating OHS Information (9.57). OHL among healthcare workers varied based on demographics, socio-cultural factors, and work-related variables. Age, education, tenure, vaccination, regular health screenings, workplace accidents and personal protective equipment (PPE) usage positively impacted OHL.Conclusions: Findings revealed participants possess a certain level of OHL. Age, education, tenure, vaccination, regular health screenings, workplace accidents and PPE usage accounted for 53% of OHL variance. Enhancing workplace safety measures and improving healthcare workers' OHL are recommended.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of employment stability on all-cause mortality among young workers. 就业稳定性对青年工人全因死亡率的影响。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-05-05 DOI: 10.1093/occmed/kqaf015

B Yun, H Park, J Oh, J Sim, J Lee, J-H Yoon

{"title":"The impact of employment stability on all-cause mortality among young workers.","authors":"B Yun, H Park, J Oh, J Sim, J Lee, J-H Yoon","doi":"10.1093/occmed/kqaf015","DOIUrl":"https://doi.org/10.1093/occmed/kqaf015","url":null,"abstract":"Background: Employment status significantly affects individuals' well-being and health outcomes. Positive transitions, such as moving from unemployment to employment, can improve job satisfaction and social standing, while negative transitions, such as unemployment, have been associated with adverse health outcomes.Aims: To assess the impact of employment stability on health outcomes among young workers.Methods: We conducted a retrospective cohort study using data from the Korean National Health Insurance Service database. The study included 4 031 249 individuals aged 25-44 years who underwent health check-ups between 2009 and 2010. Employment stability was categorized into two groups: stable employment and unstable employment. Adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using multivariable Cox proportional hazard models to evaluate the impact of employment stability on the risk of all-cause mortality.Results: Unstable employment significantly increased the risk of all-cause mortality in both men and women compared with the stable employment group. The HRs were 1.80 (95% CI: 1.74-1.86) for men and 1.58 (95% CI: 1.49-1.68) for women. The impact was most pronounced among individuals aged 40-44 years, those in higher-income subgroups, and those with diabetes, highlighting these groups as particularly vulnerable to the effects of unstable employment.Conclusions: This study highlights the impact of employment stability on all-cause mortality, focusing on gender differences, young workers and social role theory.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of severe COVID-19 among 1.2 million workers in Ontario, Canada. 加拿大安大略省120万工人中严重COVID-19的发病率

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-05-05 DOI: 10.1093/occmed/kqaf017

J Sritharan, C Song, M A Harris, T L Kirkham, B T Smith, J Kim, V H Arrandale, P A Demers

{"title":"Incidence of severe COVID-19 among 1.2 million workers in Ontario, Canada.","authors":"J Sritharan, C Song, M A Harris, T L Kirkham, B T Smith, J Kim, V H Arrandale, P A Demers","doi":"10.1093/occmed/kqaf017","DOIUrl":"https://doi.org/10.1093/occmed/kqaf017","url":null,"abstract":"Background: The disproportionate impact of coronavirus disease (COVID-19) on healthcare workers has been highlighted; however, there is a lack of evidence regarding other high-risk occupations and industries.Aims: This study estimated the risk of severe COVID-19 among a large cohort of workers in Ontario, Canada.Methods: This study used a cohort of 1.2 million workers identified using workers' compensation claims records (1983-2019). Identified workers were linked with emergency department (ED) visits and hospitalizations (2020-2021). Cases coded as U0.71 (virus detected, confirmed case) were identified from ED visits and hospitalizations. Hazard ratios (HRs) and 95% confidence intervals (CI95%) for COVID-19 for each occupational group compared to all other workers in the cohort were calculated, adjusting for age and birth year. Standardized incidence ratios and 95% CI, comparing workers to the general population of Ontario were also calculated, adjusting for age, sex, year and region.Results: A total of 10 322 severe COVID-19 cases among workers were identified through ED visits and hospitalizations. Workers in material handling (HR=1.32, CI95%=1.21-1.43), medicine and health (HR=1.27, CI95%=1.18-1.37), processing (food, water, textile) (HR=1.23, CI95%=1.12-1.36) and machining occupations (HR=1.11, CI95%=1.02-1.20) had some of the highest risks of COVID-19 when compared to all other workers in the cohort. Findings were somewhat consistent when comparing workers to the general population of Ontario.Conclusions: Certain groups of workers in this cohort demonstrated elevated risks of severe COVID-19. The findings align with previous studies and emphasize the need to include occupational surveillance methods in future pandemic preparedness in Canada.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guidelines for a sustainable return to work with long COVID. 长期 COVID 可持续重返工作岗位指南。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae141

C R Rayner, K Burton, E B MacDonald

引用次数: 0

Lymph node silicosis and recurrent tuberculosis in a short service goldminer. 一个短期金矿工人的淋巴结矽肺病和复发性肺结核。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae135

D Knight, J Murray, R Roberts, R Ehrlich

引用次数: 0

Occupational exposure and sarcoidosis: a case-control study in three countries. 职业暴露与结节病：三个国家的病例对照研究

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae137

D Vinnikov, L Strizhakov, T Rybina, S Babanov, M Brovko, V Sholomova, M Lebedeva, I Mukatova, N Lavrenteva, N Manavitskaya, I Hinko, S Мakhnach, A Rybina, S Vasileuski, L Savich

{"title":"Occupational exposure and sarcoidosis: a case-control study in three countries.","authors":"D Vinnikov, L Strizhakov, T Rybina, S Babanov, M Brovko, V Sholomova, M Lebedeva, I Mukatova, N Lavrenteva, N Manavitskaya, I Hinko, S Мakhnach, A Rybina, S Vasileuski, L Savich","doi":"10.1093/occmed/kqae137","DOIUrl":"10.1093/occmed/kqae137","url":null,"abstract":"Background: Preceding studies of environmental and occupational risk factors of sarcoidosis yielded inconsistent findings.Aims: We aimed to ascertain the occupational risk factors for sarcoidosis in a case-control study.Methods: A total of 237 sarcoidosis patients with a histologically confirmed diagnosis were matched with 474 controls for sex and age (median 49, interquartile range 37; 60 years) recruited from the university hospitals and outpatient centres in Belarus, Kazakhstan and the Russian Federation. Ever and cumulative (considering years and hours per week) exposure to 24 occupational factors were analysed using logistic regression.Results: In the overall sample of 711 subjects, 50% were females and any occupational exposure was more prevalent in cases compared to controls (60% versus 40%, P < 0.001). Current daily smoking as opposed to ex-smoking was associated with the lower risk of the outcome. Adjusted for smoking, age, sex and a few other exposures, ever-exposure to hay in agriculture (odds ratio (OR) 3.64 (95% confidence interval (CI) 1.26; 10.50)), engine exhausts (OR 2.94 (95% CI 1.14; 7.54)) and printing equipment (OR 1.66 (95% 1.03; 2.68)) was associated with sarcoidosis. The effect was also positive for cumulative exposure to hay in agriculture (OR 2.02 (95% CI 1.00; 4.07)), stone dust (OR 1.07 (95% CI 1.01; 1.14)) and engine exhausts (OR 1.18 (95% CI 1.03; 1.38)) and was stronger in never-smokers and subjects 40 years and older.Conclusions: Widespread occupational exposures may increase the risk of sarcoidosis, but further research is needed to elucidate the complex interplay of environmental and occupational factors in the epidemiology of sarcoidosis.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"58-64"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Carpal tunnel syndrome severity and work: a case-control study. 腕管综合征严重程度与工作：一项病例对照研究。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae120

S Curti, F Ginanneschi, C Salce, A Argentino, S Mattioli, M Mondelli

{"title":"Carpal tunnel syndrome severity and work: a case-control study.","authors":"S Curti, F Ginanneschi, C Salce, A Argentino, S Mattioli, M Mondelli","doi":"10.1093/occmed/kqae120","DOIUrl":"10.1093/occmed/kqae120","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) is a socially relevant condition. Risk factors associated with CTS severity and work have not been explored.Aims: This case-control study aims to investigate the association between CTS severity and occupational biomechanical overload considering personal anthropometric risk factors.Methods: We consecutively enrolled one CTS case for two controls. CTS cases were grouped into three classes of progressive clinical and electrophysiological severity according to two validated scales. Job titles were coded according to the International Standard Classification of Occupations (ISCO 88) and grouped into two broad socio-occupational categories: blue-collar and white-collar workers.The associations between CTS (or CTS severity) and blue-collar status were assessed using unconditional (or multinomial) logistic regression models adjusted for age, gender, centre and two anthropometric indexes: wrist-palm ratio and waist-stature ratio. Odds ratios (OR) or relative risk ratio and 95% confidence intervals (95% CI) were calculated, as appropriate.Results: We included 183 cases and 445 controls. Blue-collar status was a risk factor for CTS (OR 2.4; 95% CI 1.5-3.8). Among job titles, vine and/or olive tree growers (OR 6.0; 95% CI 2.0-17.9) and food processing workers (OR 4.8; 95% CI 1.5-15.2) were at higher risk. At multinomial logistic regression analysis, blue-collar status and the two anthropometric indexes were associated with moderate/severe CTS, after mutual adjustment.Conclusions: Blue-collar workers showed a higher risk of CTS than white-collar workers, adjusting for anthropometric and body measures as well. Preventive interventions should be addressed to decrease the biomechanical overload of the upper limbs and limit the overweight.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"26-32"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Job-exposure matrix (JEM) validity on crystalline silica among systemic sclerosis patients. 系统性硬化症患者结晶二氧化硅工作暴露矩阵（JEM）效度。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae133

M Touchard, A Bourgeois, B Thoreau, M Fadel, B Zavarsky, E Diot, A Lescoat, G Le Roux, A Descatha

{"title":"Job-exposure matrix (JEM) validity on crystalline silica among systemic sclerosis patients.","authors":"M Touchard, A Bourgeois, B Thoreau, M Fadel, B Zavarsky, E Diot, A Lescoat, G Le Roux, A Descatha","doi":"10.1093/occmed/kqae133","DOIUrl":"10.1093/occmed/kqae133","url":null,"abstract":"Background: Systemic sclerosis (SSc) is the connective tissue disease with the highest individual mortality. Crystalline silica is known to be an occupational risk factor for SSc. To assess past crystalline silica exposure, we aimed to study the validity of a job exposure matrix (JEM) to assess occupational exposure to crystalline silica compared to specific occupational interviews in two populations of SSc patients.Aims: To demonstrate the reliability of JEM for the assessment of occupational exposure to hazards such as silica, in severe rare disorders like SSc.Methods: Patients from two university hospital centres underwent standardized assessment of occupational silica exposure and collected job histories through face-to-face interviews. A JEM from the French program Matgéné was used to assess silica exposure and compared to the standardized interview results. Standard metrics were computed for evaluate the accuracy of JEM.Results: 67 participants from Rennes, and 119 from Tours were included, with respectively 10.5% and 18.0% of patients with silica exposure based on the results of the interview. The JEM with 50% probability cut-off had a good performance when compared with the classic assessment method. A cumulative exposure index from JEM over 250 had an area under the curve between 0.76 and 0.79 and also a very high positive likelihood ratio (17.14 and 10.29).Conclusions: Despite limitations inherent to JEMs and associated validation methods, the JEM used in this setting provided accurate results to assess occupational exposure to crystalline silica for clinical purposes such as in SSc patients, especially to detect positive cases.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"65-68"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0