Occupational Medicine-Oxford最新文献_第2页

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 1.7 4区医学

Occupational Medicine-Oxford Pub Date : 2025-08-01 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":"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":"332-340"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","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

Occupational health: the case for return on investment. 职业健康：投资回报案例。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqae098

Lorenzo Anselmi, Shriti Pattani, Neil Greenberg, Nick Pahl

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 : 2025-07-14 DOI: 10.1093/occmed/kqaf038

引用次数: 0

Lyme disease and occupation. 莱姆病与职业

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqae090

James D M Douglas, Ruth Scott

引用次数: 0

Occupational benzene exposure and skin cancers: a systematic review and meta-analysis. 职业性苯暴露与皮肤癌：系统回顾和荟萃分析。

IF 1.7 4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqae112

M Angelini, M S Seyyedsalehi, P Boffetta

{"title":"Occupational benzene exposure and skin cancers: a systematic review and meta-analysis.","authors":"M Angelini, M S Seyyedsalehi, P Boffetta","doi":"10.1093/occmed/kqae112","DOIUrl":"10.1093/occmed/kqae112","url":null,"abstract":"Background: Exposure to benzene is a widespread occupational hazard that has been associated with haematopoietic neoplasms. The increasing awareness of the health effects that can arise from extended dermal contact with aromatic hydrocarbons, such as benzene, may elevate the risk of skin cancer.Aims: This study addresses the association between occupational benzene exposure and its incidence and mortality, encompassing non-melanoma skin cancer (NMSC), including basal cell carcinoma and squamous cell carcinoma, as well as cutaneous melanoma (CM).Methods: After removing duplicates, we screened 5652 articles from four different sources (Embase, Pubmed, Scopus and IARC Monographs), retrieving 29 independent studies on occupational benzene exposure and skin cancer. The meta-analysis used a random-effects model, overall and stratifying by gender, publication year, outcome, geographic region, industry type and study design.Results: The analysis encompasses 18 risk estimates on CM and 21 on either NMSC or not-specified skin cancer (NM/NS) mostly from Europe and North America and predominantly from oil industry cohorts. There was no association with either CM (relative risk [RR] = 0.99, 95% confidence interval [CI] 0.81; 1.21) or NM/NS (RR = 1.19, 95% CI 0.94; 1.50), except for a positive association between employment in the chemical industry and NM/NS risk. There was no evidence of publication bias for either type of cancer (P = 0.70 and P = 0.08).Conclusions: Our meta-analysis found no association between occupational benzene exposure and skin cancer. Further research should aim to describe the association of benzene exposure with skin cancer in less developed countries and among various occupations.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"163-170"},"PeriodicalIF":1.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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 1.7 4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-14 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":"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":"179-187"},"PeriodicalIF":1.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257933/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long COVID in healthcare workers: longitudinal mixed-methods study. 医护人员的长期 COVID：纵向混合方法研究。

IF 1.7 4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-14 DOI: 10.1093/occmed/kqae113

A Grant, N N Adams, E MacIver, D Skåtun, N Scott, C Kennedy, F Douglas, V Hernandez-Santiago, N Torrance

{"title":"Long COVID in healthcare workers: longitudinal mixed-methods study.","authors":"A Grant, N N Adams, E MacIver, D Skåtun, N Scott, C Kennedy, F Douglas, V Hernandez-Santiago, N Torrance","doi":"10.1093/occmed/kqae113","DOIUrl":"10.1093/occmed/kqae113","url":null,"abstract":"Background: Healthcare workers (HCWs) report higher rates of long coronavirus disease (COVID) (LC) than other occupational groups. It is still unclear whether LC is a lifelong condition. Workforce shortfalls are apparent due to sick leave, reduced hours and lower productivity.Aims: To investigate the lived experience of LC on a range of HCWs, including impact on health-related quality-of-life (HRQL), use of health services, working and personal lives and household finances.Methods: Longitudinal mixed methods with online surveys and qualitative interviews 6-months apart. HCWs including healthcare professionals, ancillary and administration staff who self-report LC were recruited through social media and National Health Service channels. Interviewees were purposively sampled from survey responses.Results: The first survey was completed by 471 HCWs (S1) and 302 (64%) the follow-up (S2). A total of 50 HCWs were interviewed initially and 44 at second interview. All participants experienced various relapsing, remitting, changing and prolonged LC symptoms (mean 7.1 [SD 4.8] at S2) and a third reported day-to-day activities 'limited a lot'. Most participants were working in a reduced capacity: reduced hours, different role or location. Healthcare was limited, and often unsatisfactory. Participants feared reinfection, their future, ability to work and financial security (59% (n = 174) at S2). They experienced stigma, distress, grief for their former self and some felt unsupported, however, as awareness of LC grew some experienced improved understanding and support.Conclusions: Most participants continued working, managing complex and dynamic symptoms effecting their everyday life and ability to work. Most did not report significant improvements over time and feared for their future and financial security.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"171-178"},"PeriodicalIF":1.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ghana Must Go, n. 加纳必须去，名词。

4区医学

Occupational Medicine-Oxford Pub Date : 2025-07-10 DOI: 10.1093/oed/1315074082

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

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 1.7 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":1.7,"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