Occupational Medicine-Oxford最新文献_第4页

Correction to: O-105 HOW HEALTHY IS YOUR WORKPLACE? OCCUPATIONAL HEALTH PROGRAMS IN GERMAN COMPANIES - CREATION AND VALIDATION OF EFFECTIVE MEASURES. 更正为O-105 您的工作场所健康状况如何？德国企业的职业健康计划 - 有效措施的制定和验证。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-19 DOI: 10.1093/occmed/kqae087

引用次数: 0

The COVID-19 pandemic and occupational health-transitioning to the new normal. COVID-19 大流行与职业健康--向新常态过渡。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-08 DOI: 10.1093/occmed/kqae082

Alvin Tan, Wee Hoe Gan, David Koh

引用次数: 0

Perceived mental health skills and competence among occupational health physicians. 职业健康医生对心理健康技能和能力的认知。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-08-30 DOI: 10.1093/occmed/kqae080

M Majuri, M Malin, A Antila, R Luukkonen, M Palosaari, K Reijula

{"title":"Perceived mental health skills and competence among occupational health physicians.","authors":"M Majuri, M Malin, A Antila, R Luukkonen, M Palosaari, K Reijula","doi":"10.1093/occmed/kqae080","DOIUrl":"https://doi.org/10.1093/occmed/kqae080","url":null,"abstract":"Background: Mental-health-based consultations in occupational health (OH) are increasing due to ongoing changes in working life.Aims: We studied the self-assessed mental health competence of trainees and trainers in OH specialist physician training.Methods: We conducted an online survey from June to August 2022. We analysed how trainees and trainers in OH assessed their own competence in mental health practice with N (%) and means (standard deviation [SD]). We analysed the underlying assumptions about competences specific to OH using an explanatory factor analysis. We applied the Kruskal-Wallis test to determine differences between trainees and trainers using the variables in the factor analysis.Results: Respondents' perceptions of mental health competence were more positive among trainers (mean 3.97, SD 0.72) than trainees (mean 3.66, SD 1.08, P = 0.2123). Based on trainee physicians' own assessments, more experience increases competence, until after 7 years, when the perceived competence seems to decrease. The trainer physicians' self-assessed mental health competence decreased over time. With factor analyses, we identified five competence factors: general mental health, workplace risks and resources, rehabilitation, promotion and prevention, and special skills. In our results, individual-level mental health competences such as work ability evaluation and to manage return-to-work processes were evaluated better than community-based proactive processes.Conclusions: Physicians in OH specialist physician training self-assessed their mental health competence better at the employee level than at the workplace level. Based on our results, we need to develop the curriculum of OH specialist physician training to meet the needs of working life in support of mental health.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114853","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

Long working hours and cardiovascular diseases, time for preventive action. 长时间工作与心血管疾病，是时候采取预防措施了。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-08-30 DOI: 10.1093/occmed/kqae078

Alexis Descatha, Paul Landsbergis, Jian Li, Grace Sembajwe, Marc Fadel

引用次数: 0

Lung cancer risk associated with occupations in women: a pooling study. 与女性职业相关的肺癌风险：一项汇总研究。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae050

E Torres-Cadavid, M Pérez-Ríos, C Candal-Pedreira, C Guerra-Tort, J Rey-Brandariz, M Provencio-Pulla, K Kelsey, A Ruano-Ravina

{"title":"Lung cancer risk associated with occupations in women: a pooling study.","authors":"E Torres-Cadavid, M Pérez-Ríos, C Candal-Pedreira, C Guerra-Tort, J Rey-Brandariz, M Provencio-Pulla, K Kelsey, A Ruano-Ravina","doi":"10.1093/occmed/kqae050","DOIUrl":"10.1093/occmed/kqae050","url":null,"abstract":"Background: Occupation is an important risk factor for lung cancer. This knowledge is mainly based on studies conducted on men, with the results being generalized to women.Aims: We aimed to identify the relationship between different occupations and lung cancer in women.Methods: Pooling study in which data were pooled from six case-control studies conducted at 13 Spanish hospitals and 1 hospital in Portugal. Each woman's longest held job was coded as per the ISCO-08. Results were adjusted for age, smoking, and exposure to residential radon.Results: The study population comprised 1262 women: 618 cases and 644 controls. The reference group were white-collar workers. The adjusted multivariate analysis showed a higher risk of developing lung cancer among teaching professionals (odds ratio [OR]: 4.36; 95% confidence interval [CI] 1.73-11.02), cooks (OR: 3.59; 95% CI 1.52-8.48), domestic cleaners and helpers (OR: 2.98; 95% CI 1.54-5.78), homemakers (OR: 2.30; 95% CI 1.26-4.21) and crop farmers, livestock farmers and gardeners (OR: 2.06, 95% CI: 1.11-3.81). For adenocarcinoma, the highest risk was observed in teaching professionals, and for small-cell carcinoma, the highest risk was observed in cooks. Higher risks were observed for small-cell carcinoma compared to other histological types.Conclusions: Some occupations may be associated with an increased risk of lung cancer in women and this risk could vary by histologic subtype; however, further research is needed to confirm these associations. In any case, protection measures must be implemented in the workplace aimed at reducing the risk of lung cancer among women workers, and more studies exclusively focused on women are warranted.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725069","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

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae042

V Hogan, M Hogan, O Kirwan, C Langan Walsh, C McLaughlin, Á Moynihan, A Connolly, J Walsh, M Coggins

{"title":"Sun-related knowledge and practices in Irish construction and agricultural workers.","authors":"V Hogan, M Hogan, O Kirwan, C Langan Walsh, C McLaughlin, Á Moynihan, A Connolly, J Walsh, M Coggins","doi":"10.1093/occmed/kqae042","DOIUrl":"10.1093/occmed/kqae042","url":null,"abstract":"Background: Agricultural and construction workers spend much of their work time outdoors and have higher risks of developing skin cancer when compared to indoor workers. However, there is limited research on ultraviolet radiation (UVR) exposure knowledge, sun safety practices and constraints within these occupational groups in Ireland.Aims: This study aimed to examine self-reported time spent outdoors in a sample of Irish agricultural and construction workers; to describe and compare UVR exposure knowledge, safety practices and perceived constraints in both occupational groups, and to assess the association of demographic, personal and occupational factors with sun-related knowledge, practices and perceived constraints.Methods: Agricultural workers (n = 154) and construction workers (n = 467) completed a questionnaire, which measured solar UVR exposure knowledge, safety practices, and perceived constraints to sun personal protective equipment and sunscreen use in addition to demographic, personal, and workplace characteristics. Mann-Whitney and Kruskal-Wallis tests were used to examine differences in knowledge, practices and perceived constraints by these characteristics.Results: Both groups spend a significant proportion of their working week outdoors (25 hours per week on average). Although participation in sun safety training was high for both groups, UVR exposure knowledge and sunscreen use were low, and annual rates of reported sunburn were high. Knowledge, practices and perceived constraints also differed significantly according to demographic, personal, occupational and workplace characteristics.Conclusions: In addition to training by employers and advisory groups, interventions are required to address perceived barriers that impede the uptake and usage of control measures that can lower risk.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11285147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592113","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

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae040

M Aria, I Khazim, M Ilyas, A Kekalih, A Fuady

{"title":"Work-Related Fatigue Among Indonesian Offshore Oil and Gas Workers.","authors":"M Aria, I Khazim, M Ilyas, A Kekalih, A Fuady","doi":"10.1093/occmed/kqae040","DOIUrl":"10.1093/occmed/kqae040","url":null,"abstract":"Background: Work-related fatigue, combined with shift work and prolonged work hours, has a significant effect, contributing to increasing accident rate by 50-100%.Aims: To assess the level of work-related fatigue over a 4-week work period among offshore rig oil and gas workers in Indonesia.Methods: This cohort study evaluated acute fatigue, chronic fatigue, and intershift recovery scores among offshore oil and gas rig workers using the Occupational Fatigue Exhaustion Recovery 15 (OFER15) questionnaire. Fatigue levels were assessed weekly throughout the study duration, which was 4-week work period. Additionally, at the fourth week, participants were asked about psychosocial factors that could be potentially related to fatigue.Results: Of 67 participants, the average scores of acute and chronic fatigue were 30.0 and 33.3, and the scores had significantly increased over 4 weeks (P < 0.001). The intershift recovery scores statistically significantly decreased over 4 weeks (P < 0.001), and the differences between weeks (Week 1 versus 2, Week 1 versus 3 and Week 1 versus 4) were also statistically significant (P < 0.001). Acute and chronic fatigue scores had a significant positive correlation with psychological job demands and negatively correlated with influence at work and job satisfaction. Over 4 weeks, acute fatigue augmented chronic fatigue, while acute and chronic fatigue demanded a longer recovery.Conclusions: Workers at the offshore rig experienced work fatigue during their on-duty periods, with the level of fatigue significantly increasing over the 4 weeks. Comprehensive fatigue management at offshore rigs is vital to mitigate work fatigue and minimize the risk of work-related accidents.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162596","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

Personal protective equipment impacts firefighters' anaerobic fitness. 个人防护装备影响消防员的无氧体能。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae046

Z Papadakis, A Stamatis, P Beitia

{"title":"Personal protective equipment impacts firefighters' anaerobic fitness.","authors":"Z Papadakis, A Stamatis, P Beitia","doi":"10.1093/occmed/kqae046","DOIUrl":"10.1093/occmed/kqae046","url":null,"abstract":"Background: Personal protective equipment (PPE) is vital for firefighters' safety and effectiveness during daily operations. However, concerns have emerged about its potential impact on firefighters' anaerobic fitness (AF), which is crucial for their operational readiness. The Physical Ability Test (PAT) is used to assess readiness, but there is inconsistency among fire departments regarding whether PAT is conducted with full PPE or regular exercise clothing. This variation in testing conditions may exacerbate the stress on firefighters' AF.Aims: To analyse differences in firefighters' AF performance while wearing full PPE compared to regular exercise clothing.Methods: We studied two cohorts totalling 62 firefighters from specific fire departments in South Florida. We conducted occupation-specific AF tests, including handgrip dynamometry (HG), vertical jump (VJ), Margaria-Kalamen (MK), and a 300-yard shuttle run (300YD), both with full PPE (WPPE) and without PPE (NPPE). We adjusted AF variables for body weight (e.g. NPPE) and occupational weight (e.g. WPPE) and used a repeated-measures design in Jamovi (P < 0.05).Results: Wearing WPPE significantly reduced relative HG strength by 59%, VJ peak power by 11%, and MK mean power by 49%, while increased 300YD completion time by 18%.Conclusions: The study reveals that PPE substantially impairs firefighters' anaerobic performance during occupation-specific tests. This emphasizes the need for tailored AF training programs to support the anaerobic system and related performance while wearing PPE, acknowledging the significance of occupational specificity in assessing firefighters' fitness components.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452207","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

Factors associated with approaching Pilot Peer Support: a cross-sectional study. 接近试点同伴支持的相关因素：一项横断面研究。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae033

B Bråstad, R Jonsäll-Harris, M Melin, F Folke

{"title":"Factors associated with approaching Pilot Peer Support: a cross-sectional study.","authors":"B Bråstad, R Jonsäll-Harris, M Melin, F Folke","doi":"10.1093/occmed/kqae033","DOIUrl":"10.1093/occmed/kqae033","url":null,"abstract":"Background: Pilot Peer Support Programs (PPSP) have been introduced in Europe as a measure to facilitate commercial pilots' mental health help-seeking in a confidential and non-punitive manner. However, research is scarce regarding what promotes and prevents pilots from approaching PPSP.Aims: To investigate if, and in which way, different organizational and individual factors are associated with pilots' attitudes towards approaching PPSP, and to examine the prevalence of possible cases of depression and anxiety disorders among commercial pilots in Europe.Methods: Data were collected using an anonymous web-based survey (n = 4494), covering pilots' work conditions, health and flight safety. Logistic regression was used to determine the impact of objective and psychosocial work environment factors, mental health factors, and demographic factors.Results: Key findings were that just culture (odds ratio [OR] = 2.65, 95% confidence interval [CI] 1.97, 3.56), type of employment (OR = 0.60, 95% CI 0.46, 0.78), minimum guaranteed pay (OR = 1.98, 95% CI 1.48, 2.65), and symptoms of depression (OR = 0.62, 95% CI 0.50, 0.76) and anxiety (OR = 0.66, 95% CI 0.54, 0.80) significantly predicted pilots' attitude towards approaching PPSP. The prevalence of pilots scoring above threshold for possible depression (18%) and anxiety disorders (23%) were determined.Conclusions: Pilot Peer Support in its current form appears to be an insufficient means to facilitate pilots' mental health help-seeking, but could have an important preventive purpose. The findings could assist authorities and operators in developing measures to facilitate pilots' help-seeking, and improve mental health and flight safety.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11285154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297299","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

Associations between effort-reward imbalance and risk of burnout among Swedish physicians. 瑞典医生的努力-回报失衡与职业倦怠风险之间的关系。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI: 10.1093/occmed/kqae039

F Christiansen, B E Gynning, A Lashari, G Johansson, E Brulin

{"title":"Associations between effort-reward imbalance and risk of burnout among Swedish physicians.","authors":"F Christiansen, B E Gynning, A Lashari, G Johansson, E Brulin","doi":"10.1093/occmed/kqae039","DOIUrl":"10.1093/occmed/kqae039","url":null,"abstract":"Background: The high prevalence of burnout among Swedish physicians may have several possible effects on individuals and society. However, further investigations of work-related factors associated with the risk of burnout among Swedish physicians are needed.Aims: We aimed to study the associations between psychosocial work factors, based on the effort-reward imbalance (ERI) model, and the risk of burnout among Swedish physicians.Methods: A representative sample of 7200 Swedish physicians was invited in 2021. Data were gathered through questionnaires, with a response rate of 41%. Logistic regression models were used to study the associations between exposure to ERI and the risk of burnout.Results: Approximately 62% of Swedish physicians were exposed to a high ERI. Exposure to a high ERI was associated with 11 times increased risk (95% confidence interval 6.5-20.0) of burnout in adjusted models. Large variations in the prevalence of ERI and risk of burnout across sociodemographic and occupational factors were identified, particularly across different clinical specialties.Conclusions: A majority of Swedish physicians were exposed to high levels of work-related stress, strongly associated with an increased risk of burnout. This population-based cross-sectional study underlines the need to further study variations of work-related stress across clinical specialties and to monitor occupational health among physicians longitudinally.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11285157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545598","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