Occupational Medicine-Oxford最新文献_第7页

Occupational Health Services in policing: identifying the psychological burden to OHS team members. 警务工作中的职业健康服务：确定职业健康和安全小组成员的心理负担。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae011

N Tehrani

{"title":"Occupational Health Services in policing: identifying the psychological burden to OHS team members.","authors":"N Tehrani","doi":"10.1093/occmed/kqae011","DOIUrl":"10.1093/occmed/kqae011","url":null,"abstract":"Background: Occupational Health Services (OHS) workers in the police are exposed to stressful and pressurized environments where they try to help employees deal with serious physical and mental health conditions.Aims: This study used psychological surveillance to identify the level of mental health conditions within each of the police OHS (POHS) roles and to identify whether it was possible to identify the main hazards and resilience factors related to these conditions.Methods: Data on mental health conditions (anxiety, depression, post-traumatic stress disorder [PTSD] and secondary trauma) were gathered with questionnaires measuring lifestyle, coping skills, workability and illness behaviour. Personal information and average symptoms, hazards, and resilience factors were measured and compared between the POHS groups. Stepwise linear regression was used to identify the variable that explained the symptoms' level.Results: Data were gathered from 251 POHS team members working in multidisciplinary services, including OH physicians, psychologists, advisors, nurses, technicians, well-being and administrators. The results showed that POHS teams are experiencing levels of symptoms significantly higher than those found in the general population and that OH counsellors had lower levels of symptoms and sickness absence than their colleagues. The stepwise regression identified managing workloads to be associated with lower symptom levels.Conclusions: The findings illustrated the importance of a manageable workload, a stable, resilient personality and a positive attitude towards work. Using coping skills, including physical fitness, social support, involvement and getting enough sleep is associated with lower anxiety, depression, PTSD and secondary trauma symptoms.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934269","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

Culture of presenteeism: emergent perspectives from an NHS-workforce convenience sample. 旷工文化：来自英国国家医疗服务系统劳动力便利样本的新观点。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae006

Z Marciniak-Nuqui, M L Cabling, R J Romanelli

{"title":"Culture of presenteeism: emergent perspectives from an NHS-workforce convenience sample.","authors":"Z Marciniak-Nuqui, M L Cabling, R J Romanelli","doi":"10.1093/occmed/kqae006","DOIUrl":"10.1093/occmed/kqae006","url":null,"abstract":"Background: The United Kingdom's National Health Service (NHS) has been under strain for more than a decade, which has been exacerbated by the 2019 coronavirus disease (COVID-19) pandemic. According to NHS staff, this is felt especially during the winter (also called 'winter pressure'), when both absenteeism and presenteeism rates are high in the healthcare workforce.Aims: To understand the culture of presenteeism amongst NHS staff, focusing specifically on how presenteeism both persisted and changed during the COVID-19 pandemic and during periods of annual winter pressure.Methods: Data for this study were derived from 20 in-depth interviews conducted with NHS staff, drawn from a convenience sample of primary- and secondary-care services. Interviews were guided by a semi-structured interview protocol.Results: This study contributes to an understanding of presenteeism by describing the ways in which the practice both changed and, in some ways, stayed the same during COVID-19 self-isolation regulations, with remote work arrangements enabling some healthcare workers to continue working even when unwell. Despite this, isolation guidelines threw into stark relief NHS workers' deeply held beliefs about duty, service, and commitment to the wider healthcare system, while exposing their experiences and perceptions of profound systemic challenges and a lack of wider support to carry out their work.Conclusions: The emergent findings from this study suggest that the culture of presenteeism is linked to wider NHS staff's identification with the institutional goals of the NHS, resulting in their motivation to continue working, even if remotely; yet, the consequences are not fully understood.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698854","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

Impacts of workplace verbal aggression classified via text mining on workers' mental health. 通过文本挖掘分类的工作场所语言攻击对工人心理健康的影响。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae009

Y Nishimura, S Matsumoto, T Sasaki, T Kubo

{"title":"Impacts of workplace verbal aggression classified via text mining on workers' mental health.","authors":"Y Nishimura, S Matsumoto, T Sasaki, T Kubo","doi":"10.1093/occmed/kqae009","DOIUrl":"10.1093/occmed/kqae009","url":null,"abstract":"Background: Exposure to workplace aggression adversely affects workers' health; however, little is known regarding the impact of specific types of verbal content.Aims: We aimed to examine the relationship between exposure to several types of aggressive words at work and the victim's depressive symptoms and sleep disturbance using text mining.Methods: We conducted a longitudinal survey with 800 workers in wholesale and retail companies; of which, 500 responded to the follow-up survey. The Centre for Epidemiologic Studies-Depression Scale and Pittsburgh Sleep Quality Index were filled out by the participants, and their responses were analysed by logistic regression to evaluate the risk of depression or sleep problems. We collected exact aggressive words encountered at work over the past year as a dependent variable and classified it into four types using text mining, such as words criticizing one's performance.Results: The follow-up rate was 63%. Exposure to words threatening one's life showed a significant relationship with the risk of depression (odds ratio [OR] = 13.94, 95% confidence interval [CI] = 1.76-110.56). The exposure to words criticizing one's job performance is significantly related to the risk of sleep disturbance (OR = 5.56, 95% CI = 2.08-14.88).Conclusions: These findings suggest that different contents of verbal aggression can have different impacts on workers' health. This indicates that not only overtly threatening and abusive language but also words related to one's performance can be a risk factor for workers, depending on how they are delivered. To mitigate the adverse effects, promoting effective communication and cultivating psychological detachment from work may be beneficial.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725057","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

Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study. 夜班工作与月经周期不规律：8 年跟踪队列研究。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqad162

K Kim, M Y Lee, Y Chang, S Ryu

{"title":"Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study.","authors":"K Kim, M Y Lee, Y Chang, S Ryu","doi":"10.1093/occmed/kqad162","DOIUrl":"10.1093/occmed/kqad162","url":null,"abstract":"Background: Irregular menstruation is a major health problem among women, although its association with nightshift work remains controversial.Aims: To study the association between nightshift work and irregular menstrual cycle among female workers and investigate any differences according to sleep quality, working hours or obesity.Methods: This study included female workers who underwent health examinations from 2012 to 2019. Nightshift work, working hours, sleep quality and menstrual cycles were assessed using self-administered questionnaires. Irregular menstrual cycle was defined as self-reported irregular or ≥36 days. Adjusted odds ratios and 95% confidence intervals (CIs) were calculated by multivariable logistic regression; adjusted hazard ratios (95% CIs) for incident irregular menstrual cycle were calculated by Cox proportional hazard models with time-dependent analysis.Results: The study participants were 87 147 in the cross-sectional study and 41 516 in the longitudinal study. After adjusting for all covariates in the cross-sectional analyses, the odds ratio for prevalent irregular menstrual cycle among female nightshift workers versus the reference was 1.26 (95% CI 1.2-1.33). In the cohort study, the adjusted hazard ratio for incident irregular menstrual cycle among nightshift workers was 1.95 (95% CI 1.61-2.35) in the period after 6 years. No significant differences were observed among subgroups stratified by sleep quality, working hours or obesity.Conclusions: Nightshift work is associated with an increased risk of both prevalent and incident irregular menstrual cycle in female workers without significant interactions by sleep quality, working hours or obesity.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708603","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

Validity of submaximal aerobic capacity and strength tests in firefighters. 消防员亚极限有氧能力和力量测试的有效性。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae004

W Hart, D Taylor, D C Bishop

{"title":"Validity of submaximal aerobic capacity and strength tests in firefighters.","authors":"W Hart, D Taylor, D C Bishop","doi":"10.1093/occmed/kqae004","DOIUrl":"10.1093/occmed/kqae004","url":null,"abstract":"Background: Typically, the fitness of UK firefighters is assessed via submaximal estimate methods due to the low demands on time, money, expertise and equipment. However, the firefighter-specific validity of such testing in relation to maximum aerobic capacity (V˙O2max) and particularly muscular strength is not well established.Aims: To examine the validity of submaximal methods to estimate V˙O2max and maximal strength in operational firefighters.Methods: Twenty-two full-time operational firefighters (3 female) completed same-day submaximal (Chester Step Test; CST) and maximal (treadmill) assessments of V˙O2max, with a sub-sample of 10 firefighters (1 female) also completing submaximal and maximal back-squat (i.e. one repetition maximum; 1RM) assessments. All participants then completed the Firefighter Simulation Test (FFST) within 2-4 days.Results: CST underestimated actual V˙O2max by 1.4 ml·kg-1·min-1 (~3%), although V˙O2max values were positively correlated (r = 0.61, P < 0.01) and not significantly different. Estimated V˙O2max values negatively correlated with FFST performance (r = -0.42). Predicted 1RM underestimated actual 1RM by ~2%, although these values were significantly correlated (r = 0.99, P < 0.001) and did not significantly differ. The strongest predictive model of FFST performance included age, body mass index, and direct maximal measures of 1RM and V˙O2max.Conclusions: Submaximal back-squat testing offers good validity in estimating maximum firefighter strength without exposure to the fatigue associated with maximal methods. The CST provides a reasonably valid and cost-effective V˙O2max estimate which translates to firefighting task performance, although the error observed means it should be used cautiously when making operational decisions related to V˙O2max benchmarks.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934270","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

The time is right to establish a Global Network for Evidence for Work. 建立全球工作证据网络的时机已经成熟。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqad097

Stefania Curti, Stefano Mattioli

引用次数: 0

Hypoxaemia and risk of asphyxia during underground work in artisanal cobalt mines. 个体钴矿井下作业期间的低氧血症和窒息风险。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae008

P Musa Obadia, J Pyana Kitenge, T Carsi Kuhangana, S Verpaele, A Ndala Nyongonyi, T Kayembe Kitenge, P D M Katoto, C Banza Lubaba Nkulu, B Nemery

{"title":"Hypoxaemia and risk of asphyxia during underground work in artisanal cobalt mines.","authors":"P Musa Obadia, J Pyana Kitenge, T Carsi Kuhangana, S Verpaele, A Ndala Nyongonyi, T Kayembe Kitenge, P D M Katoto, C Banza Lubaba Nkulu, B Nemery","doi":"10.1093/occmed/kqae008","DOIUrl":"10.1093/occmed/kqae008","url":null,"abstract":"Background: More than half the cobalt needed for vehicle electrification originates from the southern part of the Democratic Republic of the Congo (DRC), with a substantial part being extracted by artisanal miners.Aims: To investigate oxygen saturation during underground work among cobalt artisanal miners.Methods: In a field survey, we measured oxygen saturation (SpO2) and heart rate by pulse oximetry in 86 miners from two underground mines and 24 miners from a surface mine at four different time points: before descent into the mine (T1), at 50 minutes in the mine (T2), upon leaving the shaft (T3), and 10 minutes after having left the mine (T4).Results: Miners working underground (-36 to -112 meters) were somewhat older (34.8 ± 6.7 years) than those working in the surface mine (32.0 ± 6.5 years), and they worked more hours daily (12.6 ± 1.2 hours) than controls (9.0 ± 0.0 hours). All participants had SpO2 >95% at T1 and T4. At T2, SpO2 dropped below 93% and 80% in 35% and 10% underground miners, respectively; SpO2 was still <93% at T3 in 13%. SpO2 remained stable among surface miners. Later, we showed that underground ambient oxygen levels decreased well below 21% in several pits.Conclusions: Pulse oximetry revealed relevant hypoxaemia during underground work in a substantial proportion of artisanal miners. Such hypoxaemia without evidence of underlying cardiovascular disease is indicative of low ambient oxygen, due to insufficient mine ventilation. This may cause deaths from asphyxia. The hazards of low ambient oxygen in artisanal mines must be prevented by appropriate technical measures ensuring the supply of sufficient fresh air.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708602","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

Post-traumatic stress disorder in hospital doctors after the COVID-19 pandemic. COVID-19 大流行后医院医生的创伤后应激障碍。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-02-19 DOI: 10.1093/occmed/kqad125

L Rollin, O Guerin, A Petit, L Bourdon, S Guillemette, A Gislard, B Clin, L Bachelet, I Rouget Mejjad, F Rouger, J Benichou, J F Gehanno, A Commune

{"title":"Post-traumatic stress disorder in hospital doctors after the COVID-19 pandemic.","authors":"L Rollin, O Guerin, A Petit, L Bourdon, S Guillemette, A Gislard, B Clin, L Bachelet, I Rouget Mejjad, F Rouger, J Benichou, J F Gehanno, A Commune","doi":"10.1093/occmed/kqad125","DOIUrl":"10.1093/occmed/kqad125","url":null,"abstract":"Background: Prior studies showed that during the coronavirus disease 2019 (COVID-19) pandemic healthcare workers had a higher risk of developing post-traumatic stress disorder (PTSD) symptoms. However, studies conducted among doctors several years after the beginning of the COVID-19 pandemic are scarce.Aims: To evaluate the prevalence of PTSD among hospital doctors and to describe potential explanatory factors.Methods: The Protec-Cov study was an observational, cross-sectional, multicentre study, which used an anonymous online questionnaire to evaluate PTSD in doctors from six hospitals in France between December 2021 and March 2022. The presence of PTSD was assessed using the Post-traumatic Stress Disorder Checklist Scale (PCLS) questionnaire with a cut-off of 44.Results: Among the 307 doctors included, 18% presented a PCLS ≥44. The multivariate analysis showed that factors associated with a PCLS ≥44 were having a higher workload than before the COVID-19 pandemic (odds ratio [OR] = 4.75; 95% confidence interval [CI] 1.68-13.38), not feeling recognized within the professional environment (OR = 2.83; 95% CI 1.26-6.33), and feeling isolated because of the lockdown (OR = 4.2; 95% CI 1.97-8.95). Approximately 30% of hospital doctors (n = 91) felt a need for psychological support but only 31% of them (n = 28) received support.Conclusions: Based on our findings, a high prevalence of PTSD was observed among hospital doctors 2 years after the beginning of the COVID-19 pandemic. This study supports an early diagnosis of PTSD in this category of healthcare workers and warrants further study.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708604","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

Lived experience of work and long COVID in healthcare staff. 医护人员的工作经验和长期的 COVID。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-02-19 DOI: 10.1093/occmed/kqad117

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

{"title":"Lived experience of work and long COVID in healthcare staff.","authors":"N Torrance, E MacIver, N N Adams, D Skåtun, N Scott, C Kennedy, F Douglas, V Hernandez-Santiago, A Grant","doi":"10.1093/occmed/kqad117","DOIUrl":"10.1093/occmed/kqad117","url":null,"abstract":"Background: Healthcare workers (HCWs) had a greater occupational risk of exposure to coronavirus disease 2019 (COVID-19) and reported higher rates of long COVID (LC). This has implications for the provision of health care in already stretched health services.Aims: This study explored the impact of LC on a range of UK National Health Service (NHS) HCWs, their health and well-being, the effect on work patterns, and occupational support received.Methods: Mixed-methods study, online survey and qualitative interviews. Participants self-reporting LC symptoms were recruited through social media and NHS channels. Interviews used maximum variation sampling of 50 HCWs including healthcare professionals, ancillary and administration staff. Thematic analysis was conducted using NVivo software.Results: A total of 471 HCWs completed the online survey. Multiple LC symptoms were reported, revealing activity limitations for 90%. Two-thirds had taken sick leave, 18% were off-work and 33% reported changes in work duties. There were few differences in work practices by occupational group. Most participants were working but managing complex and dynamic symptoms, with periods of improvement and exacerbation. They engaged in a range of strategies: rest, pacing, planning and prioritizing, with work prioritized over other aspects of life. Symptom improvements were often linked to occupational medicine, managerial, colleague support and flexible workplace adjustments.Conclusions: LC has a significant impact on the lives of HCWs suffering prolonged symptoms. Due to the variability and dynamic nature of symptoms, workplace support and flexible policies are needed to help retain staff.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813185","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

Occupational risk of COVID-19 in foreign-born employees in Denmark. 丹麦外国出生雇员感染 COVID-19 的职业风险。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-02-19 DOI: 10.1093/occmed/kqad044

J P E Bonde, L M Begtrup, J H Jensen, E M Flachs, K Jakobsson, C Nielsen, K Nilsson, L Rylander, A Vilhelmsson, K U Petersen, S S Tøttenborg

{"title":"Occupational risk of COVID-19 in foreign-born employees in Denmark.","authors":"J P E Bonde, L M Begtrup, J H Jensen, E M Flachs, K Jakobsson, C Nielsen, K Nilsson, L Rylander, A Vilhelmsson, K U Petersen, S S Tøttenborg","doi":"10.1093/occmed/kqad044","DOIUrl":"10.1093/occmed/kqad044","url":null,"abstract":"Background: Foreign-born workers in high-income countries experience higher rates of COVID-19 but the causes are only partially known.Aims: To examine if the occupational risk of COVID-19 in foreign-born workers deviates from the risk in native-born employees in Denmark.Methods: Within a registry-based cohort of all residents employed in Denmark (n = 2 451 542), we identified four-digit DISCO-08 occupations associated with an increased incidence of COVID-19-related hospital admission during 2020-21 (at-risk occupations). The sex-specific prevalence of at-risk employment in foreign born was compared with the prevalence in native born. Moreover, we examined if the country of birth modified the risk of a positive SARS-CoV-2 polymerase chain reaction (PCR) test and COVID-19-related hospital admission in at-risk occupations.Results: Workers born in low-income countries and male workers from Eastern Europe more often worked in at-risk occupations (relative risks between 1.16 [95% confidence interval {CI} 1.14-1.17] and 1.87 [95% CI 1.82-1.90]). Being foreign-born modified the adjusted risk of PCR test positivity (test for interaction P < 0.0001), primarily because of higher risk in at-risk occupations among men born in Eastern European countries (incidence rate ratio [IRR] 2.39 [95% CI 2.09-2.72] versus IRR 1.19 [95% CI 1.14-1.23] in native-born men). For COVID-19-related hospital admission, no overall interaction was seen, and in women, country of birth did not consistently modify the occupational risk.Conclusions: Workplace viral transmission may contribute to an excess risk of COVID-19 in male workers born in Eastern Europe, but most foreign-born employees in at-risk occupations seem not to be at higher occupational risk than native born.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400442","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