Javier Garcia Rivas , Margaret Whitley , BongKyoo Choi
{"title":"Geographical Fast-food Restaurant Density, Workplace Eating Behaviors, and Obesity Among Firefighters","authors":"Javier Garcia Rivas , Margaret Whitley , BongKyoo Choi","doi":"10.1016/j.shaw.2025.03.003","DOIUrl":"10.1016/j.shaw.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>Obesity rates in the general population are influenced by the local food environment. However, no epidemiological studies have examined how the food environment near the workplace may influence obesity outcomes, especially for occupational groups like firefighters who have high obesity prevalence. This article investigates the direct and indirect pathways between geographical fast-food restaurant density (GFFRD) and obesity among 227 professional firefighters.</div></div><div><h3>Methods</h3><div>We used three clinically assessed obesity measures (body mass index, waist circumference, and body fat percent) as outcome variables and self-reported eating habits as mediating variables collected with a firefighter-specific questionnaire. We employed structural equation modeling (SEM) to explore both direct and indirect pathways, acknowledging the exploratory nature of this analysis given the limited foundational research in occupational fast-food density.</div></div><div><h3>Results</h3><div>We found a statistically significant but small indirect association between GFFRD and obesity measures, mediated by organizational and individual-level eating behaviors, with potential implications for occupational health at a population level.</div></div><div><h3>Conclusions</h3><div>The study findings contribute to the evidence on how the food environment near the workplace influences obesity risk through eating behaviors. These insights may inform interventions targeting dietary habits in firefighters and other shift workers to mitigate workplace-related obesity risks.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 220-227"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joon Yul Choi , Sungmin Kim , Yongho Lee , Dohyeon Kim , Wanhyung Lee
{"title":"Association Between Shift Working and Brain Morphometric Changes in Workers: A Voxel-wise Comparison","authors":"Joon Yul Choi , Sungmin Kim , Yongho Lee , Dohyeon Kim , Wanhyung Lee","doi":"10.1016/j.shaw.2025.02.004","DOIUrl":"10.1016/j.shaw.2025.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>There is abundant evidence from observational studies linking various health problems to shift work, but there is a lack of brain-based neurological evidence. Therefore, we examined morphometric changes on brain magnetic resonance imaging (MRI) between shift and non-shift workers.</div></div><div><h3>Methods</h3><div>A total 111 healthy workers participated in this study and underwent brain MRI, with the analysis incorporating merged workers' health surveillance data from regional hospital workers. Voxel-based morphometry analysis was used to investigate regional changes in the gray matter volume. To investigate the association of structural changes between shift workers and non-shift workers, a general linear model and threshold-free cluster enhancement were used with covariates, including total intracranial volume, age, and sex.</div></div><div><h3>Results</h3><div>After family-wise error correction, non-shift workers exhibited a significantly larger cerebellar region (<em>p</em> < 0.05) than shift workers. Conversely, the inferior parietal gyrus was found to be significantly larger in shift workers than in non-shift workers with family-wise error correction.</div></div><div><h3>Conclusions</h3><div>We observed increased clusters in the brains of both shift and non-shift workers, suggesting that the acquired occupational environment, including the shift work schedule, could influence brain neuroplasticity, which is an important consideration for occupational health.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 236-242"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexis Descatha , Hugues Dousseau , Sabrina Pitet , Francis Magnolini , Neil McMillan , Neil Mangelsdorf , Rick Swan , Jean-Marie Steve , Didier Pourret , Marc Fadel
{"title":"Work Exposome and Related Disorders of Firefighters: An Overview of Systematized Reviews","authors":"Alexis Descatha , Hugues Dousseau , Sabrina Pitet , Francis Magnolini , Neil McMillan , Neil Mangelsdorf , Rick Swan , Jean-Marie Steve , Didier Pourret , Marc Fadel","doi":"10.1016/j.shaw.2025.04.003","DOIUrl":"10.1016/j.shaw.2025.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Firefighters experience many exposures associated with negative health outcomes. Because of this, there are many studies on the subject. Our objective here was to conduct an umbrella review of systematized reviews to identify firefighting activities and related exposures associated with negative health outcomes.</div></div><div><h3>Methods</h3><div>A comprehensive search of the PubMed, Web of Science, and Scopus (Health) was conducted using all firefighter systematized reviews. We extracted the country and date of the review, type of firefighter, types of exposure, and related health outcomes. Risk of bias was based on AMSTAR-2 checklist.</div></div><div><h3>Results</h3><div>In 1130 studies, 47 systematized reviews were included, mostly in the last 5 years and from North America and Australia. The topics were diverse, ranging from general aspects to specific exposures, such as polycyclic aromatic hydrocarbons, wildland fires, organizational, traumatic, or psychological stress exposure, and from prevention or surveillance to specific health effects (e.g., cancer, mental health, musculoskeletal disorders, cardiovascular, and pulmonary health, etc.). The risk of bias assessment using the selection grid shows a significant heterogeneity, though some studies were of very high quality.</div></div><div><h3>Discussion</h3><div>This umbrella review provides a comprehensive description of systematized reviews describing populations of firefighters, including information on exposure, health outcomes, and illness/injury prevention.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 145-155"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moderating Effect of Psychosocial Safety Climate on the Association of Job Demands and Job Resources With Psychological Distress Among Japanese Employees: A Cross-sectional Study","authors":"Akiomi Inoue , Hisashi Eguchi , Yuko Kachi , Akizumi Tsutsumi","doi":"10.1016/j.shaw.2025.02.001","DOIUrl":"10.1016/j.shaw.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>We examined the moderating (buffering or amplifying) effect of psychosocial safety climate (PSC) on the association of job demands (psychological demands) and job resources (job control, supervisor support, coworker support, and extrinsic reward) with psychological distress among Japanese employees.</div></div><div><h3>Methods</h3><div>A self-report web-based questionnaire was administered to 2,200 employees (1,100 men and 1,100 women) registered with a Japanese private online survey company. The questionnaire included scales on job demands and job resources (the Job Content Questionnaire and the short-form Effort–Reward Imbalance Questionnaire), PSC (the 12-item PSC scale), and psychological distress (the K6 scale) and items on participants' demographic and occupational characteristics (age, gender, education, occupation, work form, and working hours per week). Hierarchical multiple regression analyses were performed using psychological distress as a dependent variable. Interaction terms of job demands and job resources with PSC were included.</div></div><div><h3>Results</h3><div>There was a significant interaction effect of psychological demands with PSC on psychological distress (<em>β</em> = −0.053, <em>p</em> = 0.008), adjusted for demographic and occupational characteristics. <em>Post hoc</em> simple slope analysis showed that the simple slope of psychological demands was lesser at higher levels of PSC (1 standard deviation above the mean) (<em>β</em> = 0.101, <em>p</em> < 0.001) than at lower levels (1 standard deviation below the mean) (<em>β</em> = 0.199, <em>p</em> < 0.001). No significant interactions were observed between job resources and PSC.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that PSC buffers the positive association of psychological demands with psychological distress.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 213-219"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artisanal Gold Mining in Mongolia: Silica Exposure and Silicosis Risk Factors-Field Survey","authors":"Densenbal Dansran , Ichinnorov Dashtseren , Garamjav Khishigdavaa , Solongo Bandi , Byambadolgor Dagviikhorol , Naransukh Damiran , Bayanmunkh Tseden , Bat-Erdene Moyor , Jun-Pyo Myong","doi":"10.1016/j.shaw.2025.04.005","DOIUrl":"10.1016/j.shaw.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Silicosis remains a critical occupational health challenge, particularly among artisanal and small-scale gold miners (ASGM). This study investigates the prevalence of silicosis and its associated risk factors, while assessing the levels of respirable dust and crystalline silica exposure in Mongolian artisanal miners.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 124 employees of the Tsagaan Tsakhir artisanal gold miners in Bayankhongor Province, Mongolia. Participants completed questionnaires and underwent medical exams, including spirometry and X-rays. Dust samples (<em>n</em> = 10) were collected during a working day, and the workplace was divided into underground exploration and outdoor grinding areas. Multivariate analysis evaluated risk factors for silicosis.</div></div><div><h3>Results</h3><div>Underground quarrying (dry) showed the highest exposures (dust geometric mean (GM): 8.107 mg/m<sup>3</sup>; silica GM: 2.156 mg/m<sup>3</sup>), followed by grinding (dust GM: 1.374 mg/m<sup>3</sup>; silica GM: 0.555 mg/m<sup>3</sup>). Wet quarrying and packaging tasks had significantly lower levels. A total of 124 male participants (mean age 35.9, mean work years 5.7) were included. Twenty four participants (19.4%) had silicosis, with 58% having profusion 2 or higher. Multivariate analysis showed increased odds of silicosis with longer work years (OR = 2.6) and specific work positions (e.g., underground drilling: OR = 6.23).</div></div><div><h3>Conclusion</h3><div>Artisanal gold miners in Mongolia face significant health risks due to high silica exposure and inadequate protective measures. Urgent interventions, including improved dust control and routine medical surveillance, are needed to mitigate silicosis risks in this vulnerable population.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 187-192"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yogindra Samant , Mireya R. Fabregat , Mahinda Seneviratne
{"title":"Europe's Overlooked Health and Hygiene Issues in Migrant Worker Housing: A Call for Action","authors":"Yogindra Samant , Mireya R. Fabregat , Mahinda Seneviratne","doi":"10.1016/j.shaw.2025.04.001","DOIUrl":"10.1016/j.shaw.2025.04.001","url":null,"abstract":"<div><div>This paper examines the overlooked health and hygiene challenges faced by migrant workers in Europe, focusing on their substandard housing conditions. Migrant workers, crucial to sectors like agriculture, manufacturing, and healthcare, are often housed in overcrowded, unsanitary environments that contribute to serious health risks. Poor ventilation, inadequate sanitation, and pest infestations lead to the spread of infectious diseases, respiratory issues, and gastrointestinal ailments. Additionally, the psychosocial impact of insecure living conditions—stress, anxiety, and depression—further harms workers' well-being. These housing issues intersect with occupational hazards, exacerbating the health burden for workers in demanding, highrisk jobs. Despite the gravity of these problems, there is a significant lack of data and research, hindering effective policy action. The paper calls for stronger regulations on housing quality, improved access to healthcare, and enhanced occupational health measures to protect migrant workers. It also advocates for increased research and international cooperation to address these issues. The paper urges key stakeholders like the ILO, WHO, and ICOH to collaborate on developing comprehensive strategies to improve housing, health, and safety for migrant workers, ensuring their health and well-being is prioritized in policy and practice across Europe, and globally.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 255-257"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Earned Sick Leave Policy on Worker Wellbeing Across Industries","authors":"Hannah I. Rochford , Aurora B. Le","doi":"10.1016/j.shaw.2025.01.007","DOIUrl":"10.1016/j.shaw.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>Earned sick leave (ESL) policies enable employees to have paid time off to address short-term, individual, or familial health needs. In the U.S., ESL is not federally mandated, but state ESL adoption has increased. Despite this increase, if and how ESL policies impact nonfatal illness/injury reporting by workers remain unknown.</div></div><div><h3>Methods</h3><div>Average treatment effect on the treated estimates of ESL policies were reached using two-way fixed effects and Gardner's two-stage difference-in-differences approach. Annual state rates of occupational nonfatal illness/injury reports were derived from the Bureau of Labor Statistics for each North American Industry Classification. ESL policy data were accessed from Temple University Center for Public Health Law Research's Law Atlas.</div></div><div><h3>Results</h3><div>In states that adopted ESL prior to 2019, two-way fixed effect analyses suggest a marginally significant increase in rates of nonfatal illness/injury reports across industries (+0.064 cases per 100 full-time workers, <em>p</em> = 0.10) following the implementation of ESL policies. Industries with low proportions of insured employees did not experience a change in reported illness/injury following ESL policy adoption. Industries with high proportions of employees with known barriers to care also experienced no change in reported illness/injury post ESL adoption.</div></div><div><h3>Conclusion</h3><div>ESL policy enactment is a promising strategy for improving worker wellbeing by encouraging reporting to employers and foreseeably increasing use of time off for illness/injury recovery. However, results also suggest ESL policies do not benefit all employees to the same extent.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 164-171"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio R. Gómez-García , Raúl Gutierrez-Álvarez , Alywin H. Chang-León , José A. García-Arroyo
{"title":"What Activity is the Most Dangerous to Work in? Estimation of the Risk Level of Economic Activities in Ecuador","authors":"Antonio R. Gómez-García , Raúl Gutierrez-Álvarez , Alywin H. Chang-León , José A. García-Arroyo","doi":"10.1016/j.shaw.2025.03.004","DOIUrl":"10.1016/j.shaw.2025.03.004","url":null,"abstract":"<div><h3>Background</h3><div>Classifying economic activities into risk levels is an occupational health and safety practice that several countries worldwide observe. It allows government agencies to formulate public policies with occupational risk prevention requirements tailored to each activity's needs. Further, this level of risk directly influences companies' contributions to occupational risk insurers, whether public or private, according to the dangerousness of their activity. In Ecuador, the classification of economic activities into risk levels was carried out by a Committee of Experts based on administrative data. However, this classification has been questioned for its lack of objectivity and for using administrative records, where underreporting cases limit the accuracy and comprehensiveness of the data.</div></div><div><h3>Methods</h3><div>This cross-sectional, descriptive, and comparative study uses data from the National Survey of Employment, Unemployment, and Underemployment (ENEMDU). Estimates of the incidence rates of injuries and illnesses by economic activity were grouped into three clusters (high, medium, and low) according to the level of risk.</div></div><div><h3>Results</h3><div>An alternative risk classification of economic activities was obtained and compared with the existing classification.</div></div><div><h3>Conclusions</h3><div>Our results help mitigate the uncertainty in the current risk classification of economic activities' lack of methodological rigor and evaluate the relevance of using data from the ENEMDU survey. They also allow a comparison of two risk classifications developed from different methodologies and data sources. From a practical perspective, the results will help decision-makers clarify current regulations in Occupational Safety and Health (OSH) policies.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 172-179"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayumi Honda , Mayo Ono , Takahiro Nishida , Sumihisa Honda
{"title":"Balancing and Conflict Between Work and Family Life of Sandwiched Caregivers: A Scoping Review","authors":"Ayumi Honda , Mayo Ono , Takahiro Nishida , Sumihisa Honda","doi":"10.1016/j.shaw.2025.04.004","DOIUrl":"10.1016/j.shaw.2025.04.004","url":null,"abstract":"<div><div>The aim of this scoping review was to advance our understanding of the balancing and conflict between work and family life experienced by sandwiched caregivers. Five online databases (CINAHL, MEDLINE, PubMed, SCOPUS, and Cochrane Library) were systematically searched between 20 Apr 2024 and 11 July 2024 for articles written in English and published between 1999 and July 2024, focused on the impact factors on work–family life balance and/or conflict of sandwiched caregivers. These database searches identified 58 citations, which resulted in 46 unique articles following the removal of duplicates. Title and abstract screening were identified for full-text review, twenty of these were excluded at full-text review, and leaving 13 articles for inclusion. We identified and categorized them into three key themes: (1) conflicts between work and family life and (2) impact of conflicts between work and family life on psychological well-being and (3) coping with conflicts between work and family life. The literature reviews suggested that the balance and conflict between work and family life were associated with work hours, flexibilities in work and workplace, and partner support in the sandwiched caregivers. Especially, flexible work arrangements and maintaining social connection were the stress-coping strategies for balancing work and family life. In an aging society, building a truly supportive and flexible workplace culture, along with increasing and utilizing formal care services for child-rearing and aged care, is more effective in promoting the well-being of sandwiched caregivers.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 156-163"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nonauditory Impacts of Industrial Noise Exposures: A Case Study From a Steel Manufacturing Industry","authors":"Ranjith Sakthivel, Latha Perumal Kamalakannan, Rekha Shanmugam, Vidhya Venugopal","doi":"10.1016/j.shaw.2025.01.004","DOIUrl":"10.1016/j.shaw.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Excessive workplace noise poses a significant threat to occupational health, impacting both auditory and nonauditory health. This research examined the nonauditory effects of noise on steel workers.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 80 industrial workers exposed to occupational noise was conducted with approval from the institutional ethics board and management. Nonauditory impacts such as fatigue, headache, vertigo, sleeplessness, and fainting were assessed. Noise levels were measured using an American National Standards Institute sound-level meter, and blood pressure (BP) and heart rate (HR) were recorded before and after shift. Data were analyzed using SPSS (version 20).</div></div><div><h3>Results</h3><div>The study revealed that 57% of workers experienced noise exposure exceeding the American Conference of Governmental Industrial Hygienists threshold limit values, with an average exposure of 88.5 dBA (range: 80.2–96.9 dBA). High-noise exposure was linked to fatigue (54%) and chronic headaches (5%). Preshift and postshift HRs were 82 ± 9 and 92 ± 13 bpm, respectively, while systolic and diastolic BPs averaged 135 ± 17 and 90 ± 11 mmHg, respectively. Significant cross-shift HR differences were observed in the blooming mill (<em>p</em> = 0.002) and bar and roll mill (BRM) (<em>p</em> = 0.010). Noise levels were significantly associated with systolic (<em>p</em> = 0.002) and diastolic (<em>p</em> = 0.001) BP in the bar and roll mill.</div></div><div><h3>Conclusion</h3><div>High occupational noise exposure may have adverse physiological effects. Despite existing regulations, enforcement and compliance remain inadequate. Implementing engineering controls, hearing conservation programs, and stringent policies is crucial to protect workers in high-noise industries.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 2","pages":"Pages 243-248"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}