{"title":"Participatory Training Activities in South Asia for Promoting Safety and Health in Informal Economy Workplaces—Roles of Trade Unions and Employer Organizations","authors":"Tsuyoshi Kawakami","doi":"10.1016/j.shaw.2024.09.002","DOIUrl":"10.1016/j.shaw.2024.09.002","url":null,"abstract":"<div><div>Workers and employers in the informal economy are often outside the scope of legal frameworks of occupational safety and health (OSH) service in South Asia. The present study aimed to find practical support measures to improve their safety and health. International Labour Organization’s participatory training activities in five selected informal economy workplaces comprising waste collection and recycling in India, sewage cleaning in Pakistan, home-based manufacturing in Nepal, small-scale construction in Nepal, and cotton farming in India were studied. The common steps taken in the training were collaboration with local trade unions and employer organizations to reach informal economy workplaces, collection of local good practices in OSH for designing participatory training contents, training worker and employer OSH trainers, assisting trained worker and employer trainers in conducting cascading training activities in their own workplaces, and follow-up visits for support and sustainability. It was found that working with local trade unions and employer organizations had the strong potential to reach various informal economy workplaces. Applying the easy-to-apply participatory training methodologies was vital in delivering practical OSH support.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 500-506"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trends in Exposure to Respirable Dust and Respirable Crystalline Silica Among Lithium Mine Workers in Western Australia","authors":"David Gbondo, Yun Zhao, Minh Pham, Krassi Rumchev","doi":"10.1016/j.shaw.2024.08.005","DOIUrl":"10.1016/j.shaw.2024.08.005","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to respirable dust (RES) and respirable crystalline silica (RCS) is common in mining operations and is associated with health effects such as pneumoconiosis, chronic obstructive pulmonary disease (COPD), interstitial pulmonary fibrosis, silicosis, lung cancer, and renal disease.</div></div><div><h3>Methods</h3><div>This study used industry occupational exposure data for respirable dust from two surface lithium mines in Western Australia for the period between 2017 and 2023. A total of 1122 samples were collected in workgroups across four departments - administration and support, mining, crushing and processing, and maintenance.</div></div><div><h3>Results</h3><div>The study found that the overall RES concentration did not exceed the exposure standard. However, Crusher Dry/Wet Plant Personnel (0.558 mg/m<sup>3</sup>) and Workshop Boilermakers (0.842 mg/m<sup>3</sup>) recorded elevated exposure to RES. The highest mean exposures for RCS over the seven-year study period were measured for Management Administration & Technical (0.068 mg/m<sup>3</sup>), followed by Crusher Dry/Wet Plant Personnel (0.042 mg/m<sup>3</sup>), exceeding the ES. Maximum results for both RES (15.00 mg/m<sup>3</sup>) and RCS (2.50 mg/m<sup>3</sup>) indicated exceedances.</div></div><div><h3>Conclusion</h3><div>The study demonstrated a decline in exposure to RES over the seven years of study from 0.472 mg/m<sup>3</sup> to 0.151 mg/m<sup>3</sup>, with a slight increase in 2019 and 2022. A decline in the concentration of RCS was observed between 2019 -2021, followed by an increase after 2021. The mean concentration of RCS exceeded the exposure standard in 2023. Based on the study results and the established adverse health effects associated with exposure to silica, various control measuresto protect workers from RCS exposure should be considered.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 481-490"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian Melaku , Giziew Abere , Yifokire T. Zele , Yimer Mamaye , Tadiwos Abebaw , Anmut E. Bezie , Amensisa H. Tesfaye , Eshetu A. Worede
{"title":"Occupational Heat Exposure-related Symptoms Prevalence and Associated Factors Among Hospitality Industry Kitchen Workers in Ethiopia: Wet Bulb Globe Temperature","authors":"Christian Melaku , Giziew Abere , Yifokire T. Zele , Yimer Mamaye , Tadiwos Abebaw , Anmut E. Bezie , Amensisa H. Tesfaye , Eshetu A. Worede","doi":"10.1016/j.shaw.2024.08.002","DOIUrl":"10.1016/j.shaw.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div>Occupational heat stress caused by excessive environmental heat gain disrupts thermoregulatory mechanisms and harm workers' health and productivity. Kitchens are known for their thermal risks; however, research on heat stress in kitchen is limited. This study aimed to bridge this knowledge gap by assessing, the prevalence of heat-stress-related symptoms, and associated factors among kitchen workers in Gondar City, Ethiopia.</div></div><div><h3>Methods</h3><div>This institutional-based cross-sectional study (April to June 2023) evaluated heat stress among hospitality kitchen workers in Ethiopia. Heat exposure was measured using hygrometers. A simple random sample of 605 participants completed a survey and data was exported to Statistical Package for Social Science version 26. To assess strength and direction an adjusted odds ratio with 95% confidence interval (CI) was employed. A <em>p</em>-value of less than 0.05 was utilized to identify significant associations.</div></div><div><h3>Results</h3><div>Over the last 6 months 67.1% (95% CI: 63.0, 71.1), of the participants reported heat-stress symptoms. Multivariable analysis revealed that age ≥40 years [AOR: 2.28; 95% CI (1.08, 4.82)], high workload [AOR: 1.89; 95% CI (1.04, 3.49)], poor heat mitigation practice [AOR: 2.39; 95% CI (1.58, 3.59), wood fuel [AOR: 2.60; 95% CI (1.54, 4.40)], improper ventilation [AOR: 3.28; 95% CI (1.56, 6.87)], and higher heat index value [AOR: 2.15; 95% CI (1.35, 3.42)] were factors significatly associated with heat stress related symptoms.</div></div><div><h3>Conclusion</h3><div>This study identified a high prevalence of heat–stress-related symptoms among kitchen workers. Mitigation strategies include improved ventilation, cooling, advanced building designs, and heat reduction technologies. Future research should utilize standard heat-stress assessment tools.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 472-480"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anurak Wongta , Nootchakarn Sawarng , Phannika Tongchai , Pichamon Yana , Surat Hongsibsong
{"title":"Agricultural Health and Safety: Evaluating Farmers’ Knowledge, Attitude, and Safety Behavior in Northern Thailand","authors":"Anurak Wongta , Nootchakarn Sawarng , Phannika Tongchai , Pichamon Yana , Surat Hongsibsong","doi":"10.1016/j.shaw.2024.09.005","DOIUrl":"10.1016/j.shaw.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Agriculture is vital for economic growth and livelihoods in northern Thailand, yet it is challenged by hazardous practices such as improper chemical use and machinery accidents. This study aimed to evaluate the risk and determine the relationship between pesticide exposure and knowledge, attitudes, and safety behaviors.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted between October and December 2017 in the San Pa Tong district of Chiang Mai, Thailand. Data were collected through structured questionnaires and face-to-face interviews with 280 farmers.</div></div><div><h3>Results</h3><div>The findings indicated that knowledge and safety behavior scores varied significantly with educational attainment and training received. Farmers with higher education levels or those who had undergone training exhibited better knowledge and safer behavioral practices, whereas income levels did not significantly affect knowledge or safety behaviors. The pesticide exposure risk level was associated with the study variables, with those recognizing a ‘normal’ risk level demonstrating greater knowledge and safer behaviors than those who reported the risk level as safe or at risk. A strong positive correlation between knowledge and safety behavior was observed, indicating that increased awareness can result in more cautious practices. These findings suggest that educational and training programs are crucial for promoting safer pesticide use among farmers. Although attitudes toward pesticide safety varied based on income, education, and training positively influenced knowledge and behavior.</div></div><div><h3>Conclusion</h3><div>The study concludes that understanding farmers’ perceptions of pesticide risks is essential for designing and implementing effective educational interventions.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 435-440"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological Well-being Interactively Affected by Long Working Hours and Caregiving Activities","authors":"Min Young Park, Jongin Lee","doi":"10.1016/j.shaw.2024.10.006","DOIUrl":"10.1016/j.shaw.2024.10.006","url":null,"abstract":"<div><h3>Background</h3><div>Long working hours and caregiving responsibilities are prevalent in many societies. These demands can lead to stress and adverse mental health outcomes. This study examines the associations of long working hours and family caregiving on psychological well-being and their interactions among South Korean wage workers.</div></div><div><h3>Methods</h3><div>Using data from the Korean Working Conditions Survey, this cross-sectional study involved 33,063 participants. Long working hours were categorized as 40 and 52 hours a week, and caregiving was assessed through self-reports of non-work-related caregiving activities. The World Health Organization Well-Being Index was used to measure psychological well-being, with Poisson regression models analyzing the associations and interactions between working hours, caregiving activities, and psychological well-being.</div></div><div><h3>Results</h3><div>The prevalence of low psychological well-being was significantly higher among individuals with both long working hours and caregiving responsibilities than among those with either or neither stressor (adjusted prevalence ratio = 1.81; 95% confidence interval: 1.42–2.31, multiplicative scale = 1.32; 95% confidence interval: 1.00–1.73).</div></div><div><h3>Conclusion</h3><div>This study highlights the significant mental health implications of combining long working hours with caregiving responsibilities in the Republic of Korea. The synergistic interaction between these factors suggests that interventions and policies aimed at reducing work-related stress and supporting caregivers could have substantial benefits for mental health.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 458-463"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela Stufano , Simona D'Amore , Valentina Schino , Paolo Danza , Ivo Iavicoli , Piero Lovreglio
{"title":"Metabolic Syndrome and Cardiovascular Risk Factors in a Fishing Community in Southern Italy","authors":"Angela Stufano , Simona D'Amore , Valentina Schino , Paolo Danza , Ivo Iavicoli , Piero Lovreglio","doi":"10.1016/j.shaw.2024.10.001","DOIUrl":"10.1016/j.shaw.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Work organization and psychosocial factors influencing sleep patterns may be significant risk factors for developing obesity and metabolic syndrome (MetS). However, the impact on the health of working patterns in the fishing sector is not well characterized. The aim of the study is to determine the prevalence of MetS and its components in fishermen and to analyze occupational-specific risk factors contributing to metabolic alterations.</div></div><div><h3>Methods</h3><div>One hundred forty-three male fishermen from Apulia (Southern Italy) and 93 male university workers age-matched and from the same geographical area were included in this cross-sectional study. A questionnaire was administered to investigate socio-demographic variables, work activity, health status, and dietary habits. All subjects underwent clinical evaluation and blood sampling to depict their metabolic profile.</div></div><div><h3>Results</h3><div>A higher body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (p < 0.001) were observed in fishermen than in university workers. No significant difference between the two groups was observed in the prevalence of MetS (15.4% fishermen vs 16.1% university workers) and its relevant diagnostic criteria, except abdominal obesity (42.7% fishermen vs 29.0% university workers, p = 0.021). The Castelli risk index, the monocyte/c-HDL ratio, and the Sokolow index were significantly greater in fishermen (p < 0.001). In the fishermen group, the total number of sleeping hours on working days was negatively correlated with WC (r = -0.17; p = 0.04), low-density lipoprotein cholesterol (c-LDL) (r = -0.21; p = 0.02), and the homeostasis model assessment (HOMA) index (r = -0.19; p = 0.02).</div></div><div><h3>Conclusion</h3><div>The higher prevalence of obesity and the imbalance of the metabolic profile observed in fishermen could be related to occupational factors, including the specific working pattern that influences their sleeping hours and sleeping-waking rhythms.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 464-471"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review","authors":"Cassandra Barbey , Nathalie Bonvallot , Frédéric Clerc","doi":"10.1016/j.shaw.2024.10.004","DOIUrl":"10.1016/j.shaw.2024.10.004","url":null,"abstract":"<div><div>Individuals are constantly exposed to hazardous factors that can affect their health, the hazards encountered in the workplace can lead to the development of occupational diseases. Risk mitigation measures help to reduce the risks, but they are often designed without consideration of interactions between occupational exposures. Therefore, there is a need for research and it resulted in international research plans and programmes. The aim of this scoping review is to provide an overview of the scientific results related to the link between multiple occupational exposures and human health outcomes. Sixty-three articles were reviewed. Research articles were included only if they mentioned: several combined exposures, the direct characterisation of each exposure, and exposure/health outcome associations. Seven activity sectors were identified: ‘extraction and energy production and distribution’, ‘health care’, ‘banks, public administration and defence’, ‘chemical production’, ‘manufacturing industry’, ‘agriculture and food industry’ and ‘transport and logistics’. Six multiple exposures scenarios were identified: chemical (<em>n</em> = 35), chemical/physical-biomechanical (<em>n</em> = 22), chemical/psychosocial-organisational (<em>n</em> = 6), physical-biomechanical (<em>n</em> = 9), physical-biomechanical/psychosocial-organisational (<em>n</em> = 13), and psychosocial-organisational (<em>n</em> = 12). The health problems identified concern nervous, mental, respiratory, musculoskeletal, auditory and other systems. Eighty-eight of 97 (91%) multiple exposure/health problem associations were reported to be statistically significant. Twenty studies (32%) provided specific risk prevention advice for multiple exposures. Prevention aimed at reducing risks to workers' health is still underdeveloped, further research is needed to improve prevention methods. No study was related to biological risk, and some other multiple exposures known to have health effects were not identified as well. This highlights the need for more multiple exposures research.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 382-395"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Resilient are Lucid Motivators? Endeavoring Reforms for Effects of Psycho-social Factors on Workers Health Through Concurrent Engineering","authors":"","doi":"10.1016/j.shaw.2024.05.003","DOIUrl":"10.1016/j.shaw.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p>As the tremendous impact of extreme workloads, arduous working conditions, and disorganization disrupt humane job definitions in some industries, the need for workplace re-articulation was interfered to ameliorate psycho-social factors and suggest organizational intervention strategies. Especially for colossally wounded health-care (HC) systems, today it is now even more unrealizable to retain workforce resilience considering the immense impact of overwhelming working conditions.</p></div><div><h3>Methods</h3><p>This study introduces employment of concurrent engineering tools to re-design humane workplaces annihilating abatement over devoured resources. The study handles HC-workforce resilience in a pioneering motive to introduce transformation of well-known motivators and proposes solutions for retention and resilience issues grounding on HC workers’ own voice.</p></div><div><h3>Results</h3><p>The proposed adjustable approach introduces integral use of focus group studies, SWARA, and QFD methods, and was practiced on a real-world case regarding Turkish HC workforce. The paper also presents widespread effects of findings by tendering generalized psycho-social rehabilitation strategies. Results confirmed the modifications of the most potent incessant motivators.</p></div><div><h3>Conclusion</h3><p>“Burn out issues” and “Challenging work” were found as the most important motivator and satisfier, respectively, to be exigently fulfilled. Corrective interventions, required resolutions, and workplace articulation connotations were arbitrated in terms of entire outcomes on four dimensions in three different planning periods considering the current status, repercussions of pandemic, and contingency of similar catastrophes. Descriptive illustrations were additionally presented to support deducted interpretations.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 327-337"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000350/pdfft?md5=117ba246e1a2a007f4f526a62c9e746b&pid=1-s2.0-S2093791124000350-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory and Other Hazard Characteristics of Substances in Cleaning Products Used in Healthcare Centres in England and Wales","authors":"","doi":"10.1016/j.shaw.2024.04.007","DOIUrl":"10.1016/j.shaw.2024.04.007","url":null,"abstract":"<div><p>Occupational use of cleaning products can cause asthma in healthcare workers but the cleaning agents responsible are not yet known. This study aimed to identify respiratory and other hazards in cleaning products on the National Health Service (NHS) supply chain online catalogue and used in the NHS. Information on cleaning products, their composition, and H-statements that identified hazard characteristics of chemical substances in them was obtained from chemical safety data sheets (SDSs). Furthermore, a quantitative structure-activity relationship model and a published asthmagen list were used to identify potential additional respiratory hazards. 473 cleaning products and 229 substances were identified. SDSs reported only 4 respiratory sensitizers but an additional 51 were suggested by the other 2 methods. In contrast, 25 respiratory irritants were identified using SDSs and only one from the asthmagen list. This comprehensive overview of cleaning agents' hazards has potential use in future risk assessment and epidemiological studies.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 368-372"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000301/pdfft?md5=9827db64517a577fe28da5d33a6be1e4&pid=1-s2.0-S2093791124000301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association Between Shift Work and Clean Room Environment on Self-reported Premenstrual Symptoms and Menstrual Pain in Taiwan","authors":"","doi":"10.1016/j.shaw.2024.04.006","DOIUrl":"10.1016/j.shaw.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><p>Limited research has delved into the effects of work characteristics on premenstrual symptoms (PMS) in women, which can influence work performance and overlook potential hazards for women in their work environments. This study aimed to investigate the impact of shift work and working in a clean room on premenstrual symptoms, menstrual status, and menstrual pain among employed females in an electronics manufacturer.</p></div><div><h3>Methods</h3><p>A retrospective cohort study was conducted on menstruating female employees between August and December 2014, aged 18–55, who received regular employee health checks. Questionnaires were designed to collect information on demographics, personal lifestyle, menstrual status, menstrual pain scores, and self-reported premenstrual symptoms.</p></div><div><h3>Results</h3><p>Among 7,193 participants, 18.6% reported moderate to severe menstrual pain affecting their work. Female workers who reported shift work showed an increased prevalence of moderate to severe premenstrual symptoms, including fatigue (RR = 1.20), somatic discomforts (RR = 1.04), diarrhea (RR = 1.04), and tension (RR = 1.05). Additionally, shift work was associated with an elevated risk of experiencing a moderate or significant impact of menstrual pain on work (RR = 1.03), menstrual irregularity (RR = 1.30), and high menstrual pain (RR = 1.23). Working in a clean room was associated with an increased risk of high menstrual pain (RR = 1.13). Subjects working shifts in a clean room had the highest pain scores compared to the other groups.</p></div><div><h3>Conclusion</h3><p>This study underscores the association of work-related factors on PMS in female employees. Our findings contribute to a better understanding of premenstrual symptoms in female workers with different work characteristics, emphasizing the potential hazards of work-related factors on female employees.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 278-283"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000295/pdfft?md5=8469afba98d884554675fea20c811872&pid=1-s2.0-S2093791124000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141062267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}