Safety and Health at Work最新文献

{"title":"Lung Cancer Risk in Female School Cooks: A Nationwide Retrospective Cohort Study in the Republic of Korea","authors":"Jungwon Jang ,&nbsp;Eun Mi Kim ,&nbsp;Jaiyong Kim ,&nbsp;Jeehee Min ,&nbsp;Inah Kim","doi":"10.1016/j.shaw.2025.01.002","DOIUrl":"10.1016/j.shaw.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to cooking fumes exposure likely increases the lung cancer risk in school cooks, but research on the incidence of lung cancer in school cooks is lacking. Therefore, this study aimed to examine a nationwide cohort of school cooks for lung cancer by linking three Korean social insurance databases to determine whether working as a school cook increases lung cancer risk.</div></div><div><h3>Methods</h3><div>A nationwide retrospective cohort of school cooks and clerks with lung cancer was established by linking Employment Insurance, Industrial Accident Compensation Insurance, and National Health Insurance Service databases. Covariates were matched using 1:1 propensity score matching (PSM) for school cooks and clerks. Age-standardized incidence and hazard ratios (HRs) for lung cancer were calculated using the Cox proportional hazards model. Fine–Gray subdistribution HRs were used for sensitivity analysis. After further categorization into never- and ever-smoked subcohorts, the same analyses were performed.</div></div><div><h3>Results</h3><div>Post PSM, we identified 76 cases of lung cancer in school cooks during 259,819 person-years of follow-up. The age-standardized incidence was 199.8 (95% confidence interval [CI]: 120.7–278.9) and 166.8 (95% CI: 95.8–237.7) for school cooks and clerks, respectively. The subdistribution HR for school cooks post PSM was 1.72 (95% CI: 1.14–2.60). In the never-smoked subcohort, the subdistribution HR for school cooks post PSM was 4.23 (95% CI: 2.36–7.58).</div></div><div><h3>Conclusion</h3><div>School cooks were at an elevated risk of developing lung cancer, likely due to exposure to cooking fumes, highlighting the need for improved ventilation and preventive measures in school kitchens to reduce lung cancer risk.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 105-112"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591668","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":"Quantitative Assessment of Work-related Hand-arm Vibration Exposure Among Workers in the Construction, Underground Coal Mining, Wood Working, and Metal Working Industry: The German Hand-arm Vibration Study","authors":"Yi Sun ,&nbsp;Frank Bochmann ,&nbsp;Winfried Eckert ,&nbsp;Benjamin Ernst ,&nbsp;Christian Freitag ,&nbsp;Uwe Kaulbars ,&nbsp;Uwe Nigmann ,&nbsp;Christina Samel ,&nbsp;Christian van den Berg ,&nbsp;Nastaran Raffler","doi":"10.1016/j.shaw.2025.01.001","DOIUrl":"10.1016/j.shaw.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Standardized exposure assessments were conducted to quantify the historical occupational exposure to hand-arm vibration of workers in the German construction, underground coal mining, woodworking, and metalworking industries.</div></div><div><h3>Methods</h3><div>A two-step approach was used to assess historical vibration exposure. In the first step, individual work histories were reconstructed by standardized personal interviews. The interview focused on the identification of relevant power tools used throughout the working life. In the second step, an equipment-exposure-matrix was constructed by industrial hygiene measurements. By linking the power tools in the work history to the equipment-exposure-matrix, individual daily, and long-term vibration exposures can be quantified.</div></div><div><h3>Results and conclusions</h3><div>A total of 423 power tools were identified for 5,115 exposure segments over a period of 50 years. 97.2% of the vibration values were based on industrial hygiene measurements. The total vibration value (a_hv) of the power tools used varied between 0.8 m/s² and 65.2 m/s² with a median value of 14.2 m/s². The median value of cumulative vibration exposure is D_hv = 121,971 (range: 23-3,374,640) m²/s⁴·day, corresponding to a daily vibration exposure of a_hv(8) = 7 m/s² for 2489 working days (11.3 years).</div><div>This study provides a detailed description of hand-arm vibration exposure among workers in the related industries studied. Our analyses indicate that the quantification of daily vibration exposure is often uncertain and should be interpreted with caution. In contrast, cumulative vibration exposure is a more reliable exposure parameter for describing general working conditions and for guiding the prevention and compensation of vibration-related health problems.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 97-104"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591667","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":"Assessing the Psychometric Properties of the French-Canadian Version of the Psychological Safety Climate Questionnaire (PSC-12)","authors":"Manon Truchon ,&nbsp;Mahée Gilbert-Ouimet ,&nbsp;Azita Zahiriharsini ,&nbsp;Alice Girouard ,&nbsp;Jérome Thibeault ,&nbsp;Nathalie Parent ,&nbsp;Éléonore Lachapelle ,&nbsp;Caroline Biron","doi":"10.1016/j.shaw.2024.11.001","DOIUrl":"10.1016/j.shaw.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Psychosocial safety climate (PSC) refers to the collective belief among workers regarding the protection and support of their psychological health and safety by senior management. Despite the recognized importance of PSC in mitigating exposure to detrimental psychosocial risk factors at work, a validated instrument in French is lacking. This study aimed to evaluate the psychometric properties of the French-Canadian version of the PSC-12 and its associations with job satisfaction and psychological distress.</div></div><div><h3>Method</h3><div>A cross-sectional validation study was conducted to evaluate the psychometric properties of the PSC-12. Using cross-sectional data from an online survey of adults in a French-Canadian university (<em>n</em> = 1,784), the psychometric properties of the PSC-12, a 12-item questionnaire, were assessed. Internal consistency, validity, and factor structure were examined through exploratory factor analysis conducted using SAS v.9.4 software.</div></div><div><h3>Results</h3><div>Confirming the original four-factor structure, the French-Canadian version of the PSC-12 demonstrated satisfactory internal consistency (Cronbach's α of 0.95) and validity indices. Its convergent and divergent validity was evidenced by a positive association with job satisfaction (<em>r</em> = 0.34, <em>p</em> &lt; 0.05) and the negative association with psychological distress (<em>r</em> = -0.50, <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The French-Canadian adaptation of the PSC-12 maintains cross-cultural validity, providing a validated and concise tool for assessment within the French-Canadian community. <em>Practical Applications</em>: By facilitating the prevention of mental health problems among workers, this questionnaire has the potential to contribute to alleviating burdens for individuals, workplaces, and society.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 21-26"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591618","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":"Development of the Quality of Life Scale for Shift-working Nurses","authors":"Soner Berşe ,&nbsp;Hüseyin Çapuk ,&nbsp;Ali Ağar","doi":"10.1016/j.shaw.2024.11.004","DOIUrl":"10.1016/j.shaw.2024.11.004","url":null,"abstract":"<div><h3>Background and aim</h3><div>Shift work is known to have a significant impact on the health and well-being of nurses, and there is a need for practical tools to assess this impact. This study introduces the “Quality of Life Scale for Shift-Working Nurses” (QoLS-SWN), which was developed to provide a reliable and valid tool for assessing the effects of shift work on nurses' health and well-being.</div></div><div><h3>Methods</h3><div>This study employed a methodological research design to develop and validate a new scale for assessing the quality of life of shift-working nurses. Data were collected from two samples of nurses working in various hospitals. The first sample (<em>n</em> = 202) was used for exploratory factor analysis (EFA) to identify the scale's underlying factor structure. The second sample (<em>n</em> = 246) was used for confirmatory factor analysis (CFA) to validate the identified structure. The development process included an extensive literature review, expert consultations, and pilot testing. Factor analysis and reliability tests were conducted to ensure that the scale is highly reliable.</div></div><div><h3>Results</h3><div>The QoLS-SWN demonstrated excellent reliability, with a Cronbach's alpha of 0.95, and factor loadings ranging from 0.56 to 0.90. The scale comprises three dimensions: physical and mental exhaustion, health risks and job safety, and social and psychological interactions, explaining 71.89% of the total variance. CFA affirmed the structural validity of the scale, with fit indices indicating a good model fit (CMIN/df = 2.33, GFI = 0.86, IFI = 0.95, TLI = 0.94, CFI = 0.95, RMSEA = 0.07).</div></div><div><h3>Conclusion</h3><div>The QoLS-SWN is a reliable and valid tool for measuring the impact of shift work on nurses' quality of life. By providing insights into the multifaceted consequences of shift work, the scale may guide the development of targeted interventions to enhance nurses' quality of life. This scale can inform nursing practice and policy, ultimately improving nurse well-being and patient care outcomes.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 46-52"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591660","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":"Do Short-Term Improvements in Activities of Daily Living and Instrumental Activities of Daily Living Have Association With Return to Work in Workers With Occupational Injury? From an Occupational Injury Cohort in Taiwan","authors":"Fa-Chen Lin ,&nbsp;Chia-Pin Lin ,&nbsp;Hung-Yi Chuang ,&nbsp;Tse-Wei Wu ,&nbsp;Peng-Ju Huang ,&nbsp;Chen-Cheng Yang ,&nbsp;Chao-Hung Kuo","doi":"10.1016/j.shaw.2024.12.003","DOIUrl":"10.1016/j.shaw.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Rates of return to work (RTW) after an occupational injury vary considerably according to a range of factors. Limited studies have been conducted on the specific correlation between RTW and functional assessments, including activities of daily living (ADL) and instrumental activities of daily living (IADL). This prospective cohort study aims to determine if a relationship exists between ADL/IADL and RTW among injured workers in Taiwan.</div></div><div><h3>Methods</h3><div>We recruited 162 workers who reported work-related injuries from January 2023 to May 2024. The assessment of ADL was evaluated using the Barthel Index, whereas IADL was evaluated using the Lawton Instrumental Activities of Daily Living scale. ADL/IADL were assessed immediately after the injury, at 3 and 6 months postinjury. Logistic regression models were used for the connections between ADL, IADL, and RTW while considering various confounding factors.</div></div><div><h3>Results</h3><div>The mean ADL and IADL improved significantly at both 3 and 6 months postinjury. Logistic regression analysis indicated that IADL scores at 3 and 6 months postinjury were significantly linked to RTW. ADL scores lost significance after adjustment. Age was negatively associated with RTW, whereas sex and labor insurance status showed no significant association.</div></div><div><h3>Conclusion</h3><div>Short-term improvements in IADL are linked to successful RTW, rather than ADL for occupationally injured workers. Evaluations of IADL should be incorporated into rehabilitation plans to predict and improve RTW. Thorough rehabilitation approaches that address various aspects of functional abilities may be crucial to support successful RTW. Further studies are required to validate these results.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 90-96"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591666","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":"Exploration of Barriers and Facilitators to Healthy Eating in UK Truck Drivers","authors":"Katharina B. Ruettger ,&nbsp;Elizabeth Stamp ,&nbsp;James A. King ,&nbsp;Stacy A. Clemes","doi":"10.1016/j.shaw.2024.12.001","DOIUrl":"10.1016/j.shaw.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>The working environment of truck drivers promotes unhealthy lifestyle behaviours including physical inactivity and poor dietary choices. This leads to high levels of chronic diseases and a reduced life expectancy compared to other occupational groups. However, little is known about how drivers in the UK perceive their working environment and how this affects their food choices. This study aimed to gain a better understanding of long-haul (8–10-hour shifts) truck drivers’ needs regarding healthy food choices whilst on the road to better inform future health promotion programmes and policy needs.</div></div><div><h3>Methods</h3><div>Individual semi-structured interviews were conducted, allowing an in-depth exploration of truck drivers’ experiences. The interview guide was grounded within the COM-B model and theoretical domains framework. Audio recordings were anonymised and transcribed verbatim and data analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Ten drivers (8 male) were interviewed with a mean age of 49 years (SD 9.7). Frequently mentioned barriers to healthy eating were limited availability of affordable healthy food options at truck stops, food storage limitations, and limited time for food preparation. Commonly reported facilitators to improve drivers' diet were flexible break times, shorter shifts, secure parking places and/or better-equipped vehicles.</div></div><div><h3>Conclusions</h3><div>Limited availability of healthy food options, high costs, poor facilities within rest areas, long working hours/shifts, and lack of food storage and preparation time, negatively impacts UK truck drivers’ eating behaviours. This study highlights that multi-component interventions targeting the individual, environment and policy, are ultimately needed to improve truck drivers’ working conditions and health.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 75-82"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591664","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":"Current Status of Processes and Hazardous Chemicals of Lithium-ion Battery Industries in the Republic of Korea","authors":"Miyeon Jang ,&nbsp;Gwangyong Yi ,&nbsp;Hyeonjin Jeon ,&nbsp;Chungsik Yoon","doi":"10.1016/j.shaw.2024.10.005","DOIUrl":"10.1016/j.shaw.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>With global trends of carbon neutrality and ecofriendliness, the demand for lithium-ion batteries (LIBs) has been rapidly increasing. However, occupational health research within this sector is significantly lacking. Thus, this study aimed to understand the industrial value chain, processes, and current status of hazardous chemicals associated with LIBs.</div></div><div><h3>Methods</h3><div>Through a literature review and a survey of business sites, the LIB industry was categorized into 10 industrial groups. We visited 32 workplaces in the Republic of Korea, and conducted on-site surveys.</div></div><div><h3>Results</h3><div>Primary mineral raw materials used in LIBs include lithium (Li), nickel (Ni), cobalt (Co), manganese (Mn), and aluminum (Al) often in compound forms, alongside graphite, posing significant challenges in management due to their micrometer-sized particles. Furthermore, metals used in a salt form (such as LiOH or sulfate salts) can irritate the skin or respiratory system, particularly Ni and Co known to be toxic substances designated as human carcinogens by the International Agency for Research on Cancer. Acids, bases, and various solvents are also used to improve batteries' electrical properties. Dichloromethane classified as carcinogenic 2A by the International Agency for Research on Cancer is widely used in the separator industry. Carbonate-based solvents are widely used in electrolytes with potential for exposure in battery cell manufacturers and recycling industries. However, they are not classified as regulated substances, leading to inadequate management practices.</div></div><div><h3>Conclusion</h3><div>This study identified processes of each industry and chemical substances utilized in the LIB industry in the Republic of Korea. Based on this study, it is necessary to implement appropriate management measures tailored to industrial processes and types of harmful factors.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 1-12"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591616","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":"Development of an Enhanced Risk Assessment Model for Human–Robot Collaboration and its Application","authors":"Kangdon Lee ,&nbsp;Jae-Yong Lim","doi":"10.1016/j.shaw.2024.12.002","DOIUrl":"10.1016/j.shaw.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Collaborative robots have emerged as a solution for complex and precision-driven tasks. However, there is no comprehensive risk assessment model for collaborative robotic work in the Republic of Korea. Thus, we aim to develop a risk assessment model tailored to the unique characteristics of human-robot collaboration.</div></div><div><h3>Methods</h3><div>In this study, we examine the risk assessment factors in three key fields: worker, robotic systems, and work environment. The items adopted in the existing models of HFACS, USUS, and human–robot trust were initially selected to extract items for the risk assessment model. The analytic hierarchy process methodology was applied to refine and prioritize the evaluation items. Score scales were constructed for the six checklists. A five-level score ranging from one to five was given to each question in the checklist, and the average score was used to quantitatively evaluate each area.</div></div><div><h3>Results</h3><div>The six evaluation checklists coalesced to constitute a comprehensive risk assessment model was adjusted for collaborative robot operations. Implementing the proposed model in six robot-operated workplaces yielded consistent results. Companies involved in previous robot-related accidents exhibited deficiencies in these risks than accident-free robot workplaces. Thus, comprehensive risk assessments encompassing the necessary factors are crucial to prevent accidents in robot-related work environments.</div></div><div><h3>Conclusion</h3><div>The proposed risk assessment model can offer a robust foundation for guiding the future development of diverse risk assessment models for collaborative robot environments and facilitate the safe coexistence of humans and robots in the Industry 4.0 era.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 83-89"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591665","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":"Enhancing Workplace Well-being: Unveiling the Dynamics of Leader–Member Exchange and Worker Safety Behavior Through Psychological Safety and Job Satisfaction","authors":"Aida Bennouna ,&nbsp;Assia Boughaba ,&nbsp;Salim Djabou ,&nbsp;Mohamed Mouda","doi":"10.1016/j.shaw.2024.11.003","DOIUrl":"10.1016/j.shaw.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>In healthcare, ensuring safety is crucial for quality care and patient outcomes. While research links leader–member exchange (LMX) quality to safety behavior, this remains understudied in healthcare. Our study explores LMX's long-term impact on safety behavior, proposing a model that includes the moderated mediating role of psychological safety and job satisfaction in the relationship between LMX and safety behaviors, regarding compliance (SCB) and participation (SPB). By identifying the mechanisms through which LMX influences safety behavior, this study can provide insights into the development of interventions that promote workplace safety and enhance the well-being of healthcare workers.</div></div><div><h3>Methods</h3><div>We collected data from 325 Algerian healthcare workers across three public hospitals at three points. Through SmartPLS analysis, we used advanced features of Partial Least Squares Structural Equation Modeling (PLS-SEM) alongside PROCESS analysis to evaluate the relationships within our proposed model.</div></div><div><h3>Results</h3><div>Our analysis found a significant association between higher LMX and increased job satisfaction that positively correlated with enhanced SCB adherence and mediated the LMX–SCB relationship. This relationship was strengthened with high psychological safety.</div></div><div><h3>Conclusion</h3><div>Our study emphasizes the crucial role of LMX quality in shaping safety behavior among Algerian healthcare workers, providing insights for cultivating a safety culture in healthcare settings, highlighting the significance of prioritizing LMX, JS, and PS to improve workplace safety and support healthcare worker well-being.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 36-45"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591773","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":"Asthma Among Manitoba Workers: Results from the Manitoba Occupational Disease Surveillance System","authors":"Elizabeth Rydz ,&nbsp;Randy Walld ,&nbsp;Mieke W. Koehoorn ,&nbsp;Christopher B. McLeod ,&nbsp;Paul A. Demers ,&nbsp;Cheryl E. Peters ,&nbsp;Allen Kraut","doi":"10.1016/j.shaw.2024.07.002","DOIUrl":"10.1016/j.shaw.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>This study characterized the risk of new-onset asthma among workers in Manitoba, Canada.</div></div><div><h3>Methods</h3><div>Accepted time loss claims from the Workers' Compensation Board of Manitoba from 2006 to 2019, containing workers' occupations and industries, were linked with administrative health data from 1996 to 2020. After restricting the cohort to the first claim per person in an occupation and applying age and coverage exclusions, the cohort comprised 142,588 person–occupation combinations. Asthma cases were identified if workers had at least two medical records for asthma (International Classification of Diseases, Ninth Revision, 493) within a 12-month period, within the 2 years before 3 years after cohort entry. New-onset asthma was identified using a 3-year washout period. Asthma hazard ratios by occupation and industry were estimated using Cox proportional hazard models, adjusted for age, and stratified by sex.</div></div><div><h3>Results</h3><div>Increased asthma risk was observed among workers with known asthmagen exposure, including male veterinary and animal health technologists and technicians (hazard ratio 3.97, 95% CI 1.78–8.86), male fish processing workers (3.40, 1.53–7.57), and male machining tool operators (2.91, 1.72–4.92). Increases were also observed for occupations with unknown or suspected allergens, including gas station attendants, drivers, mail/postal and related workers, public works and maintenance laborers, mine laborers and crane operators, and some indoor worker groups. Decreased risks were observed among nurses and residential and commercial installer and servicers.</div></div><div><h3>Conclusion</h3><div>This database linkage study successfully identified occupations and industries with known sensitizing agents or irritants, and several occupation and industries not typically associated with work-related asthma, warranting further investigation.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 412-418"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206141","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}