Safety and Health at Work最新文献

{"title":"Measurement Properties of the Burnout Assessment Tool Used in the Population of Employees of Long-Term Care Facilities in Poland","authors":"Jakub Świtalski ,&nbsp;Ewa Wiśniewska ,&nbsp;Dorota Snop-Perkowska ,&nbsp;Tomasz Tatara","doi":"10.1016/j.shaw.2025.12.001","DOIUrl":"10.1016/j.shaw.2025.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Medical personnel, including those working in long-term care facilities, are at risk of burnout. Tools such as the Burnout Assessment Tool (BAT) are helpful in assessing the risk of burnout. The objective of the study was to determine the measurement properties of the Polish version of BAT in the population of personnel employed in long-term care facilities.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in long-term care facilities in the largest voivodeship in Poland. In order to check the reliability of BAT, a repeat measurement was conducted in some facilities. Confirmatory factor analysis (CFA) was performed, Cronbach's alpha coefficient and interclass correlation coefficient (ICC) were calculated for individual scales, and correlations with sociodemographic and professional variables were checked.</div></div><div><h3>Results</h3><div>Five hundred ninety-nine people from twenty-six long-term care facilities participated in the study. The repeat measurement was conducted in five facilities and involved fifty-one people. The CFA results confirmed the tool's original factor structure. Correlations between burnout indicators and selected sociodemographic or professional variables provided additional evidence supporting its construct validity. Very high reliability (ICC = 0.89-0.97) and internal consistency (Cronbach's alpha = 0.84-0.91) were obtained, and the tool's utility was confirmed.</div></div><div><h3>Conclusions</h3><div>The BAT is a tool with good measurement properties. It can be used to measure the risk of burnout among employees in long-term care facilities in Poland. The BAT can be valuable both for the individual assessment of burnout risk among medical personnel and for collective analyses conducted within a given healthcare facility across a larger number of such facilities.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"17 1","pages":"Pages 99-105"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551888","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":"Occupational Exposure Risk and Safety of Novel Intraperitoneal Oxaliplatin Delivery via Heated CO2 and Dual-flow Nozzle System","authors":"Soyeon Lee ,&nbsp;Jongmin Park ,&nbsp;Myoungho Lee ,&nbsp;Mira Yoo ,&nbsp;Chanmi Bang ,&nbsp;Sungho Hwang ,&nbsp;Dukyeon Kim ,&nbsp;Soo Kyung Bae ,&nbsp;Hyungho Kim ,&nbsp;Chungsik Yoon","doi":"10.1016/j.shaw.2025.10.006","DOIUrl":"10.1016/j.shaw.2025.10.006","url":null,"abstract":"<div><h3>Background</h3><div>Peritoneal carcinomatosis is challenging to treat, with poor prognosis. Although pressurized intraperitoneal aerosol chemotherapy (PIPAC) and hyperthermal PIPAC (HPIPAC) aim to improve patients' quality of life, there is a potential risk of antineoplastic drug exposure to healthcare workers during surgery. This study evaluates the risk of oxaliplatin exposure among healthcare workers during PIPAC and HPIPAC compared to systemic intravenous chemotherapy (IV).</div></div><div><h3>Methods</h3><div>Oxaliplatin was administered to a swine model via IV, PIPAC, and HPIPAC in the operating room. Surface samples (n = 484) were collected from the operating room and personal protective equipment (PPE), while air samples (n = 144) were taken near the respiratory tract. Platinum, as an indicator of oxaliplatin, was measured using inductively coupled plasma mass spectrometry (ICP-MS).</div></div><div><h3>Results</h3><div>Platinum was undetectable in 98.6% of the air samples, except one PIPAC leakage case. Surface contamination occurred in 8.7% of room samples and 13.9% of PPE, with gloves being most affected. Platinum contamination was also found on instruments like endoscope cameras and injectors, and cross-contamination on floors and injectors before PIPAC indicated suboptimal cleaning. No platinum was detected in the experimenter's blood and urine.</div></div><div><h3>Conclusion</h3><div>Airborne platinum exposure was minimal when no drug leakage occurred, but surface contamination, particularly on gloves and instruments, highlighted the need for stringent protective measures to reduce occupational exposure risk. Although the possibility of inhalation exposure was low and there are no legal exposure standards for oxaliplatin, precautions should be taken to avoid potential exposure.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"17 1","pages":"Pages 127-133"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551896","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":"Relationship Between Magnetic Resonance Imaging-based Knee Cartilage Loss and Work-related Physical Workload in Farmers and Fishers","authors":"Hansoo Song ,&nbsp;Yong Soo Cho ,&nbsp;Hye-min Kim ,&nbsp;Soo Hyeong Park ,&nbsp;Dong Hwi Kim ,&nbsp;Chul Gab Lee","doi":"10.1016/j.shaw.2025.10.001","DOIUrl":"10.1016/j.shaw.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>This study examined the relationship between work-related physical workload and knee cartilage loss using magnetic resonance imaging (MRI) among farmers and fishers in the Republic of Korea.</div></div><div><h3>Methods</h3><div>Bilateral knee MRI and questionnaire data from 545 farmers and 204 fishers aged 40–79 years were analyzed. Cartilage damage was evaluated using the MRI Osteoarthritis Knee Score (MOAKS). Mean cartilage loss scores were compared by sex, age, and body mass index (BMI). Analysis of covariance (ANCOVA) was used to assess associations of cumulative squatting work time (CSWT, hours) and cumulative lifting work time (CLWT, hours) with cartilage loss, adjusting for age and BMI, and stratified by sex.</div></div><div><h3>Results</h3><div>Age was the most significant factor associated with cartilage loss, whereas BMI was not. In women, CSWT was significantly associated with medial cartilage loss in the tibiofemoral (TF) joint after adjusting for age and BMI (right: <em>p</em> = 0.036; left: <em>p</em> = 0.021). The CLWT was significantly associated with cartilage loss in the right patellofemoral joint (right: <em>p</em> = 0.005; left: <em>p</em> = 0.051). In men, CLWT showed a significant association only in the right medial TF joint (<em>p</em> = 0.046).</div></div><div><h3>Conclusion</h3><div>Among Korean farmers and fishers, cumulative squatting and lifting workloads were associated with knee cartilage damage in a compartment- and sex-specific manner.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"17 1","pages":"Pages 47-55"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551808","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":"Do the Long-Term Cardiometabolic Effects of Night Shift Work Differ Between Men and Women? A 17-Year Cohort Study of the U.S. Workforce","authors":"María Romero-Parra ,&nbsp;Óscar Caballero ,&nbsp;Antonio García-Hermoso ,&nbsp;José Francisco López-Gil ,&nbsp;Jacqueline Páez-Herrera ,&nbsp;Rodrigo Yáñez-Sepúlveda ,&nbsp;Yasmin Ezzatvar","doi":"10.1016/j.shaw.2025.11.001","DOIUrl":"10.1016/j.shaw.2025.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Shift work, particularly in night shifts, has been linked to adverse health outcomes, including disruptions in circadian rhythms that may contribute to metabolic disorders. However, sex-related differences in the impact of night shift work on cardiometabolic health remain understudied. This study sought to examine the relationship between night shift work and cardiometabolic health in young adults, identifying potential sex-related differences.</div></div><div><h3>Methods</h3><div>In this prospective cohort study, a total of 3201 participants (mean age: 22.08 years, 59.9% women) were analyzed over a 17-year period. Relative risks (RRs) with 95% confidence intervals (CIs) were calculated to evaluate the impact of night shift work on cardiometabolic health outcomes, including obesity, hyperlipidemia, hypertension, type 2 diabetes, and metabolic syndrome (MetS).</div></div><div><h3>Results</h3><div>At Wave V, 74.7% of participants were diagnosed with overweight/obesity, 51.8% with abdominal obesity, 15.5% with hyperlipidemia, 29.1% with hypertension, 8.3% with type 2 diabetes, and 20.9% with MetS. Night shift work was associated with an increased risk of obesity and abdominal obesity in women (RR = 1.99, 95% CI: 1.08 to 3.65 and RR = 1.60, 95% CI: 1.07 to 2.56, respectively) but not in men. Women also showed an elevated risk of diabetes (RR = 2.69, 95% CI: 1.49 to 4.86), whereas no significant relationship was identified in men. Night shift work was not significantly associated with hypertension and MetS in either men or women.</div></div><div><h3>Conclusion</h3><div>Women working night shifts may benefit from targeted interventions for cardiometabolic health, particularly in managing weight and preventing diabetes, while men did not exhibit similar associations.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"17 1","pages":"Pages 70-75"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551883","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":"Heat and Harm: The Effect of Temperature on Severe Agricultural Trauma in South Korea","authors":"Seungyeon Cho","doi":"10.1016/j.shaw.2025.12.007","DOIUrl":"10.1016/j.shaw.2025.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Agriculture is recognized as a high-risk occupation for severe traumatic injuries. Among various occupational hazards, environmental factors—particularly ambient temperature—may significantly influence the incidence of such trauma. This study investigated the association between temperature variation and the incidence of severe agricultural trauma in South Korea.</div></div><div><h3>Methods</h3><div>We estimated the fixed effects panel regression model using data from the 2016–2021 Community-based Severe Trauma Survey, merged with daily meteorological records. By controlling for weather-related covariates and time-variant regional characteristics, this approach identified the causal effect of temperature on the incidence of severe agricultural trauma.</div></div><div><h3>Results</h3><div>Relative to 15–20°C, lower temperatures had little impact on the incidence of severe agricultural trauma, whereas higher temperatures increased incidence in a monotonic pattern—rising by about 39% at 20–25°C, 61% at 25–30°C, and 123% at &gt;30°C. By trauma type, temperatures above 20°C monotonically increased trauma risk, with the strongest effect observed for exposure to or ingestion of harmful substances compared with transportation-related accidents and slips, trips, and falls.</div></div><div><h3>Conclusion</h3><div>Elevated ambient temperatures are a significant predictor of severe agricultural trauma incidence. These findings highlight the need for preventive strategies and policy interventions tailored to mitigate temperature-related risks among agricultural workers, particularly during periods of extreme heat.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"17 1","pages":"Pages 91-98"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551886","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":"Association of Concurrent Clusters of Physical Inactivity and Unhealthy Lifestyle Habits with Common Mental Disorders among Primary Healthcare Workers: Insights from a large sample cross-sectional analysis in Brazil","authors":"Fernanda Queiroz Rego de Sousa Lopes ,&nbsp;Saulo Vasconcelos Rocha ,&nbsp;Clarice Alves dos Santos ,&nbsp;Jules Ramon Brito Teixeira ,&nbsp;Ana Luisa Patrão ,&nbsp;Sónia Brito-Costa ,&nbsp;Rafael N. Rodrigues ,&nbsp;Francisco Campos ,&nbsp;Guilherme Eustáquio Furtado ,&nbsp;Tânia Maria de Araújo","doi":"10.1016/j.shaw.2025.09.002","DOIUrl":"10.1016/j.shaw.2025.09.002","url":null,"abstract":"<div><h3>Background</h3><div>Common mental disorders (CMDs) are highly prevalent worldwide. Leisure time physical inactivity (LTPI) is a key modifiable behavior increasingly recognized for its contribution to CMD risk, alongside tobacco use, alcohol consumption, and nonparticipation in social activities (NPSA). Despite this, most studies examine these lifestyle factors individually rather than investigating their concurrent clustering and combined impact on mental health.</div></div><div><h3>Objective</h3><div>To examine the association between clusters of unhealthy lifestyle habits centered on LTPI and CMDs among primary healthcare workers (PHCWs) in the state of Bahia, Brazil.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis of 3,343 PHCWs was conducted. CMDs were screened with the Self-Report Questionnaire-20. Unhealthy behaviors (LTPI, tobacco use, alcohol use, and NPSA) were analyzed individually and as clusters (observed/expected ratios). Associations with CMDs were estimated via logistic regression.</div></div><div><h3>Results</h3><div>Participants were predominantly female (78.9%); 57.1% were ≤40 years. Prevalences were as follows: LTPI: 56.6%, tobacco: 6.2%, alcohol: 37.3%, NPSA: 61.3%; and CMDs: 22.6%. LTPI [odds ratio (OR) = 1.56; 95% confidence interval (CI): 1.23–1.99], and NPSA (OR = 1.60; 95% CI: 1.27–2.03) were independently associated with CMDs. The LTPI + NPSA cluster showed higher odds of CMDs (OR = 1.73; 95% CI: 1.29–2.31). Clustering patterns also revealed combinations involving LTPI and tobacco use.</div></div><div><h3>Conclusion</h3><div>CMDs among PHCWs are linked not only to single behaviors but to clusters centered on LTPI, particularly when combined with social isolation. Mental health strategies in primary care settings should prioritize increasing leisure time physical activity and social engagement alongside broader lifestyle risk reduction.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 4","pages":"Pages 500-506"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739308","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":"Role-clarity, Attitudes, and Behavioral Control Predict Stakeholders’ Involvement in Work-related Psychosocial Risk Management","authors":"Emma Steel ,&nbsp;Katharina Näswall ,&nbsp;Sanna K. Malinen","doi":"10.1016/j.shaw.2025.10.004","DOIUrl":"10.1016/j.shaw.2025.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Alarming numbers of workers report mental health harm caused by work-related factors, necessitating better psychosocial risk (PSR) management practices in workplaces. This study uses the theory of planned behavior as a framework to understand the factors that influence key stakeholders’ level of involvement in work-related PSR management practices.</div></div><div><h3>Methods</h3><div>Quantitative data were collected at two time points (T1 and T2) by surveying participants working in occupational health and safety and related roles in New Zealand. A path analysis was used to assess the effect of perceived behavioral control, perceived organizational norms, and attitudes on behavioral intention and subsequent involvement in PSR management processes. Potential moderators (role-clarity, role-conflict, and access to resources) of the intention–behavior relationship were also assessed.</div></div><div><h3>Results</h3><div>Participants’ attitude and perceived behavioral control were significant predictors of their intention to be involved in PSR management practices at T1. Perceived organizational norms did not predict intention. Participants’ intention at T1 was predictive of their level of involvement at T2. Intention mediated the relationship between attitude, perceived behavioral control, and behavior. There were no significant moderation effects acting on the intention–behavior relationship; however, role-clarity had a direct effect on behavior.</div></div><div><h3>Conclusion</h3><div>The results illuminate factors that can be leveraged to support key stakeholders to take an active role in addressing work-related PSRs. This has implications for leaders and organizations wanting to build capability and support people working in occupational health and safety and related roles to manage PSRs.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 4","pages":"Pages 493-499"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739306","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":"Occupational Risk of COPD: Insights from a Large Cohort Study","authors":"Haoxuan Yu ,&nbsp;Zhiping Yu","doi":"10.1016/j.shaw.2025.08.003","DOIUrl":"10.1016/j.shaw.2025.08.003","url":null,"abstract":"<div><div>Chronic obstructive pulmonary disease (COPD) remains a critical public health challenge globally. While tobacco smoking is the most recognized risk factor, occupational exposures—especially to vapors, gases, dusts, and fumes (VGDF)—are increasingly acknowledged as substantial contributors. This study offers a secondary reanalysis of publicly available Canadian data, originally collected through the occupational disease surveillance system (ODSS), to investigate COPD risk across diverse occupational sectors and gender strata. By transforming the original hazard ratio data into intuitive visual representations—including scatter plots, histograms, violin plots, and bar charts—we expose previously overlooked gender disparities and risk clusters. Notably, female workers in cleaning, textile, and food preparation services face equally high or even elevated risks compared to men in construction or manufacturing. Our findings underscore methodological limitations in prior studies—such as insufficient detail in indirect smoking adjustment, reliance on outdated occupational coding systems, and lack of individual-level variables—and emphasize the need for gender-sensitive surveillance, policy-oriented communication, and international data-sharing frameworks. This study reframes occupational COPD not only as a biomedical condition but as a social justice issue shaped by labor inequality and surveillance blind spots.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 4","pages":"Pages 507-512"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739357","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":"Predicting the Risk of Burnout Syndrome Using Korean Occupational Stress Scale (KOSS): A Machine Learning Approach","authors":"Hyeonju Jeong ,&nbsp;Seong-Cheol Yang ,&nbsp;Shin-Goo Park ,&nbsp;Inho Hong ,&nbsp;Hyung Doo Kim","doi":"10.1016/j.shaw.2025.08.006","DOIUrl":"10.1016/j.shaw.2025.08.006","url":null,"abstract":"<div><h3>Background</h3><div>Changes in the workplace have increased occupational stress, leading to health issues such as burnout syndrome (BOS), which results from poorly managed chronic workplace stress. The Korean Burnout Syndrome Scale (KBOSS) has been used to diagnose these issues, but its stigma and decreased compliance with application have limited its widespread use. This study aimed to develop machine learning models to predict BOS risk from occupational stress factors and identify these influential factors.</div></div><div><h3>Methods</h3><div>Using a dataset of 1,205 individuals across 40 companies, we evaluated the predictive performance of five machine learning algorithms. Each model was optimized via resampling and 5-fold grid search cross-validation and evaluated using an ROC-AUC, balanced accuracy, overall accuracy, and F1 score. SHAP was used to quantify the contribution of each feature to the prediction, identifying key occupational stress factors.</div></div><div><h3>Results</h3><div>All five models demonstrated strong predictive performance, with random forest achieving the most balanced results across the evaluation metrics, including a ROC-AUC of 0.904. SHAP analysis identified “Job instability” and “Lack of reward” as the most substantial BOS risk factors; “Relationship conflict” and “Organizational system” also played important roles. Moreover, the relationship between the SHAP values and feature values revealed critical transition points between “Agree” and “Disagree” responses for each KOSS factor.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that machine learning can effectively predict BOS risk based on occupational stress factors. By enabling the early identification of at-risk employees, this approach improves cost efficiency and offers a scalable solution for BOS risk assessment and intervention.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 4","pages":"Pages 462-469"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739365","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":"Age–Period–Cohort Analysis of Health-related Work Limitations: Results From Global Aging Data","authors":"Dong-Wook Lee ,&nbsp;Min Young Park ,&nbsp;MinSeok Kim ,&nbsp;Hyungseop Yoo ,&nbsp;Moon-Young Yang ,&nbsp;Jaesung Choi ,&nbsp;Mo-Yeol Kang","doi":"10.1016/j.shaw.2025.06.002","DOIUrl":"10.1016/j.shaw.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>In aging societies, maintaining a workable population is essential for sustaining and advancing societal development. Despite similar chronological ages, health-related work limitations can vary significantly depending on individuals’ birth years. This study investigates the effects of age, period, and cohort (APC) on work limitations among older adults using harmonized global longitudinal datasets.</div></div><div><h3>Methods</h3><div>This study analyzed data from five longitudinal aging studies: the Korean Longitudinal Study of Aging (Republic of Korea), the Health and Retirement Study (U.S.), the English Longitudinal Study of Ageing (U.K.), the Mexican Health and Aging Study (Mexico), and the Survey of Health, Ageing, and Retirement in Europe (Europe). Participants aged 50–80 years with complete data on health-related work limitations were included. APC effects were modeled using generalized additive models, allowing for the disentanglement of interdependencies among age, period, and cohort dimensions.</div></div><div><h3>Results</h3><div>The study included 149,814 participants across the datasets. Age effects showed increasing odds of work limitations with advancing age across all regions. Significant cohort effects were observed in the Republic of Korea, with newer cohorts exhibited higher work ability at equivalent ages, likely due to advances in healthcare, improved working conditions, and positive lifestyle changes. These cohort trends were consistent across all surveys, though their magnitudes varied.</div></div><div><h3>Conclusions</h3><div>Our findings indicate significant cohort effects in health-related work limitations, demonstrating that recent cohorts include a greater proportion of workable older adults. Country-specific variations suggest that policies tailored to national socio-economic and cultural contexts are essential to support workforce participation among aging populations.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 4","pages":"Pages 406-413"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739303","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}