American journal of industrial medicine最新文献

{"title":"Occupational Injury and Suicide in Washington State, Adjusting for Pre-Injury Depression","authors":"Katie M. Applebaum,&nbsp;Abay Asfaw,&nbsp;Paul K. O'Leary,&nbsp;Matthew P. Fox,&nbsp;Yorghos Tripodis,&nbsp;Andrew Busey,&nbsp;Jaimie L. Gradus,&nbsp;Leslie I. Boden","doi":"10.1002/ajim.23682","DOIUrl":"10.1002/ajim.23682","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Occupational injuries have been associated with increased suicide mortality, but prior studies have not accounted for pre-injury depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We linked injuries that occurred from 1994 to 2000 in the Washington State workers' compensation system with Social Security Administration data on earnings and mortality through 2018. We estimated the subdistribution hazard ratio (sHR) and 95% confidence interval using competing risks regression of suicide deaths with lost time compared with medical-only injuries separately for men and women, adjusting for age, pre-injury annual earnings, and industry. We further adjusted for pre-injury diagnosis of major depressive disorder by using a quantitative bias analysis (QBA), with the prevalence of this disorder in workers derived from an external health insurance claims data set.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Elevated suicide mortality was observed following lost-time injuries compared with medical-only injuries for men (sHR = 1.49, 95% CI [1.14, 1.93]) and women (sHR = 1.30, 95% CI [1.00, 1.69]), adjusting for age, pre-injury earnings, and industry. Adjusted for pre-injury depression using a QBA, elevated suicide risk in men remained statistically significant (median sHR = 1.33, simulation interval [1.18, 1.47]) but not for women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Workplace injury requiring time off work appeared to remain influential in increasing suicide risk among men, even after controlling for pre-injury depression. The relationship between mental health before and after occupational injury is complex and studies should better integrate mental health pre-injury.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Though many questions remain on the complex relationship between work, depression, injuries, and suicide, employers should work to prevent injuries and consider implementing mental health programs, which could be helpful in reducing suicide risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"122-131"},"PeriodicalIF":2.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845647","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":"Evaluating the Effectiveness of an Occupational Health and Safety Management System Certification Program on Firm Work Injury Rates in Alberta, Canada","authors":"Christopher B. McLeod,&nbsp;Robert A. Macpherson","doi":"10.1002/ajim.23690","DOIUrl":"10.1002/ajim.23690","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Occupational health and safety management systems (OHSMS) certification programs have the potential to improve workplace health and safety. In Canada, the Certificate of Recognition (COR) program is an example of such program and has been introduced in many industries and provinces. This study's objective was to identify whether the implementation of the COR program led to greater reduction in firm work-related injuries in Alberta, Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using firm- and claim-level data from the Workers' Compensation Board of Alberta and COR registration data from Government of Alberta, the effect of becoming COR-certified on firm-level injury rates was assessed using a matched difference-in-differences study design with population-averaged negative binomial regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 14,377 certified firms were matched with 11,338 non-certified firms during the years 2000 to 2015. Firms that became certified had a greater reduction in the lost-time injury rate (IRR: 0.86, 95% CI 0.83−0.88) and disabling injury rate (IRR 0.97, 95% CI 0.94−1.00) relative to the change in injury rates among similar non-certified firms. The effectiveness of OHSMS certification was strongest in the transportation, manufacturing and trade sectors, in more recent years, and among firms certified using the standard COR program as opposed to the program adapted for small employers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that COR can be an effective program, but that the effectiveness of this program is dependent on the context in which it is implemented, such as the industry sector, time period, and type of audit program.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"175-183"},"PeriodicalIF":2.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845645","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":"Prevalence of Mild and Severe Cognitive Impairment in World Trade Center Exposed Fire Department of the City of New York (FDNY) and General Emergency Responders","authors":"Frank D. Mann,&nbsp;Alexandra K. Mueller,&nbsp;Rachel Zeig-Owens,&nbsp;Jaeun Choi,&nbsp;David J. Prezant,&nbsp;Melissa M. Carr,&nbsp;Alicia M. Fels,&nbsp;Christina M. Hennington,&nbsp;Megan P. Armstrong,&nbsp;Alissa Barber,&nbsp;Ashley E. Fontana,&nbsp;Cassandra H. Kroll,&nbsp;Kevin Chow,&nbsp;Onix A. Melendez,&nbsp;Abigail J. Smith,&nbsp;Christopher Christodoulou,&nbsp;Benjamin J. Luft,&nbsp;Charles B. Hall,&nbsp;Sean A. P. Clouston","doi":"10.1002/ajim.23685","DOIUrl":"10.1002/ajim.23685","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The emergency personnel who responded to the World Trade Center (WTC) attacks endured severe occupational exposures, yet the prevalence of cognitive impairment remains unknown among WTC-exposed-FDNY-responders. The present study screened for mild and severe cognitive impairment in WTC-exposed FDNY responders using objective tests, compared prevalence rates to a cohort of non-FDNY WTC-exposed responders, and descriptively to meta-analytic estimates of MCI from global, community, and clinical populations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A sample of WTC-exposed-FDNY responders (&lt;i&gt;n&lt;/i&gt; = 343) was recruited to complete an extensive battery of cognitive, psychological, and physical tests. The prevalences of domain-specific impairments were estimated based on the results of norm-referenced tests, and the Montreal Cognitive Assessment (MoCA), Jak/Bondi criteria, Petersen criteria, and the National Institute on Aging and Alzheimer's Association (NIA-AA) criteria were used to diagnose MCI. NIA-AA criteria were also used to diagnose severe cognitive impairment. Generalized linear models and propensity score matching were used to compare prevalence estimates of cognitive impairment to a large sample of WTC-exposed-non-FDNY responders from the General Responder Cohort (GRC; &lt;i&gt;n&lt;/i&gt; = 7102) who completed the MoCA during a similar time frame.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Result&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Among FDNY responders under 65 years, the unadjusted prevalence of MCI varied from 52.57% to 60.32% depending on the operational definition of MCI, apart from using a conservative cut-off applied to MoCA total scores (18 &lt; MoCA &lt; 23), which yielded a markedly lower crude prevalence (24.31%) compared to alternative criteria. Using propensity score matching, the prevalence of MCI was significantly higher among WTC-exposed FDNY responders, compared to WTC-exposed GRC responders (adjusted &lt;i&gt;RR&lt;/i&gt; = 1.13 (CI 95% = 1.07–1.20, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), and descriptively higher than meta-analytic estimates from different global, community, and clinical populations. Following NIA-AA diagnostic guidelines, 4.96% of WTC-exposed-FDNY-responders met the criteria for severe impairments (95% CI = 2.91–7.82), a prevalence that remained largely unchanged after excluding responders over the age of 65 years.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There is a high prevalence of mild and severe cognitive impairment among WTC-responders, highlighting the putative role of occupational, environmental, and disaster-related exposures in the etiology of accelerated cognitive decline.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 &lt;/di","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"160-174"},"PeriodicalIF":2.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827212","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":"Employment Quality and Self-Rated General Health in the United States: A 3-Year Observational Follow-Up Study","authors":"Julie Vanderleyden,&nbsp;Trevor Peckham,&nbsp;Rebeka Balogh,&nbsp;Deborah De Moortel","doi":"10.1002/ajim.23684","DOIUrl":"10.1002/ajim.23684","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The typological approach of the employment quality (EQ) framework offers a comprehensive lens for assessing the heterogeneity of employment experiences while concurrently acknowledging associated health risk factors. EQ incorporates multiple employment characteristics—such as working hours, wages and benefits, and union representation, among others—where standard employment relationship (SER)-like (or high EQ) features are distinguished from nonstandard features (low EQ). Low EQ features are known to relate negatively to health outcomes. Addressing limitations from previous cross-sectional studies, we contribute to longitudinal research on the link between EQ and self-rated general health in the United States. Our objectives are: (1) to investigate the association between baseline EQ and poor self-rated general health 3 years later; and (2) to examine the relation between poor self-rated health and: (a) transitioning from low EQ to SER-like employment (the scarring hypothesis); (b) transitioning from SER-like employment to low EQ (the initial-impact hypothesis); and (c) consistent low EQ status (for example, the dose–response hypothesis).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Using the American Working Conditions Survey (AWCS), baseline and follow-up data on employees' self-rated health was collected (&lt;i&gt;N&lt;/i&gt; = 1109). An EQ typology with five categories was created via latent class cluster analysis: SER-like, Instrumental, Precarious Unsustainable, Portfolio; and Precarious Intensive employment. Each EQ segment represents a unique combination of EQ features, with SER-like and Portfolio employment reflecting overall high EQ, while Instrumental, Precarious Unsustainable, and Precarious Intensive reflect varieties of low EQ constellations. We used lagged Poisson regression to link baseline EQ to follow-up self-rated health and Poisson regression to analyze multiple EQ paths between baseline and follow-up and their association with health.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Precarious Unsustainable and Instrumental employment at baseline associated significantly with poor self-rated general health at follow-up. Transitioning from SER-like employment to a low-EQ segment was linked to an increased risk of poor self-rated general health, confirming the initial-impact hypothesis. No evidence was found for the scarring hypothesis. Consistent Instrumental and Precarious Unsustainable employment were both associated with poorer health, underlining the importance of the dose-response effect.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Enhancing EQ is crucial for public health, ","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"140-159"},"PeriodicalIF":2.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827180","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":"Workplace Injury and Death: A National Overview of Changing Trends by Sex, United States 1998–2022","authors":"Kitty J. Hendricks,&nbsp;Scott A. Hendricks,&nbsp;Suzanne M. Marsh","doi":"10.1002/ajim.23687","DOIUrl":"10.1002/ajim.23687","url":null,"abstract":"<div>\u0000 \u0000 <p>Women represent a substantial portion of the US workforce. However, injury and fatality rates for female workers have, historically, remained lower than rates for male workers. Fatal occupational data from the Census of Fatal Occupational Injuries (CFOI) and nonfatal injury data from the National Electronic Injury Surveillance System—Occupational Supplement (NEISS-Work) for the years 1998–2022 were examined to produce rate ratios of male to female fatal and nonfatal occupational injury rates for all workers in the United States. Auto-regressive linear models were developed to analyze rate ratios by sex for fatal and nonfatal occupational injuries by age group, injury event, and select industries to determine if female occupational fatal and nonfatal injury rates were following trends comparable to male rates. Over the 25-year study period, male injury and fatality rates were consistently higher than females. Occupational fatality rates for males were more than nine times higher than female rates, and for nonfatal occupational injuries, male rates were 1.4 times higher than female rates. These analyses indicate that the differences in nonfatal injury rates by sex may be attenuating, however, the large gap by sex in workplace fatalities has remained unchanged. Occupational safety and health research with a more specific focus on these sex differences is needed to gain a clearer understanding of how sex differences affect hiring, job training, task assignment and completion, and injury risk, to identify areas where prevention efforts could be most successful.</p></div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"194-201"},"PeriodicalIF":2.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827213","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":"Colorectal Cancer (CRC) Screening in Occupational Health Surveillance Exams Is Associated With Decreased CRC Mortality","authors":"Marianne Cloeren,&nbsp;John Dement,&nbsp;Kian Ghorbanpoor,&nbsp;Sammy Almashat,&nbsp;William Grier,&nbsp;Patricia Quinn,&nbsp;Kim Cranford,&nbsp;Anna Chen,&nbsp;Scott Haas,&nbsp;Knut Ringen","doi":"10.1002/ajim.23688","DOIUrl":"10.1002/ajim.23688","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Colorectal cancer (CRC) screening is recommended for adults aged 45 to 75. Using data from a national screening program, we examined the impact of CRC screening in a population with occupational exposures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Since 1998, the Building Trades National Medical Screening Program (BTMed) has offered CRC screening every 3 years. Tests used were: guaiac fecal occult blood test (gFOBT), 1998–2008; high sensitivity (HS)-gFOBT, 2009–2015; and fecal immunochemical test (FIT) since 2015. Data from the National Death Index through December 31, 2021 were used to compute standardized mortality ratios (SMRs) to compare the mortality experience of exam participants to nonparticipants. Internal analyses used Poisson regression and Cox regression to evaluation impact of CRC screening participation on CRC mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participation in gFOBT was 68.2%; HS-gFOBT, 78.7%; and FIT, 85.9%. The SMR for CRC was significantly higher for BTMed exam nonparticipants (SMR = 2.04, 95% CI 1.40–2.86) than exam participants (SMR = 1.07, 95% CI 0.88–1.28). Impact of CRC screening participation on reducing CRC mortality by type of test was 2% for gFOBT, 12% for HS-FOBT, and 61% for FIT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study found higher CRC screening participation than in the general population, with mortality reduction from screening similar to what is found in the general population, even though BTMed screening was conducted every 3 years rather than annually.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Participation in CRC screening had a significant impact on CRC mortality. Innovations in stool tests have led to greater convenience, participation, and impact, particularly for the FIT test. Occupational health practices should consider including CRC screening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"202-209"},"PeriodicalIF":2.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827140","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":"Respiratory Ill-Health and Welding Exposures: A Canadian Cohort Study","authors":"Jean-Michel Galarneau,&nbsp;Jeremy Beach,&nbsp;Nicola Cherry","doi":"10.1002/ajim.23678","DOIUrl":"10.1002/ajim.23678","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Respiratory ill-health in welders is well documented but without a clear indication of exposures responsible.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a Canadian cohort study of welders and electrical workers, we collected self-reports of asthma/wheeze and rhinitis at each 6-monthly contact for up to 5 years. Physician diagnoses of asthma and chronic obstructive pulmonary disease (COPD/bronchitis) were extracted from the Alberta administrative health database (AHDB). Welders provided task-specific information at each contact. Estimates were derived for cumulative exposure to particulates, chromium, and nickel. Factors associated with time to first and recurrent events were identified by proportional hazards regression, adjusting for sex, age, and smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1001 welders and 884 workers in electrical trades recruited, 1338 in Alberta were matched to the AHDB. Welders were more at risk of physician-diagnosed COPD/bronchitis than those in the electrical trades (HR for first report = 1.87; 95% CI = 1.27–2.77) but not of asthma. Times to first self-report of asthma/wheezing (HR = 1.58; 95% CI = 1.23–2.04) and rhinitis (HR = 1.29; 95%CI = 1.11–1.49) were shorter in welders. Among welders, time to physician-diagnosed asthma was weakly related to cumulative nickel exposure (mg/m³_h/100) (HR = 1.08; 95% CI = 1.00–1.17). COPD/bronchitis was related to cumulative exposure to total dust (g/m³_h) (HR = 1.01; 95% CI = 1.00–1.03) and to chromium (mg/m³_h/100) (HR = 1.14; 95% CI = 1.04–1.26). The risk of both asthma and COPD/bronchitis reduced with time using local exhaust ventilation. Self-reported rhinitis increased with cumulative nickel exposure (HR = 1.00; 95% CI = 1.00–1.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Welders were at increased risk of COPD/bronchitis, with risk related to cumulative dust and chromium exposure. Nickel exposure increased the risk of asthma and rhinitis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"99-111"},"PeriodicalIF":2.7,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811948","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 Pre-Injury Opioid Use and Opioid Use Patterns After a Work Injury","authors":"Deborah Fulton-Kehoe,&nbsp;John Haight,&nbsp;Andrea Elmore,&nbsp;Jeanne M. Sears,&nbsp;Thomas Wickizer,&nbsp;Gary M. Franklin","doi":"10.1002/ajim.23683","DOIUrl":"10.1002/ajim.23683","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Few studies have assessed long-term opioid prescribing after a work-related injury. There is limited information about opioid prescriptions before an injury and how receipt of opioids before a work injury is associated with long-term opioid prescribing. We present patterns of long-term opioid prescription among workers after an injury, overall, and by pre-injury opioid use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used linked workers' compensation and prescription drug monitoring program (PDMP) data to identify workers injured between July 2019 and June 2020 with an opioid prescription dispensed within 6 weeks after injury. Opioid prescribing was assessed for the 3 months before injury and for 1 year after injury or claim closure, whichever came first.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among injured workers with an opioid in the first 6 weeks, 23% had opioids 6−12 weeks after injury, 19% had opioids 3−6 months, 14% had opioids 6−9 months, and 12% had opioids 9−12 months after injury; 19% had opioids in the 3 months before injury. For workers with opioid prescription prior to injury, the percentage with opioids 9−12 months after injury was 34%, versus 7% among workers with no opioids in the 3 months before injury (<i>p</i> &lt; 0.001). Receipt of chronic opioids (for at least 60 days) 9−12 months after injury was substantially higher among those with prior opioid prescription (20%) than in those with no prior opioids (0.4%) (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found a strong relationship between opioid prescription in the 3 months before a work injury and opioid prescribing after an injury. Healthcare providers should be vigilant to the important relationship between prior opioid use and longer-term opioid use after work-related injuries.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"68 2","pages":"132-139"},"PeriodicalIF":2.7,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783871","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":"Identifying and Prioritizing Hazardous Chemicals in Construction Metal Structure Coating Systems: A Roadmap for Data-Driven Disease Prevention.","authors":"Paridhi Patel, Dhimiter Bello, Anila Bello","doi":"10.1002/ajim.23677","DOIUrl":"https://doi.org/10.1002/ajim.23677","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational exposure as a painter was classified by the International Agency for Research on Cancer (IARC) as a Group 1 carcinogen (carcinogenic to humans) in 1989. Chemical agents responsible for cancers and other illnesses among industrial painters are not well-documented. The goal of this systematic review and synthesis was to document the chemistries of metal structure coating systems, summarize data gaps on occupational exposures and health effects among painters, and identify and prioritize hazardous chemicals to guide future exposure and occupational health studies, and ultimately disease prevention efforts.</p><p><strong>Methods: </strong>We reviewed coating products approved by the Northeast Protective Coating Committee (NEPCOAT) for use in steel bridges in New England, with a special focus on Part B of these reactive chemical systems, and related literature on exposures and health effects.</p><p><strong>Results: </strong>From the review of safety datasheets (SDS), we identified 61 unique CAS numbers belonging to different Part B chemical groups of isocyanate- and epoxy-based formulations, including amine hardeners, solvents, nanomaterials, and other additives. The list of identified ingredients contained 14 potent sensitizers, two IARC Group 1 known carcinogens, and 7 IARC Group 2B possible carcinogens. Cancers of the lungs, urinary bladder, liver, kidneys, and gastrointestinal system, allergic contact dermatitis, lung fibrosis, and asthma were some possible disease endpoints. Existing occupational exposure studies focused on solvent exposures, while exposure and biomonitoring studies of amine hardeners and other ingredients of concern in these formulations are lacking.</p><p><strong>Conclusions: </strong>The list of chemicals of concern identified here, including sensitizers and carcinogens, can serve as a basis for analytical method development and field exposure assessment studies. A national multi-pronged strategy to reduce chemical exposures and health risks among construction painters is warranted, including research on exposure monitoring and reduction efforts, longitudinal epidemiological studies, and product reformulation.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765561","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":"Critical Human and Organizational Factors for Structural Safety in the Dutch Construction Industry.","authors":"Xin Ren, Karel C Terwel, Ming Yang, Pieter H A J M van Gelder","doi":"10.1002/ajim.23681","DOIUrl":"https://doi.org/10.1002/ajim.23681","url":null,"abstract":"<p><strong>Background: </strong>Human errors are widely acknowledged as the primary cause of structural failures in the construction industry. Research has found that such errors arise from the situation created by human factors and organizational factors embedded in the task context. However, these contextual factors have not been adequately addressed in the construction industry. Therefore, this study aims to identify the critical Human and Organizational Factors (HOFs) that influence structural safety in frequently performed tasks in structural design and construction.</p><p><strong>Methods: </strong>Through a comprehensive literature review, a framework consisting of potential critical factors called the HOPE framework, is presented. To identify the most critical HOFs that contribute to human error occurrences, a questionnaire survey to experts in the Dutch construction industry was conducted. Finally, the resulting framework was compared with three actual structural failures for validation.</p><p><strong>Results: </strong>This study shows that the HOFs should be extended with project-related factors (P) and working environment-related factors (E) due to the fact that these task contextual conditions play a significant role in shaping professionals' on-the-job performance. Furthermore, a survey identified 14 HOFs as critical in contributing to an error-prone situation in the structural design and construction tasks.</p><p><strong>Conclusion: </strong>The presented HOPE framework and the identified critical HOFs for structural safety can assist engineers with better hazard identification and quality assurance in practice.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765560","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}