American journal of industrial medicine最新文献

{"title":"Association of Noise Exposure, Arterial Stiffness, and Blood Pressure in Chinese Adults","authors":"Hong Zhang,&nbsp;Haozhe Zhang,&nbsp;Yang Xiao,&nbsp;Zhaomin Chen,&nbsp;Kaiji Lang,&nbsp;Shuo Yang,&nbsp;Weihong Chen,&nbsp;Qiyou Tan,&nbsp;Dongming Wang","doi":"10.1002/ajim.70116","DOIUrl":"10.1002/ajim.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Occupational noise is considered one of the most common occupational hazards all over the world. We aimed to explore the association between occupational noise exposure and blood pressure in Chinese adults, and the mediating role of arterial stiffness in the above-mentioned association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We surveyed machinery manufacturing company workers in Wuhan, China. Occupational noise was assessed using cumulative noise exposure (CNE). Brachial-ankle pulse wave velocity (baPWV) was detected by a BP-203RPE III net-worked arteriosclerosis detection device. Generalized linear models and bootstrap mediating analyses were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 839 participants were included in the study. In the analysis between cumulative noise exposure (CNE) and blood pressure, the β value for systolic blood pressure (SBP) was 0.119 (95% confidential interval [CI]: 0.010, 0.227) and the β value for diastolic blood pressure (DBP) was 0.162 (95% CI: 0.083, 0.241). CNE was positively associated with baPWV (<i>β</i> = 0.002, 95% CI = 0.001, 0.003), and baPWV was positively associated with SBP (<i>β</i> = 51.080, 95% CI = 44.726, 57.433) and DBP (<i>β</i> = 35.927, 95% CI = 31.253, 40.602). baPWV mediated the associations between CNE and blood pressure; the mediation proportion was 62.41% for SBP and 37.14% for DBP, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study suggests that occupational noise exposure is associated with elevated blood pressure, and that arterial stiffness mediated the positive association between occupational noise and blood pressure. Appropriate measures should be implemented to control for occupational noise exposure and to protect workers from cardiovascular diseases in the workplace.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 10","pages":"857-864"},"PeriodicalIF":2.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468457","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 Vulnerability to AI-Driven Change: The Role of Skill Composition, Task Structure, and Psychosocial Buffers.","authors":"Thinuri Welithotage, Behdin Nowrouzi-Kia","doi":"10.1002/ajim.70131","DOIUrl":"https://doi.org/10.1002/ajim.70131","url":null,"abstract":"<p><strong>Background: </strong>Automation risk is often framed as a question of which jobs can be automated. This perspective neglects how the structure of work itself shapes workers' vulnerability to AI-driven change. In occupational health research, job characteristics such as autonomy, task variety, and social interaction are known to influence worker well-being, yet are rarely incorporated into assessments of AI-related occupational risk.</p><p><strong>Methods: </strong>To capture this complex vulnerability, this study distinguishes between Automation (AI) Exposure and Psychosocial Buffering capacity. We analyzed 664 U.S. occupations across 128 skill dimensions using K-means clustering, an unsupervised machine learning algorithm, to identify groups of occupations with similar skill profiles. AI Exposure was quantified using the Artificial Intelligence Occupation Exposure (AIOE) score, and the Psychosocial Buffer Index (PBI) captured protective job features relevant to occupational health. Principal Component Analysis (PCA) was used to examine the relationships among AI Exposure, PBI, and occupational skill composition.</p><p><strong>Results: </strong>Five distinct occupational clusters emerged, systematically differentiating themselves in both AI exposure and buffering capacity. High AI exposure clusters varied in PBI, suggesting that structural job features can mitigate automation-related vulnerability, while low-exposure roles with limited buffering may still face occupational stress. PCA results revealed that AI exposure aligns with cognitive intensity, whereas PBI shows independent dispersion across the skill space.</p><p><strong>Conclusions: </strong>These findings highlight that AI-related occupational risk is multi-dimensional and indicates the relation between automation potential and the job structure. This framework provides actionable insights for targeted interventions, including retraining, workflow redesign, and collaborative AI integration to support worker well-being in an AI-driven labor market.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896417","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":"Presumptive Coverage Policies and Workers' Compensation of Post-Traumatic Stress Disorder and Other Mental Health Conditions: A Retrospective Time-Series Study in Canada 2001-2019.","authors":"Quentin Durand-Moreau, Alexis Descatha, Anil Adisesh, Peter Smith","doi":"10.1002/ajim.70132","DOIUrl":"https://doi.org/10.1002/ajim.70132","url":null,"abstract":"<p><strong>Background: </strong>The impact of presumptive coverage policies for work-related mental health disorders has not been extensively studied to date. Using data from the Association of Workers' Compensation Boards of Canada (AWCBC), our objectives were to describe the evolution of compensated mental health conditions, and to explore the association between the implementation of presumptive coverage and the number of compensated mental health conditions.</p><p><strong>Methods: </strong>Datasets on mental health lost-time claims (LTCs) were obtained from the AWCBC for 2001-2019. The total number of all-cause LTCs was used as a denominator. Independent variables included presumptive coverage, union coverage, unemployment rate, proportion of service industry workers, proportion of working women, physicians and psychologists per 100,000 inhabitants, and workers' compensation board coverage. Regression and interrupted time series analyses were conducted.</p><p><strong>Results: </strong>Over the study period, mental health LTC accounted for 0.97% of all-cause LTCs: half of the former were PTSD cases. In the multivariate analysis, presumptive coverage policies restricted to PTSD were only positively associated with the proportion of PTSD LTCs (Incidence Rate Ratio, [IRR] = 1.237, 95% CI 1.005-1.521) but not with other mental health LTCs. More lenient policies were positively associated with the proportion of PTSD LTCs (IRR = 1.211, 95% CI [1.025-1.430]), and non-PTSD mental health LTC (IRR = 1.435; 95% CI [1.001-2.058]).</p><p><strong>Conclusions: </strong>Workers' compensation presumptive coverage policies for mental health conditions have the effect of increasing claim volumes for these conditions. When restricted to coverage of PTSD, the portion of PTSD of all LTC is larger, but there is no documented ripple effect on other mental health conditions.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896359","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":"Accidents in the Chemical Industry: A Scoping Review Focused on Causal Factors.","authors":"Željka Babić, Emin Veledar, Zrinka Franić, Franka Šakić, Mojca Dobaja Borak, Lucija Šarc, Jelena Macan, Miran Brvar","doi":"10.1002/ajim.70130","DOIUrl":"https://doi.org/10.1002/ajim.70130","url":null,"abstract":"<p><strong>Background: </strong>Although occupational safety in the chemical industry is an area of ongoing research worldwide, chemical incidents continue to occur, indicating the need to review the causes, assist in safety management, and identify problems in the quality of reporting.</p><p><strong>Methods: </strong>A systematic search of studies published in English between January 1, 2000 and August 31, 2025 was conducted using the electronic databases Medline and Web of Science Core Collection. Due to their heterogeneity, studies were evaluated in a scoping review framework, presenting quantitative data on causes of industrial chemical incidents.</p><p><strong>Results: </strong>A total of 12 studies from the EU and 17 outside the EU were included. Both in the EU and outside, organizational factors were the most prominent cause of chemical accidents, and the most commonly mentioned specific causes were lack of clear work instructions such as lack of adequately written standard operating procedures (SOPs), deficiencies in risk analysis, deficiencies in planning and scheduling of procedures, especially during non-routine operations, insufficient safety training, and poor design and engineering of chemical processes. Regarding human factors, operator errors were noted in all geographical locations; however, studies from Asia more often pointed out the contribution of inadequate supervision and intentional violations. Lastly, technical factors were overall not a leading cause of chemical accidents, but there was a somewhat higher percentage of accidents attributed to this category in non-EU countries.</p><p><strong>Conclusions: </strong>Together, these insights underscore the need for system-level preventive strategies, supported by harmonized reporting and prospective studies, to strengthen evidence-based prevention.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811758","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":"Healthcare Workers' Workplace Violence in Colombia: Influence of Structure-Based Factors","authors":"Laura Nataly Panqueva Giraldo,&nbsp;Daniela Otálvaro,&nbsp;Claudia Isabel Cabarcas Herrera,&nbsp;John Leonardo Torres Castiblanco","doi":"10.1002/ajim.70107","DOIUrl":"10.1002/ajim.70107","url":null,"abstract":"","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"779-780"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248857","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":"Assessing the Feasibility of Wearable Devices for Physiological Monitoring and Heat Risk Prediction in Outdoor Agricultural Workers","authors":"Sinan Sousan,&nbsp;Elizabeth Mizelle,&nbsp;Qiang Wu,&nbsp;Rui Wu,&nbsp;Guy Iverson,&nbsp;Ciprian Popoviciu,&nbsp;Dylan Hemedinger,&nbsp;Eliezer Loyola,&nbsp;Takari Hood,&nbsp;Monica Ramirez,&nbsp;Jo Anne Balanay","doi":"10.1002/ajim.70103","DOIUrl":"10.1002/ajim.70103","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;Outdoor agricultural workers experience significant heat exposure, yet few studies have evaluated whether wearable sensors can reliably measure continuous physiological responses in real field conditions. This pilot study examined the feasibility and predictive utility of core temperature, hydration, heart rate, and movement data collected from commercially available wearables.&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;Thirty farmworkers in eastern North Carolina wore three devices, the CALERA core temperature sensor, the Nix Hydration Biosensor, and the Garmin Vivoactive smartwatch, during one July work shift. 1 min, physiological and environmental data were aligned to compute the modified Physiological Strain Index, mPSI. Device reliability, physiological responses, and heat exposure were summarized. Multi-linear regression and machine learning, Random Forest (RF) and Gradient Boosting Regression (GBR), models were evaluated to predict mPSI, using raw and smoothed predictors to estimate mPSI.&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;CALERA retrieved 100 percent of the data, Garmin retrieved 97 percent, and Nix retrieved 80 percent. WBGT remained consistently high, approximately 28 to 29 degrees Celsius, and 12.6 percent of core temperature measurements exceeded 38 degrees Celsius. mPSI ranged from minimal to high heat strain, with 8.3 percent of observations at or above 5. Heart rate showed the strongest association with mPSI. The RF model using 60-min moving averages achieved the highest predictive accuracy with an &lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; of 0.96 and a root mean squared error of 0.25. Wearables captured meaningful physiological patterns that corresponded with environmental heat exposure, and WBGT-based risk levels consistently overestimated heat strain relative to mPSI.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Multi-sensor wearable systems are feasible for continuous heat strain monitoring and can support accurate prediction of heat-related risk among agricultural workers. This study is the first to evaluate the CALERA, Nix, and Garmin devices combined for heat strain monitoring in outdoor agricultural workers. By combining all three wearables in a field-based feasibility assessment, it addresses a key gap in validating consumer-grade technology for occupational safety in this high-risk workforce. The findings of the study support the use of wearable devices for real-time heat strain alerts, individualized hydration and work-rest guidance, and early warning systems to help prevent heat-relate","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"722-744"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209834","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":"Per- and Polyfluoroalkyl Substances (PFAS) Exposure Profiles and Their Predictors in a Study of US Volunteer Firefighters","authors":"Katherine A. Lubina,&nbsp;Zorimar Rivera-Núñez,&nbsp;Miriam M. Calkins,&nbsp;Robert Laumbach,&nbsp;Shou-En Lu,&nbsp;Jefferey L. Burgess,&nbsp;Elena Austin,&nbsp;Derrick L. Edwards,&nbsp;Maria D. H. Koeppel,&nbsp;Jaclyn M. Goodrich,&nbsp;Zhihua (Tina) Fan,&nbsp;Chang Ho Yu,&nbsp;Kaleigh M. Hinton,&nbsp;Casey C. Grant,&nbsp;Brian Kubiel,&nbsp;Daniel Roy,&nbsp;Judith M. Graber","doi":"10.1002/ajim.70104","DOIUrl":"10.1002/ajim.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Firefighters may experience occupational exposure to per- and polyfluoroalkyl substances (PFAS). Volunteer firefighters make up 65% of the US fire service, but their serum PFAS profiles have not been well characterized. This study aims to (1) describe PFAS serum profiles among US volunteer firefighters from 9 states enrolled in the Firefighter Cancer Assessment and Prevention Study (CAPS), and (2) identify predictors of their serum PFAS concentrations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve PFAS were quantified in serum of 550 active volunteer firefighters collected at enrollment into CAPS between 2020 and 2023. Fire service, occupational, sociodemographic, and health predictors of interest were captured in the CAPS enrollment survey. PFAS detection frequencies, average concentrations, and distributions were characterized overall and by regional groups. Associations between serum PFAS and predictors of interest were assessed using multivariable generalized estimating equation models for all participants and by sex in those &lt; 50 years old.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>CAPS participants' serum PFAS profiles varied by geography, age, and sex. Firefighting, occupational, sociodemographic, and health factors were associated with serum PFAS in the full cohort. In sex-stratified models, some associations differed between males and females and from the full cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Stronger associations between sociodemographic and health factors with serum PFAS, with less strong associations between serum PFAS and occupational and fire service factors highlight the likely multifaceted exposure experience of volunteer firefighters and the relative importance of community factors. Sex and age differences in serum profiles and associations with predictors may imply different exposure and elimination pathways among male and female volunteer firefighters.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"745-764"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248860","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":"Life in the Driver's Seat: A Qualitative Analysis of Rideshare Drivers' Perspectives of Their Work and Well-Being Using Reddit Posts","authors":"Eric W. Lundstrom,&nbsp;Beth L. Hoffman,&nbsp;Kyla D. Hagan-Haynes,&nbsp;Jacqueline Sivén,&nbsp;Jason B. Colditz,&nbsp;Michael A. Flynn,&nbsp;Matthew R. Groenewold","doi":"10.1002/ajim.70108","DOIUrl":"10.1002/ajim.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rideshare driving has become a common occupation within the emerging gig and platform economies. Despite offering a high degree of scheduling flexibility, rideshare driving provides little employment stability, an unstable income, and minimal employment benefits. This precarity, combined with the use of algorithmic labor management to guide drivers' actions, has garnered attention for its potential impacts on these workers' health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To examine rideshare drivers' perspectives of their work and its implications for their well-being, this exploratory study examined posts (<i>n</i> = 1034) to the digital platform Reddit in the year 2024 using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Themes indicated that workers experience financial precarity but also appreciate the flexibility of rideshare driving. Drivers are also aware of the algorithms that guide their work and, at times, feel that these prevent them from increasing their earnings. Drivers posted about experiences with passengers—both positive and negative—while also discussing the mental stressors of ride sharing and concerns about their physical safety on the job.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings underscore the varied experiences rideshare drivers encounter in their workplace, while highlighting potential implications for their physical and mental well-being. Understanding these first-hand accounts may inform efforts to improve the well-being of platform-based workers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"765-778"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337348","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":"Postsurgical Opioid Prescribing Among Injured Workers in Washington State: 2017–2020 Trends and Policy Effects","authors":"John R. Haight,&nbsp;Deborah Fulton-Kehoe,&nbsp;Anjum Hajat,&nbsp;Joel D. Kaufman,&nbsp;Gary M. Franklin","doi":"10.1002/ajim.70098","DOIUrl":"10.1002/ajim.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The widespread adoption of longer duration opioid prescribing for acute pain management following surgeries has coincided with concerning increases in misuse, dependence, and overdose. We evaluated the impact of voluntary opioid prescribing guidelines and concurrent state pharmacy rules on prescribing trends following surgeries for work-related injuries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed claims data for surgical and postoperative care in the Washington State workers' compensation system, linked with prescription drug monitoring program data, from 2017 to 2020. We evaluated whether rates of long-duration opioid prescribing (&gt; 14 opioid days) or persistent opioid prescribing (3–6 months post-surgery) decreased after the implementation of Washington State's postsurgical opioid prescribing guidelines and pharmacy rules (2018–2019), using an interrupted time-series analysis, stratified by surgical severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Prior to policy implementation, longer duration opioid prescribing was declining at a rate of 0.52 percentage points per month, on average, among all surgeries. Following the promulgation of guidelines and rules, this decline slowed significantly to 0.14 percentage points monthly (slope change: +0.38 percentage points; 95% CI: 0.11, 0.65). Similar decelerations were observed across surgical severity types. Persistent opioid use following surgery remained steady, around 6.8%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall declines in longer duration opioid prescribing continued steadily after policy implementation, however, Washington State's postsurgical opioid prescribing guidelines and rules were associated with a modest slowing of pre-existing downward trends in longer duration opioid prescribing, counter to expectations. These findings suggest that voluntary guidelines may have had limited impact. More robust implementation strategies may be needed to further reduce longer duration postsurgical opioid prescribing patterns in a workers' compensation setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"710-721"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337489","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":"Response to Healthcare Workers' Workplace Violence in Colombia","authors":"Rachel Odes","doi":"10.1002/ajim.70106","DOIUrl":"10.1002/ajim.70106","url":null,"abstract":"","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325360","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}