American journal of industrial medicine最新文献

{"title":"Beyond Water, Rest, and Shade: Advancing Farmworker Heat Protection Through Partnership","authors":"Astrid Elliott,&nbsp;Shuchi Anand,&nbsp;H. Craig Heller,&nbsp;Ernesto Orellana,&nbsp;Marimar Contreras Nieves,&nbsp;Catherine Ley,&nbsp;Maria Montez Rath,&nbsp;Xue Yu,&nbsp;Duff Bevill,&nbsp;Lupita Flores,&nbsp;Douglas Casa,&nbsp;Roxana Chicas,&nbsp;Vicki Stover Hertzberg,&nbsp;Heather Riden,&nbsp;Fadi A. Fathallah,&nbsp;Jason Glaser,&nbsp;Margaret C. Morrissey-Basler,&nbsp;Julie Parsonnet","doi":"10.1002/ajim.70105","DOIUrl":"10.1002/ajim.70105","url":null,"abstract":"<div>\u0000 \u0000 <p>Heat affects farmworker health and productivity. As occupational heat exposure intensifies, cooling devices that extract body heat could protect farmworkers. Companies already market many such technologies to athletes. However, few studies have evaluated their effectiveness, particularly among farmworkers, for whom field-feasibility, workflow integration, and cost-at-scale are critical. In this commentary, we first describe how heat affects farmworker health and review current heat illness prevention standards. We then highlight how cooling devices can augment existing measures and underscore the critical need to test their effectiveness, adaptability, and cost–benefit among farmworkers. Advancing this work requires addressing valid yet surmountable research barriers and building trusted partnerships among researchers, farmworkers, employers, and policymakers. As heat interrupts an increasing number of workdays over time, effective cooling strategies during outdoor work will prove critical to sustaining our nation's food supply.</p>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"687-695"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262820","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":"Health Impacts of the World Trade Center Disaster—A Call to Study Those Exposed at a Young Age","authors":"Joan Reibman,&nbsp;Douglas Trout,&nbsp;Mateusz Karwowski,&nbsp;Leigh Wilson,&nbsp;John Howard","doi":"10.1002/ajim.70109","DOIUrl":"10.1002/ajim.70109","url":null,"abstract":"<div>\u0000 \u0000 <p>The September 11, 2001, terrorist attacks on the World Trade Center (9/11) exposed both disaster responders and community members to a complex mixture of environmental contaminants, resulting in long-term health consequences. While clinical and research efforts have characterized health effects among adult survivors (community members) and responders, less is known about individuals who were exposed <i>in utero</i>, during childhood, adolescence, or young adulthood. Recognizing this gap, Congress amended the Public Health Service Act (42 U.S.C. § 300mm–51(c)) to establish a <i>Research Cohort for Emerging Health Impacts on Youth</i> to promote research on those individuals who were 21 years of age or younger at the time of exposure. This Commentary reviews the historical development of post-9/11 monitoring, treatment, and research programs, and discusses the unique challenges of conducting research in such a youth cohort 25 years after the event. A central coordinating center supported by community-based field sites offers a promising approach to promoting research among this cohort and addressing critical gaps in understanding the lifelong impacts of 9/11 exposures.</p>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"696-698"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148349921","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":"Mortality Risks by Occupation During the Early Wave of the COVID-19 Pandemic in New York City","authors":"Blanca Bernard-Davila,&nbsp;Wenhui Li,&nbsp;Kacie Seil,&nbsp;Subhani Gurung,&nbsp;Gretchen Van Wye","doi":"10.1002/ajim.70089","DOIUrl":"10.1002/ajim.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social determinants of health play a crucial role as part of interlinking factors that shape health. Occupation is interrelated with socioeconomic status, a known predictor of mortality, that deserves a closer look in the context of the early period of the pandemic in New York City (NYC). To determine the highest mortality burden of COVID-19 by occupation in NYC during the early pandemic time period, we analyzed NYC Department of Health and Mental Hygiene (DOHMH) death certificate data. Our study considers the role of occupation in relation to deaths among working age individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed confirmed and probable COVID-19 deaths among individuals 18–64 years using data from NYCDOHMH, the National Institute for Occupational Safety and Health (NIOSH), and the American Community Survey (ACS). Confirmed and probable COVID-19 deaths occurring from March 11, 2020 to December 31, 2021 were identified among decedents 18–64 years old. Proportional distributions and mortality rates were calculated by occupation. Occupational mortality rates were examined by age, sex, and race and ethnicity. Comparisons by nativity were examined in the context of occupational mortality risk to help identify additional vulnerable populations at risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The highest overall mortality rate by occupation for the study population was found among food preparation and serving workers (182.1 per 100,000 population). Stratified mortality rates indicated that older adults, males, and minority racial and ethnic groups were disproportionally affected. The highest overall mortality rate by occupation for individuals aged 45–64 were found among protective service workers (419.9 per 100,000 population). More than half of decedents aged 18–64 were foreign-born (<i>n</i> = 3591, 59.2%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our analysis highlights the inequities of COVID-19 deaths across occupations in NYC. It informs future studies and tailored interventions that target high-risk populations. This knowledge will ideally lead to more equitable, protective responses to future pandemics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 9","pages":"699-709"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560816","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":"The Association of First Provider Seen With Time Loss From Work Among Workers With Back Injury: A Cohort Study","authors":"Morgan Young,&nbsp;Andrea Elmore,&nbsp;Eric J. Roseen,&nbsp;Deborah Fulton-Kehoe,&nbsp;Gary Franklin","doi":"10.1002/ajim.70097","DOIUrl":"10.1002/ajim.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Prior evidence suggests that seeking initial care from a chiropractor for back pain, compared to seeing a primary care provider first, is associated with better clinical outcomes. However, prior studies have not comprehensively adjusted for potential confounders and few studies have focused on work-related outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This population-based prospective cohort study analyzed data from workers' compensation claimants with a work-related back injury who initiated care with either a chiropractor or a primary care physician. We evaluated the association of seeing a chiropractor first, compared to seeing a primary care physician first, with receipt of wage replacement benefits for temporary total disability (time loss) at 1 year after claim initiation. Association was estimated using logistic regression adjusting for potential confounders including patient sociodemographic characteristics, employment details, self-reported pain and physical function, injury severity, healthcare factors, and psychological factors. The E-value was used to assess unmeasured confounding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1219 participants (mean age = 39, 67.5% male, 72.1% non-Hispanic White), 541 (44.4%) initiated care with a chiropractor. Participants who saw a chiropractor first, compared to a primary care physician first, were less likely to be on time-loss at 1 year as estimated by adjusted multivariate logistic regression (4.8% vs. 11.8%; adjusted odds ratio [OR]: 0.45, 95% CI: 0.24–0.86; E-value: 3.8).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients with work-related back injury who initiated care with a chiropractor were less likely to be receiving time loss compensation at 1 year compared to those who saw a primary care physician. Comprehensive adjustment for patient characteristics did not account for the differential outcome by provider type.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"645-656"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013107","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":"Early Effects of the Serious Accidents Punishment Act on Occupational Health Outcomes in Korea: A Nationwide Difference-in-Differences Study (2017–2023)","authors":"Hyewon Park,&nbsp;Misong Woo,&nbsp;Wanhyung Lee","doi":"10.1002/ajim.70099","DOIUrl":"10.1002/ajim.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work-related injury and occupational disease remain major public health challenges worldwide; South Korea continues to report comparatively high industrial accident rates among OECD countries. To strengthen managerial accountability for worker safety, the Korean government enacted the Serious Accidents Punishment Act (SAPA) in 2021, effective January 2022. The Act institutionalizes corporate responsibility for occupational safety through compliance-based governance. SAPA was implemented in phases, initially covering enterprises with ≥ 50 employees and construction projects exceeding 5 billion KRW. This selective enforcement created a quasi-experimental setting to evaluate early effects. We assessed differences in short-term patterns of occupational injury, disease, and fatality rates between enterprises covered and not covered by SAPA during its initial enforcement phase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed nationwide industrial accident statistics for 2017–2023 using a difference-in-differences (DID) design. Injury, disease, and fatality rates were stratified by enterprise size and industry to compare outcomes between enterprises covered and not covered by the law.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 2017 to 2023, occupational injuries and diseases increased, whereas fatalities declined slightly. DID estimates showed no statistically significant nationwide reductions in injuries or fatalities after SAPA enforcement began. However, disease rates declined significantly in construction (<i>β</i> = −0.067; <i>p</i> &lt; 0.015), suggesting differentiated effects across industries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>During the limited enforcement phase (2022–2023), SAPA did not immediately reduce nationwide accidents but showed early improvements in disease prevention in high-risk sectors such as construction. Although immediate effects were limited, continued monitoring and expanded coverage are essential to evaluate long-term impacts on worker health and safety. Findings underscore the need for integrated policies that couple legal accountability with preventive safety capacity-building.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"657-665"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.70099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148260","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":"Exposure to Polycyclic Aromatic Hydrocarbons, but Not to Dust or Fluorides, in the Norwegian Aluminum Industry Is Associated With Accelerated Annual Decline in Lung Function","authors":"Vidar Søyseth,&nbsp;Paul K. Henneberger,&nbsp;Jonas Christoffer Lindstrøm,&nbsp;Mohammed Abbas Virji,&nbsp;Gunnar Einvik,&nbsp;Berit Bakke,&nbsp;Johny Kongerud","doi":"10.1002/ajim.70102","DOIUrl":"10.1002/ajim.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The association between development of chronic airflow limitation and exposures in the aluminum industry is unknown. In a prospective study with nearly 10 years of annual measurements of forced expiratory volume in 1 s (FEV1) and forced vital Capacity (FVC) and concurrent estimates of exposure to dust, total fluorides (TotF) and polycyclic aromatic hydrocarbons (PAH) we investigated the relationship between each of these exposures and annual decline in FEV1 (dFEV1) and FVC (dFVC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Estimates of exposure to dust, TotF, and PAH were obtained from random samples of 8-h shifts using personal samplers at each of seven Norwegian aluminum plants. A total of 18,332 measurements were used to create a job-exposure matrix. The total number of available spirometries was 20,712 in 3872 workers. Data were analyzed using linear mixed modeling with inverse probability weights for dropouts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found that dFEV1 and dFVC increased during follow-up with linear and quadratic components that were modified by PAH exposure. These linear and quadratic components were estimated at 2.5 mL/year (<i>p</i> = 0.019) and 4.2 mL/year² (<i>p</i> &lt; 0.001) for dFEV1, and −2.6 mL/year (<i>p</i> = 0.076) and 5.9 mL/year² (<i>p</i> &lt; 0.001) for dFVC, respectively, per quartile increase in PAH exposure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We found a significant effect modification of the relationship between dFEV1 and dFVC, and follow-up time by PAH exposure, indicating that PAH exposure accelerates the annual decline in FEV1 and FVC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"674-682"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315361","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":"The Epidemiology of Working Life: Reorganizing Occupational Health Science Around Work-Structured Exposure Systems","authors":"Yorghos Apostolopoulos","doi":"10.1002/ajim.70095","DOIUrl":"10.1002/ajim.70095","url":null,"abstract":"<div>\u0000 \u0000 <p>Occupational epidemiology has played a central role in identifying workplace hazards and informing prevention. However, its focus on discrete exposures, bounded worksites, and linear models is insufficient to capture how contemporary work shapes health. Many risks arise not from isolated hazards, but from cumulative, interacting exposures generated by work organization that extend beyond the workplace and accumulate across working life. This paper proposes the <i>Epidemiology of Working Life</i> (EWL) as a framework for reorganizing occupational health science. Anchored in the working-life-exposome, EWL centers analysis on work-structured exposure systems—structures that generate recurring configurations of co-occurring exposures under specific employment conditions. EWL changes what counts as exposure, how risk is analyzed, and where prevention can act. Rather than treating work as a setting of discrete hazards, EWL treats it as a system that generates and distributes risk across working life. EWL shifts the unit of inference from individual hazards to recurring exposure configurations and the systems that generate them. This shift enables earlier detection of risk and identifies intervention points that reduce multiple harms simultaneously—less visible in hazard-by-hazard approaches. EWL yields three prevention-oriented outputs: (1) recurrent exposure configurations associated with elevated risk, (2) upstream drivers that generate and sustain them, and (3) early-warning indicators for anticipatory intervention. Proof-of-concept scenarios illustrate how EWL reveals prevention opportunities obscured when exposures are examined in isolation. By centering occupational health science on work-structured exposure systems, EWL strengthens alignment between epidemiological evidence and prevention in contexts where risks are cumulative, interacting, and structured by employment conditions.</p>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"587-600"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013100","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":"The Relationship Between Psychological Distress, Precarious Employment, and Unpaid Work Hours in Japanese Adults: Generalized Linear Mixed Model Using Longitudinal Survey of Adults in the 21st Century","authors":"Seito Nakamura,&nbsp;Naomi Matsumoto,&nbsp;Soshi Takao,&nbsp;Takashi Yorifuji","doi":"10.1002/ajim.70096","DOIUrl":"10.1002/ajim.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous studies indicate that precarious employment harms mental health, but the association when combined with unpaid work remains unexplored. This study examined the relationships between psychological distress, employment status, and unpaid work in Japan, where women often engage in precarious work and bear the majority of unpaid work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed data from the Longitudinal Survey of Adults in the 21st Century. Poisson regression analysis with robust standard errors was conducted using a mixed-effects model stratified by gender to calculate adjusted risk ratios (aRR). Additionally, sensitivity analyses were performed by altering the outcome's cutoff point.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The risk of psychological distress decreased with regular permanent employment for women (aRR = 0.90, 95% CI = [0.85, 0.96]), while no significant association was observed for men (aRR = 0.93, 95% CI = [0.86, 1.01]). Unpaid work hours showed no main effects. For women, an additive negative interaction was observed between employment status and unpaid work hours (relative excess risk due to interaction [RERI] = −0.12, 95% CI: [−0.22, −0.02] for precarious work × 3rd quartile of unpaid work hours; RERI = −0.15, 95% CI: [−0.28, −0.02] for precarious work × 4th quartile unpaid work).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the mental health benefits of regular employment for women are attenuated by longer unpaid work hours, highlighting the “dual burden” of paid work and disproportionate domestic responsibilities. Consequently, policies aimed solely at increasing job security are insufficient. To improve public mental health, interventions must simultaneously address the gender disparity in unpaid work by promoting work-life balance and redistributing domestic loads.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"631-644"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148040752","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":"“Left Out at the Kitchen Table”: Exploring Peer Support Needs Among Women Firefighters","authors":"Brittany S. Hollerbach,&nbsp;Susan Ridenour,&nbsp;Carrie Sutherland,&nbsp;Maria D. H. Koeppel,&nbsp;Nattinee Jitnarin,&nbsp;Michelle Valenti,&nbsp;Derrick L. Edwards,&nbsp;Kepra Jack,&nbsp;Jefferey L. Burgess,&nbsp;Sara A. Jahnke","doi":"10.1002/ajim.70094","DOIUrl":"10.1002/ajim.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Firefighting is a high-stress, high-risk occupation with well-documented physical, mental, and behavioral health challenges. While women firefighters report behavioral health outcomes similar to men when working in supportive environments, rates of depression, anxiety, and PTSD increase significantly in the context of workplace discrimination and exclusion. These challenges, often dismissed as human resources issues, emerge as critical health and safety concerns. Despite the growing adoption of peer support programs in the fire service, little is known about how these resources can be tailored to the needs of women firefighters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study used an inductive thematic analysis approach to explore women firefighters' perceptions and experiences with peer support in the fire service. Researchers conducted semi-structured interviews with 35 women firefighters and key fire service stakeholders across the United States. Interviews explored perceptions of peer support, barriers to engagement, trust and comfort within peer support networks, and preferred communication and messaging strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants described widespread concerns related to stigma, confidentiality, and access to culturally competent care. Thematic analysis revealed seven key domains: barriers to support, effective messaging, the role of peer support, gendered workplace dynamics, resource needs, leadership influence, and stress relief strategies. Many participants emphasized the importance of inclusive, integrated support programs that acknowledge but do not isolate women in the fire service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings highlight the need for proactive, inclusive peer support strategies that reflect the lived experiences of women firefighters. Insights from these interviews provide critical guidance for the development of peer support resources that foster connection, trust, and psychological safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"622-630"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013125","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":"Help-Seeking and Substance Use Among Police Staff After the 2018 Strasbourg Christmas Market Attack","authors":"Nathalie Nourry,&nbsp;Ludivine Nohales,&nbsp;Laurence Lalanne,&nbsp;Emmanuel Fort,&nbsp;Maria Gonzalez,&nbsp;Pierre Vidailhet,&nbsp;Amaury C. Mengin,&nbsp;Barbara Charbotel","doi":"10.1002/ajim.70092","DOIUrl":"10.1002/ajim.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The use of mental health services by police staff is usually low. After the 2018 attack on the Strasbourg Christmas market, police officers exposed to psychotraumatic risks were found to have a higher PTSD risk. This study aims to describe the help-seeking and substance use by police staff after the attack.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A questionnaire was sent to 1697 police officers 3 months after the attack. The 475 respondents were classified as exposed (took action to stop the terrorists, pursued them in the city, or helped a victim) or unexposed and indirect-exposed. Counselling, treatment, alcohol and tobacco consumption, and their habitus changes were assessed. Univariable analysis was followed by multivariable analysis adjusted for gender, age, number of previous traumatic events, level of exposure, and probable PTSD or depression, using logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 475 respondents, 10% consulted a psychologist/psychiatrist, 24% a physiotherapist and 62% their general practitioner within 3 months of the assault. Initiation of new anxiolytic/antidepressant treatment (OR = 4.59 [1.11–18.91]), consultation with a psychologist/psychiatrist (OR = 5.02 [2.44–10.32]), increased alcohol or tobacco consumption (OR = 10.42 [3.45–31.43]) were associated with probable PTSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The use of mental health services is insufficient for the care of probable PTSD, which is associated with increased tobacco or alcohol use, encouraging further research to improve the use of mental health services among police staff.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 8","pages":"601-613"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013083","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}