American journal of industrial medicine最新文献

{"title":"The Syndemic Attrition Crisis of European Truck Drivers: A Systems-AI Framework to Transform Research and Policy.","authors":"Yorghos Apostolopoulos","doi":"10.1002/ajim.70064","DOIUrl":"10.1002/ajim.70064","url":null,"abstract":"<p><p>Truck drivers sustain the movement of goods across Europe, yet the sector faces a concurrent health and workforce retention crisis-mirroring trends observed in North America. Approximately 426,000 driver positions remain unfilled across Europe, while rates of fatigue, sleep disruption, obesity, depression, musculoskeletal pain, and cardiometabolic disease are markedly higher among drivers than in the general working population. These challenges are often framed as isolated hazards or lifestyle-related outcomes. However, growing evidence indicates that they emerge from cumulative, interacting exposures shaped by working conditions, employment structures, mobility regimes, and related nonwork factors rather than drivers' behaviors alone. This paper introduces the working-life-exposome of European truck driving (WLE-ETD)-a systems-science paradigm for understanding how biological, behavioral, psychosocial, occupational, environmental, and sociostructural domains interact across the working lifecourse to shape health and workforce participation. The WLE-ETD conceptualizes driver health deterioration and labor shortages as co-produced outcomes of a shared exposure ecosystem rather than separate problems. It further outlines how longitudinal, multimodal data streams-integrating surveys, administrative records, biomarkers, wearables, environmental sensors, audits, and psychosocial assessments-can be linked with network epidemiology and interpretable AI to identify syndemic \"nodes\" that disproportionately drive both chronic disease and premature workforce withdrawal. By reframing this crisis as a systems-level outcome, the WLE-ETD provides a foundation for anticipatory prevention, cross-sector intervention design, and coordinated European policy action. Addressing the syndemic attrition crisis requires alignment across labor regulation, rest infrastructure, employment protections, and population health services. The WLE-ETD offers a conceptual and operational roadmap for such integrated approaches.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"299-312"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218553","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 Sleeping Duration and Sleep Problems With All-Cause Mortality Among a Cohort of Industrial Workers Followed Up for 36 Years.","authors":"Gil Harari, Anat Gesser-Edelsburg","doi":"10.1002/ajim.70072","DOIUrl":"10.1002/ajim.70072","url":null,"abstract":"<p><strong>Background: </strong>Sleep duration is a well-established factor associated with all-cause mortality and cardiovascular mortality. Poor sleep quality was also suggested to affect all-cause mortality risk among adults. The Cardiovascular Occupational Risk Factor determination in Israel Study (CORDIS) is a prospective cohort study of industrial workers who entered the study during 1985-1990 and have been followed for 36 years. We examined the relationship between sleep duration, sleeping problems and difficulties, and all-cause mortality in the CORDIS cohort.</p><p><strong>Method: </strong>Self-reported data, including sleep duration and sleeping problems, from 7287 participants were merged with data on all-cause mortality obtained from the National Death Registry and the Central Bureau of Statistics.</p><p><strong>Results: </strong>Over the 36-year follow-up, 2159 participants died: 445 were < 45 years and 1714 were ≥ 45 years. Sleep duration of ≤ 5 h significantly increased mortality risk (hazard ratio [HR] = 1.30, p = 0.0032), with a more pronounced effect in those < 45 years (HR = 1.55, p = 0.0028). Sleeping problems also increased mortality risk (HR = 1.30, p = 0.0088), with a stronger association among younger individuals (HR = 1.63, p = 0.0399). Conversely, difficulty sleeping when anticipating something unpleasant was linked to increased mortality only in those aged ≥ 45 years (HR = 1.17, p = 0.0440).</p><p><strong>Conclusions: </strong>Our analysis showed that short sleep duration and sleeping problems are significant predictors for all-cause mortality, particularly in younger individuals (< 45 years). These results emphasize the importance of addressing sleep problems among different age groups to potentially reduce mortality risk.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"372-381"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442111","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":"Work Disability, Early Retirement, and Loss of a Loved One in the World Trade Center Health Registry Cohort.","authors":"Jennifer Brite, Matthew Di Vitto, Janna Metzler","doi":"10.1002/ajim.70069","DOIUrl":"10.1002/ajim.70069","url":null,"abstract":"<p><strong>Background: </strong>Existing research on the economic outcomes of 9/11 remains limited and has primarily focused on early retirement. Little is known about the prevalence of work disability and loss of a loved one and whether they are associated with survey attrition.</p><p><strong>Methods: </strong>The World Trade Center Health Registry (WTCHR) is a closed longitudinal cohort that recruited more than 71,000 participants at baseline (2003-2004). Bivariate analyses were conducted to compare the distribution of 9/11 exposure and sociodemographic factors for (1) work disability, (2) early retirement, and (3) loss of a loved one. Separate Poisson models were constructed to predict survey attrition.</p><p><strong>Results: </strong>Both those who were work-disabled and early-retired were more likely to be older, male, a rescue/recovery worker, and have greater 9/11 exposure. In addition, work disability was associated with lower income and educational attainment, and PTSD diagnosis. Loss of a loved one was associated with PTSD diagnosis and some measures of 9/11. Work disability was associated with higher and early retirement was associated with lower risk survey attrition at wave 4. Loss of a loved one was not associated with survey attrition.</p><p><strong>Conclusion: </strong>Early retirement, work disability, and loss of a loved one can have major impacts on an individual's economic wellbeing and are potentially qualifying events for social programs, such as Social Security Administration (SSA) benefits. Future research is needed to overcome the limitations of self-reported data in order to understand how timely receipt of SSA benefits can lead to better health trajectories among disaster- and trauma-exposed populations.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"382-395"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430268","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":"Infertility Risk and Employment History Among US Women: Findings From National Health and Nutrition Examination Survey 2013-2014.","authors":"Cerine Benomar, Anne T M Konkle, Karen P Phillips","doi":"10.1002/ajim.70068","DOIUrl":"10.1002/ajim.70068","url":null,"abstract":"<p><strong>Introduction: </strong>It is well established that exposure to chemical, radiological, and biological hazards in the workplace are infertility risk factors. Although workplace-specific infertility risks have been documented, the associations between employment history and infertility risk remain largely unexplored. The cross-sectional, nationally representative US National Health and Nutrition Examination Survey (NHANES) provided an opportunity to explore the relationship between employment history and infertility risk.</p><p><strong>Methods: </strong>Employment history and reproductive measures are available in the NHANES 2013-2014 cycle. Infertility was assessed using self-reported, binary indicators: unsuccessful conception attempts and sought fertility consultation; combined to create a third, aggregate infertility measure. Associations between infertility risk and employment history, categorized by industry group and compared to respondents with no work history, were examined using three weighted binary logistic regression models while adjusting for sociodemographic, reproductive health, and relevant behavioral covariates.</p><p><strong>Results: </strong>The sample consisted of 1126 women, aged 20 to 50 years; 1082 (96.1%) with a history of employment across 10 industry groups. Infertility was reported by 177 (17.2%), who reported unsuccessful conception attempts or fertility consultations. Across industry sectors, employment in the manufacturing of durable goods industry was significantly associated with unsuccessful conception attempts (adjusted odds ratio [AOR]: 4.15; 95% CI: 1.22, 14.08), fertility consultations (AOR: 6.94; 95% CI: 1.44, 25.25), and the aggregate infertility measure (AOR: 4.43; 95% CI: 1.32, 14.81).</p><p><strong>Conclusion: </strong>Employment in durable goods manufacturing is associated with multiple self-reported infertility measures, compared to women with no work history. In the absence of individualized workplace risk assessments, industry-level analyses may better inform workplace health promotion, with emphasis on reproductive health protections.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"358-371"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343730","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":"Robot-Related Workers' Compensation Claims in Ohio, 2001-2020.","authors":"Vaishakhi Suresh, Srinivas Konda, Justin M Haney, Hugo E Camargo, Marvin Cheng, Darlene Weaver, Steven J Wurzelbacher, Alysha R Meyers, Steven J Naber, Mike Lampl","doi":"10.1002/ajim.70067","DOIUrl":"10.1002/ajim.70067","url":null,"abstract":"<p><strong>Background: </strong>Increased robot adoption and advancements in robotics have led to the emergence of robotic arms for collaborative applications that work alongside humans, increasing direct human-robot interaction. This shift highlights the need to address new safety challenges posed by emerging robotic technologies. Currently, there is limited research on robot-related injuries.</p><p><strong>Methods: </strong>Robot-related workers' compensation claims from 2001 to 2020 were identified using a keyword search from the Ohio Bureau of Workers' Compensation (OHBWC) database. Descriptive analyses were conducted on this claims dataset.</p><p><strong>Results: </strong>From 2001 to 2020, 1076 robot-related claims were identified, with 85% medical-only claims (medical care only and/or ≤ 7 days away from work). Most claimants were male (74.2%), and 51.1% were 25-44 years old. More than half of the claims were due to contact with objects and equipment (57.9%), followed by overexertion and bodily reaction (20.6%). Most injuries occurred in the manufacturing sector (75.1%), followed by the service sector (14.7%). The claims resulted in over $8.3 million in costs. Of this figure, 91% was incurred due to lost-time claims ($7.6 million). Almost 30% of claims included diagnoses from multiple diagnosis groups. Most claims involved working with robotic arms for collaborative applications (75.7%) in a shared workspace.</p><p><strong>Conclusions: </strong>Robotics is rapidly evolving to remove workers from hazardous environments and reduce risks from hazardous, repetitive, and manual tasks, but it may introduce new workplace hazards. There is a need to study robot-related injuries, identify high-risk exposures, and develop sector- or application-specific comprehensive safety approaches for safer implementation of robots in the workplace.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"345-357"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343230","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":"Inflation, Race, and Legislation-The Erosion in the Real Value of Monetary Compensation for Miners' Occupational Lung Disease in South Africa, 1973-2024.","authors":"Martin Nicol, Jim teWaterNaude, Barry Kistnasamy, Rodney Ehrlich","doi":"10.1002/ajim.70065","DOIUrl":"10.1002/ajim.70065","url":null,"abstract":"<p><strong>Background: </strong>For much of the 20th century, the South African mining industry had a statutory compensation system for pneumoconiosis and tuberculosis characterized by gross racial inequality. This study examines the impact of inflation over the period 1973-2024 on the real value of miners' lung disease compensation, including the effect of the dropping of formal racial discrimination after 1993.</p><p><strong>Methods: </strong>Sources of information included legislation, government reports, notices, and Gazettes, and mining industry reports.</p><p><strong>Results: </strong>From 1973 to 1993, high rates of inflation hollowed out the value of compensation for all miners, greater in absolute terms for white miners. From 1994, inflation continued to erode both the real value of compensation payments, and, with the rise in earnings for all miners, the percentage of annual earnings covered by these payments. Until 2017 there were a few sporadic increases in statutory payment amounts, but a cap on \"allowable earnings\" used to calculate compensation severely limited any gain. Underlying factors include historic underfunding of the Compensation Fund via the statutory employer levy, administrative disarray in the state compensation agency, and unanticipated political, economic and epidemic disruptions. Recent years have seen a restoration of financial and administrative stability, with some degree of reversal of long-term trends.</p><p><strong>Conclusions: </strong>Although formal Apartheid racial discrimination ended in 1994, inflation, and until recently legislative stasis, continued to disadvantage all miners with compensatable occupational lung disease. The system is currently undergoing legislative reform-including proper funding of operations but also with limitation on civil liability against employers. The question therefore remains open as to whether a fair and equitable system of compensation for miners will be achieved and sustained.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"335-344"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147315992","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":"Severe Occupational Hypersensitivity Pneumonitis: A Case Series of Four Patients Requiring Lung Transplantation.","authors":"Ludwig Frei-Stuber, Judith Mohren, Ester Mau, Bernhard Werner, Rudolf A Hatz, Jürgen Barton, Dennis Nowak","doi":"10.1002/ajim.70070","DOIUrl":"10.1002/ajim.70070","url":null,"abstract":"<p><p>Hypersensitivity pneumonitis (HP) is an immune-mediated interstitial lung disease triggered by repeated inhalation of organic or chemical antigens. Occupational exposures account for approximately 19% of all cases. Early diagnosis, identification of the responsible antigen(s), and immediate avoidance of exposure are crucial to prevent irreversible pulmonary fibrosis. However, HP often remains unrecognized or is misclassified as another respiratory disorder such as asthma, chronic obstructive pulmonary disease (COPD), or idiopathic pulmonary fibrosis. As a result, the causal link between symptoms and workplace exposure is frequently established only in advanced disease stages-or not at all. Such delays may result in chronic respiratory failure, occupational disability, prolonged oxygen therapy, and, in severe cases, lung transplantation. We report four patients in whom HP was ultimately recognized as an occupational disease or recommended for legal recognition in court. At the time of diagnosis, all cases had progressed to advanced, fibrotic HP, rendering both primary and secondary prevention impossible. In each instance, earlier identification of the occupational trigger followed by immediate antigen avoidance could likely have prevented the development of irreversible lung damage. This case series underscores the need for early and comprehensive pulmonary assessment, including detailed occupational history-taking, serologic and radiologic evaluation, and prompt referral to an occupational physician when HP is suspected. Close interdisciplinary collaboration between pulmonologists and occupational medicine specialists is essential to reduce diagnostic latency, prevent progression to end-stage lung disease, and improve clinical and socioeconomic outcomes.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"323-334"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472176","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 5","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148072246","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 6","pages":"482-488"},"PeriodicalIF":3.1,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148065803","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"69 6","pages":"461-472"},"PeriodicalIF":3.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148062095","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}