Stephen Y Liang, Sarah Osdieck, Aaron Daugherty, Andrew Davis, Hilary Babcock, Jonas Marschall
{"title":"Offering Concurrent Seasonal Influenza and COVID-19 Vaccination to Medical Center and Healthcare Personnel Increases Uptake.","authors":"Stephen Y Liang, Sarah Osdieck, Aaron Daugherty, Andrew Davis, Hilary Babcock, Jonas Marschall","doi":"10.1097/JOM.0000000000003167","DOIUrl":"10.1097/JOM.0000000000003167","url":null,"abstract":"","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stella E Hines, Joanna M Gaitens, Clayton H Brown, Danielle R Glick, Maxwell Reback, Katherine H Chin, Emma Lawrence, Kerri L Cavanaugh, William E Lawson, Peruvemba Sriram, Lisa Beck, John Duch, Samuel M Aguayo, Paska Permana, Melissa A McDiarmid
{"title":"Respiratory Health Associated With Systemic Metal Exposure in Post-9/11 Veterans in the Department of Veterans Affairs Toxic Embedded Fragment Registry.","authors":"Stella E Hines, Joanna M Gaitens, Clayton H Brown, Danielle R Glick, Maxwell Reback, Katherine H Chin, Emma Lawrence, Kerri L Cavanaugh, William E Lawson, Peruvemba Sriram, Lisa Beck, John Duch, Samuel M Aguayo, Paska Permana, Melissa A McDiarmid","doi":"10.1097/JOM.0000000000003143","DOIUrl":"10.1097/JOM.0000000000003143","url":null,"abstract":"<p><strong>Objective: </strong>Adverse respiratory outcomes in post-9/11 veterans with elevated urinary metal measures and enrolled in the VA's Toxic Embedded Fragment registry were compared to those without elevated urinary metals.</p><p><strong>Methods: </strong>Veterans completed questionnaires, underwent pulmonary physiology tests (pulmonary function and oscillometry), and provided urine samples for analysis of 13 metals. Respiratory symptoms, diagnoses, and physiology measures were compared in veterans with ≥1 urine metal elevation to those without metal elevations, adjusted for covariates, including smoking.</p><p><strong>Results: </strong>Among 402 study participants, 24% had elevated urine metals, often just exceeding upper limits of reference values. Compared to veterans without elevated metals, those with elevated metals had had higher FEV 1 values but similar frequencies of respiratory symptoms and diagnoses and abnormalities on pulmonary physiology tests.</p><p><strong>Conclusions: </strong>Mild systemic metal elevations in post-9/11 veterans are not associated with adverse respiratory health outcomes.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Addison C Testoff, Jeffrey L Pauley, Michael Brewer, Christopher P Weidlich, Tulay Koru-Sengul, Natasha Schaefer Solle, Alberto J Caban-Martinez
{"title":"Mental Health Disorders, Organizational Stigma, and Health Service Utilization Among US Fire Investigators: A Cross-sectional Survey.","authors":"Addison C Testoff, Jeffrey L Pauley, Michael Brewer, Christopher P Weidlich, Tulay Koru-Sengul, Natasha Schaefer Solle, Alberto J Caban-Martinez","doi":"10.1097/JOM.0000000000003173","DOIUrl":"10.1097/JOM.0000000000003173","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to estimate in a sample of US fire investigators the (1) prevalence of generalized anxiety disorder (GAD), depression, posttraumatic stress disorder (PTSD) risk, and mental health services use and (2) association between organizational stigma and mental health disorders.</p><p><strong>Methods: </strong>This is a cross-sectional study design used to administer between November 2023 and January 2024, a 35-item behavioral/mental health survey.</p><p><strong>Results: </strong>Approximately 18.0% of fire investigators had GAD, 22.8% depression, and 18.2% PTSD risk. Organizational stigma about mental health disorders was reported by 53.3% of fire investigators. The most frequently used behavioral/mental health services were cognitive behavioral therapy (40.1%) and medication management (36.1%). Organizational stigma around reporting mental health disorders was significantly associated with PTSD risk (adjusted odds ratio = 5.25 [2.41-11.43]).</p><p><strong>Conclusions: </strong>Mental health disorders are present in the fire investigator workforce, and organizational stigma is associated with limited report of PTSD risk.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yolee Casagrande, Kim Newton, Earl Strum, Jennifer B Unger
{"title":"Health Care Workers' Reflections, Experiences, and Sequela throughout the COVID-19 Pandemic.","authors":"Yolee Casagrande, Kim Newton, Earl Strum, Jennifer B Unger","doi":"10.1097/JOM.0000000000003176","DOIUrl":"10.1097/JOM.0000000000003176","url":null,"abstract":"<p><strong>Objective: </strong>Health care workers (HCW) experienced significant stress during the COVID-19 pandemic. This qualitative study describes how they contextualized the experience several years later.</p><p><strong>Methods: </strong>In August 2023, 1832 HCW at an academic medical center completed a confidential electronic survey; 443 of them responded to an open-ended question about their experiences during the pandemic. The statements were analyzed qualitatively, using a grounded theory approach to allow themes to emerge from the data.</p><p><strong>Results: </strong>Common themes included fear/anxiety (22%), burnout (15%), protecting family from risk (11%), lack of employer support (11%), fear of illness (8%), increased appreciation for life (8%), and exposure to death/illness (5%).</p><p><strong>Conclusion: </strong>HCW experienced substantial stress during the pandemic. Mental health services and structural changes in the health care system are needed to protect HCW during future public health emergencies.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hendrika Meischke, Dave W Lu, Karl Hatton, Noah S Seixas, Marissa G Baker, Lily Monsey
{"title":"Occupational Factors Associated With Burnout Among a Sample of 9-1-1 Public Safety Telecommunicators in Washington State.","authors":"Hendrika Meischke, Dave W Lu, Karl Hatton, Noah S Seixas, Marissa G Baker, Lily Monsey","doi":"10.1097/JOM.0000000000003162","DOIUrl":"10.1097/JOM.0000000000003162","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate occupational factors associated with burnout among a sample of 9-1-1 public safety telecommunicators (PSTs).</p><p><strong>Methods: </strong>An online survey measuring organizational factors (ie, perceived visibility and inclusion in the agency, respectful culture, leadership support, perceived gratitude, and coworker conflict); job characteristic s (ie, work-life integration, overtime, salary satisfaction, and job meaningfulness); and burnout, demographic, and call center characteristics was emailed to a sample of PSTs.</p><p><strong>Analysis: </strong>Descriptive, bivariate, and multiple linear regression analyses were used to characterize the sample and investigate relationships among variables.</p><p><strong>Results: </strong>PSTs (N = 324) completed the survey. Multivariate analysis showed that poor work-life integration and coworker conflict were associated with greater PST burnout, while job meaningfulness and perceptions of greater visibility and inclusion were linked to decreased levels of burnout.</p><p><strong>Conclusion: </strong>Occupational factors were associated with burnout among PSTs.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interaction Effect of Shift Work and Insomnia on Stroke Risk: A 19-Year Prospective Cohort Study in Korea.","authors":"Eujene Jung, Hyun Yi Kook, Hyun Ho Ryu, U Chul Ju","doi":"10.1097/JOM.0000000000003132","DOIUrl":"10.1097/JOM.0000000000003132","url":null,"abstract":"<p><strong>Objectives: </strong>Our study aimed to investigate the association between shift work and stroke and determine whether this association varies depending on the presence of insomnia.</p><p><strong>Methods: </strong>Utilizing the KoGES prospective cohort data, our primary exposure variables were shift work and insomnia. The occurrence of stroke was the main outcome of interest. Hazards ratios and 95% confidence intervals were estimated using Cox regression analysis. An interaction analysis was conducted to assess the interaction of shift work and insomnia on stroke incidence.</p><p><strong>Results: </strong>In the interaction analysis, shift work was significantly associated with stroke incidence only in groups with insomnia and a hazards ratio of 2.49 (95% confidence interval, 1.02-6.11).</p><p><strong>Conclusions: </strong>Our study demonstrated that shift work was associated with a higher risk of stroke among the population with insomnia.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brandie DePaoli Taylor, Akaninyene I Noah, Victor Adekanmbi, Yuanyi Zhang, Abbey B Berenson
{"title":"Per- and Polyfluoroalkyl Substances May Be Correlated With Chlamydia trachomatis: Data From the National Health and Nutrition Examination Survey 2003-2016.","authors":"Brandie DePaoli Taylor, Akaninyene I Noah, Victor Adekanmbi, Yuanyi Zhang, Abbey B Berenson","doi":"10.1097/JOM.0000000000003151","DOIUrl":"10.1097/JOM.0000000000003151","url":null,"abstract":"<p><strong>Objective: </strong>Per- and polyfluoroalkyl substances (PFAS) alter immune function increasing infectious diseases risk. We examined the relationship between PFAS and chlamydia.</p><p><strong>Methods: </strong>A total of 3965 nonpregnant adults ages 18-39 years from the National Nutrition Examination Survey 2003-2016 cycles were included. Poisson regression with robust error variance estimated the prevalence ratio and 95% confidence intervals for the association between PFAS and chlamydia. A g computation model was used to examine PFAS mixtures and chlamydia.</p><p><strong>Results: </strong>In adjusted age and sex-stratified models, an increase in PFAS mixtures by one quintile was associated with chlamydia in older males and younger females. Associations were not observed before stratification.</p><p><strong>Conclusions: </strong>PFAS exposure associated with higher chlamydia prevalence, but only in stratified models suggesting biological differences by gender and age. However, small sample sizes could have affected the precision of our models.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yixin Chen, Darcy Van Deventer, Roch Nianogo, Marco Vinceti, Wei Kang, Myles Cockburn, Noah Federman, Julia E Heck
{"title":"Maternal Exposure to Heavy Metals From Industrial Sources During Pregnancy and Childhood Cancer Risk in California.","authors":"Yixin Chen, Darcy Van Deventer, Roch Nianogo, Marco Vinceti, Wei Kang, Myles Cockburn, Noah Federman, Julia E Heck","doi":"10.1097/JOM.0000000000003160","DOIUrl":"10.1097/JOM.0000000000003160","url":null,"abstract":"<p><strong>Objective: </strong>The study investigated maternal exposure to heavy metals from industrial sources during pregnancy as potential risk factors for childhood cancer.</p><p><strong>Methods: </strong>Cases ages 0-19 were identified from California Cancer Registry. Controls (20:1 ratio) were randomly selected from California Birth Registry, frequency-matched by birth year (1998-2016). We estimated maternal exposure to lead, nickel, and cobalt in ambient air from the Toxics Release Inventory. We examined \"ever/never\" and \"high/low\" exposures categorized by median exposure. Models were adjusted for maternal age, race/ethnicity, method of payment for prenatal care, neighborhood socioeconomic status, and urban/rural residence.</p><p><strong>Results: </strong>Among highly exposed persons, lead was associated with an increased teratoma risk (adjusted odds ratio [aOR]: 1.52; 95% confidence interval [CI]: 0.97, 2.37), whereas nickel was associated with an increased rhabdomyosarcoma risk (aOR: 1.45; 95% CI: 1.03, 2.04). Cobalt was associated with an increased glioma risk (aOR: 2.25; 95% CI: 1.39, 3.65) among ever-exposed persons. Inverse associations were found between Wilms tumor and nickel among the ever exposed and highly exposed (ever: aOR: 0.75; 95% CI: 0.59, 0.96; high: aOR: 0.64; 95% CI: 0.45, 0.93).</p><p><strong>Conclusions: </strong>Findings suggest that air pollution from heavy metals released by industrial sources may elevate childhood cancer risk.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nader Zalaquett, Kevan Lutchman, Eirini Iliaki, Jane Buley, Neetha Nathan, Mercedes Sotos Prieto, Stefanos N Kales, Fan-Yun Lan
{"title":"Findings Associated with Prolonged COVID-19 Recovery among Boston Healthcare Workers.","authors":"Nader Zalaquett, Kevan Lutchman, Eirini Iliaki, Jane Buley, Neetha Nathan, Mercedes Sotos Prieto, Stefanos N Kales, Fan-Yun Lan","doi":"10.1097/JOM.0000000000003221","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003221","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the long-term, symptomatic recovery of healthcare workers from acute COVID-19 infections up to three years after the initial COVID-19 outbreak.</p><p><strong>Methods: </strong>Cross-sectional study among employees of a community-based healthcare system in Massachusetts who had a recorded positive COVID-19 test. Survey responses were collected between September 2022 and January 2023. The survey included validated questionnaires: WHOQOL-BREF, EQ-5D-5 L, DASS-21, FCV-19S, K6+, and the Insomnia Severity Index. We compared the long COVID (i.e., symptoms lasting>28 days) and non-long COVID groups.</p><p><strong>Results: </strong>Among the 280 respondents (15.2% response rate), those with long COVID (73.4%) reported significantly worse quality of life and greater levels of depression, anxiety, and stress metrics. However, no significant difference was found between the two groups' fear of COVID-19.</p><p><strong>Conclusions: </strong>Targeted support for healthcare workers with prolonged symptoms after COVID-19 is warranted.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Applications of Artificial Intelligence in Occupational Health: A Systematic Literature Review.","authors":"Zaira S Chaudhry, Avishek Choudhury","doi":"10.1097/JOM.0000000000003212","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003212","url":null,"abstract":"<p><strong>Objectives: </strong>To identify and critically analyze studies using artificial intelligence (AI) in occupational health.</p><p><strong>Methods: </strong>A systematic search of PubMed, IEEE Xplore, and Web of Science was conducted to identify relevant articles published in English between January 2014-January 2024. Quality was assessed with the validated APPRAISE-AI tool.</p><p><strong>Results: </strong>The 27 included articles were categorized as follows: health risk assessment (n = 17), return to work and disability duration (n = 5), injury severity (n = 3), and injury management (n = 2). 47 AI algorithms were utilized, with artificial neural networks, support vector machines, and random forest being most common. Model accuracy ranged from 0.60-0.99 and AUC from 0.7-1.0. Most studies (n = 15) were of moderate quality.</p><p><strong>Conclusions: </strong>While AI has potential clinical utility in occupational health, explainable models that are rigorously validated in real-world settings are warranted.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}