Matthew J McAllister, M Hunter Martaindale, Andrea Womble, Nathan Sutton, Stephanie Uriegas
{"title":"Shift Schedule Change From 24/48 to 1/3/2/3 Improves Markers of Stress and Quality of Life in Career Firefighters.","authors":"Matthew J McAllister, M Hunter Martaindale, Andrea Womble, Nathan Sutton, Stephanie Uriegas","doi":"10.1097/JOM.0000000000003638","DOIUrl":"10.1097/JOM.0000000000003638","url":null,"abstract":"<p><strong>Objective: </strong>This study seeks to better understand the impact of schedule change on physiological and self-report measures of stress and quality of life among career firefighters.</p><p><strong>Methods: </strong>This study examined the impact of a schedule change from 24/48 to a 24-hour on/72-hour off, 48-hour on/72-hour off (i.e., 1/3/2/3) shift rotation on markers of stress among career firefighters over a 7-month period. Physiological measures such as salivary biomarkers (cortisol, testosterone, testosterone-to-cortisol ratio, interleukin-6) and blood pressure as well as self-reported survey instruments for occupational stress and job satisfaction were assessed throughout the study.</p><p><strong>Results: </strong>By the end of the study, participants demonstrated significantly lower salivary cortisol concentrations, improved quality of life, and better sleep quality.</p><p><strong>Conclusions: </strong>These findings suggest that transitioning to a 1/3/2/3 schedule may reduce physiological stress and improve quality of life among career firefighters.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"428-435"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703470","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":"Impact of Work-Family Conflict on Perceived Stress: Cross-Sectional and Longitudinal Evidence From the Midlife in Japan Study.","authors":"Mayumi Saiki, Adrian Loerbroks, Jian Li","doi":"10.1097/JOM.0000000000003662","DOIUrl":"10.1097/JOM.0000000000003662","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether exposure to work-family conflict was associated with increased perceived stress (PS) cross-sectionally and longitudinally.</p><p><strong>Methods: </strong>Using data from the Midlife in Japan Wave I and II surveys over a 4-year period, 668 workers in a cross-sectional and 419 workers in a longitudinal study were examined to assess the associations between baseline work-to-family conflict (WFC) and family-to-work conflict (FWC) and changes in baseline and follow-up PS Scale scores.</p><p><strong>Results: </strong>In the multivariable analysis using linear regression for cross-sectional analysis and generalized estimating equations linear regression for the longitudinal analysis, both binary and continuous WFC/FWC were significantly associated with PS cross-sectionally and longitudinally.</p><p><strong>Conclusions: </strong>Both WFC and FWC were associated with increased PS cross-sectionally and longitudinally. Screening work-family conflict and developing interventions to mitigate it can be beneficial for enhancing mental health.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"378-384"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954597","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":"Bridging the Gap: A Call for Standardized Medical-Legal Competencies in Occupational Medicine Training.","authors":"Cameron H Kiani, Dorian Kenleigh, Manijeh Berenji","doi":"10.1097/JOM.0000000000003671","DOIUrl":"10.1097/JOM.0000000000003671","url":null,"abstract":"","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e388-e389"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013970","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}
Sarah E Johnson, Adriana Gil, Michael J Conner, Jacob A Mota, J Jay Dawes, Steven E Martin, Drew E Gonzalez
{"title":"Comparing Standard and Advanced Lipid Profiles in Law Enforcement Officers: A Pilot Study on the Links to Fitness, Body Composition, and Cardiometabolic Risk.","authors":"Sarah E Johnson, Adriana Gil, Michael J Conner, Jacob A Mota, J Jay Dawes, Steven E Martin, Drew E Gonzalez","doi":"10.1097/JOM.0000000000003637","DOIUrl":"10.1097/JOM.0000000000003637","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess relationships between standard and advanced lipids, body composition, and physical fitness.</p><p><strong>Methods: </strong>Associations between standard and advanced blood lipid biomarkers, body composition, and physical fitness parameters were assessed among 43 law enforcement officers.</p><p><strong>Results: </strong>Across separate and hierarchical regression models, the standard lipids consistently accounted for greater variation in the dependent variables, while the advanced lipids rarely provided additional explanatory power, even after controlling for multicollinearity.</p><p><strong>Conclusions: </strong>The standard lipid panel is likely sufficient and the most cost-effective way to identify lipid-related associations with body composition and fitness among law enforcement officers.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"416-427"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703437","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":"Burnout in Aviation Engineers: Organizational Determinants and Safety Implications.","authors":"Konstantinos Peramatzis, Eleni Tsianaka","doi":"10.1097/JOM.0000000000003628","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003628","url":null,"abstract":"<p><strong>Objectives: </strong>Burnout is a critical concern in high-stress professions. Aviation engineering case empirical research remains scarce. This study investigates various determinants of burnout among aviation engineers, aiming to inform targeted interventions that enhance workforce and operational safety.</p><p><strong>Method: </strong>This study surveyed 99 aviation engineers using the Oldenburg Burnout Inventory. Statistical analyses included analysis of variance and Spearman correlation to examine associations between burnout and various factors.</p><p><strong>Results: </strong>The mean Oldenburg Burnout Inventory score was 39.56 (disengagement was 18.57, and exhaustion was 20.59). Age negatively correlated with exhaustion, suggesting reduced fatigue among older engineers. Academic professionals exhibited lower exhaustion scores with higher job dissatisfaction, highlighting unique stressors in academic settings.</p><p><strong>Conclusion: </strong>Aviation engineers face moderate burnout. Age and academic roles appear protective against exhaustion, yet dissatisfaction persists. Strategic interventions are essential to mitigate burnout and safeguard aviation safety.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":"68 5","pages":"e337-e346"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793341","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}
Chibuzor Abasilim, Oluwabunmi Ogungbe, Brett Shannon, Tiwaloluwa Ajibewa, Dana Madigan, Katherine E McCoy, Lee S Friedman
{"title":"Associations of Employment Factors With Cardiovascular Disease in a National Sample of US Firefighters: Findings From the National Health Interview Survey.","authors":"Chibuzor Abasilim, Oluwabunmi Ogungbe, Brett Shannon, Tiwaloluwa Ajibewa, Dana Madigan, Katherine E McCoy, Lee S Friedman","doi":"10.1097/JOM.0000000000003640","DOIUrl":"10.1097/JOM.0000000000003640","url":null,"abstract":"<p><strong>Background: </strong>We explored whether employment factors were associated with prevalent cardiovascular disease (CVD) in a nationally representative sample of US firefighters.</p><p><strong>Methods: </strong>In the National Health Interview Survey, we estimated associations using survey-weighted multivariable logistic regression models.</p><p><strong>Results: </strong>Firefighters employed for 20 or more years (vs <10 years) had higher odds of coronary heart disease (CHD) and composite CVD. After controlling for covariates, associations attenuated but remained statistically significant for CHD (odds ratio = 7.23; 95% confidence interval, 1.65 to 31.8) but not composite CVD (odds ratio = 1.18; 95% confidence interval, 0.39 to 3.60). Marginally significant and higher odds of composite CVD was observed for firefighters employed in large (100 or more employees) versus small (1 to 24 employees) departments.</p><p><strong>Conclusions: </strong>Firefighters' already elevated risk of CHD compounds markedly with tenure, particularly after 20 years. Associations were independent of age, sex, private insurance status, and body mass index.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e377-e383"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717065","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}
Oralee J Varnado, Birong Liao, Michelle Jerry, Carolyn R Lew, Ryan Ross, Jud C Janak, Shraddha Shinde
{"title":"Work Productivity Burden Among Patients With Obstructive Sleep Apnea and Obesity Versus Controls Without Obstructive Sleep Apnea or Obesity.","authors":"Oralee J Varnado, Birong Liao, Michelle Jerry, Carolyn R Lew, Ryan Ross, Jud C Janak, Shraddha Shinde","doi":"10.1097/JOM.0000000000003617","DOIUrl":"10.1097/JOM.0000000000003617","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to examine work loss, motor vehicle accidents, and serious injuries among patients with obstructive sleep apnea (OSA) and obesity (\"patients\") versus matched controls without OSA or obesity (\"controls\").</p><p><strong>Methods: </strong>Outcomes were compared for patients and controls after matching on baseline demographics, overall and stratified by OSA severity.</p><p><strong>Results: </strong>Patients were 3 times more likely to have a short-term disability (STD) claim (15.7% vs 5.0%, P < 0.001) and had higher STD costs ($960 vs $305, P < 0.001) than matched controls. The prevalence of serious injuries was twofold higher (17.1% vs 8.4%; P < 0.001).</p><p><strong>Conclusions: </strong>Patients with OSA and obesity have an elevated risk of STD and serious injuries versus matched controls. Both weight and OSA management have the potential to reduce the burden of OSA and thus have the potential to reduce the burden of STD and serious injuries.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"391-397"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544756","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}
Thierry Senez, Marc Fadel, Didier Pourret, Sebastien Beaume, Alexis Descatha
{"title":"Early Death Among Firefighters: The Need for Further Investigation.","authors":"Thierry Senez, Marc Fadel, Didier Pourret, Sebastien Beaume, Alexis Descatha","doi":"10.1097/JOM.0000000000003661","DOIUrl":"10.1097/JOM.0000000000003661","url":null,"abstract":"","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e399-e400"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919475","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}
Wilmar B Schaufeli, Angelique de Rijk, Jörgen Herlofson, Marie Åsberg
{"title":"How to Diagnose Clinical Burnout Using Dutch and Swedish Approaches?","authors":"Wilmar B Schaufeli, Angelique de Rijk, Jörgen Herlofson, Marie Åsberg","doi":"10.1097/JOM.0000000000003644","DOIUrl":"10.1097/JOM.0000000000003644","url":null,"abstract":"","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e394-e396"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746372","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":"The Key Elements for Successful Occupational Medicine & Environmental (OEM) Regional Conference as a Tool for Education & Innovation.","authors":"Hasan Nezam, Jeffrey Jacobs, Amy J Behrman","doi":"10.1097/JOM.0000000000003633","DOIUrl":"10.1097/JOM.0000000000003633","url":null,"abstract":"","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e397-e398"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673326","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}