COVID-19感染对日本工人工作功能的影响:一项前瞻性队列研究

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work Pub Date : 2023-12-01 DOI:10.1016/j.shaw.2023.10.004

Makoto Okawara , Keiki Hirashima , Yu Igarashi , Kosuke Mafune , Keiji Muramatsu , Tomohisa Nagata , Mayumi Tsuji , Akira Ogami , Yoshihisa Fujino

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引用次数: 0

摘要

即使在感染急性期后，COVID-19感染对工人工作功能的影响仍然存在。我们研究了日本工人的这种现象。我们在网上进行了为期一年的前瞻性队列研究，从2020年12月的基线调查开始。我们跟踪了没有基线工作功能障碍的工人，并将14,421名符合条件的个人的数据纳入分析。我们使用具有稳健方差的混合效应泊松回归分析，估计了随访期间新发COVID-19感染导致的工作功能障碍的发病率比(IRR)。在2021年1月至12月期间报告感染的参与者显示出明显更高的新工作功能障碍发生率(调整后的IRR: 2.18, 95%置信区间:1.75-2.71,p <0.001)。康复环境的正规性与感染者工作功能恶化的高风险相关(p表示趋势<0.001)。由于持续的急性感染后症状，感染covid -19的工人可能会继续遇到工作困难。企业和社会必须紧急为持续出现症状的人提供康复和社会支持，同时认识到COVID-19不仅仅是短暂的急性感染。

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Impact of COVID-19 Infection on Work Functioning in Japanese Workers: A Prospective Cohort Study

Background

The impact of COVID-19 infection on workers' work function persists even after the acute phase of the infection. We studied this phenomenon in Japanese workers.

Methods

We conducted a one-year prospective cohort study online, starting with a baseline survey in December 2020. We tracked workers without baseline work functioning impairment and incorporated data from 14,421 eligible individuals into the analysis. We estimated the incidence rate ratio for new onset of work functioning impairment due to COVID-19 infection during follow-up, using mixed-effects Poisson regression analysis with robust variance.

Results

Participants reporting infection between January and December 2021 showed a significantly higher incidence of new work functioning impairment (adjusted incidence rate ratio: 2.18, 95% confidence interval: 1.75–2.71, p < 0.001). The formality of the recuperation environment correlated with a higher risk of work functioning deterioration in infected individuals (p for trend <0.001).

Conclusion

COVID-19-infected workers may continue to experience work difficulties due to persistent, post-acute infection symptoms. Companies and society must urgently provide rehabilitation and social support for people with persistent symptoms, recognizing that COVID-19 is not just a transient acute infection.

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来源期刊

Safety and Health at Work Social Sciences-Safety Research

CiteScore

6.40

自引率

5.70%

发文量

1080

审稿时长

38 days

期刊介绍： Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.