{"title":"工作变化与自我报告症状：日本全国纵向研究","authors":"Hiroshi Ito, Shuichi Okaya, Yutaro Ono, Yingfang Zheng, Dongmei Ma, Nobutake Shimojo, Takahiro Tabuchi","doi":"10.1097/JOM.0000000000003539","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between job change-including first-time and repeat job changes-and new-onset physical and psychological symptoms in a general population sample in Japan.</p><p><strong>Methods: </strong>We analyzed data from 19,281 Japanese adults who completed internet-based surveys in both 2022 and 2023. Job change within the past year was self-reported. Outcomes were new-onset symptoms in 2023, including headache, lethargy, and insomnia. Weighted logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals.</p><p><strong>Results: </strong>Job changers (6.1%) were more likely to report new-onset headache (aOR, 1.57) and lethargy (aOR, 1.63). First-time job changers (2.0%) showed stronger associations, including insomnia (aOR, 2.93), and reported more adverse workplace conditions such as workload and harassment.</p><p><strong>Conclusions: </strong>Job change, particularly for the first time, was associated with increased symptoms and unfavorable workplace conditions.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Job Change and Self-reported Symptoms: A Nationwide Longitudinal Study in Japan.\",\"authors\":\"Hiroshi Ito, Shuichi Okaya, Yutaro Ono, Yingfang Zheng, Dongmei Ma, Nobutake Shimojo, Takahiro Tabuchi\",\"doi\":\"10.1097/JOM.0000000000003539\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the association between job change-including first-time and repeat job changes-and new-onset physical and psychological symptoms in a general population sample in Japan.</p><p><strong>Methods: </strong>We analyzed data from 19,281 Japanese adults who completed internet-based surveys in both 2022 and 2023. Job change within the past year was self-reported. Outcomes were new-onset symptoms in 2023, including headache, lethargy, and insomnia. Weighted logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals.</p><p><strong>Results: </strong>Job changers (6.1%) were more likely to report new-onset headache (aOR, 1.57) and lethargy (aOR, 1.63). First-time job changers (2.0%) showed stronger associations, including insomnia (aOR, 2.93), and reported more adverse workplace conditions such as workload and harassment.</p><p><strong>Conclusions: </strong>Job change, particularly for the first time, was associated with increased symptoms and unfavorable workplace conditions.</p>\",\"PeriodicalId\":94100,\"journal\":{\"name\":\"Journal of occupational and environmental medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of occupational and environmental medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JOM.0000000000003539\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003539","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Job Change and Self-reported Symptoms: A Nationwide Longitudinal Study in Japan.
Objective: To investigate the association between job change-including first-time and repeat job changes-and new-onset physical and psychological symptoms in a general population sample in Japan.
Methods: We analyzed data from 19,281 Japanese adults who completed internet-based surveys in both 2022 and 2023. Job change within the past year was self-reported. Outcomes were new-onset symptoms in 2023, including headache, lethargy, and insomnia. Weighted logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals.
Results: Job changers (6.1%) were more likely to report new-onset headache (aOR, 1.57) and lethargy (aOR, 1.63). First-time job changers (2.0%) showed stronger associations, including insomnia (aOR, 2.93), and reported more adverse workplace conditions such as workload and harassment.
Conclusions: Job change, particularly for the first time, was associated with increased symptoms and unfavorable workplace conditions.
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