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Occupational carcinogens in Italy: an overview on exposure to cadmium and its compounds. 意大利的职业致癌物:镉及其化合物接触情况概述。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2023-12-26 DOI: 10.2486/indhealth.2023-0128
Alberto Scarselli, Marisa Corfiati, Davide DI Marzio, Alessandro Marinaccio

Given the recognized carcinogenicity of cadmium, several regulatory interventions have been carried out over the years to protect exposed workers. The aim of the study is to investigate the prevalence and extent of exposure to cadmium among Italian workers. Data was collected from a nation-wide occupational exposure registry (SIREP, 1996-2022). Gender-specific statistical analysis was carried out for some exposure-related variables (cadmium compound, activity sector, occupational group, firm size). Potentially exposed workers were estimated for some industrial sectors. Concurrent exposures were investigated using cluster analysis. Overall 4,264 measurements were analyzed. Four industrial sectors were found to be most involved by cadmium exposure: base metal manufacturing, fabricated metal products, machinery and equipment, and other transport equipment (55% of measurements). Jewellery/precious-metal workers, and glass/ceramic plant operators were found to be most at exposure risk. A total of 26,470 workers potentially exposed was estimated (69% men). Concurrent exposures to other occupational carcinogens were detected quite frequently (52% of workers). Several situations of exposure and co-exposure to cadmium deserve attention and awareness in order to minimize the risks associated with workers' health. Recognition of potentially hazardous exposure conditions is an important step in prevention strategies to better protect workers against cancer-causing agents.

鉴于镉具有公认的致癌性,多年来已采取了多项监管干预措施,以保护接触镉的工人。这项研究旨在调查意大利工人接触镉的普遍程度和范围。数据收集自全国职业接触登记册(SIREP,1996-2022 年)。对一些与接触镉有关的变量(镉化合物、活动部门、职业类别、公司规模)进行了性别统计分析。对某些工业部门可能接触镉的工人进行了估计。利用聚类分析对同时接触镉的情况进行了调查。共分析了 4,264 项测量结果。发现四个工业部门与镉接触最多:贱金属制造、金属制品、机械设备和其他运输设备(占测量值的 55%)。珠宝/贵金属工人和玻璃/陶瓷工厂操作员接触镉的风险最大。据估计,共有 26,470 名工人(69% 为男性)可能接触到这种物质。同时暴露于其他职业致癌物质的情况相当普遍(52%的工人)。有几种接触镉和同时接触镉的情况值得关注和认识,以尽量减少与工人健康有关的风险。认识到潜在的危险接触条件是预防战略的重要一步,以更好地保护工人免受致癌物质的危害。
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引用次数: 0
Identifying factors that inhibit or facilitate on-site implementation of chemical risk assessment at small and medium-sized companies. 确定阻碍或促进中小型公司现场实施化学品风险评估的因素。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2023-10-23 DOI: 10.2486/indhealth.2023-0016
Hiroki Arao, Mitsuo Hinoue, Kunio Hara, Akiyoshi Ito

The introduction and implementation of chemical risk assessment is difficult, especially at small and medium-sized manufacturing and construction companies. This study aimed to identify the factors that inhibit or facilitate such assessment. Twelve individuals in charge of risk assessment at one medium-sized client company and eight small and medium-sized contract companies and responsible for innovation in the manufacturing and construction industries were interviewed. The interview transcripts were analyzed via text mining using KH Corder ver. 3 and a co-occurrence network was used to identify the keywords' connections and each factor in consideration of the interviews. Six factors inhibited or facilitated risk assessment: (1) education on hazardous work in the workplace, (2) improvement suggestions and reduction measures from client and staff, (3) cooperation between employees and contractors in the workplace, (4) thoroughly explanation of SDS content for better understanding, (5) risk awareness based on accident examples, and (6) difficulties imagining the hazards of chemical substances. Factors (1), (2), (3), and (5) were positive, facilitating factors; (4) and (6) were negative, inhibiting factors. This study highlights that it is necessary to educate workers about chemical substance risks using safety data sheets and accident examples in chemical risk assessment.

化学品风险评估的引入和实施很困难,尤其是在中小型制造和建筑公司。本研究旨在确定抑制或促进此类评估的因素。采访了一家中型客户公司和八家中小型合同公司负责风险评估并负责制造业和建筑业创新的12名个人。使用KH Corder ver.3通过文本挖掘对访谈记录进行分析,并使用共现网络来识别关键词的联系和考虑访谈的每个因素。六个因素抑制或促进了风险评估:(1)工作场所危险工作的教育,(2)客户和员工的改进建议和减少措施,(3)员工和承包商在工作场所的合作,(4)彻底解释SDS内容以更好地理解,(5)基于事故实例的风险意识,以及(6)难以想象化学物质的危害。因子(1)、(2)、(3)和(5)为阳性,为促进因子;(4) (6)为阴性抑制因子。这项研究强调,有必要在化学品风险评估中使用安全数据表和事故示例来教育工人化学物质风险。
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引用次数: 0
Measuring work engagement in Thailand: development and validation testing of the Utrecht Work Engagement Scale-Thai version (UWES-TH). 衡量泰国的工作参与度:乌得勒支工作参与度量表泰语版(UWES-TH)的开发和验证测试。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2023-12-27 DOI: 10.2486/indhealth.2023-0017
Oraphan Tatha, Akihito Shimazu, Kazuhiro Watanabe, Norito Kawakami, Wilmar B Schaufeli

This study aimed to develop and test the psychometric properties of a Thai-language version of the Utrecht Work Engagement Scale (UWES). The 17-item version of UWES was translated into Thai and a survey was conducted with 507 registered nurses at a public regional hospital in Thailand. Results showed that the alpha and omega total coefficients for the vigor, dedication, and absorption subscales were acceptable. Exploratory Structural Equation Modeling (ESEM) indicated that the three-factor model performed the best for both versions of UWES-17-TH and UWES-9-TH. Both versions correlated positively with job resources and negatively with cognitive, emotional, and physical job demands, and with emotional exhaustion and physical symptoms. They were found to have acceptable reliability and validity and can be used to study work engagement in Thai contexts. For practical reasons, UWES-9-TH might be preferred since it is shorter than the full version. Further studies should include different occupational groups and more male participants.

本研究旨在开发和测试泰语版乌得勒支工作投入度量表(UWES)的心理测量特性。研究人员将 17 个项目的乌特勒支工作投入量表翻译成泰语,并对泰国一家公立地区医院的 507 名注册护士进行了调查。结果显示,活力、敬业度和吸收力子量表的阿尔法系数和欧米茄总系数均可接受。探索性结构方程模型(ESEM)表明,三因素模型在 UWES-17-TH 和 UWES-9-TH 两个版本中表现最佳。两个版本均与工作资源正相关,与认知、情感和体力工作要求以及情感衰竭和身体症状负相关。研究发现,这两个版本的信度和效度均可接受,可用于研究泰国背景下的工作投入情况。出于实用性考虑,UWES-9-TH 可能更受欢迎,因为它比完整版更简短。进一步的研究应包括不同的职业群体和更多的男性参与者。
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引用次数: 0
Successful lung transplantation for artificial stone-associated accelerated silicosis: a case report. 人工结石相关加速性矽肺肺移植成功一例报告。
IF 1.8 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 Epub Date: 2023-10-20 DOI: 10.2486/indhealth.2023-0093
Shou-Chien Hsu, Yun-Ju Chen, Hao-Yi Fan, Chih-Wei Wang, Han-Jui Lee, Yu-Chung Tsao

This report focuses on the occupational health risks associated with the use of artificial stones containing high levels of crystalline silica in the production of kitchen countertops. It presents the case of a 43-yr-old man who developed severe silicosis due to his occupation involving cutting and polishing quartz stone raw materials. A retrospective analysis of the patient's medical records and occupational history was conducted. The diagnosis of severe silicosis, moderate restrictive lung disease, and bilateral pneumothorax was based on clinical manifestations, pulmonary function test, radiological findings, and histological reports. The patient underwent lung transplantation, and his pulmonary function improved post-surgery. The study highlights the significant health risks associated with procedures involving artificial stones and emphasizes the importance of awareness and protective measures for employees and workers. Clinicians should be cautious when diagnosing respiratory symptoms in patients with a history of occupational exposure to artificial stones containing high levels of crystalline silica.

本报告重点关注在厨房台面生产中使用含有高结晶二氧化硅的人造石所带来的职业健康风险。报告一名43岁男子因从事切割和抛光石英石原料的工作而患上严重矽肺。对患者的医疗记录和职业史进行了回顾性分析。根据临床表现、肺功能检查、放射学表现和组织学报告,诊断为严重矽肺、中度限制性肺病和双侧肺气肿。患者接受了肺移植,术后肺功能有所改善。该研究强调了与人造石相关的重大健康风险,并强调了员工和工人意识和保护措施的重要性。临床医生在诊断有职业接触过含有高结晶二氧化硅的人造结石史的患者的呼吸道症状时应谨慎。
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引用次数: 0
A comparison of periodic health examinations and workplace health screening for workers in Singapore and Japan. 新加坡和日本工人定期健康检查和工作场所健康筛查的比较。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-28 DOI: 10.2486/indhealth.2024-0046
Benjamin Zhi Qiang Seah, Seichi Horie, Wee Hoe Gan, Chikage Nagano, Alvin Kian Wei Tan, Kimiyo Mori, David Soo Quee Koh

This article aims to provide a historical overview of how workplace safety and health legislations in Singapore and Japan have evolved, and perform a comparative analysis of the occupational health systems where work-related medical examinations and health screening are concerned. The discourse is centered on three key themes - coverage, comprehensiveness, and continuity of care. The comparative analysis was performed based on secondary data obtained from open-source platforms. Singapore and Japan have robust workplace safety and health legislative frameworks and laws. However, their approaches diverge because of differing socioeconomic and political contexts. Japan's regulations are generally more comprehensive, require more frequent monitoring of workers' health status, and encompass both physical and mental health components. Singaporean companies focus primarily on the physical component of health, and statutory examinations are required only for exposure to specific occupational hazards. With increasing prominence of mental health issues and shift towards preventive care in Singapore, there will be greater emphasis on a holistic approach to each employee's overall health in future. For Japan, the challenge would be to strike a balance between long-term sustainability of current policies against the need for state and corporations to still retain an adequate stake in ensuring workers' overall health.

本文旨在对新加坡和日本的工作场所安全与健康立法的演变过程进行历史回顾,并对与工作有关的体检和健康筛查方面的职业健康制度进行比较分析。讨论围绕三个关键主题展开--覆盖面、全面性和护理的连续性。比较分析基于从开源平台获取的二手数据。新加坡和日本都有健全的工作场所安全与健康立法框架和法律。然而,由于社会经济和政治背景不同,两国的做法也不尽相同。日本的法规通常更为全面,要求对工人的健康状况进行更频繁的监测,并包含身体和心理健康两个部分。新加坡的公司则主要关注身体健康,只有在接触特定职业危害时才要求进行法定检查。随着精神健康问题的日益突出以及新加坡向预防性保健的转变,今后将更加重视对每个员工的整体健康采取综合方法。对日本来说,面临的挑战是如何在现行政策的长期可持续性与国家和企业在确保工人整体健康方面仍需保持足够的利益之间取得平衡。
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引用次数: 0
Relationship between pain catastrophizing and pain self-efficacy and presenteeism in workers: a cross-sectional-study focusing on gender differences. 工人疼痛灾难化与疼痛自我效能感和旷工之间的关系:一项关注性别差异的横断面研究。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-24 DOI: 10.2486/indhealth.2023-0166
Toshiki Kishimoto, Yoshinori Kitabatake, Takayuki Taguchi, Hiroaki Nobuhara

Presenteeism has been noted to be associated with cognitive factors of pain, such as pain catastrophizing (PC) and pain self-efficacy (PS). Pain perception differs by gender, so it is important to consider gender differences when examining the association between cognitive factors of pain and presenteeism. This study aimed to examine the association between presenteeism and cognitive factors of pain, taking gender differences into account. A cross-sectional survey of 305 workers was conducted using a self-administered questionnaire that included items on pain status, PC, PS, and work performance. Multiple logistic regression analysis was used to test whether PC and PS independently influence presenteeism, separately for men and women. Logistic regression analysis showed that PC was extracted in men, and the group with severe PC had higher odds of presenteeism (odds ratio 6.56, 95%confidence interval [CI] 1.83-23.40). Contrarily, PS was extracted in women, with higher odds of presenteeism in the moderate (odds ratio 2.54, 95%CI 1.01-6.39) and low (odds ratio 5.43, 95%CI 1.31-22.50) PS groups than in the high PS. This study showed that the cognitive factors of pain related to presenteeism may differ by gender.

已有研究指出,旷工与疼痛的认知因素有关,如疼痛灾难化(PC)和疼痛自我效能感(PS)。不同性别的人对疼痛的认知不同,因此在研究疼痛认知因素与旷工之间的关系时,考虑性别差异非常重要。本研究旨在考察旷工与疼痛认知因素之间的关联,同时考虑性别差异。研究采用自填式问卷对 305 名工人进行了横断面调查,其中包括疼痛状况、PC、PS 和工作表现等项目。采用多元逻辑回归分析来检验 PC 和 PS 是否会对旷工现象产生独立影响,并分别对男性和女性进行了分析。逻辑回归分析表明,PC 在男性中的提取率较高,严重 PC 组出现旷工的几率更高(几率比 6.56,95% 置信区间 [CI]1.83-23.40)。相反,在女性中提取 PS,中度 PS 组(几率比 2.54,95% 置信区间 1.01-6.39)和低 PS 组(几率比 5.43,95% 置信区间 1.31-22.50)的旷工几率高于高 PS 组。这项研究表明,与旷工有关的疼痛认知因素可能因性别而异。
{"title":"Relationship between pain catastrophizing and pain self-efficacy and presenteeism in workers: a cross-sectional-study focusing on gender differences.","authors":"Toshiki Kishimoto, Yoshinori Kitabatake, Takayuki Taguchi, Hiroaki Nobuhara","doi":"10.2486/indhealth.2023-0166","DOIUrl":"https://doi.org/10.2486/indhealth.2023-0166","url":null,"abstract":"<p><p>Presenteeism has been noted to be associated with cognitive factors of pain, such as pain catastrophizing (PC) and pain self-efficacy (PS). Pain perception differs by gender, so it is important to consider gender differences when examining the association between cognitive factors of pain and presenteeism. This study aimed to examine the association between presenteeism and cognitive factors of pain, taking gender differences into account. A cross-sectional survey of 305 workers was conducted using a self-administered questionnaire that included items on pain status, PC, PS, and work performance. Multiple logistic regression analysis was used to test whether PC and PS independently influence presenteeism, separately for men and women. Logistic regression analysis showed that PC was extracted in men, and the group with severe PC had higher odds of presenteeism (odds ratio 6.56, 95%confidence interval [CI] 1.83-23.40). Contrarily, PS was extracted in women, with higher odds of presenteeism in the moderate (odds ratio 2.54, 95%CI 1.01-6.39) and low (odds ratio 5.43, 95%CI 1.31-22.50) PS groups than in the high PS. This study showed that the cognitive factors of pain related to presenteeism may differ by gender.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability and validity of the Japanese version of the Overwork Climate Scale. 日语版 "过度工作氛围量表 "的可靠性和有效性。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-23 DOI: 10.2486/indhealth.2023-0005
Yuko Ochiai, Yasumasa Otsuka

This study aimed to investigate the validity and reliability of the Japanese version of the Overwork Climate Scale. Japanese workers were invited to participate in online surveys at baseline and 1-month follow-up. The Overwork Climate Scale was translated into Japanese, according to international guidelines. Reliability was assessed using Cronbach's alpha and the intra-class correlation coefficient (ICC), while structural validity was evaluated through confirmatory factor analysis (CFA). Psychological job demands, work engagement, psychological safety, and workaholism were assessed for convergent validity. The number of respondents was 302 at baseline and 169 at follow-up. Results indicated robust Cronbach's alpha values of 0.86 (for overwork endorsement) and 0.80 (for lacking overwork reward) at baseline, complemented by ICC of 0.89 and 0.82, respectively. CFA confirmed the suitability of the two-factor model. Moreover, the Japanese Overwork Climate Scale exhibited significant correlations with anticipated constructs. Structural equation modeling revealed a consistent association between overwork climate and both workaholism and work engagement, similar to the original version. In conclusion, the Japanese version of the Overwork Climate Scale demonstrates acceptable levels of reliability and validity, warranting its potential adoption among Japanese workers.

本研究旨在调查日语版过劳死氛围量表的有效性和可靠性。日本工人应邀参加了基线和1个月随访的在线调查。根据国际指南,过劳氛围量表被翻译成了日语。信度采用克朗巴赫α和类内相关系数(ICC)进行评估,结构效度则通过确认性因子分析(CFA)进行评估。对心理工作要求、工作投入度、心理安全感和工作狂进行了收敛效度评估。基线调查的受访者人数为 302 人,后续调查的受访者人数为 169 人。结果显示,基线时的 Cronbach's alpha 值为 0.86(过劳认可)和 0.80(缺乏过劳奖励),ICC 分别为 0.89 和 0.82。CFA 证实了双因素模型的适用性。此外,日本人过劳死氛围量表与预期结构之间存在显著的相关性。结构方程模型显示,过劳氛围与工作狂和工作投入之间存在一致的关联,这与原始版本类似。总之,日语版过劳死气氛量表的信度和效度都达到了可接受的水平,因此有可能在日本工人中采用。
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引用次数: 0
"Are you feeling safe?": an investigation of psychosocial safety climate in the relations of job characteristics and employee exhaustion and engagement. "你感到安全吗?":社会心理安全氛围与工作特征、员工疲惫和敬业度之间关系的调查。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-20 DOI: 10.2486/indhealth.2024-0027
Tianchang Ji, May Young Loh, Jan DE Jonge, Maria C W Peeters, Toon W Taris, Maureen F Dollard

Psychosocial safety climate (PSC) is defined as the corporate climate in relation to employees' perceptions of organizational policies, procedures, and practices for the protection of employee psychosocial safety and well-being. The present study was based on the Demand-Induced Strain Compensation (DISC) Model and proposed that the interplay between identical job demands and resources would be conditioned by PSC. Particularly, high levels of PSC would enable employees to optimally perceive and utilize more job resources in dealing with corresponding job demands. A study was conducted among 406 Chinese workers from various occupational sectors. The findings of hierarchical regression analyses suggested that PSC a) mitigates the negative relation between emotional resources and exhaustion, b) enhances the positive relation between emotional resources and work engagement, and c) mitigates the negative relation between emotional demands and work engagement. We also found that PSC is a compensatory factor for low cognitive resources and demands encouraging high work engagement. Although we did not find the proposed three-way interactions, the present findings support the idea that high PSC is a fundamental contextual factor conducive to workers' health and well-being, especially in perceiving and obtaining emotional resources.

社会心理安全氛围(PSC)是指与员工对组织保护员工社会心理安全和福祉的政策、程序和做法的看法有关的企业氛围。本研究基于 "需求诱发应激补偿(DISC)模型",提出相同的工作需求和资源之间的相互作用将受到心理安全氛围的制约。尤其是,高水平的 PSC 会使员工在处理相应的工作需求时,以最佳方式感知并利用更多的工作资源。我们对来自不同职业领域的 406 名中国员工进行了研究。分层回归分析的结果表明,PSC a) 缓解了情绪资源与工作耗竭之间的负相关;b) 增强了情绪资源与工作投入之间的正相关;c) 缓解了情绪需求与工作投入之间的负相关。我们还发现,PSC 是低认知资源和需求的一个补偿因素,可鼓励高工作投入度。虽然我们没有发现所提出的三方相互作用,但本研究结果支持了这样一种观点,即高PSC是有利于工人健康和幸福的基本环境因素,尤其是在感知和获取情感资源方面。
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引用次数: 0
Mesothelioma carcinogenesis of chrysotile and forsterite compared and validated by intraperitoneal injection in rat. 通过大鼠腹腔注射比较和验证温石棉和绿柱石的间皮瘤致癌性。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-17 DOI: 10.2486/indhealth.2024-0025
Ayako Takata, Hiroshi Yamauchi, Kiyotsugu Yamashita, Masahito Aminaka, Toshiaki Hitomi, Tadao Toya, Norihiko Kohyama

Asbestos, especially chrysotile, continues to be exposed to humans globally. Hence, it should be disposed properly to prevent asbestos-related diseases, including mesothelioma and lung cancer. This study aimed to verify whether forsterite, a heating product of chrysotile, can cause carcinogenicity, particularly mesothelioma. Forsterite (FO-1000) and enstatite (EN-1500) produced by heating chrysotile at 1000°C and 1500°C, respectively, were subjected. We injected 10 mg of chrysotile, FO-1000, or EN-1500 in rats intraperitoneally and observed the development of peritoneal mesothelioma until 24 months. The incidence of peritoneal mesothelioma in the chrysotile group was 91.2%, whereas in the FO-1000 and EN-1500 groups, peritoneal mesothelioma did not develop. Urinary 8-hydroxy-2'-deoxyguanosine and serum N-ERC/mesothelin concentrations significantly increased in the chrysotile group that developed peritoneal mesothelioma, while they only temporarily changed in the FO-1000 or EN-1500 groups during early treatment. Furthermore, there was a significant homozygous deletion of the CDKN2A/p16 gene in the chrysotile group compared to the control group, in contrast to no significant difference in the FO-1000 and EN-1500 groups. Therefore, this study provides clear evidence that forsterite is a nonmesothelioma carcinogen and suggests that forsterite and enstatite are sufficient substances for chrysotile detoxification.

在全球范围内,人类仍在接触石棉,尤其是温石棉。因此,应妥善处理石棉,以预防与石棉有关的疾病,包括间皮瘤和肺癌。本研究旨在验证温石棉的加热产物绿柱石是否会致癌,尤其是间皮瘤。研究对象是分别在 1000°C 和 1500°C 高温下加热温石棉产生的绿柱石(FO-1000)和恩斯特石(EN-1500)。我们给大鼠腹腔注射 10 毫克温石棉、FO-1000 或 EN-1500,观察腹膜间皮瘤的发展情况,直至 24 个月。温石棉组腹膜间皮瘤的发病率为 91.2%,而 FO-1000 和 EN-1500 组则没有发生腹膜间皮瘤。在发生腹膜间皮瘤的温石棉组中,尿液中的 8-羟基-2'-脱氧鸟苷和血清中的 N-ERC/间皮素浓度显著升高,而 FO-1000 组和 EN-1500 组在早期治疗期间仅有暂时的变化。此外,与对照组相比,温石棉组的 CDKN2A/p16 基因有明显的同源染色体缺失,而 FO-1000 组和 EN-1500 组则无明显差异。因此,这项研究提供了明确的证据,证明绿柱石是一种非黑皮瘤致癌物质,并表明绿柱石和恩斯特石是温石棉解毒的充分物质。
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引用次数: 0
A longitudinal study of the influence of work characteristics, work-family status, and social activities on problem drinking: the Japanese civil servants study. 工作特征、工作-家庭状况和社会活动对问题饮酒影响的纵向研究:日本公务员研究。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-15 DOI: 10.2486/indhealth.2023-0190
Takashi Shigeno, Takashi Tatsuse, Michikazu Sekine, Masaaki Yamada

Problem drinking causes a decline in labor productivity among working population. This study examined whether work characteristics, work-family status, and social activities are associated with future problem drinking behavior among Japanese civil servants. A total of 1,535 participants (men: 63.1%, women: 36.9%) with no problem drinking behavior were followed up from 2014 to 2019. A multivariable logistic regression analysis was performed to examine the factors associated with future problem drinking behavior. During the five-year follow-up period, the cumulative incidence of problem drinking was 9.6% and 5.8% in men and women, respectively. In both men and women, frequent drinking around three times a week or more and alcohol consumption of two units or more at baseline were associated with future problem drinking. In men, compared with low-grade employees, high-grade employees were less likely to become problem drinkers (OR: 0.56, 95% CI: 0.33-0.95). Shift workers were significantly associated with the incidence of problem drinking (OR: 2.96, 95% CI: 1.46-6.00). In women, poor own work performance was significantly associated with problem drinking (OR: 5.30, 95% CI: 1.57-17.86). In conclusion, disadvantaged work characteristics are associated with the development of problem drinking. To prevent problem drinking, attention should be paid to poor work characteristics.

问题饮酒会导致工作人口劳动生产率的下降。本研究探讨了日本公务员的工作特征、工作-家庭状况和社会活动是否与未来的问题饮酒行为有关。从 2014 年到 2019 年,共对 1535 名无问题饮酒行为的参与者(男性:63.1%,女性:36.9%)进行了跟踪调查。研究人员进行了多变量逻辑回归分析,以探讨与未来问题饮酒行为相关的因素。在五年的随访期间,男性和女性的问题饮酒累计发生率分别为 9.6% 和 5.8%。在男性和女性中,每周饮酒三次或三次以上以及基线饮酒量为两个单位或两个单位以上的频繁饮酒行为与未来的问题饮酒行为有关。在男性中,与低级员工相比,高级员工成为问题饮酒者的可能性较低(OR:0.56,95% CI:0.33-0.95)。轮班工作者与问题饮酒的发生率明显相关(OR:2.96,95% CI:1.46-6.00)。在女性中,自身工作表现不佳与问题性饮酒有显著相关性(OR:5.30,95% CI:1.57-17.86)。总之,不利的工作特征与问题饮酒的发生有关。为预防问题饮酒,应关注不良工作特征。
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引用次数: 0
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