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Association between work stress and sleep disturbances: the mediating role of pre-sleep arousal symptoms. 工作压力与睡眠障碍之间的关系:睡眠前唤醒症状的中介作用。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-17 DOI: 10.2486/indhealth.2024-0158
Jeehee Min, Hoje Ryu, Seong-Sik Cho, Mo-Yeol Kang

This study investigated the association between work stress and sleep disturbance among Korean workers, focusing on the mediating effects of somatic and cognitive pre-sleep arousal symptoms. Data were derived from the "Korean Work, Sleep, and Health Study (KWSHS)", involving 4,393 participants. Work stress was assessed using the Korean Occupational Stress Scale, and sleep disturbances were measured using the Insomnia Severity Index and Pittsburgh Sleep Quality Index. The Pre-Sleep Arousal Scale was utilized for assessing pre-sleep arousal status. For statistical analyses, the chi-square test, logistic regression analysis, and mediation analysis were used. Mediation analysis revealed that somatic pre-sleep arousal predominantly mediated the relationship between hazardous physical environments and insomnia symptoms (52.5%), while cognitive pre-sleep arousal was the primary mediator for high job demands (48.0%), organizational injustice (48.6%), and job insecurity (46.6%). These findings suggest that somatic and cognitive pre-sleep arousal serve distinct mediating roles in the relationship between specific types of work stress and sleep disturbances.

本研究调查了韩国工人的工作压力与睡眠障碍之间的关系,重点关注体细胞和认知睡眠前唤醒症状的中介作用。数据来自“韩国工作、睡眠和健康研究(KWSHS)”,涉及4393名参与者。使用韩国职业压力量表评估工作压力,使用失眠严重程度指数和匹兹堡睡眠质量指数测量睡眠障碍。使用睡眠前唤醒量表评估睡眠前唤醒状态。统计学分析采用χ2检验、logistic回归分析和中介分析。中介分析显示,躯体性睡眠前唤醒在危险物理环境与失眠症状的关系中起主导作用(52.5%),而认知性睡眠前唤醒在高工作要求(48.0%)、组织不公正(48.6%)和工作不安全感(46.6%)之间起主要中介作用。这些发现表明,在特定类型的工作压力和睡眠障碍之间的关系中,身体和认知的睡眠前唤醒起着不同的中介作用。
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引用次数: 0
Supporting the well-being of nurses, paramedics, and firefighters during external crises by managing workload: an umbrella review. 通过管理工作量,在外部危机期间支持护士、护理人员和消防员的福祉:总括性审查。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-14 DOI: 10.2486/indhealth.2024-0211
Kati Karhula, Janne Halonen, Satu Mänttäri, Anne Punakallio, Sampsa Puttonen, Maria Sihvola, Pihla Säynäjäkangas, Mikael Sallinen

Support is needed for the well-being of nurses and first responders in external crises. We aimed to synthesize the evidence between workload management strategies and well-being of nurses, paramedics, and firefighters during external crises in an umbrella review. The data sources OVID Medline, APA PsycInfo, CINAHL, Web of Science and the Cochrane Library were searched between 1.1.2013-20.6.2023. Two independent reviewers assessed the eligibility of the publications and conducted the data extraction and narrative synthesis. The search identified 1,073 references on nurses and 182 on paramedics and firefighters. Of the 62 full texts, 16 systematic reviews on nurses were included, and of the 13 full texts on paramedics and firefighters, two systematic reviews were included, making a total of 18 systematic reviews. The quality of the publications was predominantly good (83%). Both employee and work-directed strategies were beneficial in supporting employee well-being during external crises. Proactive practical skills training and psychological interventions were found as the most promising employee-directed strategies. The corresponding work-directed strategies were effective communication, providing useful information and adequate working conditions, supportive leadership, and peer support. To support well-being of nurses and first responders during external crises, workload management strategies need to be proactively planned in workplaces.

在外部危机中,护士和急救人员的福祉需要得到支持。我们旨在综合外部危机期间工作量管理策略与护士、护理人员和消防员福祉之间的证据。检索OVID Medline、APA PsycInfo、CINAHL、Web of Science和Cochrane Library,检索时间为1.1.2013-20.6.2023。两名独立审稿人评估了出版物的合格性,并进行了数据提取和叙述综合。搜索发现了1073条关于护士的信息,182条关于护理人员和消防员的信息。在62篇全文中,包括16篇关于护士的系统评价,在13篇关于护理人员和消防员的全文中,包括2篇系统评价,总共有18篇系统评价。出版物的质量以良好为主(83%)。在外部危机期间,员工和工作导向策略都有利于支持员工的幸福感。积极主动的实践技能培训和心理干预是最有前途的员工导向策略。相应的以工作为导向的策略是有效的沟通,提供有用的信息和适当的工作条件,支持性领导和同伴支持。为了在外部危机期间支持护士和急救人员的福祉,需要在工作场所积极规划工作量管理战略。
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引用次数: 0
Characteristics of mental disorders among education and learning-support workers in 119 compensated cases in Japan. 日本119例教育和学习支持工作者的精神障碍特征
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-10 DOI: 10.2486/indhealth.2024-0101
Yuki Takahashi, Toru Yoshikawa, Kenji Yamamoto, Masaya Takahashi

This study aimed to investigate the circumstances, characteristics, and background factors of mental disorders within the education and learning-support services, which is known for the frequent occurrence of mental disorders from overwork and poor psychosocial work environment. The study analyzed 119 cases of mental disorders and suicides in the education and learning-support services from fiscal years 2010 to 2019 on the database constructed by the Japan Research Center for Overwork-Related Disorders. The results exhibit that of 119 cases, 56 cases (47.1%) involved male employees while 63 cases (52.9%) involved female employees. From fiscal years 2010 to 2019, there were 43 cases of psychological stress related to work among males and 55 among females. The issue of "interpersonal relationship" was significantly higher in the education and learning-support services than in other industrial workers. Within the category of "interpersonal relationship" the specific issue of being "(severely) harassed, bullied, or assaulted" was especially prevalent (10 cases for males and 15 cases for females). Moreover, male employees reported many instances of suicide attempts, and their first attempt tended to lead to a completed suicide. Therefore, it is important to promote measures against harassment, bullying, and suicide in education and learning-support services.

摘要本研究旨在探讨教育及学习支援服务机构中,因过度工作及社会心理环境差而导致精神障碍的情况、特点及背景因素。该研究利用日本工作过度障碍研究中心建立的数据库,分析了2010 - 2019财年教育和学习支持服务部门的119例精神障碍和自杀案例。结果显示,119例中男性员工56例(47.1%),女性员工63例(52.9%)。从2010财年到2019财年,男性有43例与工作有关的心理压力,女性有55例。在教育和学习支持服务中,“人际关系”问题明显高于其他产业工人。在“人际关系”类别中,被“(严重)骚扰、欺凌或殴打”的具体问题尤其普遍(男性10例,女性15例)。此外,男性员工报告了许多自杀未遂的案例,他们的第一次尝试往往导致最终自杀。因此,在教育和学习支持服务中促进防止骚扰、欺凌和自杀的措施非常重要。
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引用次数: 0
Associations of employment status, working time and job satisfaction with sleep duration and sleep quality among the 50+ population in Japan. 日本 50 岁以上人群的就业状况、工作时间和工作满意度与睡眠时间和睡眠质量的关系。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-14 DOI: 10.2486/indhealth.2024-0131
Jacques Wels, Rong Fu

Few studies have addressed the relationship between sleep and employment in Japan. We use four waves of the Japan Study of Aging and Retirement (JSTAR) to address the relationship between weekday sleep duration, self-reported sleep quality and four self-reported indicators of sleep quality and employment status (model 1, full sample), working hours and job satisfaction (model 2, working sample) among individuals aged 50 and over (N=7,082). We apply mixed effects models for the linear outcome of sleep duration and cumulative link mixed models for the sleep quality variables, controlling for socio-demographic and health characteristics. In model 1, our findings show that, compared to full-time employees, all categories of workers and non-workers report longer sleep hours. Some sub-groups, such as contract workers, report higher odds of waking up at night or in the early morning, and taking a longer time to fall asleep. In model 2, we find a positive association between working time and sleep hours but including job satisfaction in the model absorbs such a relationship, indicating the job satisfaction somehow reflects working time. Poor job satisfaction is linked to higher odds of experiencing difficulties in four of the five sleep quality measures.

在日本,很少有研究涉及睡眠和就业之间的关系。我们使用日本老龄化与退休研究(JSTAR)的四个波来解决50岁及以上个体(N=7,082)的工作日睡眠时间,自我报告的睡眠质量和四个自我报告的睡眠质量与就业状况(模型1,全样本),工作时间和工作满意度(模型2,工作样本)之间的关系。我们对睡眠持续时间的线性结果应用混合效应模型,对睡眠质量变量应用累积联系混合模型,控制社会人口统计学和健康特征。在模型1中,我们的研究结果表明,与全职员工相比,所有类别的工人和非工人都报告睡眠时间更长。一些细分群体,如合同工,报告称更有可能在晚上或清晨醒来,并且需要更长的时间才能入睡。在模型2中,我们发现工作时间和睡眠时间之间存在正相关关系,但在模型中加入工作满意度吸收了这种关系,说明工作满意度在某种程度上反映了工作时间。工作满意度低与五项睡眠质量指标中四项出现问题的几率较高有关。
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引用次数: 0
Paradox of long working hours: how income levels and satisfaction modify health outcomes. 长时间工作的悖论:收入水平和满意度如何改变健康结果。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-04 DOI: 10.2486/indhealth.2024-0171
Jeehee Min, Min-Seok Kim, Dong-Wook Lee, Seong-Sik Cho, Mo-Yeol Kang

This study investigates how household income levels and satisfaction with income impact the relationship between long working hours and self-rated health (SRH) among Korean workers. We analysed data from the Korean Labour & Income Panel Study spanning 2018 to 2022, including 8,954 to 10,079 wage workers annually. Weekly working hours and SRH were the primary variables, with equivalized household income levels classified into quartiles. A generalised estimating equation was used to assess the relationship between long working hours and poor SRH, adjusted for demographic and health-related factors. Subgroup analyses were conducted based on household income level and satisfaction. Long working hours were generally associated with poor SRH (OR 1.30, 95% CI 1.10-1.54) in unadjusted model, particularly among higher-income groups (OR 1.46, 95% CI 1.05-2.01 for Q4) after adjustment for covariates. However, no significant association was found for lower-income groups. When stratified by income satisfaction, longer working hours were significantly associated with poor SRH only in income-satisfied individuals among higher-income group. The health effects of long working hours may differ according to household income levels and satisfaction. Policy interventions should consider both work hour reductions and income adequacy to improve worker health.

本研究探讨家庭收入水平与收入满意度如何影响韩国工人长时间工作与自评健康(SRH)之间的关系。我们分析了2018年至2022年韩国劳动和收入小组研究的数据,其中包括每年8,954至10,079名工薪阶层。每周工作时间和SRH是主要变量,同等家庭收入水平分为四分位数。使用一个广义估计方程来评估长工作时间与低性健康和生殖健康之间的关系,并根据人口统计学和健康相关因素进行了调整。根据家庭收入水平和满意度进行亚组分析。在未调整的模型中,长时间工作通常与较差的SRH相关(OR 1.30, 95% CI 1.10-1.54),特别是在调整协变量后的高收入群体中(OR 1.46, 95% CI 1.05-2.01)。然而,在低收入群体中没有发现显著的关联。当按收入满意度分层时,较长的工作时间仅在高收入群体中收入满意的个体中与较差的SRH显著相关。长时间工作对健康的影响可能因家庭收入水平和满意度而异。政策干预应考虑减少工作时间和收入是否充足,以改善工人健康。
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引用次数: 0
High serum perfluorooctanoic acid (PFOA) concentrations and interstitial lung disease in former and current workers in a fluorochemical company. 某氟化工公司职工血清全氟辛酸(PFOA)高浓度与间质性肺疾病
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-04-22 DOI: 10.2486/indhealth.2025-0009
Kunio Kanetani, Kenji Nakamura, Kouji H Harada, Hideaki Akihisa, Tamiki Oshima, Hiromi Ogata, Akio Koizumi

In 2002, Daikin Industries' Yodogawa Plant (DIYP) in Settsu City in Japan had contaminated drinking water in Hanshin area with (PFOA), leading to the complete cessation of PFOA production in 2012. In 2023, local residents conducted a voluntary Blood Monitoring Campaign with 1,182 general residents. Blood monitoring was also conducted for former or current workers from DIYP and farming residents in Settsu City. Serum PFOA concentrations determined by gas chromatography with mass spectrometry [number: ng/ml: median (25th-75th percentile)] were as follows: former and current workers [N=7: 192.6 (23.3-596.6)] >farming residents [N=5: 70.2 (50.4-98.8)] >general residents [N=1182: 5.0 (3.3-7.0)] with significant differences (Kruskal-Wallis test, p<0.001). In a study, 4 out of 5 farming residents showed a serum PFOA decline (half-life: 2.2 yr, 95% CI: 1.4-4.6) after stopping local agricultural product consumption. However, 3 former workers exhibited no decrease over 0.8-0.9 yr. An investigation found that 5 of the 7 subjects were likely exposed to dust from the polymerization of tetrafluoroethylene or handling its particulate matters, with 3 showing Interstitial Lung Disease (ILD) signs. This suggests PFOA-laden dust may delay excretion and contribute to ILD, though the mechanistic link remains unclear, requiring further research.

2002年,日本濑津市大金工业的代道川工厂(DIYP)用全氟辛酸(PFOA)污染了阪神地区的饮用水,导致2012年完全停止了全氟辛酸的生产。2023年,当地居民对1182名普通居民进行了自愿血液监测运动。还对DIYP的前任或现任工人和setsu市的农业居民进行了血液监测。气相色谱-质谱法测定的血清PFOA浓度[数值:ng/mL:中位数(25 -75个百分点)]分别为:以前和现在的工人[N=7: 192.6(23.3-596.6)];农业居民[N=5: 70.2(50.4-98.8)];普通居民[N=1 182: 5.0(3.3-7.0)],差异有统计学意义(Kruskal-Wallis检验,p
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引用次数: 0
Exploring the dynamics of safety culture: analyzing attitudes, practices, and perceptions among chemical laboratory employees in Sri Lanka. 探索安全文化的动态:分析斯里兰卡化学实验室员工的态度、做法和看法。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-04-30 DOI: 10.2486/indhealth.2024-0187
P L Sanduni Wasana, S D N A M Amila Madhushanka Weerasinghe, Seung-Cheol Hong

This study explores the safety culture among chemical laboratory workers in Sri Lanka's academic, industrial, and government sectors, examining how attitudes, practices, and perceptions influence safety practices, mitigate risks, and promote worker well-being. A cross-sectional survey of 267 laboratory workers was conducted between March 14 and July 14, 2024, using the Laboratory Safety Culture Survey. Data analysis involved t-tests, ANOVA, Tukey's post hoc tests, and chi-square tests to evaluate differences in safety culture components and participant characteristics. The findings revealed significant variations in safety attitudes and practices across the three sectors. Industrial laboratories exhibited stronger safety practices, including higher compliance with personal protective equipment (PPE) protocols, while academic and government sectors faced challenges due to limited resources and inconsistent safety practices. The study highlighted the need for sector-specific safety training, effective risk communication, and enhanced adherence to safety protocols, particularly in academic and government settings. Additionally, the importance of leadership in fostering a strong safety culture was emphasized, with active involvement from principal investigators and supervisors contributing to better safety outcomes. The results suggest that tailored interventions, adequate resource allocation, and increased leadership engagement are crucial for improving safety practices and sustaining a culture of safety across laboratories.

本研究探讨了斯里兰卡学术、工业和政府部门化学实验室工作人员的安全文化,研究了态度、实践和观念如何影响安全实践、减轻风险和促进工人福祉。在2024年3月14日至7月14日期间,使用实验室安全文化调查对267名实验室工作人员进行了横断面调查。数据分析包括t检验、方差分析、Tukey事后检验和卡方检验,以评估安全文化成分和参与者特征的差异。调查结果显示,三个部门在安全态度和做法上存在显著差异。工业实验室表现出更强的安全实践,包括更高程度地遵守个人防护装备(PPE)协议,而学术和政府部门由于资源有限和安全实践不一致而面临挑战。该研究强调了针对特定部门的安全培训、有效的风险沟通以及加强对安全协议的遵守的必要性,特别是在学术和政府环境中。此外,还强调了领导在培养强大的安全文化方面的重要性,主要研究人员和主管的积极参与有助于更好的安全结果。结果表明,量身定制的干预措施、充足的资源分配和加强领导参与对于改善安全实践和维持实验室的安全文化至关重要。
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引用次数: 0
The cost of collectivism: the role of workaholism and exploitation in the psychosocial mechanisms of overwork. 集体主义的代价:工作狂和剥削在过度工作的心理社会机制中的作用。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-05 DOI: 10.2486/indhealth.2024-0193
Ryunosuke Takagi, Anna Dalla Rosa, Sophie Gerdel, Junko Araki, Atsuko Kanai, Michelangelo Vianello

Over 10,000 Japanese people are estimated to die annually from overwork. Yet, the reasons why some employees in certain cultures persist in exploitative work environments remain unclear. This study investigates psychosocial factors that prevent exploited employees from leaving their organisations, with a specific emphasis on the role of collectivism. We hypothesise that perceptions of an overwork climate and elevated levels of workaholism contribute to employees' feelings of exploitation, subsequently increasing turnover intentions. Additionally, we predict that collectivism exacerbates the effect of overwork climate on workaholism and weakens employees' intentions to leave their exploitative work environment. Data from 147 Japanese employees were collected via online surveys using snowball sampling. Factor score path analysis and mediation tests (5,000 bootstrap samples) were employed to test our hypotheses. Results suggested that feelings of exploitation are positively linked to turnover intentions, which are driven by the perception of an overwork climate and employees' compulsive orientation towards work. Importantly, collectivism weakened the link between perceived exploitation and turnover intentions. This study provides an account of the complex interplay between organisational climate, culture, and the impact of feeling exploited on employees' intentions to quit, highlighting the potential adverse effects of collectivism on employees.

据估计,每年有超过1万名日本人死于过度劳累。然而,在某些文化中,一些员工坚持从事剥削性工作环境的原因尚不清楚。本研究调查了防止被剥削员工离开组织的社会心理因素,特别强调了集体主义的作用。我们假设,过度工作的氛围和高水平的工作狂会导致员工产生被剥削的感觉,从而增加离职意愿。此外,我们预测集体主义加剧了过度工作氛围对工作狂的影响,并削弱了员工离开剥削性工作环境的意愿。通过滚雪球抽样的在线调查收集了147名日本员工的数据。采用因子得分路径分析和中介检验(5000个bootstrap样本)来检验我们的假设。结果表明,被剥削的感觉与离职意向呈正相关,而离职意向是由过度工作氛围的感知和员工对工作的强迫性取向驱动的。重要的是,集体主义削弱了感知剥削和离职意图之间的联系。本研究提供了一个复杂的相互作用之间的组织气候,文化,和感觉剥削对员工辞职的意图的影响,突出集体主义对员工的潜在不利影响的帐户。
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引用次数: 0
The association between workplace telework guidance, self-management behaviors, and health outcomes among teleworkers: a cross-sectional study in collaboration with labor union. 工作场所远程工作指导、自我管理行为与远程工作者健康结果的关系:一项与工会合作的横断面研究。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-16 DOI: 10.2486/indhealth.2025-0012
Junko Tanaka, Takashi Shimazaki, Takashi Yamauchi, Yumiko Shimizu, Junko Shimasawa, Machi Suka

This study examined the associations between workplace telework guidance, self-management behaviors, and health outcomes-specifically ocular and musculoskeletal symptoms and subjective health perception-among Japanese teleworkers in the post-COVID-19 era. A web-based cross-sectional survey was conducted between October and November 2023, targeting full-time employees in Japan who began teleworking after January 2020. Participants were recruited in collaboration with the Tokyo Federation of the Japan Trade Union Confederation (RENGO Tokyo), a major labor organization representing a wide range of industries. Health status was assessed based on the presence of ocular and musculoskeletal symptoms and subjective health perception, measured using an item from the Comprehensive Survey of Living Conditions by Japan's Ministry of Health, Labour and Welfare. Among 1,666 valid responses, 48.1% of participants reported receiving telework-related guidance from their workplaces. Those who received guidance were more likely to engage in self-management behaviors, such as taking adequate breaks and obtaining sufficient sleep, which were significantly associated with better health outcomes. These findings underscore the importance of workplace guidance in promoting self-management practices and reducing health risks in telework environments, highlighting the necessity of implementing evidence-based occupational health strategies.

本研究调查了后covid -19时代日本远程工作者的工作场所远程工作指导、自我管理行为和健康结果(特别是眼部和肌肉骨骼症状以及主观健康感知)之间的关系。一项基于网络的横断面调查于2023年10月至11月进行,调查对象是2020年1月以后开始远程办公的日本全职员工。与会者是与代表各行各业的主要劳工组织日本工会联合会东京联合会(东京联总)合作征聘的。健康状况的评估基于眼部和肌肉骨骼症状的存在以及主观健康感知,使用日本厚生劳动省《生活条件综合调查》中的一个项目进行测量。在1666份有效回复中,48.1%的参与者表示从他们的工作场所接受了远程工作指导。那些接受指导的人更有可能从事自我管理行为,比如充分休息和获得充足的睡眠,这些都与更好的健康结果显著相关。这些调查结果强调了工作场所指导在促进自我管理做法和减少远程工作环境中的健康风险方面的重要性,强调了实施循证职业健康战略的必要性。
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引用次数: 0
Fractures from same-level falls among workers in the transportation sector: a retrospective analysis of the national open database of occupational injuries in Japan. 交通运输业工人同一水平跌落造成的骨折:对日本国家职业伤害公开数据库的回顾性分析。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-15 DOI: 10.2486/indhealth.2025-0099
Basilua Andre Muzembo, Chisato Hayashi, Tadashi Okano, Hiromitsu Toyoda

We investigated the occurrence of fractures caused by same-level falls resulting from occupational accidents in the transportation sector, utilizing data on occupational deaths and injuries (2012-2016) collected by Japan's Ministry of Health, Labour and Welfare. We analyzed injury cases requiring four or more days of work absence, focusing on same-level falls. Multiple logistic regression was performed to assess differences in fracture occurrence across occupations. Fractures occurred in 27.8% of workers in the hired taxi business, 23.0% in general cargo transportation, 21.9% in other road freight forwarding businesses, 18.3% in the railroad and orbital sector, 16.5% in the bus line industry, and 7.5% in the airline industry. After adjusting for covariates, hired taxi businesses showed a 1.76-fold higher fracture occurrence (95% confidence interval [CI]: 1.04-2.95) compared to the railroad and orbital sector, and 1.4-fold higher occurrence (CI: 1.08-1.85) compared to general cargo transportation. Over 60% of falls in taxi and bus lines involved temporary structures. Taxi drivers experience a high occurrence of fractures, following same-level falls, indicating a significant occupational hazard. This study emphasizes targeted interventions, including measures to prevent falls and lifestyle modifications to mitigate fracture susceptibility, to improve worker safety.

我们利用日本厚生劳动省收集的2012-2016年职业死亡和伤害数据,调查了交通运输部门职业事故导致的相同水平跌倒导致的骨折发生率。我们分析了需要四天或四天以上缺勤的受伤案例,重点是相同水平的跌倒。采用多元逻辑回归来评估不同职业间骨折发生率的差异。在出租汽车行业中,27.8%的工人出现了骨折,在一般货物运输行业中,23.0%的工人出现了骨折,在其他道路货运代理行业中,21.9%的工人出现了骨折,在铁路和轨道运输行业中,18.3%的工人出现了骨折,在公交行业中,16.5%的工人出现了骨折,在航空行业中,7.5%的工人出现了骨折。在调整协变量后,出租汽车行业的骨折发生率比铁路和轨道运输业高1.76倍(95%置信区间[CI]: 1.04-2.95),比普通货物运输业高1.4倍(CI: 1.08-1.85)。超过60%的出租车和公交线路的坠落与临时建筑有关。出租车司机在同一高度跌倒后骨折的发生率很高,这表明这是一项重大的职业危害。本研究强调有针对性的干预措施,包括预防跌倒和改变生活方式以降低骨折易感性,以提高工人的安全性。
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