Journal of Occupational and Environmental Medicine最新文献

Objective: This work aimed to study whether being aware of the existence of worksite health promotion (WHP), using it, or both are related to employees' task and contextual performance.

Methods: Multilevel cross-sectional data came from the European Sustainable Workforce Survey, with data from more than 11,000 employees in 259 organizations. Generalized structural equation modeling was used to examine two types of WHP: healthy menus and sports facilities.

Results: Awareness of healthy menus and sports facilities was positively associated with task and contextual performance. Healthy menus use was related to both higher task and contextual performance, whereas sports facilities use was only associated with contextual performance. The relation of WHP use was stronger for contextual than for task performance.

Conclusions: Organizations should ensure that employees are aware of the availability of WHP as well as stimulate employees to make use of it.

Objective: This study describes firefighters' on-scene decontamination procedure use post-working fire and frequency of adherence to best practice.

Methods: This retrospective analysis of working fires was conducted using records from the ESO Data Collaborative (Austin, TX) national research database from January 1, 2021, to December 31, 2021. Documentation of decontamination procedures was examined among records with smoke or combustion products exposure. Firefighter and incident characteristics were evaluated. Descriptive statistics and univariable odds ratios were calculated.

Results: Among the 31,281 firefighters included in the study, 8.0% documented a fire-related exposure. Of those, 82% performed at least one on-scene decontamination procedure; 5% documented all decontamination procedures defined as best practices. The odds of documenting any decontamination procedure were significantly decreased among firefighters responding to incidents in rural areas compared with urban areas (odds ratio, 0.70).

Conclusions: Fire personnel may not be taking all necessary decontamination steps post-working fires.

Objective: The aim of this study was to examine the influence of work-related behavior and experience patterns on sleep quality in emergency medical service personnel.

Methods: From the total sample of 508 emergency medical service workers who took part in the Germany-wide online survey, 368 respondents completed the questionnaires on sleep characteristics (Pittsburgh Sleep Quality Index [PSQI]) and work-related behavior and experience pattern. Three hundred sixty-seven of the 368 participants also finished the Regensburg Insomnia Scale.

Results: Based on their work-related behavior and experience pattern results, individuals were categorized into one of the four following patterns: two risk patterns (A, B) and two healthy behavior and experience patterns (G, S). Participants that were classified into risk-pattern A and B (33.85%) scored significantly higher in both PSQI and Regensburg Insomnia Scale overall score and all PSQI components implicating a poorer sleep quality. A total of 78.5% of the individuals with pattern A and B were considered bad sleepers whereas only 43.4% of individuals with pattern G and S were scored as bad sleepers.

Conclusions: Work-related behavior and experience patterns showed a strong association to sleep characteristics and may therefore be used to identify appropriate preventative measures.

Objective: This article focuses on the perceived effects of home-based telework during the COVID-19 pandemic with respect to five outcomes (job satisfaction, burnout, work-family conflicts, technostress, and social isolation) and how these are affected by workplace arrangements and telework experience.

Methods: Cross-sectional survey data from employees in the IT, finance, and insurance sector collected during the COVID-19 crisis ( N = 808) were used for the study.

Results: Outcomes are most negatively affected by feelings of surveillance and most positively affected by suitably equipped offices. Organizational teleworker support is most strongly related to job satisfaction. Experienced teleworkers report better outcomes, because of improved support, less perceived surveillance, and better equipped home stations.

Conclusions: Adaptation of management strategies avoiding surveillance and suitable setups of home offices to reconcile work and private spheres are key to well-being of teleworkers.

Objective: The aim of the study is to describe sociodemographic characteristics, healthcare access, and health status of low-income essential, nonessential, and nonworkers during the COVID-19 pandemic.

Methods: Using survey data (2020-2021) from Wisconsin Medicaid enrollees ( N = 2528), we compared sociodemographics, healthcare access, and health status between essential, nonessential, and nonworkers.

Results: Essential workers had less consistent health insurance coverage and more problems paying medical bills than nonessential and nonworkers. They reported better health than nonessential and nonworkers. They reported fewer work-limiting conditions and less outpatient healthcare utilization than nonworkers but similar rates as nonessential workers. Essential workers reported masking less frequently than nonworkers but similar frequency to nonessential workers, and lower COVID-19 vaccine willingness than nonessential and nonworkers.

Conclusions: Essential workers report better health, fewer protective behaviors, and more healthcare barriers than nonessential and nonworkers. Findings indicate essential worker status may be a social determinant of health.

Objective: Workers in industries with high rates of opioid dispensing as well as those with high rates of non-fatal work-related injuries are at greater risk for opioid misuse, which can lead to addiction, overdose, or death.

Methods: Using secondary cross-sectional data collected from 856 healthcare workers, this pilot study examines a conceptual model for workers' intentions to seek out prescription opioids and intentions to use opioids at higher doses over longer periods.

Results: Results showed significant protective effects of beliefs, injunctive and subjective norms, and behavioral control on intentions to seek out opioids. On intentions to use higher doses over a longer time, knowledge, beliefs, behavioral control, patient-provider communication, workplace safety, and workplace autonomy had significant protective effects.

Conclusions: Findings from this study could be used to inform future multilevel interventions to prevent opioid misuse among employee populations.

Objective: The aim of the study is to evaluate the feasibility of a workplace intervention supporting employees to interrupt sitting time with short bouts of activity (termed an opportunity to move [OTM]).

Methods: Using an interrupted time series design, 58 sedentary employees provided baseline assessments of physical activity, health, and work-related outcomes and completed the 12-week intervention. Assessments were repeated immediately and 12 weeks after intervention. Focus groups explored intervention acceptability.

Results: Accelerometer data showed no change in the number of OTMs taken before to after intervention, while participants self-reported 62-69% intervention adherence. Physical activity at work, productivity, and musculoskeletal health improved but cardiometabolic health and psychological well-being did not. Intervention components were viewed favorably (pending amendments), but taking an OTM every 30 minutes was not feasible.

Conclusions: The Move More @ Work intervention has potential, but adaptations are required to increase adherence.

Objective: This cross-sectional study aimed to assess the interrelationship between leisure-time physical activity (LTPA), occupational stress, and cardiovascular disease (CVD) risk factors in law enforcement officers (LEOs).

Methods: A total of 229 LEOs completed a survey assessing their LTPA level, occupational stress, and CVD risk factors.

Results: After adjusting for age and sex, physically inactive LEOs are more likely to have one or more CVD risk factors. While high occupational stress was associated with greater odds of CVD risk factors in physically inactive LEOs, stress was not significantly associated with the prevalence of CVD risk factors in active LEOs.

Conclusions: Our results suggest that occupational stress is associated with the prevalence of CVD risk factors in LEOs. Nevertheless, LTPA might have the potential to mitigate the impact of occupational stress on CVD risk factors.

Objective: The aim of the study was to evaluate the effectiveness of interventions to improve sleep, reduce fatigue, and advance the well-being of team truck drivers.

Methods: In a randomized controlled trial ( k = 24 teams; N = 49 drivers; 61.3% of planned sample), intervention teams were exposed to baseline (3-4 weeks), cab enhancements (active suspension seat, therapeutic mattress; 3-4 weeks), and cab enhancements plus a behavioral sleep-health program (1-2 months). Control teams worked as usual during the same period.

Results: Trends in sleep-related outcomes favored the intervention. Large and statistically significant intervention effects were observed for objectively measured physical activity (a behavioral program target). The discussion of results addresses effect sizes, statistical power, intervention exposure, and work organization.

Conclusions: Trends, effect sizes, and significant findings in this rare trial provide valuable guidance for future efforts to improve working conditions and outcomes for team drivers.