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Frailty and occupational falls among older Japanese workers: An Internet-based cross-sectional study 日本老年工作者的身体虚弱和职业跌落:一项基于互联网的横断面研究
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-15 DOI: 10.1002/1348-9585.12424
Ryutaro Matsugaki, Hideaki Matsuzaki, Satoru Saeki, Yoshihisa Fujino, Shinya Matsuda

Objectives

Occupational falls are a major problem for older workers, especially those in the tertiary industry. Recently, it has been suggested that frailty is associated with occupational falls, but it is unclear whether this holds true for older workers in the tertiary industry. This study examined the relationship between frailty and occupational falls among older workers in the tertiary industry.

Methods

This was an Internet-based cross-sectional study. We recruited 5000 older workers (age, 60–75 years) employed in the tertiary industry who were registered with an Internet research company. Frailty was assessed using the Frailty Screening Index's five items, and participants were classified into robust, pre-frailty, or frailty groups. Occupational falls were defined as falls experienced in the past 12 months while at work. The relationship between frailty and occupational falls was analyzed by logistic regression analysis.

Results

It was found that 6.1% of participants had experienced at least one occupational fall in the past 12 months. On the multivariate analysis, the adjusted odds ratio (aOR) for falls was higher with pre-frailty (aOR: 1.95, 95% confidence interval: 1.30–2.94, P = .001) and frailty (aOR: 4.26, 95% confidence interval: 2.74–6.65, P < .001) compared with robust. Similar results were obtained when the outcome was occupational falls with injury.

Conclusion

Our findings suggest that frailty is associated with occupational falls among older workers in tertiary industries. We recommend that employers introduce frailty screening, and consider countermeasures based on the screening results to prevent occupational falls among older workers.

职业跌落是老年工人的主要问题,特别是第三产业的老年工人。最近,有人提出,身体虚弱与职业跌倒有关,但尚不清楚这是否适用于第三产业的老年工人。本研究探讨第三产业高龄劳工身体虚弱与职业跌倒的关系。方法采用基于互联网的横断面研究。我们招募了5000名在互联网研究公司注册的第三产业老年人(年龄,60-75岁)。使用虚弱筛查指数的五个项目来评估虚弱,参与者被分为健壮组、虚弱前组和虚弱组。职业跌倒被定义为过去12个月在工作中经历的跌倒。采用logistic回归分析体弱多病与职业跌倒的关系。结果6.1%的参与者在过去12个月内至少经历过一次职业跌倒。在多因素分析中,跌倒的调整优势比(aOR)在虚弱前(aOR: 1.95, 95%可信区间:1.30-2.94,P = .001)和虚弱前(aOR: 4.26, 95%可信区间:2.74-6.65,P < 001)均高于健全性。当结果是职业跌倒并受伤时,获得了类似的结果。结论第三产业中老年工人的身体虚弱与职业跌倒有关。我们建议雇主引入虚弱筛查,并考虑基于筛查结果的对策,以防止老年工人的职业跌倒。
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引用次数: 0
The impact of mechanical devices for lifting and transferring of patients on low back pain and musculoskeletal injuries in health care personnel—A systematic review and meta-analysis 在医护人员中,用于搬运病人的机械装置对腰痛和肌肉骨骼损伤的影响——系统回顾和荟萃分析
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-15 DOI: 10.1002/1348-9585.12423
Hans-Udo Richarz, Arturo Tamayo, Jan Rahmig, Timo Siepmann, Jessica Barlinn

Objectives

Heavy lifting in nursing is highly associated with low back pain (LBP) and musculoskeletal injuries (MSI). We aimed to evaluate the impact of mechanical devices used for patient lifting and transferring on risk of LBP and MSI of health care personnel.

Methods

We conducted a systematic review and meta-analysis. The literature search was performed during 1st and 12th September 2021 using 17 electronic databases and handsearching of bibliographies of included studies. Twenty studies were included in the qualitative synthesis and eight studies with in total 2087 participants in the meta-analysis. Dependent on the study design, risk of bias was assessed by Cochrane RoB 2.0, EPOC, and MINORS. We conducted random-effects meta-analyses assessing Hedges's g and 95% CI of MSI rate, perceived LBP, and peak compressive spinal load. We calculated prediction intervals and conducted a cost-benefit analysis (CBA).

Results

All outcomes showed significant, adjusted pooled effect sizes (MSI rate: g = 1.11, 95% CI 0.914–1.299; perceived LBP: g = 1.54, 95% CI −0.016–3.088; peak compressive spinal load: g = 1.04, 95% CI −0.315 to 2.391). True effect sizes in 95% of all comparable populations fell in the following prediction intervals: MSI rate = −1.07-3.28, perceived LBP = −0.522–3.594, and peak compressive spinal load = −15.49 to 17.57. CBA revealed cost-benefit ratios of 1.2 and 3.29 between cumulative total savings and investment costs of intervention.

Conclusions

Prediction intervals confirmed strong true effect sizes for MSI rate and perceived LBP in 95% of all comparable populations but not for peak compressive spinal load. Mechanical lifting and transferring devices displayed a favorable cost-benefit ratio and should be considered for clinical implementation.

目的护理中的举重与腰痛(LBP)和肌肉骨骼损伤(MSI)高度相关。我们旨在评估用于患者提升和转移的机械设备对医护人员LBP和MSI风险的影响。方法进行系统回顾和荟萃分析。文献检索于2021年9月1日和12日使用17个电子数据库进行,并手工检索纳入研究的目录。20项研究被纳入定性综合,8项研究共有2087名参与者参与荟萃分析。根据研究设计,通过Cochrane RoB 2.0、EPOC和MINORS评估偏倚风险。我们进行了随机效应荟萃分析,评估了MSI率、感知LBP和峰值压缩性脊柱负荷的Hedges g和95%CI。我们计算了预测区间,并进行了成本效益分析(CBA)。结果所有结果均显示出显著的、经调整的合并效应大小(MSI率:g = 1.11,95%置信区间0.914–1.299;感知LBP:g = 1.54,95%CI−0.016–3.088;峰值脊柱压缩负荷:g = 1.04,95%CI−0.315至2.391)。95%的可比人群的真实效应大小在以下预测区间内下降:MSI率 = −1.07-3.28,感知LBP = −0.522–3.594,峰值压缩脊柱负荷 = −15.49至17.57。CBA显示,累计总储蓄与干预投资成本之间的成本效益比分别为1.2和3.29。结论在95%的可比人群中,预测区间证实了MSI率和感知LBP的强真实效应大小,但对峰值压缩性脊柱负荷没有证实。机械提升和转移装置显示出良好的成本效益比,应考虑临床实施。
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引用次数: 0
Factors influencing the knowledge, attitude, and practices of police personnel toward dengue fever in Kathmandu, Nepal 影响尼泊尔加德满都警察人员对登革热的知识、态度和做法的因素
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-04 DOI: 10.1002/1348-9585.12421
Damodar Paudel, Sampurna Kakchapati, Nabin Lageju, Samriddhi Karki, Jayanti Dhungana, Sirish Regmi, Deepa Chudal, Ram Prasad Sharma

Objective

Dengue fever is a significant public health problem in Nepal, and police personnel are considered to play a crucial role in preventing and controlling dengue fever. This study aimed to assess the factors that influence the knowledge, attitudes, and practices of police personnel toward dengue in Kathmandu, Nepal.

Methods

The study design was a descriptive cross-sectional study among 422 police personnel, where data were collected using self-administered questionnaires. Bi-variate analysis and multivariate analysis were used to examine the association between sociodemographic factors and environmental factors with knowledge, attitude, and practices of dengue.

Results

The study found that the knowledge, attitude, and practice toward dengue prevention was 58%, 46%, and 75%, respectively. The study found that family history of dengue (AOR = 2.78, 95% CI = 1.38-5.6), owning bed nets (AOR = 2.13, 95% CI = 1.04-4.35) and having covered water storage containers (AOR = 2.99, 95% CI = 1.74-5.13) were associated with higher odds of knowledge on dengue. Having family history of dengue (AOR = 2.45, 95% CI = 1.24-4.87) and the presence of broken glasses or discarded plastic bottles in the house (AOR = 2.07, 95% CI = 1.93-5.36) were associated with attitude on dengue. Knowledge on dengue was associated with higher odds of attitude (AOR = 3.3, 95% CI = 2.09-5.36) and practices (AOR = 3.21, 95% CI = 1.93, 5.36).

Conclusion

The study identified specific factors associated with knowledge, attitude, and practices toward dengue prevention. The study concluded that regular training and awareness-raising activities are needed to improve their knowledge, attitudes, and practices toward dengue.

登革热是尼泊尔的一个重大公共卫生问题,警察人员被认为在预防和控制登革热方面发挥着至关重要的作用。本研究旨在评估影响尼泊尔加德满都警察人员对登革热的知识、态度和做法的因素。方法采用横断面描述性研究方法,对422名警务人员进行问卷调查。采用双变量分析和多变量分析来检验社会人口因素和环境因素与登革热知识、态度和实践之间的关系。结果对登革热预防的知晓率为58%,态度率为46%,行为率为75%。研究发现,登革热家族史(AOR = 2.78, 95% CI = 1.38-5.6)、拥有蚊帐(AOR = 2.13, 95% CI = 1.04-4.35)和有盖储水容器(AOR = 2.99, 95% CI = 1.74-5.13)与登革热知识知晓率较高相关。有登革热家族史(AOR = 2.45, 95% CI = 1.24 ~ 4.87)和家中有碎玻璃或废弃塑料瓶(AOR = 2.07, 95% CI = 1.93 ~ 5.36)与登革热态度相关。登革热知识与态度(AOR = 3.3, 95% CI = 2.09-5.36)和行为(AOR = 3.21, 95% CI = 1.93, 5.36)相关。结论本研究确定了与登革热预防知识、态度和实践相关的具体因素。该研究的结论是,需要定期开展培训和提高认识活动,以改善他们对登革热的知识、态度和做法。
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引用次数: 0
Three-month work-related musculoskeletal disorders assessment during manual lymphatic drainage in physiotherapists using Generic Postures notion 三个月与工作有关的肌肉骨骼疾病评估在手动淋巴引流物理治疗师使用一般姿势的概念
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-18 DOI: 10.1002/1348-9585.12420
Philippe Gorce, Julien Jacquier-Bret

Objectives

The aim of this work was to quantify the postures and to assess the musculoskeletal disorders (MSDs) risk in physiotherapists repeating a manual lymphatic drainage (MLD) over a three-month period. The underlying hypothesis was that there would be Generic Postures (GP) that would be repeated and could be used to more simply describe repetitive and long-duration complex activities.

Methods

The posture of five physiotherapists performing five 20-min MLD at their workplace was captured by two cameras. From the recordings, the adopted postures were extracted every 5 s and quantified through 13 joint angles, that is, 6594 analyzed postures. Rapid Upper Limb (RULA) and Rapid Entire Body Assessment (REBA) were used to assess MSDs risks. A hierarchical analysis was used to define GP.

Results

Seven GP were identified through mean values and standard deviation. GP ergonomic assessment showed a low to moderate MSD risk (RULA between 3 and 6 and REBA between 2 and 7). High neck (>20°) and trunk (>15°) flexion were observed for all GP. High shoulder abduction and flexion (>40°) were evidenced for GP3 to GP5. GP1 was the most used (34%) and presented the lowest ergonomic scores (RULA: 4.46 ± 0.84; REBA: 5.06 ± 1.75). GP3 to GP6 had frequency of between 10 and 20%. GP5, GP6, and GP7 obtained the highest ergonomic scores (RULA>5; REBA>7). All physiotherapists use different GP combinations to perform MLD.

Conclusion

MLD could be described as a combination of GP. Ergonomic analysis showed that MLD exposes physiotherapists to low at moderate MSD risks.

目的本研究的目的是量化姿势,并评估物理治疗师在三个月内重复手工淋巴引流(MLD)的肌肉骨骼疾病(MSDs)风险。潜在的假设是,会有重复的通用姿势(GP),可以用来更简单地描述重复和长时间的复杂活动。方法用2台摄像机对5名理疗师在工作场所进行5次20分钟的MLD时的姿势进行拍摄。从记录中,每隔5秒提取一次被采用的姿势,并通过13个关节角度进行量化,即6594个被分析的姿势。采用快速上肢(RULA)和快速全身评估(REBA)评估MSDs风险。采用层次分析法定义GP。结果通过平均值和标准差鉴定出7个GP。GP的人体工程学评估显示低至中度的MSD风险(RULA在3至6之间,REBA在2至7之间)。所有GP的颈部(>20°)和躯干(>15°)高屈曲。GP3至GP5的高肩外展和屈曲(>40°)被证实。GP1使用最多(34%),其人体工程学评分最低(RULA: 4.46±0.84;热巴:5.06±1.75)。GP3 ~ GP6的频率在10% ~ 20%之间。GP5、GP6、GP7获得最高的人体工程学评分(RULA>5;REBA> 7)。所有物理治疗师使用不同的GP组合来执行MLD。结论MLD可以被描述为GP的联合。人体工程学分析表明,MLD使物理治疗师暴露于低至中度的MSD风险。
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引用次数: 0
Association of paternal factors with mothers' employment postchildbirth 父亲因素与母亲产后就业的关系
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-01 DOI: 10.1002/1348-9585.12419
Bibha Dhungel, Yuko Kachi, Tsuguhiko Kato, Manami Ochi, Mako Nagayoshi, Stuart Gilmour, Kenji Takehara

Objectives

The demand on Japanese women to fulfill their dual roles as mothers and labor force participants leads to a subsequent reduction of their employment hours, switching of occupations, or quitting the labor force. This study aims to examine paternal factors associated with mothers' employment status 18 months after childbirth.

Methods

We used data from the 2010 cohort of the Longitudinal Survey of Newborns conducted in Japan. We restricted our analysis to 10 712 mothers who had full-time employment 1 year before childbirth. A logistic regression analysis was conducted to assess paternal factors associated with mothers' employment after childbirth.

Results

One-third of the mothers with full-time employment before childbirth were not working full-time 18 months after delivery. We found that high childcare involvement (score 13–18) of fathers (OR, 1.20; 95% CI, 1.01–1.43) and fathers with part-time employment (OR, 1.59; 95% CI, 1.12–2.26) were associated with higher odds of mothers' full-time employment. Fathers' weekly work of ≥60 h (OR, 0.79; 95% CI, 0.71–0.88) and higher annual income decreased the odds ratios by over 20%.

Conclusions

Fathers' work arrangements and involvement in childcare play a key role in helping mothers resume employment postchildbirth.

要求日本妇女履行母亲和劳动力参与者的双重角色,导致她们随后减少工作时间、转换职业或退出劳动力市场。本研究旨在探讨父亲因素对母亲产后18个月就业状况的影响。方法采用2010年日本新生儿纵向调查队列数据。我们将分析限制在10,712名在分娩前一年有全职工作的母亲。采用logistic回归分析评估父亲因素与母亲产后就业的关系。结果产前有全职工作的母亲中,有三分之一在产后18个月没有全职工作。我们发现父亲的高育儿投入(得分13-18)(OR, 1.20;95% CI, 1.01-1.43)和父亲有兼职工作(OR, 1.59;95% CI, 1.12-2.26)与母亲全职工作的几率较高相关。父亲每周工作≥60 h (OR, 0.79;95% CI, 0.71-0.88),较高的年收入使比值比降低了20%以上。结论父亲的工作安排和育儿参与在帮助母亲产后恢复就业中起着关键作用。
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引用次数: 0
Effectiveness of a support program for balancing treatment and work in small and medium-sized enterprises promoted by occupational health nurse using a web meeting system: A cluster randomized controlled trial 职业健康护士使用网络会议系统促进中小型企业平衡治疗和工作支持计划的有效性:一项集群随机对照试验
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-30 DOI: 10.1002/1348-9585.12407
Hitomi Abe, Noriko Nishikido

Objectives

In this study, we conducted a cluster randomized controlled trial to verify the effectiveness of a treatment work balance support (TWBS) program promoted by occupational health nurses (OHNs) in small and medium-sized enterprises (SMEs) using a web meeting system.

Methods

We analyzed data from 64 managers (32 each in the control and intervention groups) and 541 workers (246 and 295 in the control and intervention groups, respectively) from 22 SMEs (11 in each group) with less than 200 workers. The TWBS program comprised online consultations for managers and seminars for workers by an OHN. TWBS leaflets were distributed among both groups. The “Recognition and Attitude Scale toward TWBS” was administered and workplace climate, psychological safety (PS), and work engagement (WE) scores were measured at baseline and endpoint. The increase in scores of each group was analyzed using a linear mixed-effects model.

Results

Increases in managers' scores on all three recognition and attitude subscales were significantly greater in the intervention than in the control group (P = .048, .003, and .032, respectively). Workers' score increases were significantly higher on two subscales—recognition of workplace initiatives and understanding of professionals' roles—in the intervention than in the control group (P = .043 and .001, respectively). There was no difference between the two groups in the amount of increase in PS and WE, as perceived by managers and workers.

Conclusions

The TWBS program promoted by OHN increased recognition and attitude among SME managers and workers, indicating the usability of promoting TWBS in SMEs.

目的在本研究中,我们进行了一项集群随机对照试验,以验证职业卫生护士(OHN)在中小企业(SME)中使用网络会议系统推广的治疗-工作平衡支持(TWBS)计划的有效性。方法我们分析了64名管理人员(对照组和干预组各32名)和541名工人(对照组与干预组分别为246名和295名)的数据,他们来自22家工人少于200人的中小企业(每组11家)。TWBS项目包括管理人员的在线咨询和OHN为员工举办的研讨会。TWBS传单在两组中分发。使用“对TWBS的认知和态度量表”,在基线和终点测量工作环境、心理安全(PS)和工作参与度(WE)得分。使用线性混合效应模型分析各组得分的增加。结果干预组管理者在所有三个认知和态度分量表上的得分均显著高于对照组(P = .分别为048、.003和.032)。在干预组中,工人在两个分量表上的得分增长显著高于对照组(P = .043和.001)。管理人员和工人认为,两组的PS和WE的增加量没有差异。结论OHN推广的TWBS项目提高了中小企业管理者和员工的认可度和态度,表明在中小企业推广TWBS的可用性。
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引用次数: 0
Prevalence and associated factors of bullying in medical residents: A systematic review and meta-analysis 住院医师恃强欺弱的患病率及相关因素:系统回顾与荟萃分析
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-13 DOI: 10.1002/1348-9585.12418
Neri Alejandro Álvarez Villalobos, Humberto De León Gutiérrez, Fernando Gerardo Ruiz Hernandez, Gabriela Guadalupe Elizondo Omaña, Héctor Alejandro Vaquera Alfaro, Francisco Javier Carranza Guzmán

Objective

To assess the prevalence of bullying in medical residents and its associated factors.

Methods

In this systematic review and meta-analysis, articles from MEDLINE, EMBASE, Scopus, PsycInfo, Cochrane databases, and Web of Science were searched. Published and unpublished cross-sectional studies were included. Cochrane's Q test and I2 statistics were used to assess the existence of heterogeneity. Subgroup analysis and sensitivity analysis were performed on evidence of heterogeneity. Egger's test and funnel plots were performed to investigate publication bias.

Results

A total of 13 cross-sectional studies with a total of 44 566 study participants from different medical residencies were analyzed. The overall prevalence of bullying was 51% (95% CI 36–66). Furthermore, female residents and residents that belong to a minority group had higher odds of experiencing bullying compared to their peers.

Conclusion

A high prevalence of bullying in medical residents exists around the world. There is a need for education, dissemination, and more effective interventions among the residents and authorities about bullying to build and promote adequate behaviors and diminish bullying prevalence.

目的了解住院医师欺凌行为的发生率及其相关因素。方法对MEDLINE、EMBASE、Scopus、PsycInfo、Cochrane、Web of Science等数据库的文献进行系统综述和meta分析。包括已发表和未发表的横断面研究。采用Cochrane’s Q检验和I2统计来评估异质性的存在。对异质性证据进行亚组分析和敏感性分析。采用Egger检验和漏斗图调查发表偏倚。结果本研究共纳入13项横断面研究,共纳入来自不同住院医师的44566名研究对象。欺凌的总体发生率为51% (95% CI 36-66)。此外,与同龄人相比,女性居民和属于少数群体的居民遭受欺凌的几率更高。结论在世界范围内,住院医师中的欺凌现象普遍存在。有必要在居民和当局之间进行关于欺凌的教育、宣传和更有效的干预,以建立和促进适当的行为,减少欺凌的流行。
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引用次数: 0
A scoping review of workplace health promotion interventions for chronic diseases in Australia 澳大利亚工作场所促进慢性病健康干预措施的范围审查
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-13 DOI: 10.1002/1348-9585.12417
Leonie Arnold, Katherine Harris, Victoria Weale

Objective

The aim of this study is to systematically chart and summarize the literature pertaining to workplace health promotion (WHP) interventions targeting the five main modifiable lifestyle risk factors for chronic disease, including smoking, nutrition, alcohol, physical activity, overweight/obesity (SNAPO) in Australian workers.

Methods

A scoping review was performed using the framework of Arksey and O'Malley. MEDLINE, EMBASE, CINAHL, and SCOPUS were searched to identify peer-reviewed publications that evaluated primary or secondary WHP interventions which targeted one or more modifiable risk factor (SNAPO).

Results

A total of fifty-six articles were included in the review. The findings revealed a heterogeneous nature of WHP intervention design and evaluation. The majority of the interventions focussed on physical activity, with fewer targeting the other four main modifiable risk factors. Health care and white-collar workers were most frequently targeted, with less attention paid to other worker groups. The review also found that many interventions had a duration of three months or less.

Conclusions

Significant gaps have been identified in relation to the occupational role, risk factors targeted, and intervention length. This review also highlights the need for further research to be conducted to determine the efficacy of interventions to facilitate the development of a framework for WHP interventions to reduce the risk and prevalence of chronic disease.

目的本研究的目的是系统地绘制和总结有关工作场所健康促进(WHP)干预措施的文献,这些干预措施针对慢性病的五个主要可改变的生活方式风险因素,包括吸烟、营养、酒精、体育活动,澳大利亚工人的超重/肥胖(SNAPO)。方法使用Arksey和O'Malley的框架进行范围界定审查。检索MEDLINE、EMBASE、CINAHL和SCOPUS,以确定评估针对一种或多种可改变风险因素(SNAPO)的初级或次级WHP干预措施的同行评审出版物。结果共有五十六篇文章被纳入综述。研究结果揭示了WHP干预设计和评估的异质性。大多数干预措施侧重于体育活动,较少针对其他四个主要可改变的风险因素。医疗保健和白领工人最常成为攻击目标,而对其他工人群体的关注较少。审查还发现,许多干预措施的持续时间为三个月或更短。结论在职业角色、目标风险因素和干预时间方面存在显著差距。这篇综述还强调了需要进行进一步研究,以确定干预措施的有效性,从而促进制定WHP干预措施框架,以降低慢性病的风险和流行率。
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引用次数: 0
Correction to “Relationship between objective cognitive functioning and work performance among Japanese workers” 对“日本员工客观认知功能与工作绩效关系”的修正
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-04 DOI: 10.1002/1348-9585.12416

Shibaoka M, Masuda M, Iwasawa S, Ikezawa S, Eguchi H, Nakagome K. J Occup Health. Jan 2023;65(1):e12385. doi:10.1002/1348-9585.12385

In Table 1, the category of educational years was incorrect. The correct numbers of educational years are as follows.

We apologize for this error.

Shibaoka M,Masuda M,Iwasawa S,Ikezawa S,Eguchi H,Nakagome K.J神秘健康。2023年1月;65(1):e12385.doi:10.1002/1348-9585.12385在表1中,教育年限类别是不正确的。正确的教育年限如下。我们对此错误深表歉意。
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引用次数: 0
Who is the most precarious among the nonstandard workers? A comparative study of unmet medical needs among standard workers and subtypes of nonstandard workers 在非标准工人中,谁是最不稳定的?标准工人与非标准工人亚型未满足医疗需求的比较研究
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-24 DOI: 10.1002/1348-9585.12414
Joonho Ahn, Dong-Wook Lee, Jaesung Choi, Mo-Yeol Kang

Objective

Nonstandard workers might have a relatively higher risk of unmet medical needs than standard workers. This study subdivided nonstandard workers to investigate the effects of nonstandard employment on unmet medical needs.

Methods

We used the Korea Health Panel 2011–2018 data. The independent variable, employment contract, was defined using the nonstandard form described by the ILO: Temporary workers, Part-time workers, and Temporary agent workers. The analytical method used in this study was a panel logit model that accounted for repeated measured participants. By controlling for time-invariant individual-fixed effects, we investigate the relationship between subdivided nonstandard work and the risk of unmet medical needs with reference to standard work.

Results

The results of the analysis clearly showed that compared with standard workers, temporary agency workers had a significantly higher risk of unmet medical needs (Odds ratio = 1.182, 95% CI = 1.016–1.374). The main cause of this phenomenon was economic reasons in this group.

Conclusions

This study found that temporary agency workers in the general Korean population have a significantly higher risk of unmet healthcare needs. The result of this study implies that financial hardship might be a fundamental health hazard among workers with nonstandard employment.

目的非标准职工医疗需求未得到满足的风险高于标准职工。本研究对非标准劳工进行细分,探讨非标准就业对未满足医疗需求的影响。方法使用韩国健康委员会2011-2018年的数据。自变量,雇佣合同,使用国际劳工组织描述的非标准形式定义:临时工,兼职工人和临时代理工人。本研究使用的分析方法是考虑重复测量参与者的面板logit模型。通过控制定常个体固定效应,以标准工作为参照,研究细分非标准工作与未满足医疗需求风险之间的关系。结果分析结果清楚地显示,与标准工人相比,临时劳务人员的医疗需求未得到满足的风险明显更高(优势比= 1.182,95% CI = 1.016 ~ 1.374)。造成这一现象的主要原因是经济原因。结论:本研究发现,在一般韩国人群中,临时代理工作者有明显更高的未满足医疗需求的风险。这项研究的结果表明,经济困难可能是非标准就业工人的基本健康危害。
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引用次数: 0
期刊
Journal of Occupational Health
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