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Workers' experiences of improvements in the work environment and mental health problems: a web-based 1-year prospective study of Japanese employees. 工人对工作环境改善和心理健康问题的体验:一项针对日本员工的为期一年的前瞻性网络研究。
IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-04 DOI: 10.1093/joccuh/uiae054
Shuhei Izawa, Toru Yoshikawa, Nanako Nakamura-Taira, Chihiro Moriishi, Rie Akamatsu, Hiroki Ikeda, Tomohide Kubo

Objectives: This study aimed to prospectively investigate the association between work environment improvements and multiple mental health outcomes in a large sample of Japanese employees.

Methods: A web-based longitudinal study surveyed 20 000 Japanese employees, 7970 of whom completed a follow-up after 1 year. Various types of work environment improvements experienced by workers were assessed using a 24-item checklist. Three mental health outcomes (poor mental health, presenteeism, and high psychosocial stress) were assessed and defined using standardized questionnaires.

Results: Overall, as the total number of work environment improvements increased, the odds ratio for mental health outcomes in the follow-up survey decreased by several percentage points, even after adjusting for demographic and occupational factors. Analysis of the types of work environment improvements showed that mutual support improvements were particularly effective in reducing mental health issues. The subgroup analyses also showed that the effectiveness of workplace environment improvements might vary between secondary and tertiary industry workers depending on the types of improvements and mental health outcomes.

Conclusions: The study suggests that workplace improvements can significantly affect mental health. The effectiveness of these improvements may vary according to the type of intervention, industry of the targeted workers, and mental health outcomes. This study provides basic data on the effectiveness of workplace environment improvements that can be used for future intervention trials.

研究目的本研究旨在前瞻性地调查大样本日本员工的工作环境改善与多种心理健康结果之间的关系:一项基于网络的纵向研究调查了 20,000 名日本员工,其中 7,970 人在 1 年后完成了随访。研究人员使用一份包含 24 个项目的清单对员工所经历的各类工作环境改善情况进行了评估。使用标准化问卷对三种心理健康结果(心理健康状况不佳、旷工和心理社会压力大)进行了评估和定义:总体而言,随着工作环境改善总数的增加,即使对人口和职业因素进行了调整,在后续调查中心理健康结果的几率比也下降了几个百分点。对工作环境改善类型的分析表明,相互支持的改善对减少心理健康问题尤为有效。分组分析还显示,根据改善类型和心理健康结果的不同,工作场所环境改善的效果在第二产业和第三产业工人之间可能存在差异:讨论:研究表明,工作场所环境的改善会对心理健康产生重大影响。这些改善措施的效果可能因干预措施的类型、目标工人所从事的行业以及心理健康结果的不同而不同。本研究提供了有关工作场所环境改善效果的基本数据,可用于未来的干预试验。
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引用次数: 0
Artificial Intelligence in advancing the Occupational Health and Safety: An encapsulation of developments 人工智能促进职业健康与安全:发展概述
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-03 DOI: 10.1093/joccuh/uiad017
Immad A Shah, SukhDev Mishra
Objectives: In an era characterized by dynamic technological advancements, the well-being of the workforce remains a cornerstone of progress and sustainability. Evolving industrial landscape in modern world have had a considerable influence on Occupational Health and Safety (OHS). Ensuring the wellbeing of workers and creating safe working environments are not only ethical imperatives but also integral to maintaining operational efficiency and productivity. We aim to review the advancements that have taken place with a potential to reshape workplace safety with integration of AI-driven new technologies to prevent occupational diseases and safety solutions. Methods: The published literature was identified using scientific databases of Embase, PubMed and Google scholar including a time lower bound as 1974 to capture chronological advances in occupational disease detection and technological solution employed in industrial setups. Results: AI-driven technologies are revolutionizing how organizations approach health and safety, offering predictive insights, real-time monitoring, and risk mitigation strategies that not only minimize accidents and hazards but also pave the way for a more proactive and responsive approach to safeguarding the workforce. Conclusion: As industries embrace the transformative potential of Artificial Intelligence (AI), a new frontier of possibilities emerges for enhancing workplace safety. This synergy between OHS and AI marks a pivotal moment in the quest for safer, healthier, and more sustainable workplaces.
目标:在一个以动态技术进步为特征的时代,劳动力的福祉仍然是进步和可持续发展的基石。现代世界不断演变的工业格局对职业健康与安全(OHS)产生了相当大的影响。确保工人的福利和创造安全的工作环境不仅是道德要求,也是保持运营效率和生产力不可或缺的因素。我们旨在回顾已取得的进展,这些进展有可能通过整合人工智能驱动的新技术来重塑工作场所安全,从而预防职业病并提供安全解决方案。研究方法使用 Embase、PubMed 和 Google scholar 等科学数据库(包括 1974 年的时间下限)对已发表的文献进行识别,以捕捉在工业设施中采用的职业病检测和技术解决方案的时间进展。研究结果人工智能驱动的技术正在彻底改变企业处理健康与安全问题的方式,提供预测性洞察、实时监控和风险缓解策略,不仅能最大限度地减少事故和危害,还能为采取更积极主动、反应更迅速的方法来保护劳动力铺平道路。结论:随着各行各业拥抱人工智能(AI)的变革潜力,加强工作场所安全的可能性出现了一个新的领域。职业健康安全(OHS)与人工智能之间的这种协同作用,标志着追求更安全、更健康、更可持续的工作场所的关键时刻到来了。
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引用次数: 0
Psychosocial Work Conditions and Traffic Safety among Mini and Long Bus Drivers 小客车和长途客车司机的社会心理工作条件与交通安全
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-28 DOI: 10.1093/joccuh/uiad019
M. Amoadu, E. Ansah, J. Sarfo
Objective: This study examined the association between psychosocial work factors and road traffic crashes (RTC) and tested the differences in psychosocial work factors by mini-bus and long-bus drivers. Methods: This cross-sectional survey employed convenient sampling method to collect data from 7315 long-distance mini and long-bus drivers who operate in Accra and Tema in Ghana cities, to other parts of the country. The bus drivers answered the job content questionnaire, psychosocial safety climate scale (PSC-12), work-family conflict scale and demographic questions on age, education, driving hours and RTC history. Results: The correlational analysis showed a significant association between psychosocial work factors and RTC for the previous two years. Hierarchical multiple linear regression found that supervisor support, skill discretion, decision autonomy, psychological demands, PSC and work-family conflict significantly contributed to explaining RTC among the drivers. Also, significant differences were found between mini-bus and long-bus drivers on driving hours, occurrence of near misses, RTC and all psychosocial work factors explored in this study except work-family conflict. Conclusion: Psychosocial work factors directly predict RTC among mini-bus and long-bus drivers. Policymakers, driver unions, owners and managers of bus transport businesses should prioritise integrating occupational health and safety into road transport activities. Furthermore, managers and bus owners should use bottom-up communication, provide access to support services and work-family balance initiatives, flexible work schedules and a supportive work environment to improve road safety.
研究目的本研究探讨了社会心理工作因素与道路交通事故(RTC)之间的关联,并检验了小客车和长途客车司机在社会心理工作因素方面的差异。 研究方法这项横断面调查采用方便抽样法,收集了 7315 名长途小巴和长途大巴司机的数据,这些司机在加纳的阿克拉和特马等城市工作,并前往加纳其他地区。巴士司机回答了工作内容问卷、社会心理安全氛围量表(PSC-12)、工作与家庭冲突量表以及关于年龄、教育程度、驾驶时间和道路交通事故史的人口统计学问题。 结果显示相关分析表明,社会心理学工作因素与前两年的 RTC 之间存在显著关联。层次多元线性回归发现,主管支持、技能自由裁量权、决策自主权、心理需求、PSC 和工作与家庭冲突对解释司机的 RTC 有显著作用。此外,还发现小客车和长途客车司机在驾驶时间、险情发生率、RTC 和本研究探讨的所有社会心理学工作因素(工作-家庭冲突除外)方面存在明显差异。 结论社会心理工作因素可直接预测小客车和长途客车司机的 RTC。政策制定者、司机工会、巴士运输企业的所有者和管理者应优先考虑将职业健康和安全纳入道路运输活动。此外,管理者和巴士车主应采用自下而上的沟通方式,提供支持服务和工作与家庭平衡举措、灵活的工作时间安排和支持性的工作环境,以改善道路安全。
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引用次数: 0
Comment on “job demands and temporomandibular disorders: mediating and moderating effects of psychological distress and recovery experiences” 就 "工作要求与颞下颌关节紊乱:心理困扰和康复经历的中介和调节作用 "发表评论
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-19 DOI: 10.1093/joccuh/uiad018
S. Wardoyo, Taufik Anwar, Muhammad Ifham Hanif
The article by Mori et al. (2023) examines the relationship between job demands, psychological distress, and temporomandibular disorders (TMD) among Japanese workers, using a cross-sectional survey of 1,278 respondents. The authors report that high job demands are associated with increased TMD prevalence through the mediation of psychological distress, and that relaxation and control moderate this relationship. The study contributes to the literature on the occupational and psychological factors of TMD, and suggests that recovery experiences can mitigate the negative effects of job demands on TMD. However, the study has some limitations, such as the use of self-reported measures, the lack of longitudinal data, and the potential impact of the COVID-19 pandemic on the results. Therefore, further research is needed to confirm the causal relationships and the generalizability of the findings.
Mori 等人(2023 年)的文章通过对 1,278 名受访者进行横断面调查,研究了日本工人的工作要求、心理压力和颞下颌关节紊乱 (TMD) 之间的关系。作者报告说,通过心理压力的调解,高工作要求与 TMD 患病率的增加有关,而放松和控制则缓和了这种关系。这项研究为有关 TMD 的职业和心理因素的文献做出了贡献,并表明恢复体验可以减轻工作要求对 TMD 的负面影响。然而,这项研究也存在一些局限性,如使用自我报告的测量方法、缺乏纵向数据以及 COVID-19 大流行对结果的潜在影响。因此,还需要进一步的研究来确认研究结果的因果关系和可推广性。
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引用次数: 0
Association between the telecommuting environment and somatic symptoms among teleworkers in Japan 日本远程办公环境与远程工作者躯体症状之间的关系
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-19 DOI: 10.1093/joccuh/uiad014
Satoru Kanamori, Takahiro Tabuchi, Yuko Kai
Objectives: This study aimed to clarify the association between telecommuting environments and somatic symptoms among teleworkers in Japan. Methods: This cross-sectional study, conducted from September 27 to October 29, 2021, used data from the Japan COVID-19 and Society Internet Survey (JACSIS study) in Japan. Of the 31,000 male and female respondents, who were Japanese residents aged 15–79 years and were randomly selected from the panel members of an Internet survey company, 4,569 home-based teleworkers were finally included in the analysis; 26,431 respondents who met the exclusion criteria were excluded. The analysis included four cut-offs (≥4, 8, 12, and 16 points) for somatic symptoms on the somatic symptom scale-8 as objective variables, and the telecommuting environment, such as having adequate desk light and a quiet environment as explanatory variables. Adjusted Poisson regression analysis was conducted using demographic variables as covariates. Results: The prevalence ratio (PR) for somatic symptoms increased significantly as the number of poor telecommuting conditions increased, regardless of the cut-off value for somatic symptoms or the frequency of teleworking. In the telecommuting environment, the PR for somatic symptoms was significantly higher for the following six items: poor teleworking space to concentrate, inadequate foot space, poor communication environment, poor space for relaxation, noise, and inappropriate temperature and humidity. Conclusions: These results suggest that for home-based teleworkers, the more inadequate the telecommuting environment, especially in the aforementioned six areas, the higher the likelihood of somatic symptoms. Improving these environments may be useful in preventing various somatic symptoms.
研究目的本研究旨在阐明日本远程办公环境与远程工作者躯体症状之间的关系。研究方法这项横断面研究于 2021 年 9 月 27 日至 10 月 29 日进行,使用的数据来自日本 COVID-19 和社会互联网调查(JACSIS 研究)。从一家互联网调查公司的小组成员中随机抽取了 31,000 名年龄在 15-79 岁之间的日本居民作为男女受访者,其中 4,569 名在家远程工作者最终被纳入分析;26,431 名符合排除标准的受访者被排除在外。分析将躯体症状量表-8 中的四个躯体症状临界值(≥4、8、12 和 16 分)作为客观变量,并将远程办公环境(如充足的办公桌光线和安静的环境)作为解释变量。使用人口统计学变量作为协变量,进行了调整后的泊松回归分析。结果显示无论躯体症状的临界值或远程办公的频率如何,随着恶劣远程办公条件数量的增加,躯体症状的流行率(PR)显著增加。在远程办公环境中,以下六个项目的躯体症状患病率比明显更高:远程办公集中空间差、脚步空间不足、交流环境差、放松空间差、噪音以及温度和湿度不合适。结论这些结果表明,对于在家工作的远程工作者来说,远程办公环境越不理想,尤其是在上述六个方面,出现躯体症状的可能性就越大。改善这些环境可能有助于预防各种躯体症状。
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引用次数: 0
A prospective cohort study of presenteeism and increased risk of unemployment among Japanese workers during COVID-19 pandemic 关于 COVID-19 大流行期间日本工人旷工和失业风险增加的前瞻性队列研究
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-19 DOI: 10.1093/joccuh/uiad015
Y. Fujino, M. Okawara, A. Hino, K. Muramatsu, T. Nagata, S. Tateishi, M. Tsuji, A. Ogami, T. Ishimaru, for The Coronawork Project
Objectives: Presenteeism adversely affects workers' quality of life, leading to further deterioration of their health and affecting their ability to continue working. Unemployment is one of the most serious consequences for workers experiencing presenteeism. A worker's ability to work depends on the degree of mismatch between the health status, and job demands and work factors. The COVID-19 pandemic has affected workers' experiences of presenteeism as well as their employment status. We examined the association between presenteeism and risk of job resignations and unemployment among Japanese workers during the COVID-19 pandemic. Methods: A prospective study of 27,036 Internet monitors was conducted, starting in December 2020, with 18,560 (68.7%) participating in the follow-up by December 2021. The Work Functioning Impairment Scale (WFun) was used to measure the degree of work function impairment. Results: The group with the highest WFun scores had higher odds ratios (ORs) for both retirement and unemployment for health reasons than the group with the lowest WFun scores. ORs were 2.99 (95%CI: 2.48-3.62, p<0. 001) and 1.82 (95%CI: 1.65-2.00, p<0.001), respectively. Conclusions: Workers with work functioning impairment were at increased risk of resignation or unemployment. Management strategies for workers with work functioning impairment are needed to reduce their disadvantages in employment.
目的:旷工会对工人的生活质量产生不利影响,导致他们的健康状况进一步恶化,并影响他们继续工作的能力。失业是旷工对工人造成的最严重后果之一。工人的工作能力取决于健康状况与工作要求和工作因素之间的不匹配程度。COVID-19 大流行影响了工人的缺勤经历及其就业状况。我们研究了 COVID-19 大流行期间日本工人的旷工与辞职和失业风险之间的关联。研究方法从 2020 年 12 月开始,对 27,036 名互联网监测者进行了前瞻性研究,其中 18,560 人(68.7%)参加了 2021 年 12 月的随访。采用工作功能障碍量表(WFun)测量工作功能障碍程度。结果显示与 WFun 分数最低的群体相比,WFun 分数最高的群体因健康原因退休和失业的几率比(ORs)都更高。OR值分别为2.99(95%CI:2.48-3.62,p<0.001)和1.82(95%CI:1.65-2.00,p<0.001)。结论工作功能受损的工人辞职或失业的风险增加。有必要为工作能力受损的工人制定管理策略,以减少他们在就业方面的不利因素。
{"title":"A prospective cohort study of presenteeism and increased risk of unemployment among Japanese workers during COVID-19 pandemic","authors":"Y. Fujino, M. Okawara, A. Hino, K. Muramatsu, T. Nagata, S. Tateishi, M. Tsuji, A. Ogami, T. Ishimaru, for The Coronawork Project","doi":"10.1093/joccuh/uiad015","DOIUrl":"https://doi.org/10.1093/joccuh/uiad015","url":null,"abstract":"\u0000 Objectives: Presenteeism adversely affects workers' quality of life, leading to further deterioration of their health and affecting their ability to continue working. Unemployment is one of the most serious consequences for workers experiencing presenteeism. A worker's ability to work depends on the degree of mismatch between the health status, and job demands and work factors. The COVID-19 pandemic has affected workers' experiences of presenteeism as well as their employment status. We examined the association between presenteeism and risk of job resignations and unemployment among Japanese workers during the COVID-19 pandemic.\u0000 Methods: A prospective study of 27,036 Internet monitors was conducted, starting in December 2020, with 18,560 (68.7%) participating in the follow-up by December 2021. The Work Functioning Impairment Scale (WFun) was used to measure the degree of work function impairment.\u0000 Results: The group with the highest WFun scores had higher odds ratios (ORs) for both retirement and unemployment for health reasons than the group with the lowest WFun scores. ORs were 2.99 (95%CI: 2.48-3.62, p<0. 001) and 1.82 (95%CI: 1.65-2.00, p<0.001), respectively.\u0000 Conclusions: Workers with work functioning impairment were at increased risk of resignation or unemployment. Management strategies for workers with work functioning impairment are needed to reduce their disadvantages in employment.","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962749","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
Experiences of working from home: Umbrella review 在家工作的经历伞式审查
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-14 DOI: 10.1093/joccuh/uiad013
Charlotte E Hall, S. Brooks, Freya Mills, Neil Greenberg, D. Weston
Introduction: The concept of ‘working from home’ is extremely topical following the COVID-19 pandemic; therefore, it is unsurprising that there has been an increased interest in collating research related to homeworking. This has been carried out by multiple reviews, all with slightly different research aims and methodologies. Collating the findings from the available reviews is therefore highly beneficial to establish the experience of homeworking to create recommendations for the future of home-based work. Method: An umbrella review was carried out. In June of 2022, literature searches were conducted across four electronic databases. Published reviews of literature which used a systematic process, were focused on working from home populations and detailed factors which could be related to the personal experience of homeworking (e.g., barriers, facilitators, advantages, disadvantages) were included. Results: A total of 1,930 records were screened and six review articles were included. Results report on the following sections: working environment (e.g., workplace design, space conditions), personal impact (e.g., satisfaction, career impact), and health (e.g., physical health, wellbeing) including a total of 19 themes. Mixed findings were apparent for nearly all included themes, highlighting the need to consider individual and contextual circumstances when researching working from home. Conclusion: This review establishes the importance of retaining flexibility whilst homeworking for employees, managers, and organisations. Essentially, a one-size fits all approach to working from home is impractical as individual circumstances limit application. Eight recommendations for the future of working from home are suggested.
导言:在 COVID-19 大流行之后,"在家办公 "这一概念变得极为热门;因此,人们对整理与在家办公相关的研究越来越感兴趣也就不足为奇了。目前已有多篇研究综述,研究目的和方法略有不同。因此,整理现有综述中的研究结果,对于确定在家工作的经验,为在家工作的未来提出建议大有裨益。方法:进行了总括性综述。2022 年 6 月,在四个电子数据库中进行了文献检索。已发表的文献综述采用了系统化流程,重点关注在家工作的人群,并纳入了可能与在家工作的个人经历有关的详细因素(如障碍、促进因素、优势、劣势)。研究结果共筛选出 1,930 条记录,其中包括六篇综述文章。结果报告了以下部分:工作环境(如工作场所设计、空间条件)、个人影响(如满意度、职业影响)和健康(如身体健康、幸福感),共包括 19 个主题。几乎所有主题的研究结果都不尽相同,这突出表明在研究在家工作时需要考虑个人情况和具体环境。结论本综述确定了在员工、管理人员和组织在家办公的同时保持灵活性的重要性。从根本上说,在家办公的 "一刀切 "方法是不切实际的,因为个人情况限制了这种方法的应用。本文就在家办公的未来提出了八项建议。
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引用次数: 0
Lifestyle factors associated with Presenteeism among City government office workers: a cross-sectional study 与市政府办公室工作人员旷工有关的生活方式因素:一项横断面研究
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-14 DOI: 10.1093/joccuh/uiad012
Tsubasa Otsubo, Aya Kinjo, Yuki Kuwabara, K. I. Hongja, Y. Osaki
Objectives: Presenteeism is a critical issue in occupational health. This study aims to examine the association between presenteeism and subjective sleep quality, smoking status, and alcohol consumption. Methods: Anonymous data of 777 workers in a Japanese city were retrospectively obtained from City Government Office A. It included variables like absolute presenteeism scores (measured using the Japanese version of the World Health Organization Health and Work Performance Questionnaire short form), gender, age, family status, subjective sleep quality, smoking status, and alcohol consumption. A binary logistic regression analysis was performed with gender, age, family status, subjective sleep quality, smoking status, and alcohol consumption as the independent variables, and absolute presenteeism scores equal to or below 40 as the dependent variable. A gender-stratified binary logistic regression analysis was also performed. Results: The logistic regression analysis results revealed that absolute presenteeism was positively associated with poor subjective sleep quality among all respondents (odds ratio, 1.70; 95% confidence interval, 1.18–2.44) and men (odds ratio, 1.85; 95% confidence interval, 1.12–3.05) and with current drinkers among women (odds ratio, 3.49; 95% confidence interval, 1.36–8.92); it was negatively associated with age among those who were ≥50 years old (odds ratio, 0.50; 95% confidence interval, 0.27–0.93) and with current drinkers among men (odds ratio, 0.43; 95% confidence interval, 0.20–0.92). Conclusions: The factors associated with presenteeism differed between men and women office workers, suggesting that gender differences need to be considered when working toward improving workers’ productivity.
目的:旷工是职业健康中的一个关键问题。本研究旨在探讨旷工与主观睡眠质量、吸烟状况和饮酒量之间的关系。研究方法数据包括绝对旷工得分(使用世界卫生组织健康与工作表现问卷简表的日文版进行测量)、性别、年龄、家庭状况、主观睡眠质量、吸烟状况和饮酒量等变量。以性别、年龄、家庭状况、主观睡眠质量、吸烟状况和饮酒量为自变量,以绝对旷工分数等于或低于 40 分为因变量,进行二元逻辑回归分析。此外,还进行了性别分层二元逻辑回归分析。结果显示逻辑回归分析结果显示,在所有受访者中,绝对旷工与主观睡眠质量差呈正相关(几率比为 1.70;95% 置信区间为 1.18-2.44),在男性受访者中,绝对旷工与主观睡眠质量差呈正相关(几率比为 1.85;95% 置信区间为 1.12-3.05),在经常饮酒者中,绝对旷工与主观睡眠质量差呈正相关(几率比为 1.70;95% 置信区间为 1.18-2.44)。在年龄≥50 岁的受访者中,睡眠质量与年龄呈负相关(几率比为 0.50;95% 置信区间为 0.27-0.93),在男性受访者中,睡眠质量与酗酒呈负相关(几率比为 0.43;95% 置信区间为 0.20-0.92)。结论与旷工相关的因素在男性和女性办公室工作人员之间存在差异,这表明在努力提高工人的工作效率时需要考虑性别差异。
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引用次数: 0
Clinical Effectiveness of Trigger Point Acupuncture on Chronic Neck and Shoulder Pain (Katakori) with Work Productivity Loss in Office Workers: A Randomized Clinical Trial 针刺扳机穴对办公室工作人员慢性肩颈部疼痛(Katakori)及工作效率下降的临床疗效:随机临床试验
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-14 DOI: 10.1093/joccuh/uiad016
Y. Minakawa, S. Miyazaki, H. Waki, Yoshiko Akimoto, Kazunori Itoh
Objectives: To evaluate whether trigger point acupuncture (TrPA) is beneficial for office workers who have reduced job performance (presenteeism) due to chronic neck and shoulder pain (katakori). Methods: A 4-week single-center randomized controlled trial was conducted on eligible 20 female office workers with chronic neck and shoulder pain for at least three months. The control group only implemented workplace-recommended presenteeism measures, whereas the intervention group received TrPA up to four times per month in addition to the presenteeism measures recommended by each workplace. The major outcome measure was the relative presenteeism score on the World Health Organization Health and Work Performance (WHO-HPQ). The secondary outcome measures were pain intensity (NRS), absolute presenteeism (WHO-HPQ), anxiety and depression (HADS), catastrophic thoughts related to pain (PCS), and sleep (AIS). Results: All nine cases in the intervention group and 11 cases in the control group were analyzed. TrPA up to four times per month reduced the intensity of neck and shoulder pain by 20% (p < 0.01, d = 1.65) and improved labor productivity (relative presenteeism value) by 0.25 (p < 0.01, d = 1.33) compared with the control group over one month. No significant differences were observed between the two groups in terms of absolute presenteeism score, HADS, PCS, or AIS. Conclusions: These results suggest that regular intervention with TrPA may be effective in the relative presenteeism score before and after the intervention and the degree of neck and shoulder pain over 28 days compared with the control group.
目的评估触发点针灸(TrPA)对因慢性颈肩疼痛(katakori)而导致工作表现下降(旷工)的上班族是否有益。方法对符合条件的 20 名患有慢性颈肩疼痛至少 3 个月的女性上班族进行了为期 4 周的单中心随机对照试验。对照组只实施工作场所推荐的出席率措施,而干预组除了每个工作场所推荐的出席率措施外,每月还接受最多四次的 TrPA 治疗。主要结果测量指标是世界卫生组织健康与工作绩效(WHO-HPQ)中的相对旷工评分。次要结果指标为疼痛强度(NRS)、绝对旷工(WHO-HPQ)、焦虑和抑郁(HADS)、与疼痛有关的灾难性想法(PCS)和睡眠(AIS)。结果对干预组的所有 9 个病例和对照组的 11 个病例进行了分析。与对照组相比,每月最多四次的 TrPA 可将颈肩疼痛的强度降低 20%(p < 0.01,d = 1.65),并在一个月内将劳动生产率(相对缺勤值)提高 0.25(p < 0.01,d = 1.33)。两组在绝对旷工评分、HADS、PCS 或 AIS 方面没有明显差异。结论这些结果表明,与对照组相比,使用 TrPA 进行定期干预可能会有效降低干预前后的相对旷工评分以及 28 天内的颈肩疼痛程度。
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引用次数: 0
Questionnaire-Based Scoring System for Screening Moderate-to-Vigorous Physical Activity in Middle-Aged Japanese Workers 基于问卷的评分系统,用于筛查日本中年工人的中强度体育锻炼情况
IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-11-28 DOI: 10.1093/joccuh/uiad011
T. Adachi, H. Ashikawa, Kuya Funaki, Takaaki Kondo, Sumio Yamada
Objectives: Currently available questionnaires have limited ability to measure physical activity (PA) using accelerometers as a gold standard. This study aimed to develop a PA questionnaire for middle-aged Japanese workers and propose a PA scoring system for predicting low moderate-to-vigorous PA (MVPA). Methods: A total of 428 participants (median age, 49 years; percentage of men, 75.8%) participated in a 7-day PA measurement using an accelerometer and a questionnaire. The association between questionnaire responses and low MVPA (<150 min/week) was assessed by logistic regression analysis. A score was assigned to each response based on the correlation coefficients of the multivariate model. The ability of the sum score to predict low MVPA was assessed using the area under the receiver operating characteristic curve (AUC). Results: Five questionnaire items were used for measuring PA scores (range: 0–50; higher scores indicated a higher probability of low MVPA). The AUC was 0.741 (95% confidence interval, 0.689–0.792), and the sensitivity and specificity at the optimal cut-off value were 66.7% and 68.2%, respectively. This predictive ability was slightly increased by body mass index (AUC, 0.745 [0.693–0.796]; sensitivity, 69.9%; specificity, 66.9%). These predictive values were greater than those of conventional questionnaires used in health checkups in Japan (P<0.05). Conclusions: This questionnaire-based PA scoring system showed moderate accuracy in predicting low MVPA. It is useful for screening physically inactive workers and promoting PA.
目的:目前可用的问卷以加速度计为黄金标准,测量体力活动(PA)的能力有限。本研究旨在为日本中年工人开发一份体力活动调查问卷,并提出一套预测低中度到剧烈体力活动(MVPA)的体力活动评分系统。 研究方法共有 428 名参与者(中位年龄 49 岁;男性比例 75.8%)参加了使用加速度计和问卷进行的 7 天 PA 测量。通过逻辑回归分析评估了问卷回答与低 MVPA(<150 分钟/周)之间的关联。根据多元模型的相关系数为每个回答打分。总分预测低 MVPA 的能力使用接收器操作特征曲线下面积 (AUC) 进行评估。 结果该研究使用了五个问卷项目来测量 PA 分数(范围:0-50;分数越高,表示 MVPA 偏低的可能性越大)。AUC为0.741(95%置信区间,0.689-0.792),在最佳临界值时的灵敏度和特异度分别为66.7%和68.2%。体重指数略微提高了这一预测能力(AUC,0.745 [0.693-0.796];灵敏度,69.9%;特异度,66.9%)。这些预测值高于日本健康体检中使用的传统问卷(P<0.05)。 结论这种基于问卷的 PA 评分系统在预测低 MVPA 方面显示出中等准确性。它对筛查身体不活跃的工人和促进 PA 很有帮助。
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Journal of Occupational Health
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