Pub Date : 2022-07-15DOI: 10.12961/aprl.2022.25.03.09
Vega García López
Tras una primera “Introducción conceptual” bajo un paradigma de trabajo-salud que integra todos los elementos que explican su interconexión (condiciones de empleo, servicios sanitarios, prevención, daños a la salud, causalidad, responsabilidad…) los autores y autoras nos conducen al complejo mundo de la salud laboral desde la visión clásica de los riesgos laborales y los daños hasta una visión holística que aborda los distintos dispositivos del Sistema de Salud y los condicionantes sociales del empleo. Todo abordado con un ENFOQUE DE SALUD PÚBLICA que busca la salud y bienestar de la población trabajadora. Aunque la perspectiva de la salud laboral en el Sistema Público de Salud ya se describía en nuestro país en la LGS’86 (Ley General de Salud 14/1986) y LGSP’11 (Ley General de Salud Pública 33/2011), todavía está insuficientemente desarrollada, y tal como se enfoca en el libro, es necesario considerar los riesgos laborales como determinantes de salud e imprescindible la coordinación con los Servicios de Salud Laboral. Recorriendo la publicación(1), se aborda la PREVENCION de RIESGOS, desde los más evidentes, de seguridad que causan la patología traumática aguda, hasta otros más silentes como los químicos, biológicos o físicos, de los que cuesta tomar conciencia por sus consecuencias a más largo plazo (ej. Cáncer laboral, hipoacusia…) e incluye los de naturaleza psicosocial que son los que producen mayor merma en la percepción global de la salud. Advierte de la existencia de trabajadores ESPECIALMENTE SENSIBLES a los riesgos que normativamente establecen unos límites permisibles no válidos para ellos (estado biológico, embarazo, edad límite…). Asimismo, recuerda la necesaria PARTICIPACION del personal trabajador, legalmente protegida y fundamental en la implicación en la prevención de riesgos laborales. También, reflexiona sobre la VIGILANCIA DE LA SALUD, creyendo necesario conceptualizar los Criterios de Aptitud y reconocimientos iniciales, sobre todo. Considera que es necesario tomar conciencia de los daños, más allá de los legalmente reconocidos (lesiones por accidentes de trabajo y enfermedades profesionales) aquellos relacionados con el trabajo y que, con frecuencia, se atienden en el Sistema Público de Salud (ej. Sucesos centinela) y advierte de la necesidad de revisar a la luz de la evidencia científica los PROTOCOLOS de vigilancia de la salud y los aspectos éticos que aseguren el respeto a la confidencialidad , dignidad y voluntariedad del trabajador. Incluye, además, el Sistema Público de Salud como complemento a los Servicios que tienen encomendada la Vigilancia de la Salud, para la detección precoz de la patología laboral, su consecuente notificación y protección a través de los sistemas de aseguramiento de las lesiones por accidentes de trabajo y enfermedades profesionales, y las ENCUESTAS de condiciones de trabajo y de salud que reflejan la percepción que los trabajadores. Reserva espacio, además, para la prevención de la INCA
{"title":"Reseña de Salud laboral: conceptos y técnicas para la prevención de riesgos laborales","authors":"Vega García López","doi":"10.12961/aprl.2022.25.03.09","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.03.09","url":null,"abstract":"Tras una primera “Introducción conceptual” bajo un paradigma de trabajo-salud que integra todos los elementos que explican su interconexión (condiciones de empleo, servicios sanitarios, prevención, daños a la salud, causalidad, responsabilidad…) los autores y autoras nos conducen al complejo mundo de la salud laboral desde la visión clásica de los riesgos laborales y los daños hasta una visión holística que aborda los distintos dispositivos del Sistema de Salud y los condicionantes sociales del empleo. Todo abordado con un ENFOQUE DE SALUD PÚBLICA que busca la salud y bienestar de la población trabajadora. Aunque la perspectiva de la salud laboral en el Sistema Público de Salud ya se describía en nuestro país en la LGS’86 (Ley General de Salud 14/1986) y LGSP’11 (Ley General de Salud Pública 33/2011), todavía está insuficientemente desarrollada, y tal como se enfoca en el libro, es necesario considerar los riesgos laborales como determinantes de salud e imprescindible la coordinación con los Servicios de Salud Laboral. \u0000Recorriendo la publicación(1), se aborda la PREVENCION de RIESGOS, desde los más evidentes, de seguridad que causan la patología traumática aguda, hasta otros más silentes como los químicos, biológicos o físicos, de los que cuesta tomar conciencia por sus consecuencias a más largo plazo (ej. Cáncer laboral, hipoacusia…) e incluye los de naturaleza psicosocial que son los que producen mayor merma en la percepción global de la salud. Advierte de la existencia de trabajadores ESPECIALMENTE SENSIBLES a los riesgos que normativamente establecen unos límites permisibles no válidos para ellos (estado biológico, embarazo, edad límite…). Asimismo, recuerda la necesaria PARTICIPACION del personal trabajador, legalmente protegida y fundamental en la implicación en la prevención de riesgos laborales. \u0000También, reflexiona sobre la VIGILANCIA DE LA SALUD, creyendo necesario conceptualizar los Criterios de Aptitud y reconocimientos iniciales, sobre todo. Considera que es necesario tomar conciencia de los daños, más allá de los legalmente reconocidos (lesiones por accidentes de trabajo y enfermedades profesionales) aquellos relacionados con el trabajo y que, con frecuencia, se atienden en el Sistema Público de Salud (ej. Sucesos centinela) y advierte de la necesidad de revisar a la luz de la evidencia científica los PROTOCOLOS de vigilancia de la salud y los aspectos éticos que aseguren el respeto a la confidencialidad , dignidad y voluntariedad del trabajador. \u0000Incluye, además, el Sistema Público de Salud como complemento a los Servicios que tienen encomendada la Vigilancia de la Salud, para la detección precoz de la patología laboral, su consecuente notificación y protección a través de los sistemas de aseguramiento de las lesiones por accidentes de trabajo y enfermedades profesionales, y las ENCUESTAS de condiciones de trabajo y de salud que reflejan la percepción que los trabajadores. \u0000Reserva espacio, además, para la prevención de la INCA","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46225407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.12961/aprl.2022.25.03.05
José Luis Llorca-Rubio, Marta Llorca-Pellicer, Pedro R Gil-Monte, Pedro Gil-LaOrden
Aim: To analyse the psychometric properties of the demand scales of the UNIPSICO questionnaire in in Valencian / Catalan language.
Method: The sample consisted of 2114 participants from public administration centres of Generalitat Valenciana in Valencia. Data were collected using the UNIPSICO questionnaire, which is grouped into six scales that measure psychosocial risk factors related to job demands (33 items): role conflict (5 items), role ambiguity (5 items), workload (6 items), interpersonal conflicts (6 items), inequity in social exchanges (5 items), and work-family and family-work conflict (6 items). We performed confirmatory factor analysis (CFA) and measured Cronbach alpha and McDonald omega coefficients for the scales.
Results: All items had adequate statistical and psychometric values. The six-factor model that reproduces the original structure of the questionnaire presented an adequate fit to the data, and gender invariance. The Cronbach alpha and McDonald omega coefficients were acceptable for the six scales of the instrument.
Conclusions: These results contribute to the psychometric validation of the questionnaire and allow us to conclude that the demand scales of the UNIPSICO questionnaire translated to Valencian / Catalan language are reliable and possess construct validity for the assessment of psychosocial risk factors in government employees.
{"title":"[Psychometric validation of the UNIPSICO questionnaire in Valencian/Catalan language: analysis of the scales evaluating psychosocial demand variables].","authors":"José Luis Llorca-Rubio, Marta Llorca-Pellicer, Pedro R Gil-Monte, Pedro Gil-LaOrden","doi":"10.12961/aprl.2022.25.03.05","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.03.05","url":null,"abstract":"<p><strong>Aim: </strong>To analyse the psychometric properties of the demand scales of the UNIPSICO questionnaire in in Valencian / Catalan language.</p><p><strong>Method: </strong>The sample consisted of 2114 participants from public administration centres of Generalitat Valenciana in Valencia. Data were collected using the UNIPSICO questionnaire, which is grouped into six scales that measure psychosocial risk factors related to job demands (33 items): role conflict (5 items), role ambiguity (5 items), workload (6 items), interpersonal conflicts (6 items), inequity in social exchanges (5 items), and work-family and family-work conflict (6 items). We performed confirmatory factor analysis (CFA) and measured Cronbach alpha and McDonald omega coefficients for the scales.</p><p><strong>Results: </strong>All items had adequate statistical and psychometric values. The six-factor model that reproduces the original structure of the questionnaire presented an adequate fit to the data, and gender invariance. The Cronbach alpha and McDonald omega coefficients were acceptable for the six scales of the instrument.</p><p><strong>Conclusions: </strong>These results contribute to the psychometric validation of the questionnaire and allow us to conclude that the demand scales of the UNIPSICO questionnaire translated to Valencian / Catalan language are reliable and possess construct validity for the assessment of psychosocial risk factors in government employees.</p>","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":" ","pages":"285-299"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40645970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.12961/aprl.2022.25.03.06
Mireia Utzet Sadurni, Consol Serra, Jose María Ramada, Rocío Villar, Consuelo De Travesedo, Julià Del Prado, Fernando G Benavides
Introduction: Construct a numerical index of non-pharmacological preventive measures against Sars-CoV-2 based on the experience of Parc de Salut Mar (PSMar), a healthcare institution in Barcelona.
Method: The construction of the index was carried out in three phases. The identification and selection of the variables to be included based on semi-structured interviews with key informants and documental revision. The definition of the dimensions (consisting of one or more variables) and, finally, the operationalisation of the index on the basis of these dimensions. The index was estimated in the PSMar, and in its two main centres, the Hospital del Mar and the Hospital de la Esperanza.
Results: Twenty-one variables were identified and categorised into six dimensions: personal protective equipment, individual organisational measures, collective organisational measures, epidemiological surveillance measures, training activities and protocol development. During the first wave, the Hospital del Mar index remained above the value obtained at the Hospital de la Esperanza, while in the second wave both indexes showed similar values until week 36, when the Hospital del Mar index began to show higher values. These oscillations were mainly due to the dimensions of personal protective equipment and training activities.
Conclusions: The proposed index shows the difficulties in implementing the various non-pharmacological preventive measures in the first weeks of the pandemic. This tool can be useful for evaluating the activities carried out by the Occupational Risk Prevention Services in the face of the pandemic, with the appropriate adaptations to the reality of each individual company.
前言:根据巴塞罗那医疗机构Parc de Salut Mar (PSMar)的经验,构建Sars-CoV-2非药物预防措施的数值指标。方法:指标的构建分三个阶段进行。根据与关键举报人的半结构化访谈和文件修订,确定和选择要纳入的变量。维度的定义(由一个或多个变量组成),最后是基于这些维度的索引的操作化。该指数是在PSMar及其两个主要中心,del Mar医院和la Esperanza医院进行估计的。结果:确定了21个变量,并将其分为6个维度:个人防护装备、个人组织措施、集体组织措施、流行病学监测措施、培训活动和方案制定。在第一波期间,德尔玛医院指数保持在埃斯佩兰萨医院获得的数值之上,而在第二波中,两种指数都显示相似的数值,直到第36周,德尔玛医院指数开始显示更高的数值。这些波动主要是由于个人防护装备和培训活动的规模。结论:拟议的指数显示了在大流行的最初几周实施各种非药物预防措施的困难。这一工具可用于评估职业风险预防处在面对大流行病时开展的活动,并根据每个公司的实际情况进行适当调整。
{"title":"[Proposal for a summary index of the non-pharmacological preventive measures adopted against SARS-CoV-2 in companies, the case of Parc de Salut Mar (Barcelona).]","authors":"Mireia Utzet Sadurni, Consol Serra, Jose María Ramada, Rocío Villar, Consuelo De Travesedo, Julià Del Prado, Fernando G Benavides","doi":"10.12961/aprl.2022.25.03.06","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.03.06","url":null,"abstract":"<p><strong>Introduction: </strong>Construct a numerical index of non-pharmacological preventive measures against Sars-CoV-2 based on the experience of Parc de Salut Mar (PSMar), a healthcare institution in Barcelona.</p><p><strong>Method: </strong>The construction of the index was carried out in three phases. The identification and selection of the variables to be included based on semi-structured interviews with key informants and documental revision. The definition of the dimensions (consisting of one or more variables) and, finally, the operationalisation of the index on the basis of these dimensions. The index was estimated in the PSMar, and in its two main centres, the Hospital del Mar and the Hospital de la Esperanza.</p><p><strong>Results: </strong>Twenty-one variables were identified and categorised into six dimensions: personal protective equipment, individual organisational measures, collective organisational measures, epidemiological surveillance measures, training activities and protocol development. During the first wave, the Hospital del Mar index remained above the value obtained at the Hospital de la Esperanza, while in the second wave both indexes showed similar values until week 36, when the Hospital del Mar index began to show higher values. These oscillations were mainly due to the dimensions of personal protective equipment and training activities.</p><p><strong>Conclusions: </strong>The proposed index shows the difficulties in implementing the various non-pharmacological preventive measures in the first weeks of the pandemic. This tool can be useful for evaluating the activities carried out by the Occupational Risk Prevention Services in the face of the pandemic, with the appropriate adaptations to the reality of each individual company.</p>","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":" ","pages":"300-309"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40645969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.06
Fernando Benavides, Michael Silva-Peñaherrera
This short essay starts from the hypothesis that teleworking is nothing more, and nothing less, than the manifestation of an announced change of time, of which the pandemic is acting as an accelerator. A change of era defined by a new economic and labor space that is cyberspace, which deepens the digitization of the economy and the flexibilization of the labor market. Teleworking is an expected result in this new reality. The pandemic has exponentially increased this new form of work organization, defined as work done at home using electronic equipment. From a global perspective, the ILO has estimated, based on household surveys of 31 countries carried out in the second quarter of 2020, that 17.4% of the employed people worldwide, some 557 million, worked in that sector. period in their homes, ranging from 25.4% in high-income countries to 13.6% in low-income countries. For Latin America, teleworking rose between 25-30% in the second quarter of 2020, and in Europe, Eurofound, in April 2020, estimated that 37% of participants had started working at home with the onset of the pandemic. All of which has made it possible to maintain certain economic activity and the employment relationship of these people during the pandemic. Likewise, it should not be forgotten that the pandemic has also caused huge job losses, especially during the second quarter of 2020, when, according to ILO estimates, more than 300 million full-time jobs were lost. Job losses that as of the 2nd quarter of 2021 have not yet recovered from pre-pandemic levels. In this sense, it should not be forgotten that teleworking does not create new occupations, it only provides a new way of organizing work for those occupations whose tasks can be performed virtually. At the time of writing this article, after a year of restrictions on economic activity, mobility and social interaction, the surveys that Eurofound has continued to carry out show that exclusive teleworking, every day of the week, is decreasing in the whole of the European Union, from 34% in summer 2020 (second round) to 24% in spring 2021 (third round). Given that the pandemic has not yet ended, and we do not know how the "experiment" will end, we must continue to monitor these changes in the way of working, and how they affect the labor market and employment and working conditions. As far as we know, teleworking offers great advantages, but also important disadvantages, with respect to working and employment conditions, which can, positively or negatively, affect the health of the teleworker. Telework regulation is a key element of cyberspace-based regulation of the digital economy, and it must be a global issue.
{"title":"[Telework: Data and evidence before and during the COVID-19 pandemic].","authors":"Fernando Benavides, Michael Silva-Peñaherrera","doi":"10.12961/aprl.2022.25.02.06","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.06","url":null,"abstract":"This short essay starts from the hypothesis that teleworking is nothing more, and nothing less, than the manifestation of an announced change of time, of which the pandemic is acting as an accelerator. A change of era defined by a new economic and labor space that is cyberspace, which deepens the digitization of the economy and the flexibilization of the labor market. Teleworking is an expected result in this new reality. The pandemic has exponentially increased this new form of work organization, defined as work done at home using electronic equipment. From a global perspective, the ILO has estimated, based on household surveys of 31 countries carried out in the second quarter of 2020, that 17.4% of the employed people worldwide, some 557 million, worked in that sector. period in their homes, ranging from 25.4% in high-income countries to 13.6% in low-income countries. For Latin America, teleworking rose between 25-30% in the second quarter of 2020, and in Europe, Eurofound, in April 2020, estimated that 37% of participants had started working at home with the onset of the pandemic. All of which has made it possible to maintain certain economic activity and the employment relationship of these people during the pandemic. Likewise, it should not be forgotten that the pandemic has also caused huge job losses, especially during the second quarter of 2020, when, according to ILO estimates, more than 300 million full-time jobs were lost. Job losses that as of the 2nd quarter of 2021 have not yet recovered from pre-pandemic levels. In this sense, it should not be forgotten that teleworking does not create new occupations, it only provides a new way of organizing work for those occupations whose tasks can be performed virtually. At the time of writing this article, after a year of restrictions on economic activity, mobility and social interaction, the surveys that Eurofound has continued to carry out show that exclusive teleworking, every day of the week, is decreasing in the whole of the European Union, from 34% in summer 2020 (second round) to 24% in spring 2021 (third round). Given that the pandemic has not yet ended, and we do not know how the \"experiment\" will end, we must continue to monitor these changes in the way of working, and how they affect the labor market and employment and working conditions. As far as we know, teleworking offers great advantages, but also important disadvantages, with respect to working and employment conditions, which can, positively or negatively, affect the health of the teleworker. Telework regulation is a key element of cyberspace-based regulation of the digital economy, and it must be a global issue.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"25 2 1","pages":"133-146"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66421669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.02
Isabel Roig-Grau, Berta Fornés-Ollé, Ramon Rodriguez-Roig, Anna Delgado-Juncadella, Joan Anton González-Valero, Irene Rodríguez-Martín
Objetivos: Analizar la prevalencia y gravedad del síndrome de Burnout en los profesionales de los Equipos de Atención Primaria y su asociación con variables laborales y demográficas. Métodos: Estudio transversal, observacional, descriptivo y multicéntrico. La muestra la forman trabajadores de todas las categorías profesionales sanitarias de la Cataluña Central. Se realiza a través del cuestionario autoadministrado y anónimo Maslach Burnout Inventory adaptado a la población española con tres escalas que valoran cansancio emocional, despersonalización y realización personal. Las variables cuantitativas se describen con la media y desviación estándar y las cualitativas con porcentajes. Se comparan mediante la t-Student para variables cuantitativas, chi cuadrado de Pearson para las variables categóricas con la corrección de Fisher y Mann-Whitney para las variables continuas. Resultados: Participaron 614 profesionales, edad media 45.6 años, 84.9% mujeres. El 54.7% no tiene ninguna escala afectada, un 30.94% tiene una escala afectada. El Burnout con alteración de dos o más escalas se presenta en el 14.3%, de los que un 3.74% presentan Burnout grave con alteración de las tres escalas. La dimensión de cansancio emocional y despersonalización en grado alto y baja realización personal se da mayoritariamente en médicos adjuntos y residentes. Conclusiones: El síndrome de Burnout en los profesionales de Atención Primaria afecta principalmente a médicos, con ecsasa relación a variables laborales y sociodemográficas, y constituye un factor de riesgo psicosocial para la salud de estos profesionales.
{"title":"Burnout en profesionales de atención primaria en la Cataluña Central","authors":"Isabel Roig-Grau, Berta Fornés-Ollé, Ramon Rodriguez-Roig, Anna Delgado-Juncadella, Joan Anton González-Valero, Irene Rodríguez-Martín","doi":"10.12961/aprl.2022.25.02.02","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.02","url":null,"abstract":"Objetivos: Analizar la prevalencia y gravedad del síndrome de Burnout en los profesionales de los Equipos de Atención Primaria y su asociación con variables laborales y demográficas. \u0000Métodos: Estudio transversal, observacional, descriptivo y multicéntrico. La muestra la forman trabajadores de todas las categorías profesionales sanitarias de la Cataluña Central. Se realiza a través del cuestionario autoadministrado y anónimo Maslach Burnout Inventory adaptado a la población española con tres escalas que valoran cansancio emocional, despersonalización y realización personal. Las variables cuantitativas se describen con la media y desviación estándar y las cualitativas con porcentajes. Se comparan mediante la t-Student para variables cuantitativas, chi cuadrado de Pearson para las variables categóricas con la corrección de Fisher y Mann-Whitney para las variables continuas. \u0000Resultados: Participaron 614 profesionales, edad media 45.6 años, 84.9% mujeres. El 54.7% no tiene ninguna escala afectada, un 30.94% tiene una escala afectada. El Burnout con alteración de dos o más escalas se presenta en el 14.3%, de los que un 3.74% presentan Burnout grave con alteración de las tres escalas. La dimensión de cansancio emocional y despersonalización en grado alto y baja realización personal se da mayoritariamente en médicos adjuntos y residentes. \u0000Conclusiones: El síndrome de Burnout en los profesionales de Atención Primaria afecta principalmente a médicos, con ecsasa relación a variables laborales y sociodemográficas, y constituye un factor de riesgo psicosocial para la salud de estos profesionales.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125613723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.03
Rocío Villar Vinuesa, C. Serra, Laura Serra, F. G. Benavides
OBJECTIVES To assess the association between sickness absence (SA) trajectories by medical diagnoses and exposure to occupational risk factors during pregnancy. Methods: SA trajectories were identified in a cohort of 367 pregnant workers from a healthcare institution (period 2010-2014), based on most frequent diagnosis using sequence analysis. Trajectory 1 included SA episodes due mainly to musculoskeletal disorders (58.86%), trajectory 2 included SA episodes due to pregnancy-related disorders (25.07%) and trajectory 3 included absences mainly covered by pregnancy-related occupational risk benefits (POR) and few SA episodes (16.08%). Exposure to occupational risk factors was assessed by experts and their association with trajectories was analysed using logistic regression. Relative risks (RR) and their 95% confidence intervals (95%CI) were adjusted for age, type of contract and work shift. RESULTS Trajectory 1 was negatively associated with exposure to safety and ergonomic risks (RR=0.56, 95%CI=0.35-0.90; RR=0.50, 95%CI=0.33-0.77, respectively) and with the highest global risk index (RR=0.68, 95%CI=0.49-0.96). Trajectory 3 was associated with safety and ergonomic risks (RR=2.75, 95%CI=1.59-4.75; RR=3.64, 95%CI=2.18-6.06, respectively) and with the highest global risk index (RR=2.69, 95%CI=1.43-5.01). Nursing aides and nurses had a higher probability of belonging to trajectory 3 (RR 5.58, 95%CI=2.09-14.95 and RR 5.00, 95%CI 2.18-6.06, respectively). CONCLUSIONS Pregnancy-related and musculoskeletal disorders are the most frequent sickness absence diagnosis during pregnancy. Low levels of occupational risk factors exposure were related to absences from work covered mainly by sickness absence. Current social benefits seem to be used as a complementary way to balance work and health during pregnancy.
{"title":"[Ausencia por enfermedad, condiciones médicas y de trabajo durante el embarazo en una cohorte de profesionales sanitarias].","authors":"Rocío Villar Vinuesa, C. Serra, Laura Serra, F. G. Benavides","doi":"10.12961/aprl.2022.25.02.03","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.03","url":null,"abstract":"OBJECTIVES\u0000To assess the association between sickness absence (SA) trajectories by medical diagnoses and exposure to occupational risk factors during pregnancy. Methods: SA trajectories were identified in a cohort of 367 pregnant workers from a healthcare institution (period 2010-2014), based on most frequent diagnosis using sequence analysis. Trajectory 1 included SA episodes due mainly to musculoskeletal disorders (58.86%), trajectory 2 included SA episodes due to pregnancy-related disorders (25.07%) and trajectory 3 included absences mainly covered by pregnancy-related occupational risk benefits (POR) and few SA episodes (16.08%). Exposure to occupational risk factors was assessed by experts and their association with trajectories was analysed using logistic regression. Relative risks (RR) and their 95% confidence intervals (95%CI) were adjusted for age, type of contract and work shift.\u0000\u0000\u0000RESULTS\u0000Trajectory 1 was negatively associated with exposure to safety and ergonomic risks (RR=0.56, 95%CI=0.35-0.90; RR=0.50, 95%CI=0.33-0.77, respectively) and with the highest global risk index (RR=0.68, 95%CI=0.49-0.96). Trajectory 3 was associated with safety and ergonomic risks (RR=2.75, 95%CI=1.59-4.75; RR=3.64, 95%CI=2.18-6.06, respectively) and with the highest global risk index (RR=2.69, 95%CI=1.43-5.01). Nursing aides and nurses had a higher probability of belonging to trajectory 3 (RR 5.58, 95%CI=2.09-14.95 and RR 5.00, 95%CI 2.18-6.06, respectively).\u0000\u0000\u0000CONCLUSIONS\u0000Pregnancy-related and musculoskeletal disorders are the most frequent sickness absence diagnosis during pregnancy. Low levels of occupational risk factors exposure were related to absences from work covered mainly by sickness absence. Current social benefits seem to be used as a complementary way to balance work and health during pregnancy.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"25 2 1","pages":"101-118"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66421229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.11
Amaia Ayala Garcia
Este trabajo es un comentario del artículo: de Boer AG, Torp S, Popa A, Horsboel T, Zadnik V, Rottenberg Y, Bardi E, Bultmann U, Sharp L. Long-term work retention after treatment for cancer: a systematic review and meta-analysis. J Cancer Surviv. 2020 Apr;14(2):135-150. doi: 10.1007/s11764-020-00862-2. Epub 2020 Mar 11. PMID: 32162193.
本文是对de Boer AG, Torp S, Popa A, Horsboel T, Zadnik V, Rottenberg Y, Bardi E, Bultmann U, Sharp L.癌症治疗后的长期工作保留:系统综述和meta分析。J癌症生存。2020年4月14日(2):135-150。doi: 10.1007 / s11764-020-00862-2。Epub 2020 3月11日。PMID: 32162193。
{"title":"Consecuencias del tratamiento de cáncer sobre la conservación del empleo: una revisión sistemática y meta-análisis","authors":"Amaia Ayala Garcia","doi":"10.12961/aprl.2022.25.02.11","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.11","url":null,"abstract":"Este trabajo es un comentario del artículo: de Boer AG, Torp S, Popa A, Horsboel T, Zadnik V, Rottenberg Y, Bardi E, Bultmann U, Sharp L. Long-term work retention after treatment for cancer: a systematic review and meta-analysis. J Cancer Surviv. 2020 Apr;14(2):135-150. doi: 10.1007/s11764-020-00862-2. Epub 2020 Mar 11. PMID: 32162193.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43166935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.05
A. Galán, V. Pérez, Fernando G. Benavides, David Cobos Sanchiz, Juan Gómez Salgado
La protección de la salud de las personas trabajadoras es una exigencia básica en el desarrollo de las relaciones sociales, políticas y comerciales presentes y futuras entre la Unión Europea y los países de Latinoamérica y el Caribe, entre otras regiones del mundo. La armonización del marco normativo y su aplicación real es un objetivo compartido por todas las partes. Dicho objetivo está alineado con los Objetivos de Desarrollo Sostenible de la Agenda 2030, en concreto el número 8, relacionado con el trabajo decente y productivo. Con estos planteamientos como premisa principal, el Vicerrectorado de Calidad, Igualdad y Responsabilidad Social y la Sede Santa María de la Rábida de la Universidad Internacional de Andalucía (UNIA), han promovido un Foro Iberoamericano que ha servido para poner sobre la mesa temas de actualidad en materia de salud laboral y prevención de riesgos laborales, debatidos en profundidad con expertos en la materia y agentes sociales y económicos de toda Iberoamérica. De esta forma, se han extraído conclusiones operativas que pueden ser de utilidad para los decisores de políticas públicas de nuestros países.….
{"title":"[Presentation of the UNIA FORUM on Workplace Safety and Health \"Telework, reality and regulation: from protection to the health of workers\". La Rábida, Huelva (Spain), November 2021].","authors":"A. Galán, V. Pérez, Fernando G. Benavides, David Cobos Sanchiz, Juan Gómez Salgado","doi":"10.12961/aprl.2022.25.02.05","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.05","url":null,"abstract":"\u0000 La protección de la salud de las personas trabajadoras es una exigencia básica en el desarrollo de las relaciones sociales, políticas y comerciales presentes y futuras entre la Unión Europea y los países de Latinoamérica y el Caribe, entre otras regiones del mundo. La armonización del marco normativo y su aplicación real es un objetivo compartido por todas las partes. Dicho objetivo está alineado con los Objetivos de Desarrollo Sostenible de la Agenda 2030, en concreto el número 8, relacionado con el trabajo decente y productivo. Con estos planteamientos como premisa principal, el Vicerrectorado de Calidad, Igualdad y Responsabilidad Social y la Sede Santa María de la Rábida de la Universidad Internacional de Andalucía (UNIA), han promovido un Foro Iberoamericano que ha servido para poner sobre la mesa temas de actualidad en materia de salud laboral y prevención de riesgos laborales, debatidos en profundidad con expertos en la materia y agentes sociales y económicos de toda Iberoamérica. De esta forma, se han extraído conclusiones operativas que pueden ser de utilidad para los decisores de políticas públicas de nuestros países.….\u0000","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"25 2 1","pages":"128-132"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66421584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.07
F. Tomasina, A. Pisani
Teleworking has been growing over the decades, arising many challenges to overcome. The COVID-19 pandemic situation accelerated this process. The forms of presentation are varied, homework perhaps is the most frequent. The objective of this study was to carry out a review on teleworking in the positive and negative aspects in relation to the physical and mental health of the teleworker. So, from the literature consulted, risk factors for health are identified, most of them correspond to damages derived from exposure to psychosocial and ergonomic risks. Sleep disturbances, anxiety and distress, and depression stand out as damage to mental health. With regard to damage to physical health, musculoskeletal disorders, alterations resulting from the decrease in physical activity due to sedentary lifestyle and stress, in particular non-communicable diseases, and alterations in vision are also identified. From a preventive perspective, actions aimed at policies linked to the organization of teleworking should be encouraged. In particular, those related with working and resting times, ensuring, among other aspects, the so-called right to disconnection. The ergonomic design of the workstation and taking active breaks are an element that also contributes to the well-being of the worker. The active participation of social actors, workers, employers and the state is strategic for teleworking, contributing to decent work and not to its precariousness.
{"title":"[Pros and cons of teleworking in relation to the physical and mental health of the working general population: a narrative exploratory review].","authors":"F. Tomasina, A. Pisani","doi":"10.12961/aprl.2022.25.02.07","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.07","url":null,"abstract":"Teleworking has been growing over the decades, arising many challenges to overcome. The COVID-19 pandemic situation accelerated this process. The forms of presentation are varied, homework perhaps is the most frequent. The objective of this study was to carry out a review on teleworking in the positive and negative aspects in relation to the physical and mental health of the teleworker. So, from the literature consulted, risk factors for health are identified, most of them correspond to damages derived from exposure to psychosocial and ergonomic risks. Sleep disturbances, anxiety and distress, and depression stand out as damage to mental health. With regard to damage to physical health, musculoskeletal disorders, alterations resulting from the decrease in physical activity due to sedentary lifestyle and stress, in particular non-communicable diseases, and alterations in vision are also identified. From a preventive perspective, actions aimed at policies linked to the organization of teleworking should be encouraged. In particular, those related with working and resting times, ensuring, among other aspects, the so-called right to disconnection. The ergonomic design of the workstation and taking active breaks are an element that also contributes to the well-being of the worker. The active participation of social actors, workers, employers and the state is strategic for teleworking, contributing to decent work and not to its precariousness.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"25 2 1","pages":"147-161"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66421903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.12961/aprl.2022.25.02.04
Iñaki Moreno Sueskun, E. Extramiana Cameno, J. Díaz-González, J. Fernández Baraibar
OBJECTIVE To identify a possible association between economic work activity of work and risk of illness in order to enable policies for more vulnerable groups of workers. METHODS We present the incidence rates for COVID-19, confirmed through active infection diagnostic testing, by National Economic Activity Code for all workers in Navarra, registered in the social security system, for those divisions with an incidence and number of exposed persons above their respective 75th percentiles. RESULTS Women and activities in services, food industry and construction, characterised by precarious employment, high presence of immigrants and probably worse living conditions, present a higher risk of becoming ill. CONCLUSIONS The socio-occupational inequalities associated with COVID-19 require an integrated public health and occupational health approach.
{"title":"[The incidence of COVID-19 in the worker population by economic activity in Navarre, May-December 2020].","authors":"Iñaki Moreno Sueskun, E. Extramiana Cameno, J. Díaz-González, J. Fernández Baraibar","doi":"10.12961/aprl.2022.25.02.04","DOIUrl":"https://doi.org/10.12961/aprl.2022.25.02.04","url":null,"abstract":"OBJECTIVE\u0000 To identify a possible association between economic work activity of work and risk of illness in order to enable policies for more vulnerable groups of workers.\u0000\u0000\u0000METHODS\u0000We present the incidence rates for COVID-19, confirmed through active infection diagnostic testing, by National Economic Activity Code for all workers in Navarra, registered in the social security system, for those divisions with an incidence and number of exposed persons above their respective 75th percentiles.\u0000\u0000\u0000RESULTS\u0000Women and activities in services, food industry and construction, characterised by precarious employment, high presence of immigrants and probably worse living conditions, present a higher risk of becoming ill.\u0000\u0000\u0000CONCLUSIONS\u0000The socio-occupational inequalities associated with COVID-19 require an integrated public health and occupational health approach.","PeriodicalId":38326,"journal":{"name":"Archivos de prevención de riesgos laborales","volume":"25 2 1","pages":"119-127"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66421959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}