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Reseña de Salud laboral: conceptos y técnicas para la prevención de riesgos laborales 职业健康回顾:预防职业风险的概念和技术
Q4 Medicine Pub Date : 2022-07-15 DOI: 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
最后,他考虑到促进健康是职业健康的另一种延伸,这将有助于NIOSH(总工人健康)概念工作的未来福利和健康,并考虑到工作和就业性质的变化(远程办公、任务自动化、共同工作、灵活就业……),劳动力的变化(老龄化、多样性……),他还要求,将职业健康作为工人的“整体健康”的扩展方法。简而言之,这是那些在这个需要范式转变的“危机”时期从事职业健康工作的人必不可少的阅读。由专家指导。
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引用次数: 0
[Psychometric validation of the UNIPSICO questionnaire in Valencian/Catalan language: analysis of the scales evaluating psychosocial demand variables]. [用巴伦西亚语/加泰罗尼亚语对联塞建和办调查表进行心理计量学验证:评估心理社会需求变量的量表分析]。
Q4 Medicine Pub Date : 2022-07-15 DOI: 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.

目的:分析西班牙语/加泰罗尼亚语UNIPSICO问卷需求量表的心理测量特征。方法:样本包括来自巴伦西亚自治区公共行政中心的2114名参与者。使用UNIPSICO问卷收集数据,该问卷分为6个量表,测量与工作需求相关的社会心理风险因素(33个项目):角色冲突(5个项目)、角色模糊(5个项目)、工作量(6个项目)、人际冲突(6个项目)、社会交换不公平(5个项目)、工作-家庭和家庭-工作冲突(6个项目)。我们对量表进行了验证性因子分析(CFA),并测量了Cronbach alpha和McDonald omega系数。结果:所有项目均具有足够的统计和心理测量值。六因素模型再现了问卷的原始结构,对数据有充分的拟合,性别不变性。Cronbach alpha和McDonald ω系数在仪器的六个尺度上是可接受的。结论:这些结果有助于问卷的心理计量学验证,并允许我们得出结论,UNIPSICO问卷翻译成瓦伦西亚语/加泰罗尼亚语的需求量表是可靠的,并且具有构建效度,用于评估政府雇员的社会心理风险因素。
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引用次数: 1
[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).] [关于公司针对严重急性呼吸系统综合征冠状病毒2型采取的非药物预防措施汇总索引的提案,以Parc de Salut Mar(巴塞罗那)为例。]
Q4 Medicine Pub Date : 2022-07-15 DOI: 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。
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引用次数: 0
[Telework: Data and evidence before and during the COVID-19 pandemic]. [远程办公:2019冠状病毒病大流行之前和期间的数据和证据]。
Q4 Medicine Pub Date : 2022-04-15 DOI: 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.
这篇短文的出发点是这样一个假设,即远程办公无非是一种已宣布的时代变化的表现,而疫情正充当着时代变化的加速器。网络空间这一新的经济和劳动空间所定义的时代变革,深化了经济的数字化和劳动力市场的灵活性。远程办公是这种新现实的预期结果。大流行使这种新的工作组织形式成倍增加,这种工作组织形式被定义为在家中使用电子设备完成的工作。从全球角度来看,国际劳工组织根据2020年第二季度对31个国家进行的住户调查估计,全球17.4%的就业人口,约5.57亿人在该部门工作。从高收入国家的25.4%到低收入国家的13.6%不等。就拉丁美洲而言,2020年第二季度远程办公人数增长了25%至30%,而在欧洲,据欧洲联盟估计,2020年4月,37%的参与者在疫情爆发时开始在家工作。所有这些都使这些人在大流行期间能够保持某些经济活动和就业关系。同样,不应忘记,大流行也造成了大量失业,特别是在2020年第二季度,根据国际劳工组织的估计,当时失去了3亿多份全职工作。截至2021年第二季度,失业人数尚未从大流行前的水平恢复。从这个意义上说,我们不应该忘记,远程办公并没有创造新的职业,它只是为那些可以虚拟执行任务的职业提供了一种组织工作的新方式。在撰写本文时,在对经济活动、流动性和社会互动进行了一年的限制之后,Eurofound继续进行的调查显示,在整个欧盟,每周每天的专属远程办公比例正在下降,从2020年夏季(第二轮)的34%降至2021年春季(第三轮)的24%。鉴于大流行尚未结束,我们不知道“实验”将如何结束,我们必须继续监测工作方式的这些变化,以及它们如何影响劳动力市场、就业和工作条件。据我们所知,远程办公提供了巨大的优势,但也有重要的缺点,就工作和就业条件而言,这可以,积极或消极地影响远程工作者的健康。远程办公监管是基于网络空间的数字经济监管的关键要素,必须是一个全球性问题。
{"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":null,"pages":null},"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}
引用次数: 3
Burnout en profesionales de atención primaria en la Cataluña Central 加泰罗尼亚中部初级保健专业人员的职业倦怠
Q4 Medicine Pub Date : 2022-04-15 DOI: 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.
目的:分析初级保健团队专业人员职业倦怠综合征的患病率和严重程度及其与劳动和人口统计学变量的关系。方法:横断面、观察性、描述性、多中心研究。样本由加泰罗尼亚中部所有卫生专业类别的工人组成。这项研究是通过自我管理和匿名的Maslach倦怠量表进行的,该量表适用于西班牙人群,有三个量表来评估情绪疲劳、人格解体和个人实现。定量变量用均值和标准差描述,定性变量用百分比描述。定量变量采用t-Student,分类变量采用Pearson卡方,连续变量采用Fisher和Mann-Whitney校正。研究对象为614名专业人员,平均年龄45.6岁,女性占84.9%。54.7%的人没有受影响的量表,30.94%的人受影响的量表。14.3%的人患有两种或两种以上量表的职业倦怠,其中3.74%的人患有严重的职业倦怠,三种量表的职业倦怠。情绪疲劳和人格解体的维度在高水平和低水平的个人实现主要发生在助理医生和住院医生。结论:初级保健专业人员职业倦怠综合征主要影响医生,与劳动和社会人口学变量有关,是初级保健专业人员健康的社会心理危险因素。
{"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":null,"pages":null},"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}
引用次数: 1
[Ausencia por enfermedad, condiciones médicas y de trabajo durante el embarazo en una cohorte de profesionales sanitarias]. [一组卫生专业人员在怀孕期间因疾病、医疗条件和工作条件缺勤]。
Q4 Medicine Pub Date : 2022-04-15 DOI: 10.12961/aprl.2022.25.02.03
Rocío Villar Vinuesa, C. Serra, Laura Serra, F. G. Benavides
OBJECTIVESTo 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.RESULTSTrajectory 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).CONCLUSIONSPregnancy-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.
目的评估医学诊断的缺勤(SA)轨迹与妊娠期间暴露于职业危险因素之间的关系。方法:基于使用序列分析的最常见诊断,在一家医疗机构(2010-2014年)的367名怀孕女工队列中确定SA轨迹。轨迹1包括主要由肌肉骨骼疾病引起的SA发作(58.86%),轨迹2包括由妊娠相关疾病引起的SA发作(25.07%),轨迹3包括主要由妊娠相关职业风险获益(POR)引起的缺课和很少SA发作(16.08%)。专家评估了职业风险因素的暴露情况,并使用逻辑回归分析了它们与轨迹的关联。相对危险度(RR)及其95%置信区间(95% ci)根据年龄、合同类型和工作班次进行调整。结果轨迹1与暴露于安全和人体工程学风险呈负相关(RR=0.56, 95%CI=0.35-0.90;RR=0.50, 95%CI=0.33-0.77),整体风险指数最高(RR=0.68, 95%CI=0.49-0.96)。轨迹3与安全性和人体工程学风险相关(RR=2.75, 95%CI=1.59-4.75;RR=3.64, 95%CI=2.18-6.06),整体风险指数最高(RR=2.69, 95%CI=1.43-5.01)。护理助理和护士属于轨迹3的概率较高(RR为5.58,95%CI=2.09-14.95, RR为5.00,95%CI为2.18-6.06)。结论妊娠相关疾病和肌肉骨骼疾病是妊娠期最常见的缺勤诊断。低水平的职业风险因素暴露与缺勤有关,主要是因病缺勤。目前的社会福利似乎被用作怀孕期间平衡工作和健康的补充方式。
{"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":null,"pages":null},"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}
引用次数: 0
Consecuencias del tratamiento de cáncer sobre la conservación del empleo: una revisión sistemática y meta-análisis 癌症治疗对维持就业的影响:系统综述和荟萃分析
Q4 Medicine Pub Date : 2022-04-15 DOI: 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。
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引用次数: 0
[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]. [在联合国工作场所安全和健康论坛上的发言:"远程工作、现实和监管:从保护到工人健康"。La Rábida, Huelva(西班牙),2021年11月]。
Q4 Medicine Pub Date : 2022-04-15 DOI: 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.….
保护劳动人民的健康是欧洲联盟与拉丁美洲和加勒比国家以及世界其他区域之间目前和将来发展社会、政治和商业关系的一项基本要求。协调监管框架及其实际应用是各方的共同目标。这一目标符合《2030年议程》的可持续发展目标,特别是与体面和生产性工作有关的第8项目标。这些方法作为主要假设质量分部、平等和社会责任和总部圣玛丽大学Rábida安达卢西亚国际(UNIA),提倡以伊比利亚-美洲论坛曾把我放在桌上,当前劳动卫生和预防问题劳动风险,专家深入讨论与在社会和经济方面和行动者的整个美洲。通过这种方式,我们得出了可能对我们各国的公共政策决策者有用的操作结论…
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引用次数: 0
[Pros and cons of teleworking in relation to the physical and mental health of the working general population: a narrative exploratory review]. [远程工作与一般工作人群身心健康的利弊:叙述性探索性审查]。
Q4 Medicine Pub Date : 2022-04-15 DOI: 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.
几十年来,远程办公一直在发展,产生了许多需要克服的挑战。2019冠状病毒病疫情加速了这一进程。演讲的形式多种多样,家庭作业可能是最常见的。本研究的目的是对远程工作在与远程工作者身心健康相关的积极和消极方面进行综述。因此,根据查阅的文献,确定了健康风险因素,其中大多数与暴露于社会心理和人体工程学风险所造成的损害相对应。睡眠障碍、焦虑和痛苦以及抑郁都是对精神健康的损害。关于对身体健康的损害、肌肉骨骼疾病、由于久坐不动的生活方式和压力,特别是非传染性疾病导致的身体活动减少所造成的改变,以及视力的改变,也被确定。从预防的角度来看,应鼓励针对与组织远程工作有关的政策采取行动。特别是那些与工作和休息时间有关的,在其他方面,确保所谓的断开权。工作站的人体工程学设计和主动休息是一个元素,也有助于工人的福祉。社会行为者、工人、雇主和国家的积极参与对远程工作具有战略意义,有助于体面工作,而不是使其不稳定。
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引用次数: 6
[The incidence of COVID-19 in the worker population by economic activity in Navarre, May-December 2020]. [2020年5月至12月纳瓦拉按经济活动划分的工人人口中COVID-19的发病率]。
Q4 Medicine Pub Date : 2022-04-15 DOI: 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.METHODSWe 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.RESULTSWomen 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.CONCLUSIONSThe socio-occupational inequalities associated with COVID-19 require an integrated public health and occupational health approach.
目的确定经济工作活动与疾病风险之间可能存在的联系,以便制定针对更弱势工人群体的政策。方法根据《国家经济活动代码》(National Economic Activity Code)对在社会保障系统中登记的纳瓦拉州所有工人进行活动力感染诊断检测确诊的COVID-19发病率,以及暴露人数超过各自第75百分位数的部门。结果:妇女和从事服务业、食品工业和建筑业的活动,其特点是就业不稳定,移民人数多,生活条件可能更差,因此患病的风险更高。结论应对与COVID-19相关的社会职业不平等,需要采取综合公共卫生和职业卫生措施。
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引用次数: 0
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Archivos de prevención de riesgos laborales
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