International Journal of Occupational and Environmental Medicine最新文献

英文中文

Direct, Absenteeism, and Disability Cost Burden of Obesity Among Privately Insured Employees: A Comparison of Healthcare Industry Versus Other Major Industries in the United States. 私人保险雇员肥胖的直接、缺勤和残疾成本负担:美国医疗保健行业与其他主要行业的比较

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-08 DOI: 10.1097/JOM.0000000000001761

A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh

OBJECTIVETo compare obesity-related costs of employees of the healthcare industry versus other major US industries.METHODSEmployees with obesity versus without were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Employees working in healthcare with obesity were compared to employees of other industries with obesity for absenteeism/disability and direct cost differences. Multivariate models estimated the association between industries and high costs compared to the healthcare industry.RESULTSObesity-related absenteeism/disability and direct costs were higher in several US industries compared with the healthcare industry (adjusted cost differences of $-1,220-$5,630). Employees of the government/education/religious services industry (GERS) with obesity (BMI≥30) had significantly higher odds of direct costs ≥80th percentile (odds ratio vs healthcare industry=2.20; P < 0.05).CONCLUSIONSRelative to the healthcare industry, employees of other industries, especially GERS, incurred higher obesity-related costs.

目的比较医疗保健行业与美国其他主要行业员工的肥胖相关成本。方法使用Optum Health Reporting and Insights雇主索赔数据库(2010年1月至2017年3月)识别肥胖和非肥胖员工。在医疗保健行业工作的肥胖员工与其他行业的肥胖员工进行了旷工/残疾和直接成本差异的比较。与医疗保健行业相比，多变量模型估计了行业与高成本之间的关联。结果与医疗保健行业相比，美国几个行业与肥胖相关的缺勤/残疾和直接成本更高(调整后的成本差异为-1,220- 5,630美元)。肥胖(BMI≥30)的政府/教育/宗教服务行业(GERS)雇员直接成本(≥80百分位数)的比值显著高于其他行业(与医疗保健行业的比值比=2.20;p < 0.05)。结论与医疗保健行业相比，其他行业员工的肥胖相关成本更高，尤其是ger。

{"title":"Direct, Absenteeism, and Disability Cost Burden of Obesity Among Privately Insured Employees: A Comparison of Healthcare Industry Versus Other Major Industries in the United States.","authors":"A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh","doi":"10.1097/JOM.0000000000001761","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001761","url":null,"abstract":"OBJECTIVE\u0000To compare obesity-related costs of employees of the healthcare industry versus other major US industries.\u0000\u0000\u0000METHODS\u0000Employees with obesity versus without were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Employees working in healthcare with obesity were compared to employees of other industries with obesity for absenteeism/disability and direct cost differences. Multivariate models estimated the association between industries and high costs compared to the healthcare industry.\u0000\u0000\u0000RESULTS\u0000Obesity-related absenteeism/disability and direct costs were higher in several US industries compared with the healthcare industry (adjusted cost differences of $-1,220-$5,630). Employees of the government/education/religious services industry (GERS) with obesity (BMI≥30) had significantly higher odds of direct costs ≥80th percentile (odds ratio vs healthcare industry=2.20; P < 0.05).\u0000\u0000\u0000CONCLUSIONS\u0000Relative to the healthcare industry, employees of other industries, especially GERS, incurred higher obesity-related costs.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86142319","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: 2

Number of Previous Absences Is a Predictor of Sustained Attendance After Return to Work in Workers With Absence due to Common Mental Disorders: A Cohort 3-year Study. 由于常见精神障碍而缺勤的工人重返工作岗位后持续出勤的预测因素:一项为期3年的队列研究。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-08 DOI: 10.1097/JOM.0000000000001763

Masayoshi Mishima, Hiroyoshi Adachi, Chieko Mishima

OBJECTIVEThis study evaluated the relationship of the number of previous episodes due to common mental disorders (CMDs) with long-term outcomes and sustainability of attendance after return-to-work (RTW).METHODSParticipants were assigned to the following three groups: workers having one (Group 1), two (Group 2), and three or more (Group 3) previous episodes. Outcomes were a recurrent absence and the sustainability rate of attendance after RTW.RESULTSThe sustainability rate in Group 1 was significantly higher than that in Group 3 throughout the observation period. The sustainability rates for Group 2 were significantly higher than for Group 3 at 30 and 36 months.CONCLUSIONSThe number of previous episodes was shown to affect sustainability of attendance after RTW due to CMDs, indicating that repeated previous absences are a significant prognostic factor.

目的:本研究评估常见精神障碍(CMDs)的既往发作次数与长期预后和重返工作岗位(RTW)后出勤的可持续性的关系。方法将参与者分为以下三组:有一次(组1)，两次(组2)和三次或三次以上(组3)的工人。结果是复发缺勤和RTW后的持续出勤率。结果在整个观察期内，组1的持续率显著高于组3。第2组在30和36个月时的可持续性显著高于第3组。结论既往缺勤次数会影响CMDs所致RTW术后的持续出勤，表明既往多次缺勤是一个重要的预后因素。

引用次数: 2

Comment on "The Relationship of the Amount of Physical Therapy to Time Lost From Work and Costs in the Workers' Compensation System". 评《工伤补偿制度中物理治疗金额与旷工时间和费用的关系》

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-08 DOI: 10.1097/JOM.0000000000001759

Richard J. Wickstrom, L. Payne, K. Harwood

ht © 2019 American Colle This commentary was authorized the Executive Board of the Oc Special Interest Group of the A Academy of Physical Therap The authors have no conflict of Supplemental digital contents are article. Direct URL citatio printed text and is provided PDF versions of this article on site (www.joem.org). Address correspondence to: Richa DPT, CPE, WorkAbility Sy Monarch Court, Suite 109, W 45069 (rick@workability.us) Copyright 2019 American Co tional and Environmental Me DOI: 10.1097/JOM.00000000000

ht©2019 American Colle本评论经美国物理治疗学会Oc特别兴趣小组执行委员会授权，作者与文章补充数字内容无冲突。直接URL引用打印文本，并在网站(www.joem.org)上提供本文的PDF版本。地址通信:Richa DPT, CPE, WorkAbility Sy Monarch Court, Suite 109, W 45069 (rick@workability.us)版权所有2019年美国宪法与环境部DOI: 10.1097/JOM.00000000000

引用次数: 0

Weekly Working Hours and Mental Health Status in Different Occupations: Evidence From the 2015-2016 California Health Interview Survey. 不同职业的周工作时间与心理健康状况:来自2015-2016年加州健康访谈调查的证据

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001718

Yanzhi Li, F. Cheng, Runze Ye, Yakun Zhu, L. Tian, Han Zheng, C. Jia

OBJECTIVEThe aim of this paper was to identify shapes of the curves between weekly working hours (WWH) and mental health status (MHS) and determine WWH for the best MHS in 13 occupations.METHODSThis cross-sectional study applied public data of the 2015-2016 California Health Interview Survey. Restricted cubic spline regression was used to determine non-linear trends.RESULTSA statistically significant nearly V-shaped curve was demonstrated between WWH and MHS in total population, male and management, business and finance occupations. WWH for the best MHS were 42 hours, 45 hours and 46 hours, respectively.CONCLUSIONThese results suggest MHS be susceptible to WWH in total population, male and management, business and finance occupations. WWH for the best MHS for relevant populations could provide evidence for better work hours regulations in California.

目的确定13种职业的每周工作时间(WWH)与心理健康状况(MHS)之间的曲线形状，确定最佳心理健康状况的WWH。方法采用2015-2016年加州健康访谈调查的公开数据进行横断面研究。限制三次样条回归用于确定非线性趋势。结果总体人群、男性、管理、商务、金融职业的WWH与MHS呈显著的近v型曲线。最佳MHS的WWH分别为42 h、45 h和46 h。结论MHS在总人口、男性、管理、商业和金融职业中易发生WWH。为相关人群提供最佳MHS的WWH可以为加州更好的工作时间法规提供证据。

引用次数: 3

Literature Review of Policy Implications From Findings of the Center for Work, Health, and Well-being. 工作、健康与福祉研究中心研究结果之政策意涵之文献回顾。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001686

María Andrée López Gómez, Emily Sparer-Fine, Glorian Sorensen, Gregory Wagner

Objective: To review the publications of a Total Worker Health Center of Excellence, the Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being, in order to identify research findings relevant to either organizational or public policies.

Methods: Two researchers independently reviewed 57 publications from 2011 to 2019 to identify cross-cutting themes that focus on working conditions or related health outcomes and their organizational and public policy implications.

Results: Twelve cross-cutting themes were identified with their respective organizational and public policy implications. Several policy implications cut across work-related themes.

Conclusions: Policy implications of TWH research will aid in setting priorities to translate this from research into practice in future studies and help identify gaps that we and others can use to plan future TWH research.

目的：回顾哈佛大学陈曾熙公共卫生学院工作、健康和福祉公共卫生中心“全体员工健康卓越中心”的出版物，以确定与组织或公共政策相关的研究成果。方法：两名研究人员独立审查了2011年至2019年的57份出版物，以确定关注工作条件或相关健康结果及其组织和公共政策影响的交叉主题。结果：确定了12个跨领域主题及其各自的组织和公共政策含义。有几项政策影响涉及与工作相关的主题。结论：太瓦h研究的政策含义将有助于确定优先事项，将其从研究转化为未来研究的实践，并有助于确定我们和其他人可以用来规划未来太瓦h研究的差距。

引用次数: 0

Self-Reported Health and Metal Body Burden in an Electronic Waste Recycling Community in Northeastern Thailand. 泰国东北部电子废物回收社区自我报告的健康和金属体负担。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001697

Rita Seith, Aubrey L Arain, Kowit Nambunmee, Sara D Adar, Richard L Neitzel

Objective: This study aims to summarize electronic waste (e-waste) worker health; examine associations between health and sociodemographic characteristics; and metal body burden.

Methods: In 2016, 131 e-waste recycling workers were enrolled in the study, completed a questionnaire, and gave blood and urine samples for heavy metal concentration assessment (lead, cadmium, copper, zinc, nickel). The relationship between symptoms, general health, and metals is assessed via generalized estimating equation models (adjusted for age, education, sex, and village).

Results: Cadmium in blood and copper in serum were most consistently associated with higher odds of poor health and prevalence of symptoms. We found inconsistent results between general health, symptom severity, and urinary nickel. Higher blood lead levels (BLL) were associated with fewer self-reported symptoms.

Conclusions: Exposure to certain metals in e-waste recycling communities may adversely impact health status.

目的：本研究旨在总结电子废弃物（e-waste）工作者的健康状况；检查健康与社会人口特征之间的关系；和金属的身体负担。方法：2016年招募131名电子垃圾回收工人参与研究，完成问卷调查，采集血样和尿样进行重金属（铅、镉、铜、锌、镍）浓度评估。通过广义估计方程模型（根据年龄、教育程度、性别和村庄进行调整）评估症状、一般健康状况和金属之间的关系。结果：血液中的镉和血清中的铜最一致地与健康状况不佳的可能性和症状的患病率相关。我们发现总体健康状况、症状严重程度和尿镍之间的结果不一致。较高的血铅水平（BLL）与较少的自我报告症状相关。结论：电子废物回收社区接触某些金属可能对健康状况产生不利影响。

{"title":"Self-Reported Health and Metal Body Burden in an Electronic Waste Recycling Community in Northeastern Thailand.","authors":"Rita Seith, Aubrey L Arain, Kowit Nambunmee, Sara D Adar, Richard L Neitzel","doi":"10.1097/JOM.0000000000001697","DOIUrl":"10.1097/JOM.0000000000001697","url":null,"abstract":"Objective: This study aims to summarize electronic waste (e-waste) worker health; examine associations between health and sociodemographic characteristics; and metal body burden.Methods: In 2016, 131 e-waste recycling workers were enrolled in the study, completed a questionnaire, and gave blood and urine samples for heavy metal concentration assessment (lead, cadmium, copper, zinc, nickel). The relationship between symptoms, general health, and metals is assessed via generalized estimating equation models (adjusted for age, education, sex, and village).Results: Cadmium in blood and copper in serum were most consistently associated with higher odds of poor health and prevalence of symptoms. We found inconsistent results between general health, symptom severity, and urinary nickel. Higher blood lead levels (BLL) were associated with fewer self-reported symptoms.Conclusions: Exposure to certain metals in e-waste recycling communities may adversely impact health status.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"7 1","pages":"905-909"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80818103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Process Evaluation of the BearStand Behavioral Intervention: A Social Cognitive Theory-Based Approach To Reduce Occupational Sedentary Behavior. 熊立行为干预的过程评价:基于社会认知理论的职业久坐行为减少方法。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001704

Amanda H. Wilkerson, Christina N. Bridges, Cindy Wu, Megan McClendon, Shana M. Walsh, M. Patterson, Renée M. Umstattd Meyer

OBJECTIVEDescribe the process evaluation of the behavioral intervention group of a multi-component workplace intervention, BearStand, to reduce employees' sitting time using sit-stand workstations and behavioral strategies.METHODSProcess evaluation metrics: dose delivered, dose-received exposure, dose-received satisfaction, and context were collected using an online survey. Participants included employees of a U.S. university.RESULTSOverall, 38 of 52 participants completed the process evaluation. The majority were satisfied (53%) with the intervention. Participants' interactions with intervention materials decreased over time (73.7%, week 1, to 52.6%, week 13), and 42% and 33% of participants used suggested videos and apps, respectively. Participants found goal setting and self-regulation strategies to be the most helpful and identified workplace-related contextual barriers that impacted intervention engagement.CONCLUSIONSFuture interventions should incorporate more engaging materials for participants, reduce contextual barriers, and facilitate use of apps and videos.

目的描述多组份工作场所干预BearStand行为干预组的过程评价，利用坐立两用工作站和行为策略减少员工的久坐时间。方法通过在线调查收集过程评价指标:剂量传递、剂量接受暴露、剂量接受满意度和环境。参与者包括一所美国大学的雇员。结果总的来说，52名参与者中有38名完成了过程评估。大多数人(53%)对干预措施感到满意。参与者与干预材料的互动随着时间的推移而减少(第1周为73.7%，第13周为52.6%)，分别有42%和33%的参与者使用建议的视频和应用程序。参与者发现目标设定和自我调节策略是最有帮助的，并确定了影响干预参与的与工作场所相关的环境障碍。结论未来的干预措施应纳入更多吸引参与者的材料，减少情境障碍，并促进应用程序和视频的使用。

{"title":"Process Evaluation of the BearStand Behavioral Intervention: A Social Cognitive Theory-Based Approach To Reduce Occupational Sedentary Behavior.","authors":"Amanda H. Wilkerson, Christina N. Bridges, Cindy Wu, Megan McClendon, Shana M. Walsh, M. Patterson, Renée M. Umstattd Meyer","doi":"10.1097/JOM.0000000000001704","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001704","url":null,"abstract":"OBJECTIVE\u0000Describe the process evaluation of the behavioral intervention group of a multi-component workplace intervention, BearStand, to reduce employees' sitting time using sit-stand workstations and behavioral strategies.\u0000\u0000\u0000METHODS\u0000Process evaluation metrics: dose delivered, dose-received exposure, dose-received satisfaction, and context were collected using an online survey. Participants included employees of a U.S. university.\u0000\u0000\u0000RESULTS\u0000Overall, 38 of 52 participants completed the process evaluation. The majority were satisfied (53%) with the intervention. Participants' interactions with intervention materials decreased over time (73.7%, week 1, to 52.6%, week 13), and 42% and 33% of participants used suggested videos and apps, respectively. Participants found goal setting and self-regulation strategies to be the most helpful and identified workplace-related contextual barriers that impacted intervention engagement.\u0000\u0000\u0000CONCLUSIONS\u0000Future interventions should incorporate more engaging materials for participants, reduce contextual barriers, and facilitate use of apps and videos.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"234 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86975130","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

Pulmonary Function Testing in Dentists versus Controls: A Pilot Study Exploring the Potential Respiratory-Related Occupational Hazards of Dentistry. 牙医与对照组的肺功能测试:一项探索牙科潜在呼吸相关职业危害的初步研究。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001702

Maricel Dela Cruz, Muhammed Ershad, A. Mostafa, R. Mckeever, D. Vearrier

OBJECTIVEMinimal research exists evaluating respiratory-related occupational hazards associated with dentistry in the United States. The purpose of this study was to evaluate the pulmonary function of dentists as compared with controls.METHODSThis is a case-control study evaluating pulmonary function in dentists versus controls. Outcomes included measurements of FEV1%, FVC%, and FEV1/FVC.RESULTSOur findings indicate that dentists had a statistically significant lower percent predicted FEV1% (p < 0.05) and FVC% (p < 0.05) compared to controls. The prevalence of abnormal FVC% and FEV1% was greater among dentists, but only the increase in abnormal FEV1% approached significance.CONCLUSIONSDentists had lower percent predicted values for FVC% and FEV1% versus controls. More research is required to further investigate the association between the dental profession and pulmonary function in dentists.

在美国，评估与牙科相关的呼吸相关职业危害的研究很少。本研究的目的是评估牙医的肺功能，并与对照组进行比较。方法:这是一项病例对照研究，评估牙医与对照组的肺功能。结果包括FEV1%、FVC%和FEV1/FVC的测量。结果与对照组相比，牙医师预测FEV1% (p < 0.05)和FVC% (p < 0.05)的比例均有统计学意义。FVC%和FEV1%异常的患病率在牙医中较高，但只有FEV1%异常的增加接近显著性。结论与对照组相比，科学家对FVC%和FEV1%的预测值较低。需要更多的研究来进一步调查牙科专业与牙医肺功能之间的关系。

引用次数: 1

Characterizing Long-Term Trajectories of Work and Disability Leave: The Role of Occupational Exposures, Health, and Personal Demographics. 表征工作和伤残休假的长期轨迹:职业暴露、健康和个人人口统计学的作用。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001705

Amal Harrati, P. Hepburn, Valerie Meausonne, M. Cullen

OBJECTIVEThis paper characterizes trajectories of work and disability leave across the tenure of a cohort of 49,595 employees in a large American manufacturing firm.METHODSWe employ sequence and cluster analysis to group workers who share similar trajectories of work and disability leave. We then use multinomial logistic regression models to describe the demographic, health, and job-specific correlates of these trajectories.RESULTSAll workers were clustered into one of eight trajectories. Female workers (RR 1.3 - 2.1), those experiencing musculoskeletal disease (RR 1.3 - 1.5), and those whose jobs entailed exposure to high levels of air pollution (Total Particulate Matter; RR 1.9 - 2.4) were more likely to experience at least one disability episode.CONCLUSIONSThese trajectories and their correlates provide insight into disability processes and their relationship to demographic characteristics, health, and working conditions of employees.

目的:本文描述了美国一家大型制造公司49,595名员工的工作和残疾休假轨迹。方法采用序列分析和聚类分析方法，对工作休假和伤残休假轨迹相似的员工进行分组。然后，我们使用多项逻辑回归模型来描述这些轨迹的人口统计、健康和特定工作相关性。结果所有的工人被聚集到8个轨迹之一。女工(风险比1.3 - 2.1)、患有肌肉骨骼疾病的人(风险比1.3 - 1.5)以及工作暴露于高水平空气污染的人(总颗粒物;RR 1.9 - 2.4)更有可能经历至少一次残疾发作。结论这些轨迹及其相关关系提供了对残疾过程及其与员工人口特征、健康和工作条件的关系的深入了解。

引用次数: 3

Direct and Indirect Cost of Obesity Among the Privately Insured in the United States: A Focus on the Impact by Type of Industry. 美国私人保险中肥胖的直接和间接成本:对行业类型影响的关注。

Q1 Medicine

International Journal of Occupational and Environmental Medicine

Pub Date : 2019-11-01 DOI: 10.1097/JOM.0000000000001693

A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh

OBJECTIVETo evaluate obesity-related costs and body mass index (BMI) as a cost predictor among privately insured employees by industry.METHODSIndividuals with/without obesity were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Direct/indirect costs were reported per-patient-per-year (PPPY). Multivariate models were used to estimate the association between obesity and high costs (≥80th percentile) by industry.RESULTSOverall (N = 86,221), direct and absenteeism/disability cost differences between class I obesity (BMI 30.0-34.9) and reference were $1,775 and $617 PPPY, respectively (P < 0.05). Among employees with obesity (BMI≥30), highest total costs were observed in the government/education/religious services, food/entertainment services, and technology industries. Class I obesity increased the odds of high costs (≥80th percentile) within each industry (odds ratios vs reference = 1.09-5.17).CONCLUSIONSObesity (BMI≥30) was associated with high costs among employees of major US industries.

目的评价不同行业私人保险雇员的肥胖相关成本和体重指数(BMI)对成本的预测作用。方法使用Optum Health Reporting and Insights雇主索赔数据库(2010年1月至2017年3月)识别有/没有肥胖的个体。报告了每位患者每年(PPPY)的直接/间接成本。采用多变量模型估计肥胖与行业高成本(≥80百分位数)之间的关系。结果总体(N = 86,221)， I类肥胖(BMI 30.0 ~ 34.9)与参照组的直接和旷工/残疾成本差异分别为1,775美元和617美元PPPY (P < 0.05)。在肥胖员工(BMI≥30)中，政府/教育/宗教服务、食品/娱乐服务和技术行业的总成本最高。I类肥胖增加了每个行业内高成本(≥80百分位数)的几率(比值比与参考值= 1.09-5.17)。结论在美国主要行业中，肥胖(BMI≥30)与高成本相关。

{"title":"Direct and Indirect Cost of Obesity Among the Privately Insured in the United States: A Focus on the Impact by Type of Industry.","authors":"A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh","doi":"10.1097/JOM.0000000000001693","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001693","url":null,"abstract":"OBJECTIVE\u0000To evaluate obesity-related costs and body mass index (BMI) as a cost predictor among privately insured employees by industry.\u0000\u0000\u0000METHODS\u0000Individuals with/without obesity were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Direct/indirect costs were reported per-patient-per-year (PPPY). Multivariate models were used to estimate the association between obesity and high costs (≥80th percentile) by industry.\u0000\u0000\u0000RESULTS\u0000Overall (N = 86,221), direct and absenteeism/disability cost differences between class I obesity (BMI 30.0-34.9) and reference were $1,775 and $617 PPPY, respectively (P < 0.05). Among employees with obesity (BMI≥30), highest total costs were observed in the government/education/religious services, food/entertainment services, and technology industries. Class I obesity increased the odds of high costs (≥80th percentile) within each industry (odds ratios vs reference = 1.09-5.17).\u0000\u0000\u0000CONCLUSIONS\u0000Obesity (BMI≥30) was associated with high costs among employees of major US industries.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75836419","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: 14

首页上一页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

International Journal of Occupational and Environmental Medicine

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀