Safety and Health at Work最新文献_第3页

Disparities in Workplace Hazards and Organizational Protection Resources by Enterprise Size: A National Representative Study of South Korean Manufacturing Workers 按企业规模划分的工作场所危害和组织保护资源差异：对韩国制造业工人的全国代表性研究

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.06.001

Background

This study aimed to identify the prevalence of workplace hazards and organizational protection resources according to the size of the enterprise in the manufacturing industry of the Republic of Korea.

Methods

We analyzed data of waged workers (weighted N = 5,879) from the Fifth Korean Working Conditions Survey (2017). Enterprise sizes were categorized as “micro enterprises” (less than five employees), “small enterprises” (5–49 employees) and “medium-large enterprises” (50 or more employees). Self-reported exposure to 18 physical, chemical, ergonomic, and psychological hazards were measured. The presence of organizational protection resources such as a labor union, a safety delegate working at the company, designated spaces to deal with safety, and the provision of health and safety information was evaluated.

Results

Compared to workers in medium-large enterprises, those in micro enterprises showed a higher proportion of exposure to most of physical, chemical, ergonomic, and psychological hazards, except for exposure to solvents, prolonged sitting, and experiencing a state of emotional unrest. On the other hand, workers in micro enterprises had the lowest proportion of access to organizational protection resources.

Conclusion

Our study demonstrates that manufacturing workers at the micro enterprise in the Republic of Korea are exposed to the most hazardous work environment and yet have access to the fewest organizational protection resources.

背景本研究旨在根据大韩民国制造业的企业规模，确定工作场所危害的普遍性和组织保护资源。方法我们分析了第五次韩国工作条件调查（2017 年）中的工资劳动者数据（加权 N = 5879）。企业规模分为 "微型企业"（员工人数少于 5 人）、"小型企业"（员工人数为 5-49 人）和 "中大型企业"（员工人数为 50 人或以上）。对自我报告的暴露于 18 种物理、化学、人体工程学和心理危害的情况进行了测量。结果与中型企业的工人相比，微型企业的工人暴露于大多数物理、化学、人体工程学和心理危害的比例更高，但暴露于溶剂、长时间坐着和情绪不稳定除外。结论我们的研究表明，在大韩民国，微型企业的制造业工人暴露在最危险的工作环境中，但获得的组织保护资源却最少。

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引用次数: 0

Assessment of Occupational Exposure to Inhalable Aerosols in an Instant Powdered Food Manufacturing Plant in Norway 挪威一家速溶粉末食品制造厂的可吸入气溶胶职业接触评估

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.05.001

Background

In the food manufacturing industry, exposure to inhalable aerosols contributes to respiratory illnesses such as occupational asthma and rhinitis. However, there is a lack of comprehensive exposure assessment studies. This study evaluated occupational exposure to inhalable aerosols in an instant powdered food manufacturing plant during work operations involving dried food and powders.

Methods

In total, 50 workers from an instant powdered food manufacturing plant were recruited. Personal inhalable aerosol exposure measurements were taken for both full-shift and task-based activities. The concentrations of inhalable aerosols were analyzed to identify any variation within and across departments, as well as between seasons, handedness, and sex.

Results

In total, 134 personal air samples were collected, and the particulate mass was determined gravimetrically. The concentrations of inhalable aerosols ranged from 0.1 to 27 mg/m³ for full-shift exposure measurements and 3.1 to 73 mg/m³ for task-based measurements. Statistically significant differences in mean aerosol concentrations were found across departments (A:B p < 0.001, A:C p < 0.05, B:C p < 0.001) and between seasons (p < 0.001).

Conclusion

This study revealed high exposure to inhalable aerosols among workers, particularly those involved in manual weighing, mixing, and adding powders. The significant differences between departments highlight the specific activities contributing to increased inhalable aerosol concentrations. Seasonal variations were also evident, with autumn showing higher concentrations of inhalable aerosols in all departments compared with summer. These findings emphasize the importance of understanding the distribution of aerosol concentrations across different work tasks and departments, particularly during different seasons.

背景在食品制造业中，接触可吸入气溶胶会导致呼吸道疾病，如职业性哮喘和鼻炎。然而，目前缺乏全面的接触评估研究。本研究评估了一家即食粉末食品制造厂在涉及干制食品和粉末的工作操作过程中接触可吸入气溶胶的职业情况。对全班和基于任务的活动进行了个人可吸入气溶胶暴露测量。对可吸入气溶胶的浓度进行了分析，以确定部门内部和部门之间以及季节、手型和性别之间的差异。在全班接触测量中，可吸入气溶胶的浓度介于 0.1 至 27 毫克/立方米之间，在基于任务的测量中，可吸入气溶胶的浓度介于 3.1 至 73 毫克/立方米之间。不同部门（A:B p <0.001，A:C p <0.05，B:C p <0.001）和不同季节（p <0.001）的平均气溶胶浓度存在明显的统计学差异。不同部门之间的明显差异凸显了导致可吸入气溶胶浓度增加的特定活动。季节性变化也很明显，与夏季相比，秋季所有部门的可吸入气溶胶浓度都较高。这些发现强调了了解不同工作任务和部门的气溶胶浓度分布的重要性，尤其是在不同季节。

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引用次数: 0

Prevalence of Workplace Microaggressions and Racial Discrimination: A Systematic Review and Meta-analysis 工作场所微言秽语和种族歧视的普遍性：系统回顾和荟萃分析

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.05.002

Background

In recent years, the rise of workplace racial discrimination and microaggressions has decreased the efficiency and productivity of organizations and institutions, and realization of organizational goals globally. Accordingly, it was decided to conduct a systematic review and meta-analysis in the present study with the aim of investigating the prevalence of microaggression and racial discrimination in the workplace.

Methods

The PubMed, Scopus, Web of Science, ScienceDirect and Google Scholar databases were systematically searched for studies that had reported the effects of work stress among managers. The search did include a lower time limit and was conducted in June 2023. The heterogeneity of the studies was investigated using the I² index, and accordingly random effects method was adopted for meta-analysis. Data analysis was conducted with the Comprehensive Meta-Analysis (v.2) software.

Results

In the review of seven studies with a sample size of 2998 people, the overall prevalence of microaggression and racial discrimination in the workplace was found to be 73.6% and 18.8%, respectively. Publication bias within the selected studies was examined with the Egger's test, which indicated the absence of publication bias for the pooled prevalence of workplace microaggression (p: 0.264) and for the pooled prevalence of workplace racial discrimination (p: 0.061).

Conclusion

The results obtained from this report indicate the high impact of micro-aggression and racial discrimination in the workplace. Considering the negative effects of such behaviours, the findings from this study will be helpful to managers and health policymakers.

背景近年来，工作场所种族歧视和微攻击的增加降低了组织和机构的效率和生产力，也降低了全球组织目标的实现。因此，本研究决定进行系统回顾和荟萃分析，旨在调查工作场所中微攻击和种族歧视的普遍程度。研究方法系统地搜索了 PubMed、Scopus、Web of Science、ScienceDirect 和 Google Scholar 数据库中有关管理人员工作压力影响的研究。搜索有较低的时间限制，搜索于 2023 年 6 月进行。使用 I2 指数对研究的异质性进行了调查，并相应地采用随机效应法进行了荟萃分析。结果在对样本量为 2998 人的 7 项研究进行回顾后发现，工作场所微侵害和种族歧视的总体发生率分别为 73.6% 和 18.8%。用 Egger 检验法检查了所选研究中的发表偏差，结果表明工作场所微小侵害的总体流行率（P：0.264）和工作场所种族歧视的总体流行率（P：0.061）不存在发表偏差。考虑到这些行为的负面影响，本研究的结果将对管理者和卫生政策制定者有所帮助。

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引用次数: 0

Why do Workers Generate Biased Risk Perceptions? An Analysis of Anchoring Effects and Influential Factors in Workers' Assessment of Unsafe Behavior 为什么工人会产生有偏见的风险认知？工人对不安全行为评估中的锚定效应和影响因素分析

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.05.004

Background

Risk perception plays a crucial role in workers' unsafe behaviors. However, little research has explored why workers generate biased risk perceptions, namely underestimating or overestimating the risks of unsafe actions. Cognitive biases in risk perception arise from uncertainties about the dangers of unsafe behaviors. As a typical heuristic strategy, the anchoring effect is critical in decision-making under uncertain conditions. Consequently, this study empirically analyzed the influence of anchoring effects on workers' risk perception.

Methods

In 2022, a survey was conducted with 1,418 coal mine workers from Shanxi Province, China. The survey instruments assessed workers' risk perception of unsafe behavior, anchoring effects, need for cognition, and safety knowledge. Multivariable linear regression models were employed to analyze the associations among these variables.

Results

The findings verified the proposed anchoring effects. Specifically, experimenter-provided high-risk anchors led workers to overestimate unsafe behavior risks, thus reducing their tendency to engage in such behavior. In contrast, experimenter-provided low-risk anchors and accident-injury experiences (self-generated anchors) decreased workers' risk perception, increasing their propensity to engage in unsafe behavior. Additionally, workers' safety knowledge and need for cognition significantly affected anchoring effects.

Conclusion

This research enhances workplace safety studies by applying the anchoring effect from psychology to risk perception research. Suggestions for improving risk perception encompass implementing hazard warnings, fostering safety education, and providing training. Furthermore, managers should give special attention to workers with accident-injury experience and promptly correct their accident fluke mentality, thereby improving overall risk awareness.

风险意识在工人的不安全行为中起着至关重要的作用。然而，很少有研究探讨工人为何会产生风险认知偏差，即低估或高估不安全行为的风险。风险认知偏差源于对不安全行为危险性的不确定性。作为一种典型的启发式策略，锚定效应对不确定条件下的决策至关重要。因此，本研究实证分析了锚定效应对工人风险认知的影响。2022 年，本研究对中国山西省的 1418 名煤矿工人进行了调查。调查工具评估了工人对不安全行为的风险认知、锚定效应、认知需求和安全知识。采用多变量线性回归模型分析了这些变量之间的关联。研究结果验证了所提出的锚定效应。具体来说，实验者提供的高风险锚定会导致工人高估不安全行为的风险，从而降低他们从事此类行为的倾向。相反，实验者提供的低风险锚点和事故伤害经历（自创锚点）降低了工人的风险认知，增加了他们参与不安全行为的倾向。此外，工人的安全知识和认知需求对锚定效果也有很大影响。这项研究将心理学中的锚定效应应用于风险认知研究，从而加强了工作场所安全研究。改善风险认知的建议包括实施危险警告、加强安全教育和提供培训。此外，管理者应特别关注有事故伤害经历的工人，及时纠正他们的事故侥幸心理，从而提高整体风险意识。

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引用次数: 0

Qualitative Study of Multilevel Barriers and Facilitators Associated With Physical Activity and Diet Among Long-haul Truck Drivers 关于长途运输卡车司机参加体育锻炼和饮食的多层面障碍和促进因素的定性研究

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.04.005

Background

Long-haul truck drivers (LHTD) experience disproportionately greater chronic disease risk, which may be influenced by both occupational and lifestyle factors. This study aimed to explore the multilevel factors associated with LHTD's diet and physical activity (PA).

Methods

Thirty in-depth interviews were conducted with LHTD in the Southern California border region. Interview questions captured occupational and lifestyle factors relating to PA and diet at multiple levels and were analyzed using thematic analysis.

Results

Emergent themes relating to both diet and PA included time constraints, attitudes and perceived beliefs, and accessibility of environments to engage in PA and healthy eating. Themes specific to PA were weather conditions and flatbed job duties. Themes specific to diet included access to refrigerators/microwaves and social interactions.

Conclusion

Findings from this study can inform the development of tailored, multi-level interventions to encourage PA and healthy dietary behaviors among LHTD.

背景长途卡车司机（LHTD）的慢性病风险过高，这可能受到职业和生活方式因素的影响。本研究旨在探讨与卡车司机饮食和体力活动（PA）相关的多层次因素。方法对南加州边境地区的卡车司机进行了 30 次深入访谈。访谈问题从多个层面捕捉与 PA 和饮食相关的职业和生活方式因素，并使用主题分析法进行分析。结果与饮食和 PA 相关的新兴主题包括时间限制、态度和感知信念，以及参与 PA 和健康饮食的环境的可及性。与运动锻炼相关的主题包括天气条件和平板工作职责。结论本研究的结果可为制定量身定制的多层次干预措施提供参考，以鼓励长期卧床者进行锻炼和健康饮食行为。

{"title":"Qualitative Study of Multilevel Barriers and Facilitators Associated With Physical Activity and Diet Among Long-haul Truck Drivers","authors":"","doi":"10.1016/j.shaw.2024.04.005","DOIUrl":"10.1016/j.shaw.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Long-haul truck drivers (LHTD) experience disproportionately greater chronic disease risk, which may be influenced by both occupational and lifestyle factors. This study aimed to explore the multilevel factors associated with LHTD's diet and physical activity (PA).</p></div><div><h3>Methods</h3><p>Thirty in-depth interviews were conducted with LHTD in the Southern California border region. Interview questions captured occupational and lifestyle factors relating to PA and diet at multiple levels and were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Emergent themes relating to both diet and PA included time constraints, attitudes and perceived beliefs, and accessibility of environments to engage in PA and healthy eating. Themes specific to PA were weather conditions and flatbed job duties. Themes specific to diet included access to refrigerators/microwaves and social interactions.</p></div><div><h3>Conclusion</h3><p>Findings from this study can inform the development of tailored, multi-level interventions to encourage PA and healthy dietary behaviors among LHTD.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 263-270"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000283/pdfft?md5=020439aba680063d636db73f457bab84&pid=1-s2.0-S2093791124000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of a Safety Leadership Training Including Coaching on Safety Performance and Climate in Wood-processing Companies 包括教练计划在内的安全领导力培训对木材加工企业安全绩效和氛围的影响

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.05.005

Background

The wood-processing industry has historically exhibited high rates of occupational hazards resulting in illness and injury. One of the major causes of high injury rates is small firm size, as resource constraints generally preclude hiring safety officers. This study examined the effect of a safety leadership training program that included coaching for managers on workers' safety behaviors and safety climate in three wood-processing companies.

Methods

One or two managers at each site participated in this study. The manager training consisted of safety leadership education, safety observation, positive or corrective feedback on workers' behaviors, goal setting, and low-cost rewards for meeting goals. The dependent variable was the percentage of safe employee behaviors recorded on a critical behavior checklist developed for this study. Safety climate was measured before and after the intervention. An AB multiple baseline design across settings was adopted. After the baseline (A), the training program (B) was introduced to each site at different points in time.

Results

After the introduction of safety leadership training, the mean rate of safety compliance increased by 15.3%, from 80.38% to 95.68%, and safety climate scores increased significantly from an average of 3.2 to 3.47.

Conclusion

These results suggest that safety leadership coaching can be effective in improving safety management in small sawmilling sites. Implications, limitations, and possible future research directions are discussed.

背景木材加工业的职业危害致病和致伤率历来很高。造成高工伤率的主要原因之一是企业规模小，因为资源有限，通常无法雇用安全员。本研究考察了在三家木材加工公司开展的安全领导力培训项目（包括对管理人员的辅导）对工人安全行为和安全氛围的影响。管理人员培训包括安全领导力教育、安全观察、对工人行为的积极或纠正性反馈、目标设定以及对达到目标的低成本奖励。因变量是为本研究开发的关键行为检查表上记录的员工安全行为的百分比。对干预前后的安全氛围进行了测量。采用了跨环境 AB 多基线设计。结果在引入安全领导力培训后，平均安全合规率提高了 15.3%，从 80.38% 提高到 95.68%，安全氛围得分从平均 3.2 分显著提高到 3.47 分。本文讨论了其意义、局限性以及未来可能的研究方向。

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引用次数: 0

Association of Physical Fitness With the Work Ability of Aging Workers With Physically Demanding Jobs in a University Hospital in Thailand 泰国一所大学医院中从事体力劳动的高龄工人的体能与工作能力的关系

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.06.003

Background

A decrease in physical fitness with age can impact work ability. Exploring the role of physical fitness is important for identifying interventions to enhance work ability among aging workers. We sought to determine the association between physical fitness and physically demanding work ability in aging workers.

Methods

We recruited workers aged 45–65 years from eight departments of a university hospital in Bangkok, Thailand. Work ability was assessed using the work ability index (WAI), and physical fitness components were evaluated through various tests. Associations between work ability and physical fitness were examined using a multivariable regression analysis.

Results

The response rate was 46.4% (n = 216). The mean WAI score was 41.6. Participants with an overweight or obese body mass index (BMI) had 1.8 (95% CI –3.1, –0.4) points lower WAI scores than did those within a healthy BMI range. A handgrip strength test revealed that participants in the good/very good group had 2.5 (95% CI: 0.6, 4.3) higher WAI scores than did those in the very poor/poor group. For a single-leg stance test, participants in the above-average group had 2.1 (95% CI: 0.7, 3.5) points greater WAI scores than did those in the below-average group. No significant associations were found between work ability and 3-min step, chair stand, or sit-and-reach test scores.

Conclusion

The overall work ability of the participants was good. Body composition, muscle strength, and balance were associated with work ability. Promoting physical fitness is a viable strategy for enhancing work ability among aging workers.

背景随着年龄的增长，体能下降会影响工作能力。探索体能的作用对于确定干预措施以提高老龄工人的工作能力非常重要。我们试图确定老龄工人的体能与体力要求较高的工作能力之间的关系。方法我们从泰国曼谷一所大学医院的八个部门招募了 45-65 岁的工人。工作能力采用工作能力指数（WAI）进行评估，体能成分则通过各种测试进行评估。通过多变量回归分析研究了工作能力与体能之间的关系。平均 WAI 得分为 41.6。体重指数（BMI）超重或肥胖的参与者的 WAI 分数比体重指数在健康范围内的参与者低 1.8 分（95% CI -3.1，-0.4）。手握力测试显示，好/非常好组的参与者的 WAI 分数比非常差/差组的参与者高 2.5（95% CI：0.6，4.3）分。在单腿站立测试中，高于平均水平组的参与者的 WAI 分数比低于平均水平组的参与者高 2.1 分（95% CI：0.7，3.5）。工作能力与 3 分钟台阶、椅子站立或坐立行走测试得分之间没有明显关联。身体成分、肌肉力量和平衡能力与工作能力有关。增强体质是提高老龄工人工作能力的可行策略。

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引用次数: 0

Artificial Neural Network–based Prediction Model to Minimize Dust Emission in the Machining Process 基于人工神经网络的预测模型，最大限度减少加工过程中的粉尘排放

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.06.006

Hilal Singer , Abdullah C. İlçe , Yunus E. Şenel , Erol Burdurlu

Background

Dust generated during various wood-related activities, such as cutting, sanding, or processing wood materials, can pose significant health and environmental risks due to its potential to cause respiratory problems and contribute to air pollution. Understanding the factors influencing dust emission is important for devising effective mitigation strategies, ensuring a safer working environment, and minimizing environmental impact. This study focuses on developing an artificial neural network (ANN) model to predict dust emission values in the machining of black poplar (Populus nigra L.), oriental beech (Fagus orientalis L.), and medium-density fiberboards.

Methods

The multilayer feed-forward ANN model is developed using a customized application built with MATLAB code. The inputs to the ANN model include material type, cutting width, number of blades, and cutting depth, whereas the output is the dust emission. Model performance is assessed through graphical and statistical comparisons.

Results

The results reveal that the developed ANN model can provide adequate predictions for dust emission with an acceptable level of accuracy. Through the implementation of the ANN model, the study predicts intermediate dust emission values for different cutting widths and cutting depths, which are not considered in the experimental work. It is observed that dust emission tends to decrease with reductions in cutting width and cutting depth.

Conclusion

This study introduces an alternative approach to optimize machining-process conditions for minimizing dust emissions. The findings of this research will assist industries in obtaining dust emission values without the need for additional experimental activities, thereby reducing experimental time and costs.

背景在各种与木材有关的活动（如切割、打磨或加工木质材料）中产生的粉尘可能会引起呼吸道问题并造成空气污染，从而对健康和环境构成重大威胁。了解影响粉尘排放的因素对于制定有效的缓解策略、确保更安全的工作环境以及最大限度地减少对环境的影响非常重要。本研究的重点是开发一个人工神经网络（ANN）模型，用于预测黑杨木（Populus nigra L.）、东方山毛榉（Fagus orientalis L.）和中密度纤维板加工过程中的粉尘排放值。ANN 模型的输入包括材料类型、切割宽度、刀片数量和切割深度，而输出则是粉尘排放量。结果结果表明，所开发的 ANN 模型能够以可接受的准确度对粉尘排放进行充分预测。通过实施 ANN 模型，该研究预测了不同切割宽度和切割深度的中间粉尘排放值，而这些在实验工作中并未考虑。据观察，随着切削宽度和切削深度的减小，粉尘排放量呈下降趋势。结论本研究引入了另一种优化加工工艺条件的方法，以最大限度地减少粉尘排放。研究结果将有助于工业界在无需额外实验活动的情况下获得粉尘排放值，从而减少实验时间和成本。

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引用次数: 0

Meaning of Work-life Balance for Workers With Disabilities 残疾工人平衡工作与生活的意义

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.05.007

Background

This article aims to show that work-life balance (WLB) for workers with disabilities can have important meanings that can affect turnover intention and exclusion from the labor market.

Methods

Using the Korean Panel Survey of Employment for the Disabled (1st–8th), panel logit models were applied to analyze the effect of WLB on the voluntary turnover intention and behavior of workers with disabilities. WLB types were categorized into four groups (Work-Life Dissatisfaction Group, Only Work Dissatisfaction Group, Only Life Dissatisfaction Group, and Work-Life Balance Group) based on the integration of job satisfaction and life satisfaction.

Results

Turnover intention was significantly higher in the work-life imbalance groups (Work-Life Dissatisfaction Group, Only Work Dissatisfaction Group), which is commonly associated with job dissatisfaction. The effect of WLB on turnover intention was 1.38 times higher in Only Work Dissatisfaction Group ( $β :$ 2.25, 99% confidence interval [CI]: 1.50, 2.31), characterized by dissatisfaction solely with their job, than in Work-Life Dissatisfaction Group ( $β$ : 1.90, 99% CI: 1.97, 2.53), which was experiencing dissatisfaction with both work and life. Only Work Dissatisfaction Group resulted in actual turnover, with females (β: 0.73, 95% CI: 0.37, 1.09) more likely to exit the labor market and males (β: 0.66, 99% CI: 0.41, 0.89) showing a higher tendency to change jobs.

Conclusion

WLB policy should focus on job dissatisfaction, a key predictor of turnover intention that leads to actual turnover behavior. Furthermore, women workers with disabilities are a priority policy target group to prevent exclusion from labor.

本文旨在说明残疾工人的工作与生活平衡（WLB）可能具有重要意义，会影响其离职意向和劳动力市场排斥。本文利用韩国残疾人就业面板调查（第 1-8 期），运用面板 logit 模型分析了 WLB 对残疾工人自愿离职意向和行为的影响。根据工作满意度和生活满意度的综合情况，将 WLB 类型分为四组（工作-生活不满意组、仅工作不满意组、仅生活不满意组和工作-生活平衡组）。工作与生活失衡组（工作与生活不满意组、仅工作不满意组）的离职意向明显更高，这通常与工作不满意有关。仅对工作不满意组（2.25，99% 置信区间[CI]：1.50, 2.31）的工作-生活不满意度对离职意向的影响是仅对工作不满意组（1.90，99% 置信区间：1.97, 2.53）的 1.38 倍，后者对工作和生活都不满意。只有 "工作不满意组 "才会导致实际的人员流动，其中女性（β：0.73，95% CI：0.37，1.09）更有可能退出劳动力市场，而男性（β：0.66，99% CI：0.41，0.89）则更倾向于更换工作。工作不满意度是导致实际离职行为的离职意向的关键预测因素，因此工作不满意度政策应重点关注工作不满意度。此外，残疾女工也是政策优先考虑的目标群体，以防止她们被排除在劳动力队伍之外。

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引用次数: 0

Measures of Work-life Balance and Interventions of Reasonable Accommodations for the Return to Work of Cancer Survivors: A Scoping Review 工作与生活平衡的衡量标准以及为癌症幸存者重返工作岗位提供合理便利的干预措施：范围审查

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-09-01 DOI: 10.1016/j.shaw.2024.07.001

Giuliana Buresti , Bruna Maria Rondinone , Antonio Valenti , Fabio Boccuni , Grazia Fortuna , Sergio Iavicoli , Maria Cristina Dentici , Benedetta Persechino

Background

Nearly half of patients diagnosed with cancer are in the middle of their traditional working age. The return to work after cancer entails challenges because of the cancer or treatments and associated with the workplace. The study aimed at providing more insight into the occupational outcomes encountered by workers with cancer and to provide interventions, programs, and practices to support their return to work.

Methods

A scoping review was conducted using the Arksey and O’Malley framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping review guidelines. Relevant studies were systematically searched in PubMed/MEDLINE, SCOPUS and Grey literature from 01 January 2000 to 22 February 2024.

Results

The literature search generated 3,017 articles; 53 studies were considered eligible for this review. Most of the studies were longitudinal and conducted in Europe. Three macroarea were identified: studies on the impact of cancer on workers in terms of sick leave, employment, return to work, etc.; studies reporting wider issues that may affect workers, such as the compatibility of treatment and work and employment; studies reporting interventions or policies aiming to promote the return to work.

Conclusion

There is a lack in the literature in defining multidisciplinary interventions combining physical, psycho-behavioural, educational, and vocational components that could increase the return-to-work rates. Future studies should focus on interdisciplinary return to work efforts with multiple stakeholders with the involvement of an interdisciplinary teamwork (healthcare workers and employers) to combine these multidisciplinary interventions at the beginning of sick leave period.

背景近半数确诊癌症的患者正处于传统的工作年龄段。由于癌症或治疗以及与工作场所相关的原因，癌症患者重返工作岗位会遇到各种挑战。该研究旨在深入了解癌症患者的职业结果，并提供干预措施、计划和实践，以支持他们重返工作岗位。方法采用Arksey和O'Malley框架以及《系统综述和元分析首选报告项目》的范围界定综述指南进行范围界定综述。从 2000 年 1 月 1 日至 2024 年 2 月 22 日，在 PubMed/MEDLINE、SCOPUS 和灰色文献中对相关研究进行了系统检索。大多数研究都是纵向研究，在欧洲进行。确定了三个宏观领域：关于癌症在病假、就业、重返工作岗位等方面对工人影响的研究；报告可能影响工人的更广泛问题（如治疗与工作和就业的兼容性）的研究；报告旨在促进重返工作岗位的干预措施或政策的研究。今后的研究应侧重于在病假初期，在跨学科团队（医护人员和雇主）的参与下，与多方利益相关者共同开展跨学科重返工作的努力，将这些多学科干预措施结合起来。

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