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Two-spotted Spider Mite as a Factor for Occupational Asthma in Nonfarmer Apple-packing Workers 双斑蜘蛛螨对非农家苹果包装工人职业性哮喘的影响
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2025.01.005
Won-Seok Cha , Deaho Kim , Jae-Hoon Shin , Jin-Ee Baek , Mi-Yeon Kim , Sangjun Choi
Few cases of asthma caused by the two-spotted spider mite (TSM) have been reported among nonfarmer apple-packing workers. This study investigated whether allergic sensitization due to the TSM occurs in workers at the Agricultural Products Processing Center. The polymerase chain reaction was used to analyze apples and leaves provided to the Agricultural Products Processing Center for the presence of TSM. Skin prick tests using TSM antigen were administered to 10 workers, and serum levels of total immunoglobulin E (IgE) and specific IgE for TSM antigens were quantified. Of the 10 workers, four tested positive for TSM in the skin prick test, three had elevated total IgE levels, and one had also elevated specific IgE levels to TSM. This confirms that apple-packing workers risk allergic sensitization due to TSM exposure. Preventive measures are recommended not only for apple farmers but also for nonfarmer apple-packing workers.
在非农民苹果包装工人中,由双斑蜘蛛螨(TSM)引起的哮喘病例很少报道。本研究调查了在农产品加工中心工作的工人是否会发生TSM引起的过敏性致敏。采用聚合酶链反应对提供给农产品加工中心的苹果和叶片进行TSM检测。对10名工人进行TSM抗原皮肤点刺试验,定量测定血清总免疫球蛋白E (IgE)和TSM抗原特异性IgE水平。10名工人皮肤点刺试验4例TSM阳性,3例总IgE水平升高,1例TSM特异性IgE水平升高。这证实了苹果包装工人由于接触TSM有过敏致敏的风险。预防措施不仅适用于苹果农,也适用于非苹果农的苹果包装工人。
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引用次数: 0
Development of a Korean Safety Ladder With Ensured Overturning Stability 确保倾覆稳定性的韩国安全梯的开发
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.11.005
Giyeol Lee , Jeongjae Park , Ilnam Lee , Jongmoon Hwang

Background

We have developed the Korean safety ladder as part of development of new safety technologies that can be accepted in industrial sites and would like to introduce the testing process to secure safety.

Methods

The test load and horizontal force prescribed by ANSI A14.7 and EN131-7 standards for only the overturning stability test were applied to calculate the weight required for securing overturning stability according to standards and installation of outrigger with the variables of the height of platform, the angle of inclination of the worker, and the size of the platform.

Results

The weight of a Korean safety ladder required for securing overturning stability according to the height is as follows: as mentioned by the ANSI A14.7, it is stable regardless of the weight when an outrigger. By the EN131-7 standard, a 5-step ladder is stable regardless of the weight, but 54 kg or more of weight is required for an 8-step ladder when an outrigger is installed. When there is no outrigger, 122 kg and 251 kg are required for 5-step and 8-step ladders, respectively.

Conclusion

It is necessary to restrict inclined working on the platform at less than 66° of inclination angle by the EN131-7 standards and secure 43 kg or more of weight in the minimum width of a platform of 400 mm or expand the ladder width or open length of the outrigger.
背景:我们开发了韩国安全梯,作为开发可在工业现场接受的新安全技术的一部分,并希望引入测试过程以确保安全。方法采用ANSI A14.7和EN131-7标准规定的仅用于倾覆稳定性试验的试验载荷和水平力,以平台高度、工人倾斜角度和平台尺寸为变量,根据标准和支腿的安装计算确保倾覆稳定性所需的重量。结果韩国安全梯根据高度确保倾覆稳定性所需的重量如下:如ANSI A14.7所述,在支腿时,无论重量如何都是稳定的。根据EN131-7标准,5级梯无论重量如何都是稳定的,但当安装支腿时,8级梯的重量必须大于等于54kg。无支腿时,5级梯需要122 kg, 8级梯需要251 kg。结论根据EN131-7标准,在倾角小于66°的平台上限制倾斜作业,在400mm平台的最小宽度内固定43 kg以上的重量或扩大梯宽或支腿的开口长度。
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引用次数: 0
Prediction of Work-relatedness of Shoulder Musculoskeletal Disorders as by Using Machine Learning 利用机器学习预测肩部肌肉骨骼疾病的工作相关性
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2025.01.003
Saemi Jung , Bogeum Kim , Yoon-Ji Kim , Eun-Soo Lee , Dongmug Kang , Youngki Kim

Background

This study aimed to develop prediction models for the work-relatedness of shoulder diseases through machine learning algorithms.

Methods

The dataset comprised 7,270 cases of 8,302 individuals who applied for occupational diseases and received the final approval decision from the Korea Workers' Compensation and Welfare Service's Disease Evaluation Committee, which is related to shoulder musculoskeletal disorders between January 2020 and December 2021. In this study, demographic analysis and difference of approval rate by shoulder diseases were performed. Additionally, machine learning algorithms, including logistic regression, support vector machine, decision tree, random forest, and the XGBoost, were utilized to construct prediction models for work-relatedness assessment.

Results

The performance of each model was evaluated. XGBoost showed an accuracy of 81.64% and an area under the curve of 0.73, and random forest showed an accuracy of 84.46% and an area under the curve of 0.73. Key factors influencing work-relatedness assessment were employment period, physical burden score, gender, and age.

Conclusion

The application of various machine learning techniques showed high performance score, representing that it would be helpful to reduce the differences in judgment between occupational environment medicine physicians.
本研究旨在通过机器学习算法建立肩部疾病的工作相关性预测模型。该数据集包括7270例8,302人,申请职业病并获得韩国工人补偿和福利院疾病评估委员会的最终批准决定,与肩部肌肉骨骼疾病相关,时间为2020年1月至2021年12月。在本研究中,进行了人口统计学分析和肩部疾病的批准率的差异。此外,利用逻辑回归、支持向量机、决策树、随机森林和XGBoost等机器学习算法构建工作相关性评估的预测模型。结果对各模型的性能进行了评价。XGBoost的准确率为81.64%,曲线下面积为0.73,random forest的准确率为84.46%,曲线下面积为0.73。影响工作相关性评价的主要因素有就业期、身体负担评分、性别和年龄。结论各种机器学习技术的应用表现出较高的绩效分数,表明机器学习技术有助于减少职业环境医学医师之间的判断差异。
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引用次数: 0
Health Challenges Among Waste Collectors in Bangladesh: Exploring Risk Factors Using Multi-level Modeling 孟加拉国废物收集者的健康挑战:利用多层次模型探索风险因素
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.10.007
Safayet Hossain , Md Farhad Hossain , Bowen Liu , Anjuman Ara , Haneen Alsaoud , Md Abdul Majed Patwary

Background

Waste collectors face multi-faceted health risks including exposure to musculoskeletal disorders, respiratory diseases, and workplace injuries because of their hazardous work environment. The purpose of this study was to determine the risk factors that affect health of the waste collectors across Bangladesh.

Methods

Data on a cross-sectional survey obtained information from 481 waste collectors about their demographics, housing conditions, hygiene practices, security measures, and disease prevalence. Descriptive analyses and multi-level models are used.

Results

As per univariate analysis, 81.3% did not have access to clean water, 58.4% did not have access to sanitation, and 65.9% of people lived in unhealthy housing. According to bivariate analysis, there is an association between unhealthy working conditions i.e., respiratory illnesses (19.1% asthma, 29.7% cough), gastrointestinal issues (59.3% discomfort, 24.1% diarrhea), musculoskeletal disorders, and dermatological diseases, and unsafe working conditions (i.e., 60% no masks, 71% no gloves, and 75% no boots). Considering geographic clustering, multi-level modeling examined how different factors affected particular illnesses. The following were significant protective factors: better housing (80% lower odds of acute irritation), security measures (50% lower odds of gastrointestinal diseases), good hygiene (62% lower odds of dermatological diseases), and younger age (2% higher odds of respiratory diseases per year).

Conclusion

In summary, unsafe living and working conditions greatly push the risks of illness for waste collectors. These risks to occupational health can be reduced with targeted interventions that enhance housing, hygiene, security protocols, and working conditions.
背景:废物收集者面临多方面的健康风险,包括接触肌肉骨骼疾病、呼吸系统疾病和工作场所伤害,因为他们的危险工作环境。这项研究的目的是确定影响孟加拉国各地废物收集者健康的风险因素。方法通过横断面调查获得481名垃圾收集者的人口统计、住房条件、卫生习惯、安全措施和疾病流行情况等信息。使用了描述性分析和多级模型。结果根据单变量分析,81.3%的人无法获得清洁水,58.4%的人无法获得卫生设施,65.9%的人居住在不健康的住房中。根据双变量分析,不健康的工作条件,即呼吸系统疾病(19.1%哮喘,29.7%咳嗽)、胃肠问题(59.3%不适,24.1%腹泻)、肌肉骨骼疾病和皮肤病,与不安全的工作条件(即60%不戴口罩,71%不戴手套,75%不穿靴子)之间存在关联。考虑到地理聚类,多层次模型研究了不同因素如何影响特定疾病。以下是重要的保护因素:更好的住房(急性刺激的几率降低80%)、安全措施(胃肠道疾病的几率降低50%)、良好的卫生(皮肤病的几率降低62%)和更年轻的年龄(每年呼吸系统疾病的几率高2%)。综上所述,不安全的生活和工作条件大大增加了垃圾收集者的疾病风险。通过有针对性的干预措施,改善住房、卫生、安全协议和工作条件,可以减少这些职业健康风险。
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引用次数: 0
Anti-masking Posts on Instagram: Content Analysis During the COVID-19 Pandemic Instagram上的反屏蔽帖子:COVID-19大流行期间的内容分析
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.11.002
Emma K. Quinn , Robert T. Duffy , Kristian Larsen , Maria Dalton , Cheryl E. Peters

Background

The SARS-CoV-2 viral outbreak has been conflicts with the past-tense narrative elsewhere in the abstract.; the infodemic. Misinformation about the virus and disease it causes (COVID-19) has been linked with authority-questioning beliefs, co-branding with conspiracies, and other misinformation across social media. Distrust in simple occupational and public health tools we have at our disposal (like well-fitting face masks) has proliferated. Despite attempts to curb the spread of untrue or misleading information on COVID-19, this messaging persists on social media.

Methods

Using a clean and cleared account, the 300 top posts under the hashtag #masksdontwork were collected on Instagram for thematic analysis over three weeks in June 2022, with three separate data collection dates. Themes contained in the posts were independently assessed by two coders and discrepancies were resolved by consensus.

Results

The most dominant theme among posts was mistrust, including “government lies” and “media lies.” Anti-masking rhetoric was the second most frequent theme, where “freedom” and “disbelief in data” were common sub-themes.

Conclusion

Science denial and propaganda shared among Instagram users may represent an onramp to consumption of broader conspiracy theories and government distrust, in addition to having negative health effects and social consequences for workers regardless of whether they wear masks. Social media algorithms promote similar misinformation or authority-questioning beliefs to users who view related content. Addressing the spread of health-related misinformation can assist in deconstructing myths and increasing trust in public health authorities and prevent the spread of communicable diseases among workers and the public.
SARS-CoV-2病毒爆发一直与其他地方的过去式叙述相冲突。infodemic。关于病毒及其引起的疾病(COVID-19)的错误信息与质疑权威的信仰、与阴谋联合宣传以及社交媒体上的其他错误信息有关。对我们手头上的简单职业和公共卫生工具(比如合身的口罩)的不信任已经激增。尽管试图遏制有关COVID-19的不真实或误导性信息的传播,但这种信息在社交媒体上仍然存在。方法使用一个干净的账户,在2022年6月的三周内收集Instagram上#masksdontwork标签下的300个热门帖子进行主题分析,其中有三个独立的数据收集日期。帖子中包含的主题由两名编码员独立评估,差异通过协商一致解决。结果微博中最主要的主题是不信任,包括“政府谎言”和“媒体谎言”。反掩蔽言论是第二常见的主题,“自由”和“不相信数据”是常见的副主题。在Instagram用户中分享的科学否认和宣传可能代表着更广泛的阴谋论和政府不信任的消费,除了对工人产生负面的健康影响和社会后果之外,无论他们是否戴口罩。社交媒体算法向浏览相关内容的用户推广类似的错误信息或质疑权威的信念。解决与健康有关的错误信息的传播问题,有助于消除误解,增加对公共卫生当局的信任,并防止传染病在工作人员和公众中传播。
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引用次数: 0
Management and Collection of Occupational Data for Health (ODH) in National Public Health Statistics: Evaluation and Recommendations for Korea 国家公共卫生统计中职业健康数据的管理和收集:对韩国的评价和建议
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.11.006
Dong-Uk Park , Kyung Ehi Zoh , Yun-Keun Lee , Hoekyeong Seo , Sangjun Choi , Dong-Hee Koh , Jin-Ha Yoon , Kanwoo Youn , Mo-Yeol Kang , Eun Suk Choi , Jungwon Kim , Yangho Kim , Domyung Paek

Background

The aims of this study are to examine how occupation-related data and information for health (ODH) are collected and managed from census-based surveys and potential occupational illness and injuries (POIS) statistics, and to propose a national strategy for the systematic collection, analysis, and management of ODH by building on the Korean Standard Classification of Occupation (KSCO) and using a job exposure matrix (JEM).

Methods

The status of the collection and management of ODH registered as national statistics, drawn not only from the census-based general population and workforce, but also from POIS statistics was reviewed and evaluated.

Results

ODH from the Republic of Korea's Census of Population and Labor Force are collected and classified according to the KSCO. In contrast, national statistics on POIS are not systematically collected for KSCO coding, reflecting the lack of an KSCO and related guidelines on how to collect ODH. Key frameworks for the construction of both an KSCO and a reference JEM for public health surveillance are proposed.

Conclusions

Further research is needed to develop a national system for collecting and managing ODH, which will ultimately contribute to the use of a national KSCO and the construction of JEM for public health surveillance.
本研究的目的是研究如何从基于人口普查的调查和潜在职业病和伤害(POIS)统计中收集和管理与职业相关的健康数据和信息(ODH),并通过建立韩国标准职业分类(KSCO)和使用工作暴露矩阵(JEM),提出一项系统收集、分析和管理ODH的国家战略。方法对全国人口普查、劳动人口普查和POIS统计数据中ODH的收集和管理现状进行分析和评价。结果韩国人口和劳动力普查的sodh是根据KSCO收集和分类的。相比之下,没有系统地收集关于POIS的国家统计数据以进行KSCO编码,这反映出缺乏关于如何收集ODH的KSCO和相关指南。提出了构建公共卫生监测中心和参考JEM的关键框架。结论建立全国ODH收集和管理系统,为建立全国ODH收集和管理系统和建立JEM系统提供参考。
{"title":"Management and Collection of Occupational Data for Health (ODH) in National Public Health Statistics: Evaluation and Recommendations for Korea","authors":"Dong-Uk Park ,&nbsp;Kyung Ehi Zoh ,&nbsp;Yun-Keun Lee ,&nbsp;Hoekyeong Seo ,&nbsp;Sangjun Choi ,&nbsp;Dong-Hee Koh ,&nbsp;Jin-Ha Yoon ,&nbsp;Kanwoo Youn ,&nbsp;Mo-Yeol Kang ,&nbsp;Eun Suk Choi ,&nbsp;Jungwon Kim ,&nbsp;Yangho Kim ,&nbsp;Domyung Paek","doi":"10.1016/j.shaw.2024.11.006","DOIUrl":"10.1016/j.shaw.2024.11.006","url":null,"abstract":"<div><h3>Background</h3><div>The aims of this study are to examine how occupation-related data and information for health (ODH) are collected and managed from census-based surveys and potential occupational illness and injuries (POI<sub>S</sub>) statistics, and to propose a national strategy for the systematic collection, analysis, and management of ODH by building on the Korean Standard Classification of Occupation (KSCO) and using a job exposure matrix (JEM).</div></div><div><h3>Methods</h3><div>The status of the collection and management of ODH registered as national statistics, drawn not only from the census-based general population and workforce, but also from POIS statistics was reviewed and evaluated.</div></div><div><h3>Results</h3><div>ODH from the Republic of Korea's Census of Population and Labor Force are collected and classified according to the KSCO. In contrast, national statistics on POIS are not systematically collected for KSCO coding, reflecting the lack of an KSCO and related guidelines on how to collect ODH. Key frameworks for the construction of both an KSCO and a reference JEM for public health surveillance are proposed.</div></div><div><h3>Conclusions</h3><div>Further research is needed to develop a national system for collecting and managing ODH, which will ultimately contribute to the use of a national KSCO and the construction of JEM for public health surveillance.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 60-68"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591662","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
Relationship Between Quality of Life and Occupational Health Literacy Among Informal Wood Furniture Workers in Thailand 泰国非正式木制家具工人生活质量与职业健康素养的关系
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.11.007
Patcharin Chaisurin, Weeraporn Suthakorn, Kunlayanee Tantranon, Anon Wisutthananon

Background

Informal wood furniture workers face various occupational health and safety risks that may impact their health and quality of life (QOL). Improving health literacy (HL) could help mitigate these risks. This study aims to assess HL levels and their relationship to QOL among this group in Thailand.

Methods

This cross-sectional study was conducted in 2023 and involved 175 informal wood furniture workers employed in Ban Ma, Lamphun province, Thailand. Data collection instruments comprised the Occupational Health Literacy Questionnaire (TOHLS-IF) and a questionnaire assessing informal workers' QOL. Analysis encompassed descriptive statistics alongside partial correlation analysis (p < 0.05).

Results

Respondents demonstrated high overall health literacy (2.34 ± 0.45). Considering eight dimensions of QOL in the sample, some variables, such as insufficient income, debt, and underlying disease, were prevalent at high percentages and seemed to diminish workers' QOL. After adjustment for gender, age, level of education, and work experience, most QOL dimensions correlated positively with workers' HL levels (p < 0.05); significant variables included career goal setting (rs = 0.27, p < 0.001), conflicts in workplace (rs = 0.20, p = 0.009), environmental satisfaction (rs = 0.41, p < 0.001), readiness to use internet (rs = 0.28, p < 0.001) and applications (rs = 0.29, p < 0.001), coworker's respect (rs = 0.15, p = 0.003), and goal setting to advance career (rs = 0.28, p < 0.001). No significant relationship was observed between prevalent QOL-diminishing factors and health literacy.

Conclusion

The observed link between HL levels and multiple dimensions of QOL among informal wood furniture workers underscores the need for targeted interventions. Policymakers and social initiatives should focus on promoting health literacy and relevant skills to enhance QOL within this population.
背景非正规木制家具工人面临各种职业健康和安全风险,可能影响他们的健康和生活质量(QOL)。提高卫生知识素养有助于减轻这些风险。本研究旨在评估HL水平及其与泰国人群生活质量的关系。方法本横断面研究于2023年进行,涉及175名在泰国兰埔省班马受雇的非正式木制家具工人。数据收集工具包括职业健康素养问卷(TOHLS-IF)和非正式工人生活质量评估问卷。分析包括描述性统计和偏相关分析(p <;0.05)。结果被调查者总体健康素养较高(2.34±0.45)。考虑到样本中生活质量的八个维度,一些变量,如收入不足、债务和潜在疾病,在很高的百分比中普遍存在,似乎降低了工人的生活质量。在调整性别、年龄、教育程度和工作经验后,大多数生活质量维度与员工的HL水平呈正相关(p <;0.05);显著变量包括职业目标设定(rs = 0.27, p <;0.001)、工作场所冲突(rs = 0.20, p = 0.009)、环境满意度(rs = 0.41, p <;0.001),使用互联网的准备程度(rs = 0.28, p <;0.001)和应用(rs = 0.29, p <;0.001)、同事的尊重(rs = 0.15, p = 0.003)和职业发展目标的设定(rs = 0.28, p <;0.001)。普遍的生活质量降低因素与健康素养之间无显著关系。结论非正式木制家具工人的HL水平与生活质量的多个维度之间存在联系,因此需要有针对性的干预。决策者和社会举措应侧重于促进卫生知识普及和相关技能,以提高这一人群的生活质量。
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引用次数: 0
Lung Cancer Risk in Female School Cooks: A Nationwide Retrospective Cohort Study in the Republic of Korea 女性学校厨师患肺癌的风险:韩国全国回顾性队列研究
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2025.01.002
Jungwon Jang , Eun Mi Kim , Jaiyong Kim , Jeehee Min , Inah Kim

Background

Exposure to cooking fumes exposure likely increases the lung cancer risk in school cooks, but research on the incidence of lung cancer in school cooks is lacking. Therefore, this study aimed to examine a nationwide cohort of school cooks for lung cancer by linking three Korean social insurance databases to determine whether working as a school cook increases lung cancer risk.

Methods

A nationwide retrospective cohort of school cooks and clerks with lung cancer was established by linking Employment Insurance, Industrial Accident Compensation Insurance, and National Health Insurance Service databases. Covariates were matched using 1:1 propensity score matching (PSM) for school cooks and clerks. Age-standardized incidence and hazard ratios (HRs) for lung cancer were calculated using the Cox proportional hazards model. Fine–Gray subdistribution HRs were used for sensitivity analysis. After further categorization into never- and ever-smoked subcohorts, the same analyses were performed.

Results

Post PSM, we identified 76 cases of lung cancer in school cooks during 259,819 person-years of follow-up. The age-standardized incidence was 199.8 (95% confidence interval [CI]: 120.7–278.9) and 166.8 (95% CI: 95.8–237.7) for school cooks and clerks, respectively. The subdistribution HR for school cooks post PSM was 1.72 (95% CI: 1.14–2.60). In the never-smoked subcohort, the subdistribution HR for school cooks post PSM was 4.23 (95% CI: 2.36–7.58).

Conclusion

School cooks were at an elevated risk of developing lung cancer, likely due to exposure to cooking fumes, highlighting the need for improved ventilation and preventive measures in school kitchens to reduce lung cancer risk.
学校厨师暴露在烹饪烟雾中可能会增加患肺癌的风险,但缺乏对学校厨师肺癌发病率的研究。因此,本研究旨在通过连接三个韩国社会保险数据库来检查全国范围内的学校厨师肺癌队列,以确定作为学校厨师是否会增加肺癌风险。方法通过连接就业保险、工伤赔偿保险和国民健康保险数据库,建立全国范围内患肺癌的学校厨师和文员回顾性队列。用1:1的倾向得分匹配(PSM)对学校厨师和文员进行协变量匹配。使用Cox比例风险模型计算肺癌的年龄标准化发病率和风险比(hr)。采用细灰色亚分布hr进行敏感性分析。在进一步分为从不吸烟和曾经吸烟的亚队列后,进行了相同的分析。结果在259,819人-年的随访中,我们发现76例学校厨师肺癌。学校厨师和职员的年龄标准化发病率分别为199.8(95%可信区间[CI]: 120.7-278.9)和166.8 (95% CI: 95.8-237.7)。学校厨师PSM后的子分布HR为1.72 (95% CI: 1.14-2.60)。在从不吸烟的亚队列中,PSM后学校厨师的亚分布HR为4.23 (95% CI: 2.36-7.58)。结论:学校厨师患肺癌的风险较高,可能是由于暴露于烹饪烟雾中,这突出了改善学校厨房通风和预防措施以降低肺癌风险的必要性。
{"title":"Lung Cancer Risk in Female School Cooks: A Nationwide Retrospective Cohort Study in the Republic of Korea","authors":"Jungwon Jang ,&nbsp;Eun Mi Kim ,&nbsp;Jaiyong Kim ,&nbsp;Jeehee Min ,&nbsp;Inah Kim","doi":"10.1016/j.shaw.2025.01.002","DOIUrl":"10.1016/j.shaw.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to cooking fumes exposure likely increases the lung cancer risk in school cooks, but research on the incidence of lung cancer in school cooks is lacking. Therefore, this study aimed to examine a nationwide cohort of school cooks for lung cancer by linking three Korean social insurance databases to determine whether working as a school cook increases lung cancer risk.</div></div><div><h3>Methods</h3><div>A nationwide retrospective cohort of school cooks and clerks with lung cancer was established by linking Employment Insurance, Industrial Accident Compensation Insurance, and National Health Insurance Service databases. Covariates were matched using 1:1 propensity score matching (PSM) for school cooks and clerks. Age-standardized incidence and hazard ratios (HRs) for lung cancer were calculated using the Cox proportional hazards model. Fine–Gray subdistribution HRs were used for sensitivity analysis. After further categorization into never- and ever-smoked subcohorts, the same analyses were performed.</div></div><div><h3>Results</h3><div>Post PSM, we identified 76 cases of lung cancer in school cooks during 259,819 person-years of follow-up. The age-standardized incidence was 199.8 (95% confidence interval [CI]: 120.7–278.9) and 166.8 (95% CI: 95.8–237.7) for school cooks and clerks, respectively. The subdistribution HR for school cooks post PSM was 1.72 (95% CI: 1.14–2.60). In the never-smoked subcohort, the subdistribution HR for school cooks post PSM was 4.23 (95% CI: 2.36–7.58).</div></div><div><h3>Conclusion</h3><div>School cooks were at an elevated risk of developing lung cancer, likely due to exposure to cooking fumes, highlighting the need for improved ventilation and preventive measures in school kitchens to reduce lung cancer risk.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 105-112"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591668","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
Quantitative Assessment of Work-related Hand-arm Vibration Exposure Among Workers in the Construction, Underground Coal Mining, Wood Working, and Metal Working Industry: The German Hand-arm Vibration Study 建筑、地下煤矿、木工和金属加工行业工人与工作相关的手臂振动暴露的定量评估:德国手臂振动研究
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2025.01.001
Yi Sun , Frank Bochmann , Winfried Eckert , Benjamin Ernst , Christian Freitag , Uwe Kaulbars , Uwe Nigmann , Christina Samel , Christian van den Berg , Nastaran Raffler

Background

Standardized exposure assessments were conducted to quantify the historical occupational exposure to hand-arm vibration of workers in the German construction, underground coal mining, woodworking, and metalworking industries.

Methods

A two-step approach was used to assess historical vibration exposure. In the first step, individual work histories were reconstructed by standardized personal interviews. The interview focused on the identification of relevant power tools used throughout the working life. In the second step, an equipment-exposure-matrix was constructed by industrial hygiene measurements. By linking the power tools in the work history to the equipment-exposure-matrix, individual daily, and long-term vibration exposures can be quantified.

Results and conclusions

A total of 423 power tools were identified for 5,115 exposure segments over a period of 50 years. 97.2% of the vibration values were based on industrial hygiene measurements. The total vibration value (ahv) of the power tools used varied between 0.8 m/s2 and 65.2 m/s2 with a median value of 14.2 m/s2. The median value of cumulative vibration exposure is Dhv = 121,971 (range: 23-3,374,640) m2/s4·day, corresponding to a daily vibration exposure of ahv(8) = 7 m/s2 for 2489 working days (11.3 years).
This study provides a detailed description of hand-arm vibration exposure among workers in the related industries studied. Our analyses indicate that the quantification of daily vibration exposure is often uncertain and should be interpreted with caution. In contrast, cumulative vibration exposure is a more reliable exposure parameter for describing general working conditions and for guiding the prevention and compensation of vibration-related health problems.
背景:进行标准化暴露评估,以量化德国建筑、地下煤矿、木工和金属加工行业工人对手臂振动的历史职业暴露。方法采用两步法评估历史振动暴露。第一步,通过标准化的个人访谈重构个人的工作经历。访谈的重点是识别在整个工作寿命中使用的相关电动工具。第二步,通过工业卫生测量构建设备暴露矩阵。通过将工作历史中的电动工具与设备暴露矩阵联系起来,可以量化个人每日和长期的振动暴露。结果和结论在50年的时间里,共鉴定出5115个接触段的423种电动工具。97.2%的振动值基于工业卫生测量。使用的电动工具的总振动值(ahv)在0.8 m/s2 ~ 65.2 m/s2之间变化,中位数为14.2 m/s2。累积振动暴露中位数为Dhv = 121,971(范围:23-3,374,640)m2/s4·day,对应于2489个工作日(11.3年)的每日振动暴露ahv(8) = 7 m/s2。本研究详细描述了相关行业工人的手臂振动暴露情况。我们的分析表明,每日振动暴露的量化往往是不确定的,应谨慎解释。相比之下,累积振动暴露是描述一般工作条件和指导与振动有关的健康问题的预防和补偿的更可靠的暴露参数。
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引用次数: 0
Assessing the Psychometric Properties of the French-Canadian Version of the Psychological Safety Climate Questionnaire (PSC-12) 法加版心理安全气候问卷(PSC-12)的心理测量特性评估
IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.shaw.2024.11.001
Manon Truchon , Mahée Gilbert-Ouimet , Azita Zahiriharsini , Alice Girouard , Jérome Thibeault , Nathalie Parent , Éléonore Lachapelle , Caroline Biron

Background

Psychosocial safety climate (PSC) refers to the collective belief among workers regarding the protection and support of their psychological health and safety by senior management. Despite the recognized importance of PSC in mitigating exposure to detrimental psychosocial risk factors at work, a validated instrument in French is lacking. This study aimed to evaluate the psychometric properties of the French-Canadian version of the PSC-12 and its associations with job satisfaction and psychological distress.

Method

A cross-sectional validation study was conducted to evaluate the psychometric properties of the PSC-12. Using cross-sectional data from an online survey of adults in a French-Canadian university (n = 1,784), the psychometric properties of the PSC-12, a 12-item questionnaire, were assessed. Internal consistency, validity, and factor structure were examined through exploratory factor analysis conducted using SAS v.9.4 software.

Results

Confirming the original four-factor structure, the French-Canadian version of the PSC-12 demonstrated satisfactory internal consistency (Cronbach's α of 0.95) and validity indices. Its convergent and divergent validity was evidenced by a positive association with job satisfaction (r = 0.34, p < 0.05) and the negative association with psychological distress (r = -0.50, p < 0.05).

Conclusions

The French-Canadian adaptation of the PSC-12 maintains cross-cultural validity, providing a validated and concise tool for assessment within the French-Canadian community. Practical Applications: By facilitating the prevention of mental health problems among workers, this questionnaire has the potential to contribute to alleviating burdens for individuals, workplaces, and society.
心理社会安全气候(PSC)是指工人对高层管理人员对其心理健康和安全的保护和支持的集体信念。尽管PSC在减轻工作中有害社会心理风险因素暴露方面的重要性得到公认,但缺乏一种经过验证的法语工具。本研究旨在评估法加版PSC-12的心理测量特性及其与工作满意度和心理困扰的关系。方法采用横断面验证法对PSC-12的心理测量特性进行评价。使用来自一所法裔加拿大大学的成年人在线调查(n = 1,784)的横断面数据,评估了PSC-12(一份包含12个项目的问卷)的心理测量特性。采用SAS v.9.4软件进行探索性因子分析,检验内部一致性、效度和因子结构。结果法加版PSC-12的内部一致性(Cronbach’s α = 0.95)和效度指标均令人满意,证实了原来的四因子结构。其收敛效度和发散效度与工作满意度呈显著正相关(r = 0.34, p <;0.05),与心理困扰呈负相关(r = -0.50, p <;0.05)。结论:法裔加拿大人对PSC-12的改编保持了跨文化有效性,为法裔加拿大人社区内的评估提供了一个有效的、简洁的工具。实际应用:通过促进工人心理健康问题的预防,本问卷有可能有助于减轻个人、工作场所和社会的负担。
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Safety and Health at Work
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