American journal of industrial medicine最新文献_第9页

Exposure to the World Trade Center Disaster, Health, and Health-Related Quality of Life Nearly 20 Years After 9/11 9/11事件后近20年的世界贸易中心灾难、健康和与健康相关的生活质量

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-04-02 DOI: 10.1002/ajim.23706

Julia S. Sisti, Ananya Dhanya, Howard E. Alper, Nicholas Millet, Ayda Ahmadi, Robert M. Brackbill

Background

Exposure to the terrorist attacks on the World Trade Center (WTC) on September 11, 2001, has been associated with several chronic physical and mental health conditions. We assessed the burden, nearly 20 years after the attacks, of several 9/11-related health conditions and indicators of poor health-related quality of life (HRQOL) among individuals exposed to the WTC disaster.

Methods

Among individuals enrolled in the longitudinal WTC Health Registry in 2020–2021 (N = 26,964), we estimated post-9/11 prevalence of: self-reported diagnosed physical health conditions known to be associated with WTC exposure; probable posttraumatic stress disorder (PTSD) and depression; and poor HRQOL indicators. We also compared lifetime prevalence of selected conditions and poor-HRQOL indicators among WTC-exposed rescue and recovery workers and community members, separately, to New York State general population estimates, using multivariable-adjusted logistic regression.

Results

Prevalence of post-9/11 physical health conditions ranged from 10.5% (chronic obstructive pulmonary disease, COPD) to 26.3% (gastroesophageal reflux disease). Prevalence of probable post-9/11 PTSD and depression were 9.6% and 12.7%, respectively. Lifetime prevalence of physician-diagnosed asthma, COPD, and depression were higher among WTC-exposed individuals compared to the general population. Indicators of poor HRQOL were higher among WTC Registry enrollees relative to the general population, and among enrollees with any physical or probable mental health conditions compared to enrollees without any conditions.

Conclusions

Nearly 20 years after 9/11, WTC-exposed populations experience a high burden of health conditions that affect their wellbeing, highlighting the need for continued monitoring of this population.

背景：暴露在2001年9月11日世界贸易中心（WTC）的恐怖袭击中，与几种慢性身心健康状况有关。我们评估了9/11事件发生近20年后，与9/11事件相关的几种健康状况和与健康相关的生活质量（HRQOL）指标在世贸中心灾难暴露人群中的负担。方法：在2020-2021年参加世贸中心纵向健康登记的个体中（N = 26,964），我们估计了911后的患病率：已知与世贸中心暴露相关的自我报告诊断的身体健康状况；可能的创伤后应激障碍（PTSD）和抑郁症；HRQOL指标差。我们还使用多变量调整logistic回归，分别比较了wtc暴露的救援和恢复工作者和社区成员中选择条件和不良hrqol指标的终生患病率与纽约州一般人群估计值。结果：9/11后身体健康状况的患病率从10.5%（慢性阻塞性肺疾病，COPD）到26.3%（胃食管反流病）不等。9/11后PTSD和抑郁症的患病率分别为9.6%和12.7%。与普通人群相比，wtc暴露个体中医生诊断的哮喘、COPD和抑郁症的终生患病率更高。WTC登记注册者的HRQOL差指标高于一般人群，有任何身体或可能的精神健康状况的注册者的HRQOL差指标高于没有任何健康状况的注册者。结论：9/11事件发生近20年后，wtc暴露人群经历了影响其健康状况的沉重负担，突出了对这一人群进行持续监测的必要性。

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引用次数: 0

Student and Parental Job Loss During the COVID-19 Public Health Emergency: Effects on Household Economic Security COVID-19突发公共卫生事件期间学生和家长失业：对家庭经济安全的影响

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-03-08 DOI: 10.1002/ajim.23713

Sharon R. Silver, Taylor M. Shockey, Jonetta J. Mpofu

Background

While studies have examined effects of parental job loss early in the COVID-19 pandemic, few have assessed economic impacts of student job loss.

Methods

The Adolescent Behaviors and Experiences Survey (ABES) was a one-time online, nationally-representative survey administered by CDC in 2021 to understand high school students' experiences. We assessed associations between student, parent, and dyadic employment experiences and two measures of economic stress: housing instability and food insufficiency.

Results

Parental job loss was common and associated with both adverse economic outcomes. The adjusted prevalence rate (aPR) for housing instability was 2.79, 95% confidence interval (CI) = 1.73–4.51. A new finding is that student employment may also play a role in food sufficiency. Student job loss was significantly associated with both any food insufficiency and frequent food insufficiency (aPR = 1.61, 95% CI = 1.35–1.93 and aPR = 1.96, 95% CI = 1.43–2.70, respectively).

Discussion

Analysis of associations between employment status before and during the COVID-19 public health emergency and measures of household economic insecurity reveals social safety net gaps. Our finding that student employment may affect household food sufficiency highlights the need to better understand the role of student employment in household economic stress.

背景：虽然有研究调查了COVID-19大流行早期父母失业的影响，但很少有研究评估学生失业的经济影响。方法：《青少年行为与经历调查》（ABES）是CDC于2021年实施的一项具有全国代表性的一次性在线调查，旨在了解高中生的经历。我们评估了学生、家长和二元就业经历与两项经济压力指标之间的联系：住房不稳定和食物不足。结果：父母失业是常见的，并且与不利的经济结果有关。住房不稳定的调整患病率（aPR）为2.79,95%可信区间(CI) = 1.73 ~ 4.51。一项新的发现是，学生就业也可能在食物充足方面发挥作用。学生失业与任何食物不足和频繁食物不足均显著相关（aPR = 1.61, 95% CI = 1.35-1.93, aPR = 1.96, 95% CI = 1.43-2.70）。讨论：分析2019冠状病毒病突发公共卫生事件之前和期间的就业状况与家庭经济不安全措施之间的关联，揭示社会安全网缺口。我们发现学生就业可能会影响家庭食物充足，这突出了更好地理解学生就业在家庭经济压力中的作用的必要性。

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引用次数: 0

Reliability and Validity of the Japanese Version of the Four-Item Psychosocial Safety Climate Scale (PSC-4J) 日本版心理社会安全气候量表（PSC-4J）的信度和效度

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-03-05 DOI: 10.1002/ajim.23715

Akiomi Inoue, Hisashi Eguchi, Yuko Kachi, Maureen F. Dollard, Akizumi Tsutsumi

Background

Short measurement scales are increasingly sought-after for reasons of efficiency and survey fatigue. A short four-item measure of an organization's climate for employee psychological health, the psychosocial safety climate (PSC-4), has gained international usage. However, the psychometric properties of its Japanese version (PSC-4J) are unknown. We examined the reliability and validity of the PSC-4J.

Methods

An online survey containing the Japanese 12-item PSC scale (PSC-12J), from which the PSC-4J derived, and relevant variables (job demands, job resources, and outcomes) was administered to 2200 employees registered with a Japanese online survey provider. Two weeks later, the PSC-12J was measured again with a follow-up survey of 1400 respondents. Internal consistency and test-retest reliability were examined by Cronbach's α and intraclass correlation (ICC). Agreement between PSC-4J and PSC-12J was examined by Spearman's correlation. Structural validity was examined by confirmatory factor analysis (CFA) and item response theory (IRT) analysis. Convergent validity was examined by Spearman's correlations of PSC-4J with relevant variables, comparing these results with the PSC-12J.

Results

Cronbach's α and ICC for PSC-4J were 0.91 and 0.68, respectively. Spearman's correlation between PSC-4J and PSC-12J was 0.97. The CFA assuming a one-factor structure showed good model fit. The IRT analysis indicated each PSC-4J item had very high discrimination and appropriate difficulty. Spearman's correlations of PSC-4J with relevant variables were slightly lower than for PSC-12J but in the theoretically expected direction.

Conclusions

The PSC-4J, while slightly inferior to the PSC-12J in psychometric properties, provides comparable measurements with fewer items while maintaining adequate reliability and validity.

背景：由于效率和调查疲劳的原因，短测量量表越来越受欢迎。社会心理安全气候（PSC-4）是衡量组织员工心理健康气候的一个简短的四项指标，已在国际上得到使用。然而，其日文版本（PSC-4J）的心理测量特性尚不清楚。我们检查了PSC-4J的可靠性和有效性。方法：采用日语12题PSC量表（PSC- 12j）和相关变量（工作需求、工作资源和结果）对在日本在线调查提供商注册的2200名员工进行在线调查，PSC- 4j由此衍生。两周后，又对1400名受访者进行了PSC-12J测试。采用Cronbach’s α和类内相关（ICC）检验内部一致性和重测信度。PSC-4J和PSC-12J的一致性采用Spearman相关检验。采用验证性因子分析（CFA）和项目反应理论（IRT）检验结构效度。通过PSC-4J与相关变量的Spearman相关性来检验收敛效度，并将这些结果与PSC-12J进行比较。结果：PSC-4J的Cronbach’s α和ICC分别为0.91和0.68。PSC-4J与PSC-12J的Spearman相关系数为0.97。假设单因素结构的CFA显示出良好的模型拟合。IRT分析显示PSC-4J的每个条目具有很高的辨识度和适当的难度。PSC-4J与相关变量的Spearman相关性略低于PSC-12J，但符合理论预期方向。结论：PSC-4J虽然在心理测量特性上略低于PSC-12J，但在保持足够信度和效度的同时，提供了较少项目的可比较测量。

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引用次数: 0

Exposure to Per- and Polyfluoroalkyl Substances and the Risk of Prostate and Ovarian Cancer: An Epidemiologic Meta-Analysis 暴露于全氟和多氟烷基物质与前列腺癌和卵巢癌的风险：一项流行病学荟萃分析。

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-03-05 DOI: 10.1002/ajim.23717

Shenglan Yang, Hui Dong, Xinyu Gou, Limei Chen, Ying Zhang, Jing Wu

Background

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants. Previous research has linked PFAS exposure to prostate and ovarian cancer risk, however, the conclusions have been inconsistent. This research purpose was to determine the relationship between PFAS exposure and prostate and ovarian cancer at the population level.

Methods

We systematically reviewed three databases—PubMed, Web of Science, and Embase—for research from when these databases were established to April 15, 2024. The quality of the retrieved research was evaluated using the Newcastle-Ottawa Scale (NOS) quality measurement tool. Meta-analysis of the extracted data was conducted using Stata 18. We also conducted sensitivity and subgroup analyses, as well as Begg's and Egger's tests.

Results

Twelve publications were involved in the analysis for prostate cancer, and six were included for ovary cancer. The outcomes indicated that PFOS exposure was positively related to prostate cancer (OR: 1.13, 95% CI: 1.00–1.28), while mixed PFAS exposure was positively related to ovarian cancer (OR: 1.63, 95% CI: 1.49–1.78). The source of heterogeneity identified in the subgroup analysis was primarily attributable to variations in study design. No significant study bias was detected in the analysis.

Conclusion

The study demonstrated an association between PFAS exposure and both prostate and ovarian cancers. Further investigation is required to clarify the underlying mechanisms and potential associations.

背景：全氟和多氟烷基物质（PFAS）是持久性环境污染物。先前的研究已经将PFAS暴露与前列腺癌和卵巢癌风险联系起来，然而，结论并不一致。本研究的目的是在人群水平上确定PFAS暴露与前列腺癌和卵巢癌之间的关系。方法：系统检索pubmed、Web of Science和embase三个数据库，从这些数据库建立到2024年4月15日。使用纽卡斯尔-渥太华量表（NOS）质量测量工具对所检索研究的质量进行评估。采用Stata 18对提取的数据进行meta分析。我们还进行了敏感性和亚组分析，以及贝格和埃格的测试。结果：12篇文献纳入前列腺癌的分析，6篇文献纳入卵巢癌的分析。结果表明，全氟辛烷磺酸暴露与前列腺癌呈正相关（OR: 1.13, 95% CI: 1.00-1.28），而混合全氟辛烷磺酸暴露与卵巢癌呈正相关（OR: 1.63, 95% CI: 1.49-1.78）。亚组分析中发现的异质性来源主要归因于研究设计的差异。分析中未发现显著的研究偏倚。结论：该研究表明PFAS暴露与前列腺癌和卵巢癌之间存在关联。需要进一步的调查来阐明潜在的机制和潜在的关联。

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引用次数: 0

Cover Image: Volume 68 Issue S1 封面图片：第68卷第S1期

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-28 DOI: 10.1002/ajim.23718

Cover Caption: Construction site workers, by wal_172619 via Pixabay.

封面说明：建筑工地工人，由wal_172619通过Pixabay。

引用次数: 0

Work Participation in Patients With Carpal Tunnel Syndrome Referred to Departments of Occupational Medicine—A Danish Register-Based Cohort Study 职业医学系腕管综合征患者的工作参与情况——丹麦基于登记的队列研究

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-28 DOI: 10.1002/ajim.23716

Tine Hoffmann Aagaard, Karin Biering, Jesper Medom Vestergaard, Morten Vejs Willert, Marianne Kyndi

Background

We describe long-term work participation of patients with carpal tunnel syndrome (CTS) referred to Danish departments of occupational medicine and compare to patients with contact dermatitis.

Methods

One thousand seven hundred and sixty CTS-patients were included in this register-based nationwide longitudinal follow-up study and compared to 3158 contact dermatitis patients. We extracted register data on public benefits 5 years before and after assessment at a department of occupational medicine between 2000 and 2013. We defined a work participation score (WPS) as weeks where the patient was working divided by number of potential work weeks per year, dichotomized into low and high at the 75^th percentile. We analyzed the risk of low WPS and of receiving permanent health-related public benefits during follow-up.

Results

Before assessment, both CTS and contact dermatitis patients had high work participation. In the follow-up period work participation decreased permanently for both patient groups. Comparing women with CTS to women with contact dermatitis, odds ratios (OR) of low WPS were 2.56 (2.11–3.11) and 1.68 (1.38–2.05) one and 5 years after assessment. For men, OR of low WPS were 2.01 (95% CI, 1.67–2.44) and 1.27 (95% CI, 1.04–1.56). ORs of receiving permanent health-related public benefits during follow-up were 2.10 (95% CI, 1.56–2.83) for men and 1.97 (95% CI, 1.54–2.54) for women with CTS compared to those with contact dermatitis.

Conclusions

Patients referred to Danish departments of occupational medicine due to CTS have increased risk of reduced long-term work participation and of receiving permanent health-related public benefits compared to patients referred due to contact dermatitis.

背景：我们描述了丹麦职业医学部门转诊的腕管综合征（CTS）患者长期参加工作的情况，并与接触性皮炎患者进行了比较：这项基于登记册的全国性纵向跟踪研究纳入了 1760 名 CTS 患者，并与 3158 名接触性皮炎患者进行了比较。我们提取了 2000 年至 2013 年期间在职业医学部门进行评估前后 5 年的公共福利登记数据。我们将工作参与评分（WPS）定义为患者的工作周数除以每年的潜在工作周数，以第75百分位数分为低分和高分。我们分析了低WPS风险和在随访期间领取永久性健康相关公共福利的风险：结果：在评估前，CTS 和接触性皮炎患者的工作参与度都很高。在随访期间，两组患者的工作参与率都出现了永久性下降。将患有 CTS 的妇女与患有接触性皮炎的妇女进行比较，在评估后 1 年和 5 年，低 WPS 的几率比（OR）分别为 2.56（2.11-3.11）和 1.68（1.38-2.05）。对于男性而言，WPS 低的几率比为 2.01（95% CI，1.67-2.44）和 1.27（95% CI，1.04-1.56）。与接触性皮炎患者相比，患有CTS的男性和女性在随访期间获得永久性健康相关公共福利的OR值分别为2.10（95% CI，1.56-2.83）和1.97（95% CI，1.54-2.54）：结论：与因接触性皮炎转诊到丹麦职业医学科的患者相比，因CTS转诊到丹麦职业医学科的患者长期工作参与度降低和获得永久性健康相关公共福利的风险更高。

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引用次数: 0

Self-Reported Pesticide Application, Access to Pesticide Labels, and QR Code Use Among Agricultural H-2A Workers, North Carolina, 2024 农业H-2A工人自我报告的农药使用、农药标签获取和QR码使用，北卡罗来纳州，2024。

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-21 DOI: 10.1002/ajim.23712

Cesar Asuaje, Joseph G. L. Lee, Nowrin Nusrat, Lilibeth Andres, Natalie D. Rivera, Tania Connaughton-Espino, Paul Janampa, Catherine E. LePrevost

Background

Despite the composition of the United States' agricultural workforce and the sector's reliance on Spanish-speaking migrant labor, pesticide labels are largely available in English only. Currently, federal regulators are considering strategies to provide pesticide label information access in Spanish via a QR code or through other electronic methods on the pesticide container. Data on access to labels and the use of QR codes among agricultural workers are limited. We provide policy-relevant findings from surveys collected at a large agricultural worker H-2A visa arrival hub.

Methods

In April and May 2024, we verbally administered Spanish-language, in-person surveys in North Carolina (n = 160). We asked questions about pesticide use, access to labels, and QR code use as well as age, gender, and seasons worked in the United States.

Results

Descriptive analyses revealed approximately 60% of workers had not used a QR code. Among participants who had used pesticides and worked for two or more seasons (42%), approximately 30% reported not having access to the label on the container.

Conclusion

The survey findings show QR-code-based pesticide labels will reach a subset of workers, but substantial gaps will remain.

背景：尽管美国农业劳动力的构成和该部门对讲西班牙语的移民劳工的依赖，农药标签大多只有英文。目前，联邦监管机构正在考虑通过QR码或其他电子方法在农药容器上提供西班牙语农药标签信息。关于农业工人获得标签和使用二维码的数据有限。我们从一个大型农业工人H-2A签证到达中心收集的调查中提供了与政策相关的发现。方法：在2024年4月和5月，我们在北卡罗来纳州进行了口头西班牙语面对面调查（n = 160）。我们询问了有关农药使用、标签获取、QR码使用以及年龄、性别和在美国工作的季节的问题。结果：描述性分析显示，大约60%的员工没有使用QR码。在使用农药并工作了两个或两个以上季节的参与者中（42%），大约30%的人报告没有接触到容器上的标签。结论：调查结果显示，基于qr码的农药标签将覆盖一小部分工人，但仍存在很大差距。

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引用次数: 0

Blunted Blood Pressure Dipping During Night Shift Work: Does It Matter? Can We Intervene? 夜班工作时血压下降迟钝：这有关系吗？我们可以干预吗？

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-15 DOI: 10.1002/ajim.23711

P. Daniel Patterson, David Hostler, Matthew F. Muldoon, Daniel J. Buysse, Steven E. Reis

Cardiovascular disease (CVD) is the leading cause of adult death in the United States. Numerous studies show that night shift workers face a disproportionately higher risk of CVD compared to non-shift workers. Despite these data, the scientific and medical communities have not identified the physiological mechanisms that contribute to increased CVD risks for night shift workers. We propose that repetitive exposure to blunted blood pressure (BP) dipping associated with sleep loss during night shift work is an important, clinically meaningful, understudied, and modifiable contributor to increased risk of CVD. Blunted BP dipping occurs when BP fails to decrease or “dip” 10%−20% during nighttime hours (typically while sleeping) relative to daytime hours (typically while awake). Blunted BP dipping is widely considered a clinically meaningful indicator of poor cardiovascular health. Previous research suggests it is a common consequence of night shift work and occurs during sleep before and immediately after night shifts. Relatively few studies of shift work and CVD have focused on blunted BP dipping as a mechanism of CVD risk. Recent experimental research shows that restoration of normal BP patterns—during night shift work—is achievable with strategic napping and may reduce the risk of CVD. We present a series of important mechanistic-related questions and next steps for future research focused on blunted BP dipping and night shift work.

心血管疾病（CVD）是美国成年人死亡的主要原因。大量研究表明，夜班工人比非夜班工人患心血管疾病的风险高得多。尽管有这些数据，科学界和医学界还没有确定导致夜班工人心血管疾病风险增加的生理机制。我们认为，夜班工作期间反复暴露于与睡眠不足相关的钝性血压（BP）下降是CVD风险增加的一个重要的、临床意义的、研究不足的、可改变的因素。当血压在夜间（通常是在睡觉时）相对于白天（通常是在醒着的时候）没有下降或“下降”10%-20%时，就会发生钝化的血压下降。钝性血压下降被广泛认为是心血管健康状况不佳的临床有意义的指标。先前的研究表明，这是夜班工作的常见后果，发生在夜班前和夜班后的睡眠中。相对较少的倒班工作和心血管疾病的研究集中在钝性血压下降作为心血管疾病风险的机制。最近的实验研究表明，恢复正常的血压模式——在夜班工作期间——可以通过有策略的午睡来实现，并可能降低心血管疾病的风险。我们提出了一系列重要的机械相关问题和未来研究的下一步，重点是钝化BP和夜班工作。

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引用次数: 0

Enhancing the Psychosocial Hierarchy of Controls: Contextual, Sequential, and Integrated Approaches for Workplace Mental Health 加强控制的社会心理层次：工作场所心理健康的情境、顺序和综合方法。

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-01 DOI: 10.1002/ajim.23709

San-Ping Wang, Lien-Chung Wei

引用次数: 0

Response to Enhancing the Psychosocial Hierarchy of Controls: Contextual, Sequential, and Integrated Approaches for Workplace Mental Health 对加强控制的社会心理层次的反应：工作场所心理健康的情境、顺序和综合方法。

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine

Pub Date : 2025-02-01 DOI: 10.1002/ajim.23710

Asta Kjærgaard, Emilie M. Rudolf, Julie Palmqvist, Mikala E. Jakobsen, Jeppe Z. Nguyen Ajslev

引用次数: 0