Journal of occupational and environmental medicine最新文献

Objective: Florida's public health workforce faced unprecedented challenges during the compounding COVID-19 pandemic and record-setting hurricane seasons. The objective of this study was to understand burnout within this essential workforce and identify strategies to better support them.

Methods: A cross-sectional survey addressing burnout, job satisfaction, turnover intention, job demands, job resources, and organizational support in 2021 was completed by 891 Florida Department of Health workers and analyzed by the research team.

Results: Approximately half of the respondents reported experiencing burnout, which is linked to job dissatisfaction and turnover intention. Strategies to effectively support and retain this essential workforce include improving staffing, salaries, flexibility, trainings, resources, and leadership.

Conclusions: As infectious disease outbreaks and extreme weather events continue to occur, effectively supporting the public health workforce is critical to protecting and promoting the health and well-being of all Floridians.

Objectives: This study aimed to identify distinct gut microbiome and serum metabolic features in workers exposed to dust compared to healthy controls.

Methods: A case-control study was conducted with dust-exposed workers without silicosis and age-matched healthy controls. Gut microbiome composition was analyzed using 16S rRNA sequencing, and serum and fecal metabolomic profiles were assessed by LC-MS.

Results: Dust-exposed workers showed higher levels of Blautia and Trichoderma and lower levels of Anaplasma , Aspergillus , Plasmodiophoromycetes, and Escherichia coli-Shigella . Metabolites such as indole-3-acetate and gentamicin C1a were downregulated, while adenine, 2-phenylacetamide, and 4-pyridoxic acid were upregulated.

Conclusions: Blautia spp. were linked to altered metabolites in dust-exposed workers, suggesting microbiome-metabolite interactions that may affect silicosis progression. However, the small sample size and cross-sectional design limit generalizability, and further longitudinal studies are needed.

Objective: This cross-sectional study aimed to determine the mediating role of burnout in the relationship between work-related boredom and insomnia among Korean workers.

Methods: Data from 30,992 wage workers in the sixth Korean Working Conditions Survey were analyzed. The odds ratio and 95% confidence interval for insomnia according to work-related boredom were estimated using a survey-weighted logistic regression model. A mediation analysis was performed with burnout as the mediator.

Results: The survey-weighted logistic regression model revealed that work-related boredom was significantly associated with an increased risk of insomnia. In the mediation model, both the total and direct association of work-related boredom on insomnia were statistically significant. Moreover, the indirect association, mediated by burnout, was also significant, accounting for 23.38% of the total association.

Conclusions: Our findings burnout may play a mediating role between work-related boredom and insomnia.

Objective: This study aimed to test the efficacy of a mHealth-based workplace health promotion strategy in improving cardiorespiratory fitness in a healthcare setting.

Methods: Seventy-seven female nurses (age, 30-45 years) meeting the inclusion criteria underwent baseline assessment and received either a 12-week mHealth or awareness intervention based on their workplace. Changes in peak oxygen consumption (VO 2 ), fasting blood sugar, and physical activity were compared within and between the groups at the end of the intervention.

Results: Thirty-seven and 33 participants in the mHealth and awareness arms, respectively, completed the 12-week intervention. Peak VO 2 (1.6 mL/kg/min, 7%), physical activity, and step counts improved significantly in the mHealth arm. However, between-group differences were not significant.

Conclusions: mHealth interventions offer unique opportunities to improve physical activity and cardiorespiratory fitness among health professionals in their workplace.

Objective: This study examined healthcare worker perceptions of physical environment and safety climate contributors to workplace violence.

Methods: Inpatient hospital employee (2015) convenience sample survey (N = 327) comparisons were via Mann Whitney, Wilcoxon Rank Sum, or Chi-square to determine response differences by workplace violence experience (yes/no), and hospital units (higher/lower) violence rates.

Results: Employees with workplace violence experience and units with higher violence rates identified a higher number of contributing physical environment factors. Safety climate ratings were higher among employees without workplace violence experience but did not differ between hospital units with higher versus lower violence rates.

Conclusions: Prioritization of staff perceived climate safety and physical environment contributors can support organizational efforts to mitigate specific workplace violence hazards on hospital units.

Background: This study aimed to assess work ability score (WAS) in 2018 based on self-reported data regarding inhalable occupational exposure and data from a northern European job-exposure matrix (N-JEM) recorded in 2013.

Methods: During the 5-year follow-up period of this population-based study, 4423 participants completed a postal questionnaire comprising self-reported questions regarding occupational exposure, work history, and WAS.

Results: Ever, weekly, and daily exposure to vapors, gas, dust and fumes (VGDF) in the last 5 years in 2013 was associated with reduced WAS in 2018. The N-JEM data showed that exposure to irritants, wood and paper dust, and mixed agricultural agents were associated with reduced WAS.

Conclusions: Exposure to several occupational inhalable substances is associated with reduced work ability. We recommend reducing inhalable occupational exposure to prevent reduced work ability.

Objectives: This study explores how ambulatory medical practices adapted their policies in response to the global COVID-19 crisis. Practice and provider characteristics were used to build an artificial intelligence model that predicts future medical practice closures during critical events.

Methods: We surveyed 261 outpatient medical practices and collected information on clinician age, gender, the protective measures implemented, closure status, and utilization of telemedicine services. These data were used to build an artificial intelligence model that predicts practice closure in future critical public health events.

Results: Responses varied by specialty, location, and physician characteristics. These factors predicted closure status in 85.45% of test cases.

Conclusion: This paper demonstrates that practice characteristics can assist in predicting medical practice responses to public health events.

Abstract: Objective: The study investigated the effects of air pollutants on the incidence of acute angle-closure glaucoma (AACG) in Hefei, China.Methods: A combination of generalized additive models (GAM) and distributed lag non-linear models (DLNM) was used to explore the relationship between air pollutants and the incidence of AACG.Results: Exposure-response curves showed that exposure to PM 2.5 , PM 10 , NO 2 , SO 2 , CO, and O 3 were all positively correlated with the onset of AACG. Among them, NO 2 , and CO having higher relative risk values for AACG onset.Conclusions: This study highlighted the potential risks of these pollutants and expanded the knowledge of the environmental role in AACG incidence, which will encourage local governments to adopt policy measures and guidance to improve public health.

Objective: This cross-sectional study examined the impact of family cohabitation status and work-from-home (WFH) on sleep during the COVID-19 pandemic.

Methods: An online survey of 27,036 Japanese workers assessed WFH frequency, family cohabitation, and trouble sleeping to estimate odds ratios (OR) for sleep problems from December 22 to 26, 2020.

Results: In multivariate analysis, WFH had no significant benefit for trouble sleeping ≥3 months. Interactions were observed between WFH and cohabitation with elementary school children (OR = 1.26, p = 0.049 for trouble sleeping ≥3 months) and with family members in need of care (OR = 1.39, p = 0.013 for trouble sleeping ≥3 days/week; OR = 1.37, p = 0.02 for trouble sleeping ≥3 months).

Conclusion: The study suggests that the sleep disadvantage during the pandemic may have resulted from WFH with specific cohabitation.