Objectives: Precarious employment conditions have become more common in many countries over the last decades, and have been linked to various adverse health outcomes. The objective of this review was ...to collect and summarize existing scientific research of the relationship between dimensions of precarious employment and the rate of occupational injuries. Methods: A protocol was developed in accordance with the PRISMA-P checklist for systematic literature reviews. We searched PubMed, Web of Science and Scopus for articles on observational studies from North America, Europe, Australia and New Zealand published in peer-reviewed journals 1990-2017. A minimum of two independent reviewers assessed each article with respect to quality and eligibility criteria. Articles of high/ moderate quality meeting all specified inclusion criteria were included in the review. Results: The literature search resulted in 471 original titles, of which 17 articles met all the inclusion criteria. The most common exposures were in descending order; temporary employment, multiple jobs, working for a subcontractor at the same worksite/temp agency, part-time, self-employment, hourly pay, union membership, insurance benefits, flexible versus fixed work schedule, wages, job insecurity, work-time control and precarious career trajectories. Ten studies reported a positive association between precarious employment and occupational injuries. Four studies reported a negative association, and three studies did not show any significant association. Conclusions: This review supports an association between some of the dimensions of precarious employment and occupational injuries; most notably for multiple jobholders and employees of temp agencies or subcontractors at the same worksite. However, results for temporary employment are inconclusive. There is a need for more prospective studies of high quality, designed to measure effect sizes as well as causality.
ObjectivesPneumoconiosis remains a major global occupational health hazard and illness. Accurate data on the incidence of pneumoconiosis are critical for health resource planning and development of ...health policy.MethodsWe collected data for the period between 1990 and 2017 on the annual incident cases and the age-standardised incidence rates (ASIR) of pneumoconiosis aetiology from the Global Burden of Disease Study 2017. We calculated the average annual percentage changes of ASIR by sex, region and aetiology in order to determine the trends of pneumoconiosis.ResultsGlobally, the number of pneumoconiosis cases increased by a measure of 66.0%, from 36 186 in 1990 to 60 055 in 2017. The overall ASIR decreased by an average of 0.6% per year in the same period. The number of pneumoconiosis cases increased across the five sociodemographic index regions, and there was a decrease in the ASIR from 1990 to 2017. The ASIR of silicosis, coal workers’ pneumoconiosis and other pneumoconiosis decreased. In contrast, measures of the ASIR of asbestosis displayed an increasing trend. Patterns of the incidence of pneumoconiosis caused by different aetiologies were found to have been heterogeneous for analyses across regions and among countries.ConclusionIncidence patterns of pneumoconiosis which were caused by different aetiologies varied considerably across regions and countries of the world. The patterns of incidence and temporal trends should facilitate the establishment of more effective and increasingly targeted methods for prevention of pneumoconiosis and reduce associated disease burden.
Purpose:
To provide a nationally representative snapshot of workplace health promotion (WHP) and protection practices among United States worksites.
Design:
Cross-sectional, self-report Workplace ...Health in America (WHA) Survey between November 2016 and September 2017.
Setting:
National.
Participants:
Random sample of US worksites with ≥10 employees, stratified by region, size, and North American Industrial Classification System sector.
Measures:
Workplace health promotion programs, program administration, evidence-based strategies, health screenings, disease management, incentives, work–life policies, implementation barriers, and occupational safety and health (OSH).
Analysis:
Descriptive statistics, t tests, and logistic regression.
Results:
Among eligible worksites, 10.1% (n = 3109) responded, 2843 retained in final sample, and 46.1% offered some type of WHP program. The proportion of comparable worksites with comprehensive programs (as defined in Healthy People 2010) rose from 6.9% in 2004 to 17.1% in 2017 (P < .001). Occupational safety and health programs were more prevalent than WHP programs, and 83.5% of all worksites had an individual responsible for employee safety, while only 72.2% of those with a WHP program had an individual responsible for it. Smaller worksites were less likely than larger to offer most programs.
Conclusion:
The prevalence of WHP programs has increased but remains low across most health programs; few worksites have comprehensive programs. Smaller worksites have persistent deficits and require targeted approaches; integrated OSH and WHP efforts may help. Ongoing monitoring using the WHA Survey benchmarks OSH and WHP in US worksites, updates estimates from previous surveys, and identifies gaps in research and practice.
Objectives
This study aims to investigate if experience in smoking intervention training influences attitudes toward smoking, discuss the role of health management programs of small‐ and medium‐sized ...enterprises, and analyze the current attitude of occupational health nurses regarding the hazards of smoking and responsibility to smokers to effectively facilitate smoking cessation support programs.
Methods
We conducted an anonymous self‐administered cross‐sectional survey of 108 nurses employed in occupational health services outsourcing specialized agency in Korea. We assessed the difference in attitude about smoking according to training experience in smoking interventions and perceived competence in counseling smokers using chi‐square test and Fisher's exact test.
Results
Occupational health nurses with the training experience of smoking interventions tend to perceive the harmful effects of smoking more seriously, compared to occupational health nurses without the training experience (P = .024, Fisher's exact test) and the OHSO nurses with the training experience tend to have professional ethics as health care professionals (P = .017, Fisher's exact test). Occupational health nurses having expertise in smoking cessation counseling tended to have professional ethics (P = .047, Fisher's exact test) and social responsibility as health care professionals (P = .022, Fisher's exact test).
Conclusion
The occupational health nurses with training experience and expertise in smoking cessation counseling perceive the harmful effects of smoking more strongly and can enhance their professional ethics and social responsibility as health care professionals.
The association between sickness presenteeism, defined as going to work despite illness, and different health outcomes is increasingly being recognized as a significant and relevant area of research. ...However, the long term effects on future employee health are less well understood, and to date there has been no review of the empirical evidence. The aim of this systematic review was to present a summary of the sickness presenteeism evidence so far in relation to health and wellbeing over time.
Eight databases were searched for longitudinal studies that investigated the consequences of workplace sickness presenteeism, had a baseline and at least one follow-up point, and included at least one specific measure of sickness presenteeism. Of the 453 papers identified, 12 studies met the eligibility criteria and were included in the review.
We adopted a thematic approach to the analysis because of the heterogeneous nature of the sickness presenteeism research. The majority of studies found that sickness presenteeism at baseline is a risk factor for future sickness absence and decreased self-rated health. However, our findings highlight that a consensus has not yet been reached in terms of physical and mental health. This is because the longitudinal studies included in this review adopt a wide variety of approaches including the definition of sickness presenteeism, recall periods, measures used and different statistical approaches which is problematic if this research area is to advance. Future research directions are discussed.
•This review examines how sickness presenteeism impacts health and wellbeing over time.•Studies suggest that sickness presenteeism is a risk for future sickness absence and decreased self-rated health.•How sickness presenteeism is defined, measured, and analysed, varies widely.•We propose a future research agenda.
Based on the increasing evidence linking excessive sedentary behaviors and adverse health outcomes, public health strategies have been developed and constantly improved to reduce sedentary behaviors ...and increase physical activity levels at all ages. Although the body of literature in this field has grown, confusion still exists regarding the correct definition for sedentary behaviors. Thus, there is a need to provide a clear definition in order to distinguish sedentary behaviors from physical activity and inactivity. This paper will briefly review the most recent and accepted definitions of these concepts and illustrate their relationships. Nowadays, since most working adults spend a high proportion of their waking hours in increasingly sedentary tasks, there will be a particular focus on the field of occupational health. Finally, simple modifications in the workplace will be suggested in order to decrease sedentary behaviors.
Working systematically with the work environment, particularly the organizational and psychosocial work environment entails several challenges for employers. There is a lack of knowledge on how to ...best undertake this work. Thus, the aim of this study is to evaluate the process of a six-year organizational-level intervention program where workplaces could apply for additional funds to implement preventive intervention measures, with the intention of improving working conditions and reducing sickness absence within the Swedish public sector.
The program management process was studied using a mixed-method approach combining qualitative document and content analyses based on process documentation produced between 2017 and 2022 (n = 135), interviews with internal occupational health services professionals in 2021 (n = 9) and quantitative descriptive analyses of submitted applications with decisions from 2017 to 2022 (n = 621).
Qualitative analyses of the process documentation revealed concerns from the project group regarding access to sufficient competence and resources among stakeholders and participating workplaces, and role conflicts and ambiguities between the program and everyday operations. To address these challenges, the application process was developed over time using the knowledge gained from previous years. A change in the mental models in work environment management, from an individual to an organizational perspective, was seen among the project group and the internal occupational health services responsible for implementing most of the granted intervention measures. In addition, the proportion of granted intervention measures on an organizational level increased throughout the years from 39% in 2017 to 89% in 2022. The changes in the application process were believed to be the main contributor to the change among the applying workplaces.
Results indicate that a long-term organizational-level workplace intervention program may be used, by the employer, as a tool for shifting from an individual- to an organizational perspective in the work environment management. However, additional measures on multiple levels need to be implemented to secure a sustainable shift in perspective within the organization.
This study aimed to quantify the risk of COVID-19-related hospital admission in spouses living with partners in at-risk occupations in Denmark during 2020-21.
Within a registry-based cohort of all ...Danish employees (N=2 451 542), we identified cohabiting couples, in which at least one member (spouse) held a job that according to a job exposure matrix entailed low risk of occupational exposure to SARS-CoV-2 (N=192 807 employees, 316 COVID-19 hospital admissions). Risk of COVID-19-related hospital admission in such spouses was assessed according to whether their partners were in jobs with low, intermediate or high risk for infection. Overall and sex-specific incidence rate ratios (IRR) of COVID-19-related hospital admission were computed by Poisson regression with adjustment for relevant covariates.
The risk of COVID-19-related hospital admission was increased among spouses with partners in high-risk occupations adjusted IRR (IRR
)1.59, 95% confidence interval (CI) 1.1-2.2, but not intermediate-risk occupations (IRR
0.97 95% 0.8-1.3). IRR for having a partner in a high-risk job was elevated during the first three pandemic waves but not in the fourth (IRR
0.48 95% CI 0.2-1.5). Sex did not modify the risk of hospital admission.
SARS-CoV-2 transmission at the workplace may pose an increased risk of severe COVID-19 among spouses in low-risk jobs living with partners in high-risk jobs, which emphasizes the need for preventive measures at the workplace in future outbreaks of epidemic contagious disease. When available, effective vaccines seem essential.
The US Occupational Safety and Health Administration (OSHA) has not fulfilled its responsibilities in the face of the COVID-19 pandemic. OSHA is then urged to issue an enforceable requirement that ...employers implement measures to decrease COVID-19 incidence among essential workers. The measures are also intended for curbing the spread of the said disease to their families and communities.
With this first issue of 2024, we kick off the celebration of 50 years of publishing research in the Scandinavian Journal of Work, Environment & Health. In January 1975, the inaugural issue of the ...Journal was published (read it here: www.sjweh.fi/issue/274). We are delighted that 50 years later not only are we still around, but we have retained our special position in the science publication business as an independent journal that is not owned by a commercial publishing house. We are grateful that our not-for-profit publisher, the Nordic Association of Occupational Safety and Health (NOROSH), has ensured this independence. And we are proud to belong to a community of authors, reviewers, editors, international advisory board members, and, of course, readers that is committed to research excellence and has carried this journal for now half a century. Thank you!
We want to celebrate our anniversary by looking both back and ahead. In each issue of 2024, we will include an invited 50-year-anniversary article, authored by leading researchers in the field. In this first issue, we take a look at ourselves, reflecting on work environment exposures and health outcomes that have emerged as well as those that have vanished from the pages in the Journal. And we take a look at those papers that have generated the greatest interest among our readers (1).
In the coming year, various authors will take a look at the research field, that is, they will discuss specific work environment conditions and health outcomes. This will include exposures as diverse as asbestos and the psychosocial work environment and outcomes such as musculoskeletal disorders and occupational cancers. We will in particular examine the successes and failures with regard to these exposures and outcomes. Has occupational health research made a difference? Are there success stories where our research has helped to protect and improve workers’ health and thereby contributed to a better population health? Did we provide solid evidence on health hazardous, health-protecting, and health enhancing working conditions and did this result in changes at the workplace? Or did we fail? Was our research not good enough to provide sufficient evidence for action? Or was our research good enough but action still did not happen? And what can we do in the future to improve? How can we do research better and thus make a difference in society?
We are looking forward to the answers to these questions in the anniversary-related papers, which are incidently not yet written, so we do not know what they will tell us. Our guess is, though, that there are no easy answers and a lot of work still remains ahead of us. We and others have recently argued in a Discussion Paper series on “Work and Health” in The Lancet that “major gains in population health and reductions in health disparities can be made by an increased focus on improving the work environment.” (2). However, as we also argue in the series, there is still a long way to go in realizing the potential that good work has for better population health (2–4).
Our objective with 50-year SJWEH anniversary series is that, by the end of the year, the occupational health community will have become more knowledgeable about what went well and not so well in our research field and that we feel confident where to go next. To engage the community further in this discussion, we are planning a half-day in-person and online symposium on 4 October 2024. We are still working on the exact format and content of the symposium. Please stay tuned on LinkedIn and follow the updates in our newsletter.
References 1. Burdorf A, Rugulies R. Fifty years of research in the Scandinavian Journal of Work, Environment & Health. Scand J Work Environ Health. 2024;50(1):3–10. https://doi.org/10.5271/sjweh.4135 2. Frank J, Mustard C, Smith P, Siddiqi A, Cheng Y, Burdorf A, et al. Work as a social determinant of health in high-income countries: past, present, and future. Lancet. 2023;402(10410):1357-1367. https://doi.org/10.1016/S0140-6736(23)00871-1 3. Rugulies R, Aust B, Greiner BA, Arensman E, Kawakami N, LaMontagne AD, et al. Work-related causes of mental health conditions and interventions for their improvement in workplaces. Lancet. 2023;402(10410):1368-1381. https://doi.org/10.1016/S0140-6736(23)00869-3 4. Burdorf A, Fernandes RCP, Robroek SJW. Health and inclusive labour force participation. Lancet. 2023;402(10410):1382-1392. https://doi.org/10.1016/S0140-6736(23)00868-1
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