Search Results (108)

Caregiving for dependent older adults presents significant health and occupational challenges, particularly in rural Thailand. This study examines predictors of health-related quality of life (HR-QOL) among in-home caregivers, focusing on health promotion, non-communicable diseases (NCDs) prevention, and occupational health practices. An analytic cross-sectional study was conducted among 701 caregivers across 23 districts in Nakhon Si Thammarat, southern Thailand. Data were collected through structured questionnaires assessing socio-demographics, health behaviors, working conditions, and HR-QOL using the Thai SF-36V2. Stepwise regression analysis identified key predictors of HR-QOL. Our findings indicate that most caregivers were female (81.5%), middle-aged (mean age: 47.7 years), and had moderate education levels. Over half experienced moderate exposure to occupational hazards, including physical, biological, ergonomic, and psychosocial risks, contributing to job strain, inadequate rest, and strained relationships. HR-QOL scores suggested that a significant proportion of caregivers had moderate to poor quality of life, particularly in physical health domains. Stepwise regression analysis showed that better self-reported health promotion behaviors and occupational hazard prevention practices were positively associated with HR-QOL, whereas the presence of NCDs had a negative impact. These findings highlight the need for targeted interventions to enhance caregivers’ well-being and inform public health strategies for strengthening community-based care systems. Full article

Adolescents today face significant exposure to social inequalities and environmental crises, including the impacts of climate change, such as heatwaves, floods, and droughts. In addition, they encounter various forms of inequality, such as job insecurity, lack of affordable housing, and growing mental health challenges. Future perception is an essential variable in understanding how adolescents address these social and environmental challenges. Thus, this study adapted the Future Time Orientation Scale (FTOS) to the Italian context, assessing its validity and reliability for measuring psychological future orientation among Italian-speaking adolescents. Two studies were conducted: the first validated the FTOS through exploratory and confirmatory factor analyses, revealing two factors, “Impact” and “Distance”. The second study examined the relationship between future time orientation, future orientation in the professional field, and adolescents’ propensity to consider global challenges related to sustainable development. The results indicated that future orientation fully mediates the relationship between future time orientation and the tendency to consider global challenges in career decision-making. These findings underscore the importance of future orientation in shaping adolescents’ sustainable career choices and suggest that career interventions promoting future time orientation may enhance their engagement with global challenges. Full article

Animal care workers in sheltering, rescue, and management are exposed to occupational stressors which negatively impact health. While the negative mental health impacts have been previously documented in this population, physical health, and its contributing factors, have not. This study investigated how job demands, job resources, and organisational justice relate to mental and physical health, and how they subsequently affect turnover intentions. Of the 285 participants, aged 19 to 94 years, who completed the online anonymous questionnaire, below average mental and physical health was reported. Mental health, but not physical health, was inversely related to intentions to leave. After controlling for age, hierarchical multiple regressions showed high emotional demands and direct euthanasia exposure significantly predicted poorer mental and physical health, while high levels of social support predicted better mental and physical health. No additional variance in either health domain was accounted for by organisational justice. It was concluded that both physical and mental health may be negatively impacted in those who work in shelter, rescue, and management environments which could lead to high turnover and poor outcomes for individuals and organisations. Monitoring through ongoing health records to enable early intervention and accommodations should be considered to promote the health of these workers. Full article

Background and Objective: During the COVID-19 pandemic, women faced unique employment-related stressors, including higher exposure to unstable working conditions, increased workload changes due to motherhood, and greater risk of infection in certain jobs. This study explores how these factors influence women’s anxiety and subjective well-being, aiming to identify vulnerable groups. Materials and Methods: 230 employed Slovene women, aged from 19 to 64 years (M = 32.60, SD = 10.41), participated in an online survey containing a State-Trait Anxiety Inventory (STAI-6), WHO-5 Well-being Index, and a set of questions regarding their occupation and demographic profile. Hierarchical linear regressions and chi-squared tests were performed. Results: The risk of job or income loss significantly predicted an increase in anxiety levels. However, despite fear of infection, none of the work-related variables predicted a significant decrease in subjective well-being. Women reporting risk of job or income loss are predominantly those with lower education and income, working students, self-employed, or working in the private sector. Conclusions: Employment insecurity is an important contributor to anxiety in women. The findings highlight the need to ensure job security, particularly for women working in precariat working conditions, as their work and economic stability prove to be vulnerable to external economic disturbances. Full article

Musculoskeletal disorders are the most prevalent occupational health problem and are often related to biomechanical risk factors. Over the last forty years, observational methods for exposure assessment have been proposed. To apply them effectively in the field, an in-depth knowledge of each methodology and a solid understanding of their actual predictive value and limitations are required. In this two-part guide, we discuss methods that have a solid scientific background, are based on expert consensus, and that do not require disproportionate technical, material, financial, and time resources. In Part 1, we focused on the Revised NIOSH Lifting Equation as a validated method for assessing manual material handling and discussed its application when dealing with task variability. In Part 2, we look at methods for the assessment of upper-limb biomechanical exposure in manual jobs. According to the above-mentioned criteria, we discuss methodologies proposed by the American Conference of Governmental Industrial Hygienists (ACGIH) and evaluate activities requiring high-speed continuous movement and the use of hand force, working with the arms above the shoulder level, to prevent localized fatigue in the upper extremities in cyclical work tasks. Finally, a preliminary proposal of a proportionate risk assessment of working duration in part-time jobs is presented. Full article

Musculoskeletal disorders are the most prevalent occupational health problem all over the world and are often related to biomechanical risk factors; to control these risk factors, several assessment methods (mostly observational) have been proposed in the past 40 years. An in-depth knowledge of each method to evaluate biomechanical risk factors is needed to effectively employ them in the field, together with a robust understanding of their effective predictive value and limitations. In Part 1, some general issues relevant to biomechanical risk assessment are discussed, and the method for assessing manual material handling after receiving more robust validation data is reviewed (Revised NIOSH Lifting Equation), together with a discussion about variability of tasks. Similarly, for the assessment of the biomechanical exposure of the upper limb, the TLV for Hand activity (ACGIH^®) is presented in Part 2 of this guide, together with criteria to proportion risk assessment to the working duration in part-time jobs. Full article

Background. In Canada, understanding the demographic and job-related factors influencing the prevalence of new workers and their exposure to potential carcinogens is crucial for improving workplace safety and guiding policy interventions. Methods. Logistic regression was performed on the 2017 Labour Force Survey (LFS), to estimate the likelihood of being a new worker based on age, industry, occupation, season, and immigration status. Participants were categorized by sector and occupation using the North American Industry Classification System (NAICS) 2017 Version 1.0 and National Occupational Classification (NOC) system 2016 Version 1.0. Finally, an exposures-per-worker metric was used to highlight the hazardous exposures new workers encounter in their jobs and industries. Results. Individuals younger than 25 years had 3.24 times the odds of being new workers compared to those in the 25–39 age group (adjusted odds ratios (OR) = 3.24, 95% confidence interval (95% CI) = 3.18, 3.31). Recent immigrants (less than 10 years in the country) were more likely to be new workers than those with Canadian citizenship (OR 1.36, 95% CI: 1.32, 1.41). The total workforce exposures-per-worker metric using CAREX Canada data was 0.56. By occupation, new workers were the most overrepresented in jobs in natural resources and agriculture (20.5% new workers), where they also experienced a high exposures-per-worker metric (1.57). Conclusions. Younger workers (under 25 years) and recent immigrants who had arrived 10 or fewer years prior were more likely to be new workers, and were overrepresented in jobs with more frequent hazardous exposures (Construction, Agriculture, and Trades). Full article

During the coronavirus disease (COVID-19) pandemic healthcare workers (HCWs) acquired immunity by vaccination or exposure to multiple variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Our study is a comparative analysis between subgroups of HCWs constructed based on the number of SARS-CoV-2 infections, vaccination, and the dominant variant of SARS-CoV-2 in the population. We collected and analyzed data using the χ² test and density incidence of reinfections in Microsoft Excel for Mac, Version 16.84, and MedCalc^®, 22.026. Of the 829 HCWs, 70.1% (581) had only one SARS-CoV-2 infection and 29.9% (248) had two infections. Of the subjects with two infections, 77.4% (192) worked in high-risk departments and 93.2% (231) of the second infections were registered during Omicron dominance. The density incidence of reinfections was higher in HCWs vaccinated with the primary schedule than those vaccinated with the first booster, and the incidence ratio was 2.8 (95% CI: 1.2; 6.7). The probability of reinfection was five times lower (95% CI: 2.9; 9.2) in HCWs vaccinated with the primary schedule if the first infection was acquired during Omicron dominance. The subjects vaccinated with the first booster had a density incidence of reinfection three times lower (95% CI: 1.9; 5.8) if the first infection was during Omicron. The incidence ratio in subgroups constructed based on characteristics such as gender, age group, job category, and department also registered significant differences in density incidence. The history of SARS-CoV-2 infection by variant is important when interpreting and understanding public health data and the results of studies related to vaccine efficacy for hybrid immunity subgroup populations. Full article

Pharmacists and pharmacy technicians working in community pharmacies are exposed to the risk of violence in their workplaces. Studies have shown that workplace violence is affecting their job satisfaction, productivity, and mental health. This study aims to identify the frequency of different types of violence, as well as the common perpetrators that community pharmacy staff in SEE (Southeast Europe) are dealing with. A cross-sectional study was conducted using an online questionnaire created for this purpose. Selected community pharmacies in Croatia, Serbia, Bosnia and Herzegovina, and Montenegro participated in this study. In total, 732 responses were collected from 24 pharmacy chains or independent pharmacies including all community pharmacy staff. More than 80% of pharmacists and pharmacy technicians reported having been exposed to verbal violence at the workplace, while more than 20% of them reported physical and sexual violence in the preceding 12 months. There were no statistically significant differences between pharmacists and pharmacy technicians, gender, age groups, or countries in relation to exposure to physical, verbal, and sexual violence. The most common perpetrators were identified as patients/clients. More than 90% of pharmacy staff reported they did not receive any kind of support from their employer nor any other help after experiencing a robbery. There is a need for a structured approach to addressing violence in pharmacies including organized support for pharmacy staff. Achieving quality patient care, despite dealing with violent individuals or situations daily, is one of the greatest ethical challenges for healthcare providers in community pharmacies to be empowered. Full article

Wildland fire dispatchers play a key role in wildland fire management and response organization; however, to date, wildland fire studies have largely focused on the physical hazards and, to a lesser extent, mental health hazards of wildland firefighting operational personnel, and dispatcher studies have primarily focused on 911 and police dispatchers. Studies of other dispatchers have provided some limited insight into potential strains impacting this workforce, including work-related fatigue, burnout, and traumatic exposure. However, the specific job hazards that are faced by wildland fire dispatchers are poorly understood. In 2023, we conducted a cross-sectional survey of 510 wildland fire dispatchers with questions about their occupational health, general health, and well-being. We used validated screening instruments to measure the rates of anxiety, depression, PTSD, and suicidal thoughts and ideation. Here, we also present the results of mental health and trauma exposure questions that were asked as part of a larger survey. We found that demographic factors were significant indicators of anxiety, depression, and binge/restrictive eating. Our data indicate that rates of anxiety, depression, PTSD, and suicidal thoughts and ideation are significantly higher for both the wildland fire dispatching workforce and other emergency responder populations than those of the general United States population. Full article

The purpose of this study was to identify essential skills and abilities for mitigating job-related stressors and preventing burnout while also establishing connections between students and community health workers to provide students with a deeper comprehension of the challenges inherent to their future professions. Ten community health workers were interviewed and asked to present photographs that explored sources of burnout and promotions of well-being. The photographs along with quotes were displayed in a gallery style exhibit for students to view and talk with the community health workers and complete a survey. Using thematic analysis, the interviews resulted in four common factors that contribute to burnout: (1) workload demands, (2) unrealistic exceptions, (3) amount of time dedicated to care, and (4) lack of work–life balance. The themes that emerged from student responses were (1) learning self-care practices, (2) gaining insight into the need for self-care, (3) a sense of connection, and (4) exposure to different healthcare careers. This study demonstrates the importance of connecting students with community health workers. It increases understanding of the demands of their future professions as well as resources and engagement opportunities available to them as a part of their respective professional community. Full article

This study explores the intricate interplay between gender, occupation, and mental health using data from the 2020 EU-LFS ad hoc module on 38,066 female professionals in Western Europe. We examine their exposure to work-related risks impacting mental health, focusing on variables such as work overload, violence, and challenging client interactions. Our primary objective is to discern how various occupations contribute to distinct experiences of work-induced strains. Key findings challenge the compensating differential theory, according to which the lower wages in female-dominated occupations are compensated by more friendly working conditions, revealing that interactive service-sector jobs pose higher risks to mental well-being. Health professionals, legal-cultural professionals, and teachers are particularly susceptible, with shift and weekend work exacerbating risk exposure to violence and violent behaviors. This study underscores the significance of a “within-gender” perspective, uncovering nuanced occupation-based inequalities for women. It introduces a novel approach to occupational segregation, highlighting the uneven distribution of work-induced strains among different occupations. It also urges to reassess customer-worker relationships and proposes gender-specific measures to alleviate heightened risks to mental well-being for interactive service occupations. In conclusion, this study analyzes the intersection of gender, occupation, and work-induced strains, emphasizing the role of micro-classes in shaping women’s mental health. Full article

The relationship between exposure to inhaled inorganic particulate matter and risk for deployment-related lung disease in military personnel is unclear due in part to difficulties characterizing individual exposure to airborne hazards. We evaluated the association between self-reported deployment exposures and particulate matter (PM) contained in lung tissue from previously deployed personnel with lung disease (“deployers”). The PM in deployer tissues was compared to normal lung tissue PM using the analytical results of scanning electron microscopy and inductively coupled plasma mass spectrometry. The majority of PM phases for both the deployers and the controls were sub-micrometer in size and were compositionally classified as aluminum and zirconium oxides, carbonaceous particles, iron oxides, titanium oxides, silica, other silicates, and other metals. The proportion of silica and other silicates was significantly higher in the retained dust from military veterans with biopsy-confirmed deployment-related lung disease compared to the control subjects. Within the deployer population, those who had combat jobs had a higher total PM burden, though the difference was not statistically significant. These findings have important implications for understanding the role of inhaled inorganic dusts in the risk for lung injury in previously deployed military veterans. Full article

Firefighters face many hazards on the job and have a high rate of work-related injuries and illnesses (WRII). We analyzed Washington workers’ compensation claims from 2006–2020 to characterize WRII in firefighters compared to law enforcement officers and “all other” workers. There were 9187 compensable claims for firefighters, 7801 for law enforcement officers, and 586,939 for “all other” workers. Nearly 40% of claims for firefighters were work-related musculoskeletal disorders (WMSDs). The claim rate per 10,000 full-time equivalent (FTE) firefighters was 716.4, which is significantly higher than that of law enforcement officers (510.0) and “all other” workers (163.2). The rate per 10,000 FTE of WMSD claims was also higher in firefighters (277.0) than in law enforcement officers (76.2) and “all other” workers (57.6). Additional WRII among firefighters commonly included being struck or caught in objects, slipping or tripping, and exposure to caustic or noxious substances; and amongst law enforcement, transportation accidents and violence. Medical costs and time-loss days per claim were lower for firefighters and law enforcement than for “all other” workers. Common tasks associated with WMSDs in firefighters included lifting and transporting patients, using specific tools and equipment, and physical training. WMSDs stand out as an area for prevention and intervention activities. Full article

The work environment plays a crucial role in the health and performance of employees. The growing interest in workers’ well-being has driven the inclusion of nature in workplaces, despite many employees spending most of their time indoors, away from nature. Studies show that biophilic design in offices can have positive effects and promote workers’ well-being. However, research on the beneficial effects of nature exposure in the workplace is limited and scattered. Thus, the aim of this systematic review was to consolidate current knowledge on the restorative effects of nature exposure on workers during work activities. Different types of exposure, both outdoors and indoors, were considered, with a focus on outcomes related to well-being, motivation, job satisfaction, and work performance. Out of the initially identified 1225 articles, only 16 met the criteria for analysis. Although the analysed studies provided compelling evidence regarding the restorative effects of nature exposure in the workplace, the review also points out gaps and limitations concerning the number of specific studies in this area and the need to adequately assess the sensory dimensions involved in these effects. Conducting more comprehensive and multidimensional investigations into the impacts of nature on the work environment could contribute to guiding more effective design strategies and creating healthier and more productive workplaces for employees. Full article