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Taskingul AB, Kiran S, Emerce E. Comparison of Health Complaints, Occupational Risks, and Occupational Health Practices of Healthcare Workers According to Professions and Departments in the Hospital. Cureus 2024; 16:e65614. [PMID: 39205700 PMCID: PMC11350393 DOI: 10.7759/cureus.65614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2024] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND It is essential to protect the health of healthcare workers who constitute a large part of the workforce worldwide and whose importance has become more evident after the recent pandemic. There are numerous occupational hazards for healthcare workers in hospitals. PURPOSE The study aims to assess the exposure hazards of healthcare workers and their health complaints, as well as their awareness, knowledge, opinions, and attitudes towards occupational health and safety (OHS), considering workers' professions and departments in a public hospital. This cross-sectional study conducted a survey among healthcare workers (n=608) who worked at Yozgat City Hospital, Yozgat, Turkey. RESULTS The majority of workers were nurses (43.4%, N=264/608). Latex exposure (63.7%, N=387/608) and noise (55.8%, N=339/608) were the most common exposed hazards, and the risk varies depending on their professions and job descriptions. However, the risk perception of workers was priorities of infectious diseases (48.5%, N=292/602) and violence (27.4%, N=165/602). Musculoskeletal system problems (71.9%, n=439/608) were observed very frequently in workers. Additionally, 9.2% (N=56/608) of workers were diagnosed with an occupational disease. The unit and profession most commonly diagnosed with occupational diseases were the laboratory (22.5%, N=9/40) and midwives (19.4%, N=14/72), respectively. The frequency of workers who stated that they had a work accident at least once in their lives was 31.9% (N=194/608), and higher frequencies belonged to nurses, health officers, and midwives. Additionally, the emergency department was the riskier unit. The study conducted relationship analyses between exposure to various occupational agents at different exposure frequencies and various health complaints. The relationships of occupational hazards such as chemotherapeutics, anesthetic gases, aerosol type drugs, sterilization and disinfection agents, xylene, toluene, formaldehyde, and surgical smoke with health complaints such as liver, dermal diseases, respiratory problems, and varicose veins have been determined. CONCLUSIONS The hospital workers had a high rate of injuries to sharp objects and musculoskeletal systems. Remarkably, operating rooms and emergency rooms were found to be riskier in terms of work accidents. More than half of healthcare workers may delay using personal protective equipment (PPE) due to excessive workload. Further studies are needed on the effects of more specific occupational chemicals and diseases, such as varicose veins, fertility, and neurological problems. Frequent risk assessments, effective training, workload reduction, and biomarker monitoring are crucial for hospital workplace safety.
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Affiliation(s)
- Ayse Betul Taskingul
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Gazi University, Ankara, TUR
| | - Sibel Kiran
- Department of Public Health, School of Medicine, Koc University, Istanbul, TUR
| | - Esra Emerce
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Gazi University, Ankara, TUR
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Chuang SC, Chang YH, Wu IC, Fang YH, Chan HT, Wu RC, Lee MM, Chiu CT, Chang HY, Hsiung CA, Hsu CC. Impact of physical activity on disability-free and disabled life expectancies in middle-aged and older adults: Data from the healthy aging longitudinal study in Taiwan. Geriatr Gerontol Int 2024; 24 Suppl 1:229-239. [PMID: 38169087 DOI: 10.1111/ggi.14796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 11/28/2023] [Accepted: 12/16/2023] [Indexed: 01/05/2024]
Abstract
AIM Leisure-time physical activity (LTPA) promotes healthy aging; however, data on work-related physical activity (WPA) are inconsistent. This study was conducted to examine the disability-free life expectancy (DFLE) and disabled life expectancy (DLE) across physical activity levels, with a focus on WPA, in middle-aged and older adults. METHODS Data from 5663 community-dwelling participants aged ≥55 years and enrolled in the Healthy Aging Longitudinal Study in Taiwan were evaluated. Energy expenditures from LTPA and WPA were calculated from baseline questionnaires and categorized into sex-specific cutoffs. Disability was based on repeat measures of participants' activities of daily living and instrumental activities of daily living. Mortality was confirmed via data linkage with the Death Certificate database. DFLE and DLE were estimated from discrete-time multistate life-table models. RESULTS At age 65, women with low WPA had a DLE of 2.88 years (95% confidence interval [CI], 1.67-4.08), which was shorter than that of women without WPA (DLE, 5.24 years; 95% CI, 4.65-5.83) and with high WPA (DLE, 4.01 years; 95% CI, 2.69-5.34). DFLE and DLE were similar across WPA levels in men. DFLE tended to increase as the LTPA increased in men and women. CONCLUSION Women with low WPA had shorter DLE than did those with no or high WPA. To reduce the risks of disability associated with physical activity, public policy should advocate for older people to watch the type, amount, and intensity of their activities as these may go ignored during WPA. Geriatr Gerontol Int 2024; 24: 229-239.
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Affiliation(s)
- Shu-Chun Chuang
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Yu-Hung Chang
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - I-Chien Wu
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Yao-Hwei Fang
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Huei-Ting Chan
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Ray-Chin Wu
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Marion M Lee
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA
| | - Chi-Tsun Chiu
- Institute of European and American Studies, Academia Sinica, Taipei, Taiwan
| | - Hsing-Yi Chang
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
- Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan
| | - Chao Agnes Hsiung
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
| | - Chih-Cheng Hsu
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
- Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan
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Galasso A, Caughman AM, Griffith A, Hoch C, Rex J, Scott DJ, Gross CE. A Detailed Analysis of Workplace Foot and Ankle Injuries. Foot Ankle Spec 2024:19386400241233844. [PMID: 38424705 DOI: 10.1177/19386400241233844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
INTRODUCTION This study analyzes the incidence rate and median workdays missed due to foot and ankle injuries across age groups, sexes, and industries. METHODS Workplace injury data from 2003 to 2019 were obtained using the Nonfatal Cases Involving Day Away from Work: Selected Characteristics database provided by the Bureau of Labor Statistics (BLS). The data were grouped by injury location (ie, foot, ankle), injury type (ie, fracture, sprain), and industry, and reported with injury incidence rates and median workdays missed. RESULTS The incidence rate of foot and ankle injuries significantly decreased from 2003 to 2019 (P < .001). With increasing age, the incidence rate of foot and ankle injuries decreased (P < .001) and median workdays missed increased (P < .001). Men had significantly higher rates of foot and ankle injuries (P < .001). Agriculture, forestry, fishing, and hunting (foot=10.23%, ankle=10.41%); construction (foot=8.14%, ankle=8.68%); and transportation and warehousing (foot=11.06%, ankle=13.80%) industries had the highest injury incidence rates. Transportation and warehousing (foot=16.8 days, ankle=16.3 days), mining (foot=44.9 days, ankle=17.1 days), and utilities (foot=26.7 days, ankle=24.4 days) industries had the highest median workdays missed. CONCLUSION Increased incidence and severity of workplace foot and ankle injuries are associated with male sex and heavy labor industries. Age was positively associated with severity and negatively associated with incidence of workplace ankle injuries. LEVELS OF EVIDENCE Level III, Retrospective cohort study.
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Affiliation(s)
- Annemarie Galasso
- College of Medicine, Medical University of South Carolina, Charleston, South Carolina
| | | | - Adam Griffith
- Department of Orthopaedic Surgery and Rehabilitation Services, University of Chicago, Chicago, Illinois
| | - Caroline Hoch
- University of North Carolina, Gillings School of Global Public Health, Charleston, South Carolina
| | - James Rex
- Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Daniel J Scott
- College of Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Christopher E Gross
- College of Medicine, Medical University of South Carolina, Charleston, South Carolina
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Su SY, Li YW, Wen FH, Yao CY, Wang JY. Associations among Health Status, Occupation, and Occupational Injuries or Diseases: A Multi-Level Analysis. Diagnostics (Basel) 2023; 13:diagnostics13030381. [PMID: 36766485 PMCID: PMC9914676 DOI: 10.3390/diagnostics13030381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/11/2023] [Accepted: 01/13/2023] [Indexed: 01/20/2023] Open
Abstract
PURPOSE The present study used a hierarchical generalized linear model to explore the effects of physical and mental health and occupational categories on occupational injuries and diseases. METHODS The data were obtained from the Registry for Beneficiaries of the 2002-2013 National Health Insurance Research Database. The benefit categories involved adults with occupational injuries and diseases. Six major occupational categories and 28 subcategories were used. The main analysis methods were binary logistic regression (BLR) and hierarchical generalized linear model (HGLM). RESULTS After adjustment for relevant factors, the three major occupation subcategories most likely to develop occupational injuries and diseases were Subcategory 12 "employees with fixed employers" of Category 1 "civil servants, employees in public or private schools, laborers, and self-employed workers"; Subcategory 2 "employees in private organizations" of Category 1; and "sangha and religionists" of Category 6 "other citizens." Conditions such as mental disorders and obesity increased the risk of occupational injuries and diseases. CONCLUSION A portion of the occupational categories had a higher risk of occupational injuries and diseases. Physical and mental health issues were significantly correlated with occupational injuries and diseases. To the authors' knowledge, this is the first study to use HGLM to analyze differences in occupational categories in Taiwan.
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Affiliation(s)
- Shu-Yuan Su
- Public Health, China Medical University, Taichung 406040, Taiwan
| | - Yu-Wen Li
- Department of Human Resource, Wu Feng Cheng Ching Hospital, Taichung 412031, Taiwan
| | - Fur-Hsing Wen
- School of Business, Soochow University, Taipei 100006, Taiwan
| | - Chi-Yu Yao
- Department of Psychiatry, An Nan Hospital, Tainan City 709204, Taiwan
| | - Jong-Yi Wang
- Department of Health Services Administration, China Medical University, Taichung 406040, Taiwan
- Correspondence: ; Tel.: +886-4-22053366 (ext. 6313)
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Biswas A, Harbin S, Irvin E, Johnston H, Begum M, Tiong M, Apedaile D, Koehoorn M, Smith P. Differences between men and women in their risk of work injury and disability: A systematic review. Am J Ind Med 2022; 65:576-588. [PMID: 35578160 PMCID: PMC9321824 DOI: 10.1002/ajim.23364] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 03/31/2022] [Accepted: 04/25/2022] [Indexed: 11/10/2022]
Abstract
Background Health responses associated with occupational exposures can vary between men and women. Aims This study reviewed the work injury and disability risks associated with similar types of occupational exposures for men and women within and across occupations. Materials & Methods A systematic review was undertaken of observational studies published between 2009 and 2019. Studies were required to empirically compare men and women for associations between occupational exposures and work injury or disability outcomes. Included studies were appraised for methodological quality and medium to high rated studies were compared for risk differences between men and women. Results Of 14,006 records identified, 440 articles were assessed for methodological quality, and 33 medium to high rated studies were included and reviewed. Among all occupations, the association between physical exposures, job demands, noise, and repetitive tasks, and injury risk were stronger among men. The relationship between repetitive tasks and sickness absence was stronger among women. Most studies examining psychological exposures found no risk differences for men and women across occupations. Men were at higher injury risk in certain occupations in primary and secondary industry sectors involving physical exposures and some chemical/biological exposures. Women were at higher injury risk for the physical demands and repetitive tasks of health care and aluminum production occupations. Conclusion This review found that men and women can have different work injury and disability risks, both across and within the same occupations, for some physical exposures and to a lesser extent for some chemical and biological exposures. These differences might be a result of occupation‐specific task differences.
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Affiliation(s)
- Aviroop Biswas
- Institute for Work & Health Toronto Ontario Canada
- Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada
| | | | - Emma Irvin
- Institute for Work & Health Toronto Ontario Canada
| | - Heather Johnston
- Institute for Work & Health Toronto Ontario Canada
- School of Kinesiology and Health Science York University Toronto Ontario Canada
| | - Momtaz Begum
- Institute for Work & Health Toronto Ontario Canada
| | - Maggie Tiong
- Institute for Work & Health Toronto Ontario Canada
| | - Dorothy Apedaile
- Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada
| | - Mieke Koehoorn
- Institute for Work & Health Toronto Ontario Canada
- School of Population and Public Health University of British Columbia Vancouver British Columbia Canada
| | - Peter Smith
- Institute for Work & Health Toronto Ontario Canada
- Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada
- Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia
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Glen LZQ, Wong JYS, Tay WX, Weng J, Cox G, Cheah AEJ. Forecasting the rate of hand injuries in Singapore. J Occup Med Toxicol 2022; 17:9. [PMID: 35509052 PMCID: PMC9066836 DOI: 10.1186/s12995-022-00350-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 04/11/2022] [Indexed: 11/12/2022] Open
Abstract
Purpose This study aims to analyse the correlation between the incidence rate of hand injuries and various major economic indicators in Singapore. We hypothesise that the number of hand injuries is correlated to activity in the construction and manufacturing industries in Singapore. Methods Twenty thousand seven hundred sixty-four patients who underwent hand surgeries in a tertiary institution between 2012 to 2018 were reviewed. Two independent, blinded observers extracted the frequency of hand surgeries performed from Electronic Medical Records. Economic indicators pertinent to Singapore’s economic activity were collected and smoothed by simple moving average of the prior 3 months. Results were analysed using IBM SPSS v25.0. Results Significant independent univariate variables were Purchasing-Manager-Index and Industrial-Production-Index. Multiple linear regression of quarterly reported figures showed that Total-Livestock-Slaughtered, Total-Seafood-Handled, Purchasing-Manger-Index, Industrial-Production-Index, Gas-Tariffs, Construction-Index, Consumer-Price-Index, Total-Air-Cargo-Handled, Total-Container-Throughput, Total-Road-Traffic-Accident-Casualties, Food-&-Beverage-Services-Index were significantly correlated (p < 0.05) with hand injuries, with R2 = 62.3%. Conclusion Quarterly economic indicators from major economic industries can be used to predict the incidence of hand injuries with a 62.3% correlation. These findings may be useful for anticipating healthcare resource allocation to treat hand injuries. Type of study and level of evidence Economic and decision, Level II.
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Affiliation(s)
- Liau Zi Qiang Glen
- Department of Orthopaedic Surgery, National University Health System, Singapore, Singapore. .,Department of Orthopaedic Surgery, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore. .,University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore.
| | - Joel Yat Seng Wong
- University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore
| | - Wei Xuan Tay
- University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore
| | - Jiayi Weng
- University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore
| | - Gregory Cox
- Department of Economics, National University of Singapore, 1 Arts Link, Singapore, 117568, Singapore
| | - Andre Eu Jin Cheah
- University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore.,Department of Hand & Reconstructive Microsurgery, National University Hospital, 5 Lower Kent Ridge Rd, Main Building 1, Level 2, Singapore, 119074, Singapore
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Chou PS, Huang SH, Chung RJ, Huang YC, Chung CH, Wang BL, Sun CA, Huang SM, Lin IL, Chien WC. Gender Differences in the Epidemiological Characteristics and Long-Term Trends of Injuries in Taiwan from 1998 to 2015: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:2531. [PMID: 35270224 PMCID: PMC8909776 DOI: 10.3390/ijerph19052531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 02/01/2023]
Abstract
Objective: This study used a long-term trend analysis to investigate whether gender differences were related to the risk of injury and epidemiological characteristics in Taiwan from 1998 to 2015. Materials and methods: Data on 4,647,259 hospitalized patients that were injured from 1 January 1998, to 31 December 2015 were collected from the National Health Insurance Research Database (NHIRD). Among the injured patients, 2,721,612 males and 1,925,446 females were identified. Patients were age-, gender-, and index date-matched. Multiple logistic regression was used to analyze the risks of injury via gender differences. A p-value < 0.05 was considered significant. Results: The injury risk of the male patients was 1.4 times higher than that of female patients (AOR = 1.427, 95% CI = 1.40−1.44). The rising trend of male injured hospitalized patients was also greater than that of female injured hospitalized patients. Conclusion: Males were more at risk of injury than females. Gender differences were related to the increased risk of epidemiological characteristics of injury.
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Affiliation(s)
- Pin-San Chou
- Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan;
| | - Shi-Hao Huang
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan;
| | - Ren-Jei Chung
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan;
| | - Yao-Ching Huang
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan;
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan;
| | - Chi-Hsiang Chung
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan;
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan;
| | - Bing-Long Wang
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan;
| | - Chien-An Sun
- Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei 242062, Taiwan;
- Big Data Research Center, College of Medicine, Fu-Jen Catholic University, New Taipei 242062, Taiwan
| | - Shu-Min Huang
- Department of Infection Control, Taipei Medical University Hospital, Taipei 11031, Taiwan;
| | - I-Long Lin
- Department of Computer Science and Engineering, Tatung University, Taipei 104327, Taiwan;
| | - Wu-Chien Chien
- Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan;
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan;
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan;
- Taiwanese Injury Prevention and Safety Promotion Association (TIPSPA), Taipei 11490, Taiwan
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Bastille-Denis E, Lemyre A, Pappathomas A, Roy M, Vallières A. Are cognitive variables that maintain insomnia also involved in shift work disorder? Sleep Health 2020; 6:399-406. [PMID: 32280017 DOI: 10.1016/j.sleh.2020.02.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 02/10/2020] [Accepted: 02/22/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Shift Work Disorder (SWD) is explained mainly by a misalignment between the sleep schedule and the circadian rhythm. However, the possible role of cognitive variables in maintaining SWD remains unknown. Therefore, the objective of this study is to evaluate whether cognitive variables known to maintain insomnia in day workers might also be involved in perpetuating SWD. DESIGN Cross-sectional. SETTING Sleep laboratory. PARTICIPANTS Twenty-five shift workers diagnosed with SWD (84% females; mean age = 35.9) and 22 shift workers who are good sleepers (91% females; mean age = 34.1). MEASUREMENTS The participants completed a sleep diary for two weeks, answered questionnaires, and underwent the Harvey's semistructured interview and the catastrophizing procedure. Data from the catastrophizing procedure underwent a content analysis. RESULTS Compared with good sleepers, shift workers with SWD reported experiencing more thoughts that keep them awake, more presleep cognitive arousal, more dysfunctional beliefs related to worries and helplessness, and more selective attention toward worries and noises. However, the two groups did not differ on the tendency to catastrophize about difficulties falling asleep. Furthermore, 12 catastrophizing themes were identified in the entire sample, the most frequently endorsed being "sleepiness and energy" and "performance at work." CONCLUSIONS The results suggest that cognitive variables may play a role in maintaining SWD. Finally, worries that interfere with sleep in shift workers are related to their work context.
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Affiliation(s)
- Emmanuelle Bastille-Denis
- École de psychologie, Université Laval, Québec, Québec, Canada; Laboratoire Psycho/Socio/Culturel du sommeil, Université Laval, Québec, Québec, Canada
| | - Alexandre Lemyre
- École de psychologie, Université Laval, Québec, Québec, Canada; Laboratoire Psycho/Socio/Culturel du sommeil, Université Laval, Québec, Québec, Canada
| | - Alric Pappathomas
- École de psychologie, Université Laval, Québec, Québec, Canada; Laboratoire Psycho/Socio/Culturel du sommeil, Université Laval, Québec, Québec, Canada
| | - Monica Roy
- Recherche EPE inc., Lévis, Québec, Canada
| | - Annie Vallières
- École de psychologie, Université Laval, Québec, Québec, Canada; Laboratoire Psycho/Socio/Culturel du sommeil, Université Laval, Québec, Québec, Canada; Centre de recherche CERVO, Québec, Québec, Canada; Centre de recherche du CHU de Québec-Université Laval, Québec, Québec, Canada.
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Rapisarda V, Loreto C, Vitale E, Matera S, Ragusa R, Coco G, Rapisarda L, Ledda C. Incidence of sharp and needle-stick injuries and mucocutaneous blood exposure among healthcare workers. Future Microbiol 2019; 14:27-31. [PMID: 31187636 DOI: 10.2217/fmb-2018-0239] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Healthcare workers (HCWs) are exposed to biological hazards on a daily basis. The aim of the present study was to evaluate the risks of infection after occupational exposure to blood or body fluids among HCWs operating in the period 2013-2014, in a university hospital of Southern Italy. The frequency of accidents during the 2-year period was always lower than 5%. In 2013, 103 cases occurred; in 2014, the number of injuries had significantly decreased (n = 60). In 2013, an anti-hepatitis B surface antigen protective titer was only found in 70% of cases; in 2014, the subjects with a positive titer rose to 82%. No HCWs showed seroconversion to the main blood-borne pathogens. The implementation of strict prevention measures after the accidents reported in 2013 allowed the significant reduction of the number of injuries in 2014.
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Affiliation(s)
- Venerando Rapisarda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Carla Loreto
- Anatomy & Histology, Department of Biomedical & Biotechnological Sciences, University of Catania, Sicily, Italy
| | - Ermanno Vitale
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Serena Matera
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
| | - Rosalia Ragusa
- Healhcare Management, P.O. Gaspare Rodolico, University Hospital of Catania, Sicily, Italy
| | - Giuseppe Coco
- Healhcare Management, P.O. Vittorio Emanuele, University Hospital of Catania, Sicily, Italy
| | | | - Caterina Ledda
- Occupational Medicine, Department of Clinical & Experimental Medicine, University of Catania, Sicily, Italy
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Nowrouzi-Kia B, Baig A, Li A, Casole J, Chai E. Occupational injury trends in the Canadian workforce: An examination of the Canadian community health survey. Int J Crit Illn Inj Sci 2019; 9:29-35. [PMID: 30989066 PMCID: PMC6423929 DOI: 10.4103/ijciis.ijciis_43_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Background: Previous studies suggest that various factors including the type of occupation, employment status, and level of education have significant associations with the rates of occupational injuries. The aim of this study was to assess the impact of demographics, such as age and gender, and various occupational factors on the rate of occupational injuries for a 14-year period from 2001 to 2014 and to study the differences in trends over time. Methods: The Canadian Community Health Survey data for 2001, 2003, 2005, 2007, and 2009–2014 was used to examine the impact of various occupational factors on workplace injuries in the Canadian population. Various inclusion criteria such as age, employment type, and status were applied to select the final sample. The logistic regression was performed using StataMP 11 to determine the association between the rate of occupational injuries and the factors being considered. Results: Rates of injuries occurring at the workplace are associated with various occupational health factors, including, the type of occupation, level of education, the number of injuries sustained, and the employment status. Conclusion: The findings may be used by researchers and practitioners to address the impact of occupational injuries in the workforce, and to identify and resolve the factors that result in a high rate of workplace injuries.
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Affiliation(s)
- Behdin Nowrouzi-Kia
- School of Rural and Northern Health, Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Canada
| | - Arooba Baig
- Faculty of Science, Western University, London, Ontario, Canada
| | - Anson Li
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Jennifer Casole
- Special Education Department, Loretto College, Toronto, Canada
| | - Emily Chai
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Canada
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Mukaetova-Ladinska EB, Cosker G, Chan M, Coppock M, Scully A, Kim SY, Kim SW, McNally RJQ, Teodorczuk A. Delirium Stigma Among Healthcare Staff. Geriatrics (Basel) 2018; 4:E6. [PMID: 31023974 PMCID: PMC6473673 DOI: 10.3390/geriatrics4010006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 12/20/2018] [Accepted: 12/23/2018] [Indexed: 11/16/2022] Open
Abstract
Older people with delirium occupy more than one third of acute medical beds and require increased medical attention, as care at present is suboptimal. In addition, since delirium is undetected, it should form a target for teaching in wards. Moreover, as people with delirium are largely dependent on daily interactions and care by inpatients professional staff, it is important to address stigmatisation of these vulnerable patients. This is especially important as previous studies have shown that negative staff attitudes towards these patients undermine good care. This single center cross-sectional study was designed to determine the extent of institutional stigma among health professionals involved in the care of people with delirium. For this, professional staff working on medical wards and in communities were approached to fill in a questionnaire containing the adapted Delirium Stigma Scale and the EuroQol five dimensions (EQ-5D-5L) questionnaire. Additional demographic information concerning their education and professional and personal experience with delirium was also collected. The characteristics associated with stigma were determined from the sample. The findings of our study provide an insight into the high level of stigmatisation of delirium patients among professionals (mean 11.66/18 points). This was not related to professionals' own experiences of delirium, their educational and professional backgrounds, or them having received formal delirium education. However, working closely with people with delirium seems to have a positive impact on the de-stigmatisation of this population among health professionals. Our findings that attitudes are not influenced by formal delirium teaching need to be incorporated into the design of interprofessional educational interventions. Accordingly, we advocate more direct patient-oriented and care delivered teaching interventions.
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Affiliation(s)
- Elizabeta B Mukaetova-Ladinska
- Institute of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester LE1 7RH, UK.
- The Evington Centre, Leicestershire Partnership NHS Trust, Leicester General Hospital, Gwendolen Rd, Leicester LE5 4QG, UK.
| | - Glynis Cosker
- Northumberland, Tyne and Wear NHS Foundation Trust, Richardson Unit, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4PL, UK.
| | - Mahathir Chan
- Northumberland, Tyne and Wear NHS Foundation Trust, Richardson Unit, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4PL, UK.
| | - Michael Coppock
- Northumberland, Tyne and Wear NHS Foundation Trust, Richardson Unit, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4PL, UK.
| | - Ann Scully
- Northumberland, Tyne and Wear NHS Foundation Trust, Richardson Unit, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4PL, UK.
| | - Seon-Young Kim
- Departments of Psychiatry, Chonnam National University Medical School, Gwangju 61469, Korea.
| | - Sung-Wan Kim
- Departments of Psychiatry, Chonnam National University Medical School, Gwangju 61469, Korea.
| | - Richard J Q McNally
- Institute of Health & Society, Newcastle University, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
| | - Andrew Teodorczuk
- School of Medicine and Health Institute for the Development of Education and Scholarship (Health IDEAS), Griffith University, Queensland 4122, Australia.
- The Prince Charles Hospital, Metro North, Brisbane, Queensland 4032, Australia.
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Kim JS, Jeong BY. Human errors and occupational injuries of older female workers in residential healthcare facilities for the elderly. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2018; 26:497-506. [PMID: 29722612 DOI: 10.1080/10803548.2018.1471862] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study aimed to describe the characteristics of occupational injuries of female workers in residential healthcare facilities for the elderly, and to analyze human errors as causes of accidents. From the national industrial accident compensation data, 506 female injuries were analyzed by age and occupation. The results showed that medical service worker was the most prevalent (54.1%), followed by social welfare worker (20.4%). Among injuries, 55.7% had <1 year of work experience and 37.9% were aged ≥60 years. Slips/falls were the most common type of accident (42.7%), and the proportion injured by slips/falls increases with age. Among human errors, action errors were the primary reasons, followed by perception errors and cognition errors. In addition, the ratios of injuries by perception errors and action errors increase with age. The findings of this study suggest that there is a need to design workplaces that accommodate the characteristics of older female workers.
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Affiliation(s)
- Jun Sik Kim
- Department of Industrial and Management Engineering, Hansung University, Republic of Korea
| | - Byung Yong Jeong
- Department of Industrial and Management Engineering, Hansung University, Republic of Korea
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Oranye NO, Bennett J. Prevalence of work-related musculoskeletal and non-musculoskeletal injuries in health care workers: the implications for work disability management. ERGONOMICS 2018; 61:355-366. [PMID: 28756736 DOI: 10.1080/00140139.2017.1361552] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 07/24/2017] [Indexed: 06/07/2023]
Abstract
To compare the prevalence of musculoskeletal and non-musculoskeletal injuries in a cohort of workers in Manitoba health care sector, who made injury claims between 2002 and 2012. A retrospective study, using secondary data from WCB Manitoba. Logistic regression was used to determine odds ratios for nature of work-related injuries among different groups of workers. Idiopathic work-related musculoskeletal disorders (WMSD) constituted 74.6% of all the injury claims. Injury risks varied between worker groups, and a significant difference was found within the female group, χ2 = 13.4, p = 0.0094, but not among the males. Compared to the married, single workers were more likely to experience traumatic than idiopathic injuries (OR = 1.72, CI, 1.28, 2.29), and much higher risk of traumatic injuries than non-WMSD (OR = 1.93, CI, 1.31, 2.84). Work-related injury risks vary significantly across occupations and worker groups, with idiopathic injuries being higher in high physical tasks. Practitioner Summary: To compare musculoskeletal and non-musculoskeletal injuries among workers in health care sector, and explore the implications for work disability management. Retrospective study, using workers' compensation claims data. The risk of idiopathic work-related musculoskeletal disorders continue to be high compared to traumatic and non-musculoskeletal disorders, particularly in tasks that involved high physical activities.
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Affiliation(s)
- Nelson Ositadimma Oranye
- a Department of Occupational Therapy, College of Rehabilitation Sciences , University of Manitoba , Winnipeg , Canada
| | - Jayson Bennett
- a Department of Occupational Therapy, College of Rehabilitation Sciences , University of Manitoba , Winnipeg , Canada
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Camino López MA, González Alcántara ÓJ, Fontaneda I. Gender Differences in Commuting Injuries in Spain and Their Impact on Injury Prevention. BIOMED RESEARCH INTERNATIONAL 2017; 2017:3834827. [PMID: 29318145 PMCID: PMC5727637 DOI: 10.1155/2017/3834827] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 10/18/2017] [Indexed: 11/17/2022]
Abstract
A gender analysis of workers injured while commuting in Spain is presented, distinguishing between injury due to traffic-related accidents and injury due to other causes. Method. A total of 266,646 traffic-related injuries and 168,129 nontraffic-related injuries are studied over the period 2006-2010. Results. In Spain, the accident rate recorded in working hours is much higher among men; nevertheless, it is curious that commuting-related accident rates are higher among women than men, in both traffic-related injuries and nontraffic-related injuries. The study of the frequency distribution confirmed that many more injuries occurred in Spain while commuting to work rather than from work and that women suffered twice as many injuries as men at nine in the morning. Musculoskeletal disorders are the only injuries that registered a higher number of cases among women and falls to the same level are the most relevant cause among women. Conclusions. The analysis of these and more findings established that a great effort should go into the promotion of preventive measures in favour of women workers. These results may encourage companies to modify their accident prevention plans, so as to increase their effectiveness in the struggle against occupational accidents following the five points described in this article.
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Affiliation(s)
| | | | - Ignacio Fontaneda
- Department of Civil Engineering, University of Burgos, Burgos, Spain
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Etheridge L, Senior H. 'It's a matter of your personality more than anything else'. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2017; 21:40-52. [PMID: 26928770 DOI: 10.1177/1744629516634587] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The impact on full-time carers of children with intellectual disabilities who exhibit challenging behaviour has been well researched (e.g. Lach et al., 2009; Shah et al., 2010; Wodehouse and McGill, 2009), however, there is to date no published research into the impact of behaviour that challenges on seasonal carers. Five participants who had been employed in summer playschemes for children and young people (up to the age of 18) were interviewed about their experiences of behaviour that challenges. The transcripts were analysed using interpretative phenomenological analysis, which revealed six superordinate themes: the belief in and sanctuary of temporary work, emotional impact, personality and gender, strength through knowledge, communication difficulties and the belief in integration. Seasonal workers discussed suppressing their emotions in order to stay in control of a challenging situation, using coping styles developed through experience or based on personal skills; it is suggested that formalized training, particularly regarding non-verbal communication, would support playscheme workers in the management of and adaption to challenging behaviour.
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Bidassie B, Barany JW, McCabe GP, Duffy VG, Witz SM. Occupational and lifestyle risk factors in a wellness programme associated with low back injuries in a Midwest university. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2016. [DOI: 10.1080/1463922x.2015.1088101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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17
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Koehoorn M, Tamburic L, Xu F, Alamgir H, Demers PA, McLeod CB. Characteristics of work-related fatal and hospitalised injuries not captured in workers' compensation data. Occup Environ Med 2015; 72:413-20. [PMID: 25713157 PMCID: PMC4453488 DOI: 10.1136/oemed-2014-102543] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2014] [Accepted: 01/15/2015] [Indexed: 11/04/2022]
Abstract
OBJECTIVES (1) To identify work-related fatal and non-fatal hospitalised injuries using multiple data sources, (2) to compare case-ascertainment from external data sources with accepted workers' compensation claims and (3) to investigate the characteristics of work-related fatal and hospitalised injuries not captured by workers' compensation. METHODS Work-related fatal injuries were ascertained from vital statistics, coroners and hospital discharge databases using payment and diagnosis codes and injury and work descriptions; and work-related (non-fatal) injuries were ascertained from the hospital discharge database using admission, diagnosis and payment codes. Injuries for British Columbia residents aged 15-64 years from 1991 to 2009 ascertained from the above external data sources were compared to accepted workers' compensation claims using per cent captured, validity analyses and logistic regression. RESULTS The majority of work-related fatal injuries identified in the coroners data (83%) and the majority of work-related hospitalised injuries (95%) were captured as an accepted workers' compensation claim. A work-related coroner report was a positive predictor (88%), and the responsibility of payment field in the hospital discharge record a sensitive indicator (94%), for a workers' compensation claim. Injuries not captured by workers' compensation were associated with female gender, type of work (natural resources and other unspecified work) and injury diagnosis (eg, airway-related, dislocations and undetermined/unknown injury). CONCLUSIONS Some work-related injuries captured by external data sources were not found in workers' compensation data in British Columbia. This may be the result of capturing injuries or workers that are ineligible for workers' compensation, or the result of injuries that go unreported to the compensation system. Hospital discharge records and coroner reports may provide opportunities to identify workers (or family members) with an unreported work-related injury and to provide them with information for submitting a workers' compensation claim.
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Affiliation(s)
- M Koehoorn
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - L Tamburic
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - F Xu
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - H Alamgir
- Occupational Health, School of Public Health, The University of Texas Health Science Center, San Antonio, Texas, USA
| | - P A Demers
- Ontario Cancer Research Centre, Cancer Care Ontario, Toronto, Ontario, Canada
| | - C B McLeod
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
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18
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Herin F, Vézina M, Thaon I, Soulat JM, Paris C. Predictive risk factors for chronic regional and multisite musculoskeletal pain: A 5-year prospective study in a working population. Pain 2014; 155:937-943. [DOI: 10.1016/j.pain.2014.01.033] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 01/17/2014] [Accepted: 01/28/2014] [Indexed: 10/25/2022]
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Barbosa REC, Assunção AÁ, de Araújo TM. Musculoskeletal pain among healthcare workers: an exploratory study on gender differences. Am J Ind Med 2013; 56:1201-12. [PMID: 23868813 DOI: 10.1002/ajim.22215] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2013] [Indexed: 01/11/2023]
Abstract
BACKGROUND Musculoskeletal disorder rates among healthcare workers are high compared to other occupational groups. Studies indicate a higher prevalence of musculoskeletal pain in women as compared to men in most productive sectors. The objectives of our study were to assess the prevalence of upper-limb musculoskeletal pain in male and female employees of the Belo Horizonte municipal Health Department, and to identify associated factors, considering individual and occupational characteristics, by gender. METHODS This cross-sectional study of a proportional sample of 1,721 subjects from a universe of 13,602 workers in the municipal health system evaluated the prevalence of self-reported upper-limb musculoskeletal pain. The magnitude of the associations was estimated by Poisson regression. RESULTS The prevalence of upper-limb musculoskeletal pain was 24.1% among women and 11.0% among men. Women who had high domestic workloads, and performed tasks under high strain showed high prevalence of musculoskeletal pain. For women and men, a high prevalence of upper-limb pain was reported by those who performed highly physically demanding tasks, and those exposed to poor environmental conditions. CONCLUSIONS The findings suggest gender differences in the distribution of upper-limb musculoskeletal pain across occupational groups. It also support initiatives that focus on the need to give visibility to the different effects of working conditions on the health of occupational groups and suggest the importance of developing specific measures to promote women's health. The higher prevalence of pain observed among women with high domestic workloads suggests the importance of these activities when evaluating workload in occupational studies.
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Affiliation(s)
| | - Ada Ávila Assunção
- Department of Preventive and Social Medicine, Medicine School; Federal University of Minas Gerais, Belo Horizonte, Minas Gerais; Brazil
| | - Tânia Maria de Araújo
- Department of Health; State University of Feira de Santana, Feira de Santana, Bahia; Brazil
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20
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Yu W, Yu ITS, Li Z, Wang X, Sun T, Lin H, Wan S, Qiu H, Xie S. Work-related injuries and musculoskeletal disorders among factory workers in a major city of China. ACCIDENT; ANALYSIS AND PREVENTION 2012; 48:457-463. [PMID: 22664712 DOI: 10.1016/j.aap.2012.03.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2011] [Revised: 02/23/2012] [Accepted: 03/01/2012] [Indexed: 06/01/2023]
Abstract
This study describes the frequency of occurrence of work-related injuries and musculoskeletal disorders (MSDs) among factory workers in Shenzhen, China, and examines the determinants of injuries and MSDs. A cross-sectional survey was conducted with 3479 frontline workers in 60 factories during 2008-2009. We calculated the annual incidence rates of work-related injuries and the prevalence rates of MSD (based on the Nordic Standard Form) for the factory workers. Logistic regression analysis was applied to explore the associations between potential risk factors and occupational injury and MSD. Among all participating workers, 8.3% reported acute traumatic injuries in the previous 12 months. The event-based incidence rate was 119.6 per 1000 person-years. About half of the frontline workers reported suffering from MSDs during the previous 12 months. The injury risk was reduced for female workers (Odds ratio, OR: 0.48; 95% confidence interval, CI: 0.36-0.66) and those with higher educational levels, but increased in workers with over 55 work hours/week (OR: 1.64; 95% CI: 1.21-2.22), high mental stress at work (OR: 3.50; 95% CI: 1.70-7.19) and previous injury history (OR: 3.94; 95% CI: 2.78-5.58). The MSD risk was increased among female workers (OR: 1.58; 95% CI: 1.34-1.87), and those with over 55 work hours/week (OR: 1.56; 95% CI: 1.28-1.90), high mental stress at work (OR: 3.16; 95% CI: 2.04-4.89) and a past injury history (OR: 3.04; 95% CI: 2.14-4.32). High proportions of frontline workers were affected by work injuries and MSDs in these factories in China. Long work hours, high mental stress at work and previous injury history were important risk factors for work-related injury and MSD.
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Affiliation(s)
- Wenzhou Yu
- China Center for Disease Control and Prevention, No. 27 Nanwei Road, 100050, Beijing, China
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21
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Dutta T, Holliday PJ, Gorski SM, Baharvandy MS, Fernie GR. A biomechanical assessment of floor and overhead lifts using one or two caregivers for patient transfers. APPLIED ERGONOMICS 2012; 43:521-531. [PMID: 21875699 DOI: 10.1016/j.apergo.2011.08.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2010] [Revised: 08/04/2011] [Accepted: 08/12/2011] [Indexed: 05/31/2023]
Abstract
This study investigated the differences in peak external hand forces and external moments generated at the L5/S1 joint of the low back due to maneuvering loaded floor-based and overhead-mounted patient lifting devices using one and two caregivers. Hand forces and external moments at the L5/S1 joint were estimated from ground reaction forces and motion capture data. Caregivers gave ratings of perceived exertion as well as their opinions regarding overhead vs. floor lifts. Use of overhead lifts resulted in significantly lower back loads than floor lifts. Two caregivers working together with a floor lift did not reduce loads on the primary caregiver compared to the single-caregiver case. In contrast, two-caregiver operation of an overhead lift did result in reduced loads compared to the single-caregiver case. Therefore, overhead lifts should be used whenever possible to reduce the risk of back injury to caregivers. The use of two caregivers does not compensate for the poorer performance of floor lifts.
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Affiliation(s)
- Tilak Dutta
- Toronto Rehabilitation Institute, 550 University Avenue, Toronto, Ontario M5G 2A2, Canada.
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22
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D'Arcy LP, Sasai Y, Stearns SC. Do assistive devices, training, and workload affect injury incidence? Prevention efforts by nursing homes and back injuries among nursing assistants. J Adv Nurs 2012; 68:836-45. [PMID: 21787370 PMCID: PMC3203326 DOI: 10.1111/j.1365-2648.2011.05785.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIMS This paper is a report of a study of association between workplace injuries experienced by nursing assistants in nursing homes in the United States and four factors that may affect injury rates: initial nursing assistant training, training at the current facility, lifting devices, and time to execute daily duties. BACKGROUND High injury rates among nursing personnel have been reported in multiple settings across countries. The existing literature is divided on the effectiveness of training and assistive devices in reducing injury rates among nursing assistants. METHODS We examined associations between whether or not the nursing assistant has experienced an injury and four key factors: quality of initial injury prevention training, injury prevention training at current facility, lift availability and whether or not the nursing assistant has sufficient time to complete resident activities of daily living. We estimated a survey-weighted logit model using 2004 National Nursing Assistant Survey data. RESULTS/FINDINGS The odds of an injury in the past year were lower among nursing assistants who reported always having a lift available when needed (41% lower odds), available facility training to reduce workplace injuries (39%), and sufficient time to complete resident activities of daily living (35%). Quality of initial training to prevent work injuries was not significantly associated with injury status. CONCLUSION Regions without widespread access to lifting devices may be able to reduce injury rates by increasing the availability of lifting devices. The potential for reductions in injury rates in the United States is greatest from improving training and ensuring adequate time for resident care, as most facilities currently have lifts available.
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Affiliation(s)
- Laura P D'Arcy
- Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, USA.
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Choi WJ, Cho SI, Han SH. A case-crossover study of transient risk factors for occupational traumatic hand injuries in Incheon, Korea. J Occup Health 2011; 54:64-73. [PMID: 22186297 DOI: 10.1539/joh.11-0101-fs] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES A case-crossover study was conducted to identify transient risk factors for occupational acute hand injuries. METHODS In total, 98 subjects were recruited from a hospital specializing in occupational accidents and trauma. Patients who had injured fingers, hands or wrists during work were interviewed within 30 days after their accidents. RESULTS The relative risks for each factor were as follows: 22.9 for unusual or malfunctioning machines (95% confidence interval [CI] 14.4-36.4), 3.3 for wearing gloves (95% CI 1.9-5.7), 5.7 for unusual tasks (95% CI 3.8-8.8), 12.1 for altered work methods (95% CI 8.4-17.6), 4.1 for rushing (95% CI 2.6-6.3), 12.9 for being distracted (95% CI 7.9-20.9), 1.2 for feeling ill (95% CI 0.4-3.6) and 1.0 for working overtime (95% CI 0.6-1.6). CONCLUSION The results suggest that some transient risk factors were associated with occupational acute hand injuries. These risk factors are probably preventable, and modifying unsafe or unusual conditions is important to reduce occupational traumatic hand injuries.
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Affiliation(s)
- Won-Jun Choi
- Department of Ocean and Underwater Medicine, Maritime Medical Center, ROK Navy
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Alamgir H, Ngan K, Drebit S, Guiyun Li H, Keen D. Predictors and economic burden of serious workplace falls in health care. Occup Med (Lond) 2011; 61:234-40. [PMID: 21502665 DOI: 10.1093/occmed/kqr025] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
AIMS To examine the demographic and workplace risk factors of serious falls and associated economic burden in Canadian health care workers. METHODS Fall injury data during 2005-2008 from a workplace health and safety surveillance system were linked with workers' compensation claims and payroll records. The costs for treatment and wage loss and days lost for accepted time-loss claims were calculated. Demographic and work-related factors were identified to distinguish the risk for more serious falls from less serious falls. RESULTS Nine hundred and thirty-eight fall injury claims were captured among 48 519 full-time equivalent workers. Workers >60 years, part time or employed in the long-term care sector sustained a higher proportion of serious falls (>70%). Over 75% of falls were serious for care aides, facility support service workers and community health workers. In the multivariate analysis, the risk of serious falls remained higher for workers in the long-term care sector [odds ratio (OR) 1.71; P < 0.05] compared with those in acute care and for care aides (OR 1.72; P < 0.05), facility support service workers (OR 2.58; P < 0.01) and community health workers (OR 3.61; P < 0.001) compared with registered nurses (RNs). The median number of days lost was higher for females, long-term care workers, licensed practical nurses and care aides. Females, long-term care workers, RNs, licensed practical nurses, care aides and maintenance workers had the most costly falls. CONCLUSIONS Reducing work-related serious fall injuries would be expected to bring about significant benefits in terms of reduced pain and suffering, improved workplace productivity, reduced absenteeism and reduced compensation costs.
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Affiliation(s)
- H Alamgir
- School of Public Health, University of Texas, TX, USA.
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Siow S, Ngan K, Yu S, Guzman J. Targeting prevention programs for young and new healthcare workers: what is the association of age and job tenure with occupational injury in healthcare? Am J Ind Med 2011; 54:32-9. [PMID: 21154517 DOI: 10.1002/ajim.20914] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2010] [Indexed: 11/08/2022]
Abstract
BACKGROUND previous evidence suggests young and new workers experience an increased risk of occupational injury. We sought to confirm this observation for healthcare workers. METHODS a retrospective cohort of 42,771 healthcare workers (88.2% women) was constructed from an active injury surveillance database. Over 2 years, incidence rates and crude and adjusted relative risks for occupational injury were compared between age groups and job tenures. RESULTS there were opposite trends in the two main types of injuries which cancelled each other: new workers and young workers had a decreased (not increased) risk of musculoskeletal sprain and strain injuries (adjusted RR [95% CI] for new hires was 0.60 [0.48, 0.73], and 0.85 [0.73, 0.98] for workers <25 years old); but an increased risk of cut and puncture injuries (1.25 [1.07, 1.45] for new hires, 1.28 [0.99, 1.67] for workers <25 years old). CONCLUSIONS contrary to studies of other sectors, younger age and shorter tenure were not universal risk factors for occupational injuries in the female dominated healthcare sector. Young and new workers had increased risk of cuts and punctures, but a decreased risk of musculoskeletal injuries.
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Affiliation(s)
- Serena Siow
- Occupational Health and Safety Agency for Healthcare (OHSAH) in British Columbia, Vancouver, British Columbia, Canada
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Abstract
OBJECTIVE To examine racial-ethnic/gender differences in the odds of injury and in the odds of seeking medical treatment among workers in the United States. METHODS Logistic regression models were used to estimate the odds of having a work injury and the odds of seeking medical treatment for these injuries in a sample of non-Latino Black, Latino, and non-Latino white workers from the Medical Expenditure Panel Survey (2002-2006). RESULTS Significant variation in the odds of injury was observed across racial-ethnic/gender groups. Although race-gender groups had significant variation in the odds of experiencing a work injury, we found few differences in treatment seeking. Among the 6 subgroups, we found that white women were significantly less likely to report an injury and significantly more likely to seek treatment when injured. Having health insurance played a key role in utilization among injured workers. The odds of seeking treatment were 33% lower for uninsured workers compared with those with private insurance. Publicly insured workers were no different from privately insured workers. CONCLUSIONS Our study sheds light on current trends in work injuries and associated medical care utilization among a nationally representative sample of workers.
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Affiliation(s)
- Terceira A Berdahl
- Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Rockville, MD 20850, USA.
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