bluuebunny/crossref_metadata_2025 huggingface dataset:
P-112 DEPRESSION AND OBESITY AMONG WORKING-AGE ADULTS: PREVALENCES, RISK FACTORS, AND THE IMPACT OF JOB CHARACTERISTICS IN THE POPULATION-BASED LIFE-ADULT-STUDY
Authors: Löbner Margrit , Pauline Nina , Zülke Andrea , Engel Christoph , Löffler Markus , Reyes Nigar , Zachariae Silke , Zeynalova Samira , Wirkner Kerstin , Kirsten Toralf , Riedel-Heller Steffi G
Published: July 2024

Introduction

Obesity and depression both represent major public health challenges. The study aim is to investigate prevalence rates of depression, obesity and comorbid conditions and their associated factors in a German working-age population-based sample.

Methods

Analyses were conducted on n = 5784 participants (18-67 years) from the baseline survey of the LIFE-Adult-Study. The survey included assessments of e.g. depression (CES-D), obesity (BMI), SES, physical activity (IPAQ), and job characteristics based on O*NET (e.g. freedom to make decisions). Binary logistic regressions were applied to investigate risk factors.

Results

The sample had a mean age of 43.4 (SD=12.5) years, and n = 3129 (54.1%) were female. The prevalence rates were 4.5 % (n = 281) for depression, 15.3 % (n = 1205) for obesity and 1.2 % (n = 101) for comorbid conditions. Binary logistic regression showed significant associations between comorbid conditions and e.g. female gender (OR 1.8 [1.0; 3.1], p<.05), higher age groups (35-49 years: OR 6.0 [2.3; 16.1], p<.001; 50-67 years: OR 14.9 [5.2; 42.5], p<.001) compared to the young, being widowed (OR 3.4 [1.0; 11.5], p<.05), lower SES, higher freedom to make decisions (OR 1.9 [1.1; 3.2], p<.05), and lower physical activity.

Discussion

The results show that a substantial proportion of working-age people are affected by depression, obesity, or a comorbid condition. Identifying people at high risk for developing these conditions is important to provide tailored services to improve (mental) health and to maintain ability to work.

Conclusion

More high quality long-term studies are needed to examine the impact of modifiable work context factors.
P-113 WORK-RELATED MUSCULOSKELETAL DISORDERS: EXPERIENCE AT A TUNISIAN UNIVERSITY HOSPITAL CENTER
Authors: Chemingui Siwar , Brahim Dorra , Youssef Imen , Mechergui Najla , Mersni Meriem , Bahri Ghada , Said Hanene Ben , Ladhari Nizar
Published: July 2024

Introduction

Work-related musculoskeletal disorders (MSDs) are a major public health issue due to their frequency and the economic burden they generate. The aim of our work was to study the socio-professional and clinical characteristics of work-related MSDs.

Methods

Retrospective descriptive study of work-related MSD cases collected in the occupational pathology department of Charles Nicolle Hospital in Tunis over a three-year period.

Results

A total of 80 cases of MSDs were recorded. The average age was 45.2 ± 8.3 years with a predominance of women (sex ratio (M/F) = 0.2). The average professional seniority was 19.3± 8.9 years. A history of diabetes and hypothyroidism was found in 12.5% and 5.3% respectively. Mean body mass index was 29.05±4.75 Kg/m2. Obesity was found in 35% of cases. The sectors of activity with the highest incidence of MSDs were textile manufacturing (25%) followed by the automotive industry (17.5%). The occupational category most concerned was manual workers (80%), 35% of whom were stitchers. MSDs were mainly represented by carpal tunnel syndrome (48.7%), followed by shoulder tendinopathy (42.5%). Fifteen (18.3%) employees had more than one MSD declared as work-related. A significant association was noted between the number of MSDs declared and history of diabetes (p<0.05).

Discussion

In Tunisia, MSDs declared as occupational pathologies are on continual increase. Our study identified the textile sector as the main source of these diseases. Biomechanical constraints as well as performance requirements could explain the results found.

Conclusion

MSDs are multifactorial pathologies with an occupational component. Rapid implementation of ergonomic and organizational preventive measures is essential.
P-115 WORK-RELATED AND PERSONAL RISK FACTORS FOR CONTACT DERMATITIS - A SYSTEMATIC REVIEW -
Authors: Schutte Marijke , Tamminga Sietske , De Groene Gerda , Kezic Sanja , Van der Molen Henk F
Published: July 2024

Introduction

Contact dermatitis (CD) is a highly prevalent skin disease in the workplace caused by repeated dermal exposures to skin irritating chemicals, contact allergens and/or physical factors. CD occurs in two forms, as allergic contact dermatitis (ACD) or irritant contact dermatitis (ICD) which differ in pathophysiology and risk factors. The objective of this review was to identify job, work-related and personal risk factors for CD.

Methods

Medline and Embase were searched for articles published between 1990 and June 2020. Prospective cohort and case-control studies were included when the outcome was a work-related CD. Risk of Bias was analysed using the Quality In Prognosis Studies tool and the Critical Appraisal Skills Program checklist. Meta-analyses and grading of the evidence were conducted when feasible.

Results

In total, 26 study populations and 52 risk factors for CD were identified. Meta-analyses found moderate to high quality evidence for associations between wet work and ICD (OR: 1.6, 95%CI: 1.21 – 2.01) and atopic dermatitis and ICD (OR: 2.4, 95%CI: 1.89 – 3.15). The following occupational groups showed a significantly increased risk of CD in two or more studies: health care workers, hairdressers, blue collar workers, painters, metal workers and cleaners.

Discussion

A better understanding of individual susceptibility factors may further contribute to refining the association between chemical exposures and occupational CD. A limitation of this systematic review are missing risk factors associated with ACD, which are often investigated in cross-sectional studies.

Conclusion

Both work-related and personal risk factors were associated with CD in a working context.
P-118 ASSOCIATION BETWEEN SLEEP DEPRIVATION AND MENTAL HEALTH AMONG POLICE OFFICERS
Authors: Sakuma Sayaka , Nogawa Kazuhiro , Watanabe Yuuka , Suwazono Yasushi
Published: July 2024

Introduction

The aim of this study was to evaluate the relationship between sleep duration and high-stress or stress responses in police officers.

Methods

The participants were 9,633 men and 1,086 women who underwent the legally-required annual health screenings in a Prefectural Police. The Brief Job Stress Questionnaire (BJSQ) was used to evaluate stress situations. We adopted high stress and six responses (low vitality, high irritability, high fatigue, high anxiety, high depressive feeling, and high somatic responses) as the dependent outcome responses by using the score conversion method. Sleep duration was ascertained from the results of annual health checkup questionnaires. In univariate analysis, Fisher’s exact was applied to the relationship between daily sleep duration (<5 hours/≥5 hours) and high stress or six stress responses.

Results

Short sleep duration (<5 hours) was significantly related to high stress, low vitality, high fatigue, high depressive feeling, and high somatic responses in men and women. In men, short sleep duration was related to high irritability.

Discussion

A comparison of sleep duration and prevalence of stress check-related items among police officers revealed significant associations in many items.

Conclusion

we believe that more attention needs to be paid to the question of whether sleep is getting better, not just whether the work hours are longer or shorter.
P-120 ASSOCIATIONS BETWEEN CO-EXPOSURE TO PHYSICAL CONSTRAINTS AND NEUROTOXIC CHEMICALS AND CARPAL TUNNEL SYNDROME: RESULTS FROM THE CONSTANCES COHORT
Authors: Bodin Julie , Rapicault Clémence , Descatha Alexis , Goldberg Marcel , Zins Marie , Roquelaure Yves
Published: July 2024

Aim

To assess the prevalence of exposure and co-exposure to physical constraints and neurotoxic chemicals in French workers and to study the association with carpal tunnel syndrome (CTS).

Methods

Data from the Constances cohort collected at baseline between 2012 and 2018 and at the first 12 month-follow-up were studied. Exposure to physical wrist stressors at baseline and CTS at follow-up were assessed using self-administered questionnaires. Exposure to neurotoxic chemicals was assessed by questionnaire and the job-exposure matrix Matgéné. Associations between CTS and co-exposure to biomechanical wrist stressors and chemicals were studied using multivariate logistic regression models, adjusted for personal/medical factors.

Results

Among active employees at baseline and at follow-up and free from chronic hand symptoms at baseline (9527 men and 13371 women), 164 men (1,7%) and 335 women (2,5%) declared suffering from unilateral/bilateral CTS at follow-up (p<0.0001). An association between co-exposure to biomechanical wrist stressors and chemicals and CTS was found for both genders.

Discussion

This finding will be confirmed using more objective case definition of CTS (e.g., surgery of CTS) and assessment of physical constraints and neurotoxic chemicals during the entire working life using job-exposure matrix.

Conclusion

The study showed an association between CTS and co-exposure to physical constraints and neurotoxic chemicals, after adjustment for the main personal and medical factors.
P-131 KNOWLEDGE, ATTITUDES AND PRACTICES OF PRIVATE SECTOR DOCTORS REGARDING PULMONARY TUBERCULOSIS
Authors: Zahraoui Majida , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Chakib
Published: July 2024

Introduction

The objective was to evaluate the knowledge, attitudes and practices of private doctors about pulmonary tuberculosis and their application of the recommendations of the national tuberculosis control program.

Methods

This cross-sectional study involved 315 doctors (180 general practitioners and 135 specialists) in the private sector of El-Jadida, excluding pulmonologists. The self-questionnaire included knowledge about pulmonary tuberculosis disease, the national tuberculosis control program, screening and diagnosis of pulmonary tuberculosis.

Results

263 doctors participated in the survey: 51.7% were general practitioners and 48.3% specialists but only 46.30% of doctors have perfect knowledge of national tuberculosis control program: the mode of contamination is essentially airborne with a very high predisposition in HIV-positive patients. 88%, 43.8% and 37.3% of doctors respectively identified sputum bacteriology, chest x-ray and biology as elements allowing the confirmatory diagnosis of pulmonary tuberculosis and only 20.1% recognized that Quantiferon was a diagnostic tool.

Discussion

Moroccan doctors from the El Jadida region who participated in this study had a working understanding of tuberculosis, but there were gaps in knowledge regarding the national tuberculosis control program, diagnosis and progression of the disease. Studies Interventional interventions are necessary to ensure that the right knowledge has been Transmitted, to avoid negative attitudes.

Conclusion

Knowledge of medical data on tuberculosis is good but this is not the case for the content and operation of the national tuberculosis control program
P-137 FATAL OCCUPATIONAL ACCIDENTS IN TUNISIA: KEY FIGURES
Authors: Ayadi Abir , Jlassi Olfa , Houria Amira , Grissi Jamel , Jamoussi Samya , Magroun Imene
Published: July 2024

Introduction

Fatal occupational accidents (FOA) represent a real concern in the world of work due to their severity and economic cost. The aim of our study was to describe the epidemiological profile of FOA in Tunisia.

Methods

Retrospective descriptive study including victims of FOA reported by the national health insurance fund during the period of three years from 2019 to 2021.

Results

According to the latest statistics from the National Health Insurance Fund (2019-2021), 345 FOA were reported, of which 100 were recognized in 2021 compared to 114 in 2020, i.e. a significant drop of 12.3%. A male predominance was observed in 95% of cases. The most affected age group was between 51 and 60 years old. There were 275 accidents occurring in the workplace, compared to 70 commuting accidents. The sectors most at risk were building and public works, transport, and wholesale and distribution. The three main causes of FOA in 2021 were: falls, heart attacks at work, and electrocution in 29.8%, 17.9%, and 13.1% of cases respectively.

Discussion

FOA continue to affect an underprivileged working population. Efforts to improve workplace safety are required to reduce FOA.

Conclusion

FOA affect an underprivileged working population. Collaboration between the various stakeholders in occupational safety, employees, and employers is essential to establish the necessary and adequate safety measures and to preserve the health of workers, especially in high-risk sectors.
P-148 EFFECTIVENESS OF USING HUMOR APPEAL IN HEALTH PROMOTION MATERIALS
Authors: Suka Machi , Shimazaki Takashi , Yamauchi Takashi , Yanagisawa Hiroyuki
Published: July 2024

Introduction

Occupational health professionals develop messages and materials to persuade employees to adopt healthy behaviors or reduce risky behaviors. Health promotion materials do not always have the desired effect due to failure to capture the interest of target audience. We examined the effect of humor appeal (i.e. using humor as an advertising technique to attract attention and increase acceptance of the message) in health promotion materials and how to use it effectively.

Methods

We prepared printable Posters with different illustrations (humorous vs. non-humorous) × frames (loss- vs. gain-framed) for 5 health topics (smoking cessation, physical activity, cancer screening, bone marrow donor registry, and advance care planning). Web-based surveys were conducted among Japanese adults aged 25-64 years, who were randomly assigned one of the Posters (200 people each) and asked to rate it for persuasiveness (EHPM 2017;22:69) and resistance (EHPM 2022;27:20). The overall score was calculated as the persuasiveness score minus the resistance score. ANOVA was used to compare the mean scores across Posters.

Results

For the advance care planning Posters, the highest overall score was found in the humorous gain-framed, followed by the humorous loss-framed and the non-humorous. For the other 4 health-topic Posters, the non-humorous version scored significantly higher than the humorous versions.

Discussion

The use of humor appeal made the message more persuasive when dealing with a little-known health topic like advance care planning but did not when dealing with common health issues like smoking and physical inactivity.

Conclusion

Humor appeal can help to introduce a new health topic to a wider audience.
P-149 CONDITIONAL SUCCESS: PARTICIPATION AS A DIFFERENCE-MAKING FACTOR FOR REDUCING SICKNESS-ABSENCE AMONG PUBLIC-SECTOR EMPLOYEES
Authors: Akerstrom Magnus , Severin Jonathan , Miech Edward J , Wikström Ewa , Roczniewska Marta
Published: July 2024

Introduction

Organizational-level workplace interventions are recommended to prevent work-related illness. Previous evaluations of such interventions have identified several enabling factors, but knowledge on difference-making factors is needed. The aim of this study is to identify key difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence.

Methods

An organizational-level intervention, aiming to decrease sickness absence by providing support from process facilitators, was implemented at eight workplaces in the public sector in Sweden between 2017–2018. Previous evaluations of the intervention identified several factors affecting the implementation process and an overall decrease in sickness absence. Differences in the intervention effect was seen when evaluating each workplace. By using coincidence analysis (CNA), 32 factors were analyzed to determine which factors that 1) was necessary to successfully implement tailored measures on an organizational level, and 2) affected the effect size.

Results

A high sense of urgency, or good anchoring and participation from the strategic management was found to be necessary to successfully implement tailored interventions on organizational level. Without any of these factors, no effect on sickness absence was seen. The presence of a high participation from employees during the implementation separated workplaces with higher and lower effects on sickness absence.

Discussion

This study managed to separate difference-making factors from enabling factors in the implementation process. A possible mechanism was seen where participation from different stakeholders was important in different phases.

Conclusion

When implementing organizational-level interventions, a high participation from the strategic management and the employees are needed for decreasing sickness absence.
P-152 INVESTIGATING NOTIFIED SILICOSIS CASES ENABLE EVIDENCE-BASED PREVENTIVE ACTION
Authors: Seneviratne Mahinda , Ball Leonie , Crowe Leonie , Lau Abe
Published: July 2024

Introduction

Silicosis is the oldest known occupational lung disease, and its global burden of disability and death continues today with thousands of workers diagnosed in many parts of the world each year. We report on the investigation of 302 diagnosed silicosis cases notified to the Work Health and Safety (WHS) regulator in the State of New South Wales in Australia, mostly workers from the engineered stone benchtop fabrication industry.

Methods

An established incident investigation process with documented procedures were followed for each case. Findings on 159 of these cases were reported to a decision-making panel for assessment towards further full investigation of legislative breaches. Fourteen full investigations were undertaken resulting in seven recommended for prosecution of parties in breach.

Results

Several challenges faced in investigating long-latency work-related disease were identified from this cohort of silicosis cases. These included the difficulties in establishing association between exposure and disease manifestation due to the lack of respirable crystalline silica dust exposure data, absence of worker health surveillance records and communicating with a culturally diverse industry sector with a transient workforce.

Discussion and conclusion

We demonstrate that by investigating over 300 notified silicosis cases, in addition to enforcing compliance with WHS legislation, valuable insights were gained for evidence-based interventions on illness prevention. Findings on industry demography, worker history, causes of unsafe work practices, ineffective hazard communication and barriers to exposure control were recognised as important determinants of occupational disease that may be globally applicable.

KEYWORDS: Silicosis; investigation; long latency; exposure; prevention
P-157 OCCUPATIONAL HEALTH THROUGH CONTACT WITH NATURE: THE TRANSFERABILITY OF NATURE-BASED INTERVENTIONS TO THE WORKPLACE CONTEXT AND PATHWAYS OF IMPLEMENTATION. A NARRATIVE REVIEW
Authors: Tanriverdi Nadin Zerin , Angerer Peter
Published: July 2024

Introduction

Contact with nature offers high potential for human well-being and restoration. It is of great importance to explore how nature-based interventions (NBI) can be applied to the workplace context.

Methods

Based on the systematic review by Gritzka and colleagues in 2019, a follow-up literature search on NBIs within the last four years was conducted. English-language research articles published in peer-reviewed international journals examining the impact of NBIs were included. In this first step, 102 articles were found. We identified 34 relevant articles reporting on effects of NBI by measuring 19 different types of NBI. These were grouped in digital contact, greening interventions and forest bathing and outdoor activities.

Results

Digital contact NBIs showed a reduction in negative emotions and anxiety as well as an increase in parasympathetic nerve activity and the accompanying relaxation. No research was found on greening interventions in the workplace context. Forest bathing and outdoor activities, partly combined with mindfulness-trainings, have been explored more extensively. In the context of the workplace NBIs led to a reduction of stress, pain and fatigue while work-related functions improved.

Discussion

Contact with nature can offer a number of work-related benefits for workers, such as disease prevention and stress management. However, it remains unclear which interventions can be implemented and have the greatest positive impact under everyday conditions.

Conclusion

Managers in companies should be made aware of the benefits of nature available free of charge and the limited perspective on workplace health promotion measures should be broadened.
P-162 A COMPARATIVE STUDY TO IDENTIFY THE CAUSES OF HIGH PREVALENCE OF EAR INFECTIONS AMONG WORKERS USING EAR PLUGS IN A AUTOMOBILE MANUFACTURING UNIT
Authors: Mishra Shriniket
Published: July 2024

Introduction

Need for this study was felt due to an observation was made regarding high number of ear infections among workers using ear plugs. A study was conducted to identify and establish the causes of the high prevalence of ear infections in workers using single use ear plugs compared to worker who are not using ear plugs.

Methods

A comparative study was done by analyzing the outpatient clinic data related to ear infections of occupational health Centre of an automobile manufacturing unit. Data related to workers reporting for problems related to ear infections was compared between workers working in a department where use of ear plugs was mandatory (due to presence of high noise in their work area) and other workers who were working in areas where use of ear plugs were not required. A detailed questionnaire containing personal, occupational and medical history was also obtained for both groups.

Results

There was a 05 times higher number of case of ear infection prevalent among workers using ear plugs compared to not using ear plugs.

Discussion

On analysis of detailed history of workers using ear plugs it was observed that most of them were using the single use ear plugs multiple times (for many days) due to lack of awareness and due to unhygienic condition of ear plugs it was leading to ear infections.

Conclusion

Proper training, awareness and monitoring of workers regarding use of PPE will help in prevention of occupational an infective diseases.Unhygienic PPE can cause health issues.
P-165 ASSESSMENT OF QUALITY OF LIFE AMONG ACTIVE DIABETICS ACCORDING TO THE SF36 INTERNATIONAL SCALE
Authors: Gannoun Nawres , Mersni Meriem , Youssef Imen , Brahim Dorra , Bahri Ghada , Bani Mejda , Said Hanene Ben , Mechergui Najla , Ladhari Nizar
Published: July 2024

Introduction

Diabetes is a chronic disease, that could affect both health and quality of life (QOL). The aim of our study was to assess the quality of life among working diabetic patients.

Methods

A cross-sectional study was carried out over two weeks. Socio-demographic and professional data were collected from the medical records of diabetic patients who consulted our department during the period from 2022 to 2023. A telephonic survey was carried out to complete the SF 36 international scale.

Results

Forty-one diabetic cases were collected (25 men and 16 women) where 17% were type 1 and 83% type 2, with a mean duration of progression of 11± 8 years. Seventy percent had unbalanced diabetes with a mean glycated hemoglobin of 8±2%. The most frequent sector of activity was healthcare (29%). The average score was 63±17 for the General Health (GH) dimension. A high score of the GH dimension was noted in health care workers, and patients with high blood pressure.

Discussion

Despite the long-asymptomatic aspect of diabetes, the QOL of our patients suffering from this pathology seems to be altered. These findings provide a global perspective of the state of health and its perception by the diabetic patient and reveal that the impact of diabetes on patients should not be evaluated solely by objective clinical parameters.

Conclusion

Our study confirms that diabetic patients must be regularly assessed to determine the impact of their disease on QOL and that appropriate management must be ensured.
P-167 AN INTERVENTION PROGRAM FOR PREVENTING MUSCULOSKELETAL DISCOMFORT AMONG WORKERS IN A DISTILLERY–A ONE-YEAR FOLLOW-UP STUDY
Authors: Lan Fan-Yun , Tseng Yen-Cheng , Kuo Yau-Chang , Guo How-Ran
Published: July 2024

Introduction

Ergonomic hazards in working environments have been shown to cause musculoskeletal discomfort (MSD). We implemented an intervention program for preventing MSD among the workers in a distillery in Taiwan and evaluate the effects.

Methods

We used the Modified Nordic Musculoskeletal Questionnaire to evaluate the prevalence of MSD in two surveys, one before promoting stretching in the distillery and the other one year after.

Results

In 343 workers, the response rate was 83.7% in the first survey and 63.8% in the second. More workers reported MSD in the second survey compared to that in the first one (odds ratio [OR]: 1.7, 95% confidence interval [CI]: 1.2-2.4). For individual bodily parts, only the prevalence of right shoulder pain was significantly higher in the second survey (OR: 1.6, 95% CI: 1.0-2.5). Using the results of the first survey as reference, we found a significant decreasing trend in the prevalence of MSD with pain score >2 in lower back, right shoulder, right elbow/forearm, and right hand/wrist (all with p value <0.05) among workers with optimal stretching program adherence.

Discussion

The overall prevalence of MSD increased over time in the distillery, but stretching might be associated with a decrease in the prevalence of relatively severe pain in lower back, right shoulder, right elbow/forearm, and right hand/wrist.

Conclusions

Our study observed a decreasing trend in the prevalence of MSD in lower back and right upper limb in workers who complied with the stretching program every day for 6-8 months, demonstrating the preventative effects of stretching on reducing MSD.
O-096 EVALUATION OF PRODUCTION OF 45 YEARS OF OCCUPATIONAL LUNG DISEASE RESEARCH PRODUCTIVITY
Authors: Murray Jill , Ndlovu Ntombizodwa
Published: July 2024

Introduction

The Pathology Division (National Institute for Occupational Health) performs autopsies on mineworkers for statutory occupational lung diseases (OLD) compensation. From 1975, the PATHAUT database contains findings from over 110 000 autopsies. The data have been used extensively for OLD research, surveillance and findings have informed preventative disease initiatives. We explored factors that influenced the production of research outputs (1975-2019).

Methods

Research outputs were identified from the Division’s records. Production was explored by year of publication, population, disease and commodity mined in relation to contextual factors.

Results

There were 218 peer-reviewed journal articles and 73 scientific reports. The publication rate increased from 2.9 per year before 1994 (the year of democratic elections) to 6.5 per year post-1994. Studies shifted from descriptive to analytical (epidemiological). Research focused largely on OLDs in gold mineworkers. From the 1990s, studies on platinum miners increased as the industry grew. Other commodities studied include coal and manganese. Most studies were on silicosis, tuberculosis, and emphysema. Fewer studies were on asbestos-related diseases. Emerging health concerns e.g., ischaemic heart disease and HIV were investigated. Increasingly, studies focused on black mineworkers, a hitherto neglected sub-population. 34% of the scientific reports were funded by the Mine Health and Safety Council (South Africa). More recently, international collaborative partnerships became important influences.

Discussion

Over the 45-year period reviewed, several contextual factors, including changes in disease patterns, methodological approaches, politics, legislation, funding, and collaborative partnerships influenced research outputs.

Conclusion

Contextual factors have influenced research using the PATHAUT data. Studies have provided useful information for OLD control and prevention.
O-106 THE IMPLEMENTATION OF AN INTEGRATED WORKPLACE HEALTH PROMOTION PROGRAM – RESULTS OF A PROCESS EVALUATION
Authors: Smit Denise , Van Oostrom Sandra , Engels Josephine , van der Meer Suzan Mooren - , Proper Karin
Published: July 2024

Introduction

Systematically conducted process evaluations of integrated workplace health promotion programs (WHPP) are lacking. Therefore, the aim of this study was to evaluate the implementation process of an integrated WHPP.

Methods

The degree of implementation, perspectives of employers and employees in the working group implementing the integrated WHPP, and contextual barriers and facilitators were evaluated. Data were collected by means of questionnaires, interviews, monitoring charts and observations at 6-10 months follow up. Interviews with employers and employees were recorded, transcribed and analyzed by thematic coding.

Results

Preliminary results based on two participating organizations showed that the criteria of the integrated approach, i.e. implement activities on both the individual and organizational level for two lifestyle themes, were met by only one location of one organization. Setting up a working group required a lot of time, but eventually it led to working groups with sufficient expertise and a good division of roles. Members of the working group were very motivated and willing to continue, but were limited by their lack of time. Working group members were satisfied with the program materials, specifically the catalogue with an overview of evidence- and/or practice-based health promoting activities.

Discussion

The mixed methods approach is a strength, as quantitative and qualitative data complement each other.

Conclusion

Preliminary results show that implementation of an integrated WHPP within six months was challenging. More effort is needed to start up a working group quickly to avoid delays in implementation, assess needs of employees and to create support within the organization.
P-175 A CROSS-SECTIONAL STUDY OF THE EFFECTS OF REGULAR ONE-ON-ONE MEETINGS BETWEEN SUPERVISORS AND SUBORDINATES IN THE WORKPLACE
Authors: Taguchi Yoto , Kitamura Hiroko , Shibata Yoshiyuki , Eguchi Hisashi , Kawanami Shoko
Published: July 2024

Introduction

In corporate talent development, regular one-on-one meetings (1on1s) between superiors and subordinates are gaining attention. In addition to fostering talent, 1on1s are expected to enhance psychological safety and reduce stress. However, no study has reported on 1on1s. We examined the impact of 1on1 frequency on psychological safety and mental health.

Methods

Of 2,800 employees in a financial institution, 2,376 subordinates who underwent 1on1s were surveyed. The company initiated 1on1s in July 2020, and a survey was conducted in July 2021. The survey collected demographics, and Edmondson’s 7-item psychological safety scale, the 12-item GHQ, and 12 items from the Brief Job Stress Questionnaire relevant to the Job Demand–Control model were used. We divided the sample into two groups by the frequency of 1on1s: five or more times (once every 2 months) and less than five times. Multiple regression analysis was performed using R (4.3.1).

Results

Among the 677 respondents (28.5% response rate), the regression results confirmed that those who received 1on1s five times or more had significantly higher psychological safety than those who had fewer meetings (p = 0.30). However, no significant impact on mental health was observed (p = 0.044).

Discussion

More frequent 1on1s were presumed to engender a better relationship between supervisors and subordinates and thus promoted greater psychological safety than less frequent 1on1s. The number of job demands and job control influenced mental health more than the frequency of 1on1s.

Conclusion

Frequent 1on1s may increase the psychological safety of subordinates.
P-176 SOCIAL AND HEALTH CARE TOP MANAGERS´ PERCEPTIONS AND AIMS OF STRATEGIC WORK ABILITY MANAGEMENT IN THE MIDST OF CHANGE
Authors: Anttilainen Julia , Pehkonen Irmeli , Varma Minna Savinainen , Haukka Eija
Published: July 2024

Introduction

Top managers’ understanding of work ability management (WAM) may influence how work ability support processes are implemented in organizations. We studied how top managers defined WAM, what were their aims for WAM and whether these aims were at a strategic level.

Methods

Altogether 28 semi-structured interviews were conducted with top managers in Finnish social and health care organizations in 2019-2021 and analyzed inductively using qualitative thematic analysis.

Results

Top managers´ defined WAM mainly multidimensionally and two aims were identified: to support work ability 1) at the individual level and 2) at the organizational level. The aims at the individual level were to anticipate declines in health and functional capacity, to support workers already experiencing declines, to develop competence, and to manage the impact of changes on work ability. At the organizational level, the aims were to improve the availability and retention of personnel, to ensure the flow of work, and to increase trust and create shared values. The aims were described as being at a strategic level, but this was not yet realized in the organizations because the actions were reactive rather than proactive.

Discussion

Often the aim of WAM is to achieve financial savings from the disability costs. However, instead of this, the availability of employees and securing the workflow were highlighted as the aims of WAM.

Conclusion

Top managers´ multidimensional perception of WAM, the emphasis on proactive measures, and the strategic level aims are crucial and require the commitment of the top managers to strategic WAM, especially in times of constant changes.
P-184 PROCESS EVALUATION OF A WORKPLACE PARTICIPATORY APPROACH TO SUPPORT CAREGIVING EMPLOYEES IN BALANCING WORK, PRIVATE LIFE AND INFORMAL CARE
Authors: Vos Eline , De Bruin Simone , Van der Beek Allard , Smit Denise , Proper Karin
Published: July 2024

Introduction

Many organizations are faced with growing numbers of employees who combine paid work with informal care. To support working caregivers in maintaining a good balance between work, private life and informal care, a workplace Participatory Approach (PA) intervention focusing on discussing challenges and finding solutions, was implemented in three Dutch organizations.

Methods

Using the implementation framework of Steckler and Linnan (2002), a process evaluation was performed among participating caregivers, their supervisors, and trained occupational professionals who guided the PA. After the PA (on average 4 months), we collected questionnaires (36 caregivers; 15 supervisors) and 31 checklists filled in by professionals, and conducted semi-structured interviews among 18 caregivers, 10 professionals and 4 supervisors.

Results

Preliminary results show that participants and occupational professionals were positive about the PA as a method to support caregiving employees in finding an optimal balance. Employees felt supported in their caregiver role, while the PA provided structure to guide the conversation and helped to achieve improvements in multiple domains. Yet, supervisors were not always successfully involved in the PA. Cited reasons were hesitations to discuss issues in the private domain with supervisors and fear of being seen as a difficult employee. Also, a heavy workload of supervisors played a role.

Discussion

Caregivers and supervisors experience barriers in discussing employees’ caregiving responsibilities.

Conclusion

The PA can make an important contribution to the support and work-life-care balance of working caregivers. This does require that employers continuously invest in creating a caregiver-friendly climate in which it is encouraged and safe to discuss informal care.
O-109 EFFECTS OF THE TOTAL FLOOR AREA OF AN AIR-CONDITIONED OFFICE BUILDING ON BUILDING-RELATED SYMPTOMS: ASSOCIATIONS WITH SUSPENDED PARTICLES, CHEMICALS, AND AIRBORNE MICROORGANISMS
Authors: Azuma Kenichi , Kagi Naoki , Yanagi U , Kim Hoon , Hasegawa Kenichi , Shimazaki Dai , Kaihara Noriko , Kunugita Naoki , Hayashi Motoya , Kobayashi Kenichi , Osawa Haruki
Published: July 2024

Introduction

Building-related symptoms (BRSs) have emerged as an occupational and environmental health issue since the early 1970s. Office environment maintenance may differ according to the total floor area of a building, i.e., the scale of the building.

Methods

In this report, we examined the association between BRSs and the suspended particles, chemicals, and airborne microorganisms in air-conditioned office buildings. The surveys were conducted from January 2018 to March 2020 in 27 offices with 333 employees and in 25 offices with 342 employees during winter and summer, respectively. The office buildings were categorized into small buildings (<2000 m2, 11 offices with 96 employees during winter; 10 offices with 91 employees during summer), middle-sized buildings (2000–3000 m2, 7 offices with 145 employees; 7 offices with 158 employees), and large buildings (≥3000 m2, 9 offices with 92 employees; 8 offices with 93 employees) during winter and summer, respectively.

Results

Significant associations between BRSs and the suspended particles, chemicals, and airborne microorganisms were few in small buildings. Although significant associations between BRSs and suspended particles, aldehydes, volatile organic compounds, fungi, and bacteria were observed in middle-sized and large buildings during both seasons, as a whole, those concentrations did not exceed indoor air quality guidelines, suggesting being of no toxicological significance. However, the results suggested the possibility of the effects of the combined exposure to multiple aldehydes on upper respiratory symptoms.

Discussion and conclusion

Our data suggests that further research on the total health risk due to multiple low-level indoor pollutants is required.
P-196 CHARACTERIZATION OF PARTICLES EMITTED FROM STICK-INCENSE BURNING IN A CHAMBER SETTING
Authors: Boonruksa Pongsit , Jodtang Suphattha , Chayoo Onumar , Jomngooluem Chuenkamol , Momkhunthod Piyaporn , Haphon Jurarat Haphon , Binsanthia Kanjana
Published: July 2024

Introduction

Stick-incense burning is a traditional and common practice in many countries, including Thailand. However, the smoke from burning can cause health impacts due to inhalation exposure to particulate matter. The purpose of this study was to investigate the emission of particles from stick-incense burning.

Methods

Two brands of incense sticks (A and B) were used in this experiment conducted in a chamber setting. Particles released from the burning were collected and analyzed in terms of number and mass concentration using condensation particle counter (TSI P-Trak, 8525), and NIOSH method #0500, respectively. The particle morphology and chemical composition were also analyzed using SEM/EDX.

Results

Burning an incense stick released airborne particle concentration with a mean of 1.1 x 10^5 particles/cm^3 for brand A and 1.8 x 10^5 particles/cm^3 for brand B. The mass concentration mean of brand A and B was 0.8 and 1.7 mg/m^3, respectively. Morphology and particle size were in the range of ultrafine to nanoparticle. The majority of chemical composition of both brands was carbon, but the cadmium percentage was found higher in brand B. Chloride was only found in particles of brand B.

Discussion

The findings were consistent with several studies which characterized particles emitted from stick-incense burning. However, different materials and ingredients of incense could lead to differences in particle concentration and elemental content.

Conclusion

Stick-incense burning generated ultrafine particles at high number concentrations. Different brands of incense resulted in the difference in particle concentration and chemical composite. Exposure controls should be implemented during the burning, especially indoor environment.
P-207 WHY YOU SHOULD KNOW HOW YOUR AEROSOL SAMPLER IS PERFORMING
Authors: Verpaele Steven
Published: July 2024

Introduction and methods

A recent survey of aerosol sampling heads used within the metals industry was done in parallel to a survey of European laboratories concerning the methods used for the determination of nickel in workplace air.

Results

This survey revealed a wide variety of inhalable, thoracic, and respirable samplers as being commonly used for measuring metals and metalloids exposure in workplaces.

Discussion

In April 2019, the Nickel Institute, a global association of primary nickel producers, held a meeting with interested parties regarding the development or adaptation of existing sampling trains to measure low levels of metals and metalloids in the workplace. The parties involved agreed on the need for international sampler comparison studies. The main objective of these studies is to compare currently used (and validate any newly developed) personal samplers for measuring particulate-related exposure (and more specifically metals and metalloids) in workplace settings. Sampler efficiency studies for relevant aerosol size fractions of those samplers currently on the market will also be included in this effort.

Conclusion

In this presentation, an overview of why sampler comparison and efficiency studies are needed will be provided, together with recent outcomes of a laboratory and field study funded by Worksafe BC (Canada).
O-126 OCCUPATIONAL EXPOSURE DURING GRAPHENE NANOFLAKES PRODUCTION PROCESS: AN INTEGRATED APPROACH TO MONITOR EARLY CYTO-GENOTOXIC EFFECTS BY SENSITIVE AND NONINVASIVE BIOMARKERS AND WORKPLACE CONTAMINATION
Authors: Cavallo Delia , Fresegna Anna Maria , Ciervo Aureliano , Boccuni Fabio , Ferrante Riccardo , Tombolini Francesca , Natale Claudio , Maiello Raffaele , Gentile Marco , Andreoli Roberta , Poli Diana , Folesani Giuseppina , Sabella Stefania , Iavicoli Sergio , Ursini Cinzia Lucia
Published: July 2024

Introduction

Standardized exposure monitoring procedures and suitable biomarkers and biological matrices are needed to evaluate the potential health risk of occupational exposure to graphene-based nanomaterials.

Methods

We enrolled 5 workers of a graphene start up (mean age 39±13) and 5 controls (mean age 38±12). Harmonized OECD methodology was used to measure workplace and personal worker exposure. We used Buccal Micronucleus Cytome (BMCyt) assay (buccal cells) for local cyto-genotoxic effects and fpg-comet test (lymphocytes) and oxidized DNA bases 8-oxoGua, 8-oxoGuo and 8-oxodGuo measurements (urine) for systemic genotoxic/oxidative effects.

Results

Particle number concentration during the graphene-based powders handling differs significantly from the background (Wilcoxon test p<0.05). Furthermore morphological analyses on airborne sampled materials showed rare particles attributable in size and shape to the produced graphene-based nanomaterials. BMCyt assay showed in exposed workers nuclear buds (indicative of genic amplification) and slight MN frequency induction and a subject MN positive (exceeding a fixed cut-off value for MN frequency 1.5‰). Fpg-comet assay showed induction of direct and oxidative DNA damage in exposed vs controls. A slight increase of urinary oxidized DNA bases in exposed workers was also found. Discussion The study confirms BMCyt and fpg-comet assays as the most sensitive biomarkers of early, still reparable, genotoxic and oxidative effects that, related to exposure measurements, represent useful non-invasive tools for the biomonitoring of workers involved in graphene production.

Conclusions

The integrated approach including workplace exposure characterization and biomonitoring of early health effects is useful for risk assessment and could be also used for long-term studies of workers exposed to nanomaterials.
P-212 NANOPARTICLES IN OCCUPATIONAL HEALTH: A COMPREHENSIVE LITERATURE REVIEW ON IMPACTS AND CHALLENGES FOR OCCUPATIONAL HEALTH
Authors: Abreu Diogo , Alves Helena , Silva Laura , Camarinha Salomé , Pereira Miguel , Melo Daniel , Sardo Ana Paula , Mautempo Fernando
Published: July 2024

Introduction

Nanoparticles, ultrafine particles with dimensions ranging from 1 to 100 nanometers, have become integral to various industries for their unique properties and enhanced performance. Their widespread utilization in sectors such as electronics, cosmetics, medicine, and manufacturing has revolutionized product development and innovation, raising health and safety concerns.

Methods

Their minuscule size allows easy inhalation, posing risks to the respiratory system, with potential inflammation and respiratory disorders being major concerns, namely fibrosis, chronic obstructive pulmonary disease and asthma. Skin absorption is another worry, potentially causing skin irritation and sensitization. Moreover, the high surface area and reactivity of nanoparticles can lead to cellular damage and oxidative stress. Furthermore, their potential for bioaccumulation raises concerns about long-term health effects.

Results

Occupational practitioners face complex challenges managing nanoparticle-related risks. Limited toxicity data and diverse nanoparticles complicate risk assessment. Specialized equipment and expertise are needed for monitoring exposure. Conventional protective gear may not suffice, requiring custom solutions. Regulatory frameworks struggle to address nanoparticle risks, creating safety guideline gaps. Comprehensive training and risk communication are vital for effective safety measures. Collaboration between researchers, regulators, industries, and occupational health services is crucial. Prioritizing safety measures and staying up-to-date with the latest research on nanomaterials is essential for maintaining a safe work environment.

Conclusion

This literature review emphasizes the significance of nanoparticles in occupational health and safety, and highlights the challenges faced by occupational health services. Proactive measures and a collective effort from all stakeholders are vital to ensure the responsible and safe integration of nanoparticles in the workplace.
O-132 SYMPTOMS OF DEPRESSIVE SYMPTOMS IN NURSING WORKERS IN THE CONTEXT OF THE COVID-19 PANDEMIC: ESTIMATES OF FREQUENCY AND ASSOCIATED FACTORS
Authors: Helioterio Margarete Costa , de Jesus Ana Paula Santos , De Souza Fernanda Oliveira , De Pinho Paloma Sousa , Werneck Guilherme Loureiro , De Araújo Tania Maria
Published: July 2024

Introduction

The COVID-19 pandemic has caused profound changes in nursing work, with increased work overload, lack of inputs, new flows, and changes in the organization of nursing work, which may pose an increased risk for mental disorders, especially depression.

Objective

To estimate the prevalence of depressive symptoms and associated factors among nursing workers.

Methods

Cross-sectional study with a random sample (n=317 of primary care and medium complexity nursing workers from three municipalities in Bahia, in 2021. Data collection consisted of applying a standardized questionnaire to collect sociodemographic, occupational, and health data in a face-to-face interview. The PHQ-9 assessed the depressive symptoms; the PHQ-9 was used. Analytical procedures included bivariate analyses and Poisson Regression with robust variance.

Results

The global prevalence of depression among nursing workers was 27.1%. Nurses had a higher prevalence of depressive symptoms (34.4%) than nursing technicians (22.4%). The nurse’s occupation was associated with depressive symptoms, with a 54% higher prevalence (RP=1.54 95% CI 1.06-2.22) concerning nursing techniques. Other demographic factors were not associated with the outcome. Occupational factors such as exposure to situations of aggression and threats carried out by companions (RP=1.85; 95%CI 1.27-2.70), bosses and co-workers (RP=1.82 95%CI 1.20-2.77), and violence at work (PR=1.76; 95%CI 1.20-2.56) were strongly associated with depressive symptoms.

Discussion and conclusion

The high prevalence of depressive symptoms among the nursing team reflects the context experienced by the health sector in Brazil during the pandemic. Stressful situations and exposure to violence, contribute to increased psychological morbidity among health workers, requiring measures to reduce identified exposure situations.