bluuebunny/crossref_metadata_2025 huggingface dataset:
P-102 PRECARIOUS EMPLOYMENT AND MENTAL HEALTH IN KOREAN WAGE WORKERS: A TYPOLOGICAL APPROACH
Authors: Baek Seong-Uk , Won Jong-Uk
Published: July 2024

Introduction

Precarious employment has been conceptualized as having a multidimensional nature, and research addressing this topic in Asian countries is scarce. This study examined the typologies of multidimensional precarious employment and their relationships with mental health.

Methods

From October 2020 to April 2021, the Korean Working Conditions Survey was conducted on Korean wageworkers (N=38,347), representative of the nation. With theory-based operationalization of precarious employment, we identified precarious employment typologies through latent class analysis. Logistic regression was performed to explore the association between precarious employment typologies and mental health among workers, represented as odds ratio (ORs) and confidence intervals (CIs).

Results

Four distinct types of precarious employment emerged: (i) standard employment relationships (SER, 34.5%), (ii) moderate employment precariousness (MEP, 43.5%), (iii) underemployment (17.9%), and (iv) daily laborers (4.1%). Women were overrepresented in the MEP and underemployment types, while the SER type consisted of those with higher educational attainment and white-collar jobs. The OR (95% CI) of depression was 1.38 (1.27–1.50) for the MEP type, 1.48 (1.32–1.66) for the underemployment type, and 2.15 (1.85–2.51) for the daily laborers, compared to the SER type. For individual elements of precarious employment, temporary employment, low wages, low-income predictability, and low involvement in work process were positively associated with depression, whereas part-time employment was negatively associated with depression.

Discussion

Our findings accord with previous studies that indicated that employment insecurity, inadequate material rewards, and a lack of rights and protection lead to the workers’ poor mental health.

Conclusion

Policy interventions based on a multidimensional approach are warranted to improve employment quality.
P-103 INVESTIGATION OF WORKING CONDITIONS AND HEALTH STATUS IN PLATFORM WORKERS IN KOREA
Authors: Yoo Hyoungseob , Yang Munyoung , Gong-gam Ji-Hun Song , Yoon Jin-Ha , Lee Wanhyung , Jang Jinhee , Yoon Minjoo , Kang Mo-Yeol
Published: July 2024

Introduction

The COVID-19 pandemic has facilitated the growth of digital platforms. Platform labors causes vulnerability without offering control while transferring responsibility to workers. However, few studies have assessed the health status of platform workers. The present study analyzed several aspects of the working conditions and health status of platform workers in Korea.

Methods

A total of 1,000 platform workers participated in this survey from August 7 to August 17, 2022. The participants included 400 proxy drivers, 400 food delivery drivers, and 200 housekeeping managers. Data on the work environment such as occupational hazard exposure, including workplace violence and physical, chemical, and ergonomic hazards, were obtained. In addition, we surveyed health statuses experienced in the previous year. We compared data on the responders’ health symptom data with those of the general population in Korea.

Results

Platform workers were in the blind spot of social insurance and are frequently exposed to physical and chemical hazards, ergonomic risk factors, and direct or indirect violence. The prevalence of health problems, including musculoskeletal symptoms, general fatigue, and depression, in each occupational group was statistically higher than that in the general population after standardization for age and gender.

Discussion

This study focused on proxy drivers, food delivery drivers, and housekeeping managers among platform workers. Platform workers are often vulnerable to musculoskeletal disorders; accidents; and psychological distress. This indicates the need for more attention to improving poor working conditions.

Conclusion

The results revealed platform workers’ unfavorable working environment and poorer occupational health compared with the general population.
P-105 THE IMPACT OF WORKPLACE VIOLENCE ON BURNOUT AMONG HEALTHCARE WORKERS
Authors: Tang Yuting , Zhang Min
Published: July 2024

Introduction

The incidence of workplace violence among healthcare workers (HCW) has increased during the COVID-19 pandemic, and the increased workload has also affected the mental health of HCW.

Methods

This is a cross-sectional survey conducted at a hospital specializing in infectious diseases, and standardized scales were used to investigate violence and burnout, to explore the association between violent incidents and occupational burnout.

Results

The study surveyed 675 HCW and found that 35.11% of the HCW surveyed reported experiencing violence, and 52.44% exhibited symptoms of burnout, with an average score of 4.15 ± 2.93. The study found that violence incidents had a significant impact on the burnout of HCW, with those who experienced violence exhibiting more severe emotional exhaustion, depersonalization, and burnout. And the risk of burnout was 1.611 times higher for those who experienced psychological violence compared to those who did not (OR=1.611, P=0.010). Those who had a higher degree of concern about violence (OR=1.686, P<0.001), the higher the risk of burnout.

Discussion

The study highlights the negative impact of violence on the burnout of HCW. The study suggests that effective measures should be taken at different levels such as individual, organization and government, and promote the well-being of HCW.

Conclusion

In conclusion, workplace violence can lead to an increase in the level of burnout among HCW, which has adverse effects on their mental health. The study emphasizes the importance of taking effective measures to prevent violence and reduce burnout among HCW.
P-127 OCCUPATIONAL HEALTH AND GENDER-RELATED FACTORS AMONG DENTISTS: INSIGHTS FROM A CROSS-SECTIONAL STUDY
Authors: Moussa Amen , Jaouadi Jamila , Amri Charfeddine
Published: July 2024

Introduction

Dentists are subject to various work-related health problems. This study investigates the prevalence and risk factors of occupational diseases among Tunisian dentists.

Methods

A cross-sectional study was carried out among dentists practicing independently or in public health across 7 Tunisian states. Sociodemographic, clinical, and professional data were collected through a self-administered questionnaire.

Results

Among 200 participants, males predominated (59.5%), and 41.5% were aged 60-70. Most participants (82%) worked 6-9 hours daily. Spinal disorders correlated with gender (p=0.05), patient load (56% of dentists receiving <6 patients vs 73% 15-30 patients daily), and reduced physical activity (p=0.038). Osteoarthritis affected 27.5% of participants and was associated with patient load (p=0.013). Varicose veins were highly correlated with gender (p=0.000) and practice type (self-employed or public service) (p=0.000). 31% of those seeing between 15 and 30 patients daily experienced hearing issues compared to only 4% of those seeing fewer than 6 patients. Allergic affections were more prevalent in females (38%) vs. males (16%) (p=0.000). Infectious diseases showed a significant association with patient load (p=0.035).

Discussion

The study highlights older demographic and multifaceted influences on spinal disorders. Workload and patient volume could contribute to osteoarthritis. Gender disparity is observed in allergic conditions, while infections relate to patient load.

Conclusion

This study has mapped the variety of health risks to which dentists are exposed in the workplace. Those could help inform strategies to improve the well-being and occupational health of dentists in the future.
P-128 SICKNESS ABSENCE DUE TO POST-TRAUMATIC STRESS DISORDER IN BRAZIL (2008-2021)
Authors: Muntanelli Bruna Roberta , Sampaio Marcos Felipe Bom , Morreale Stephania , Manuel Augusto João , Miziara Ivan Dieb , Silva-Junior João Silvestre
Published: July 2024

Introduction

Post-traumatic stress disorder (PTSD) is an anxiety condition that can arise in individuals who have undergone traumatic events. Globally, the prevalence of PTSD has been estimated at 1.4%, with merely 42% of these individuals receiving adequate treatment. These episodes can lead to impairments, including disengagement from work-related activities. In Brazil, sickness absence benefits are granted by the National Institute of Social Security (INSS). This study aims to describe the frequency of temporary work disability benefits granted due to PTSD during 2008- 2021 in Brazil.

Methods

This longitudinal time series study is based on secondary publicly available data encompassing the total count of benefits granted under the ICD10 code F43. The data is further stratified by type (work-related/not work-related), gender (male/female), and residence (rural/urban).

Results

The findings indicate an average frequency of 10,648 (standard deviation: 2,052) benefits granted for PTSD, constituting 5.0% of the total benefits granted for mental or behavioral disorders. In terms of gender, 58% of these benefits were extended to women. Geographically, 99.6% of beneficiaries hailed from urban areas. Regarding benefit types, 30% were linked to employment, in instances where medical experts recognized a connection between the disorder and the claimants’ work environment and/or conditions.

Discussion and conclusion

The benefits provided for PTSD within the studied time frame were more prevalent among women, from urban areas, and cases not being work-related. It underscores the significance of offering comprehensive care involving all stakeholders to focus on prevention, early diagnosis, and treatment for individuals impacted by this disorder, especially among the more prevalent groups.
P-134 INVISIBLE OFFICE WORKERS’ DISEASES
Authors: Lahlou Driss , El Kholti Rim , El Kholti Abdeljalil
Published: July 2024

Introduction

Office workers are exposed to several risks that are often underestimated.

Methods

This study highlights the consequences linked to this exposure, through a retrospective study of data linked to office workers. Our investigation was carried out on a sample of 375 cases, following inclusion criteria: aged between 40 and 59 years, sedentary work in the office with exposure to the screen at least 4 hours/day.

Results

The average age of our study is 55.6, with a female predominance (a sex ratio of 0.41). According to the body mass index, we find 42% overweight, 39% having obesity, and only 18% have normal build. For the blood pressure, 59% had arterial hypertension, including only 32% with among them are followed by a doctor, 25% having high normal blood pressure of which 10% are followed, 8% having optimal blood pressure, and only 6.5% having normal blood pressure. Regarding visual acuity, 37% suffer from presbyopia, 9% have myopia, 35% have a combination of the two, 4% have astigmatism, and only 15% have normal visual acuity. For the diseases detected during medical visits or mentioned during the interview, we find 43% musculoskeletal disorders; 25% thyroid conditions, 21% psychological conditions and, 17% diabetes.

Discussion

These findings provide valuable insights into the health status of office workers, indicating a significant prevalence of various health conditions that require further medical attention and intervention.

Conclusion

Although the professional risks linked to office work are less visible, they aren’t absent, hence the need to apply effective preventive action in order to avoid the risks.
P-135 KNOWLEDGE, ATTITUDES AND PRACTICES OF PUBLIC SECTOR HEALTH PERSONNEL IN TANGIER (MOROCCO) TOWARDS TUBERCULOSIS
Authors: Amiry Rachid , Mahla Houda , Rkiek Haitam , Bourkadi Jamal , Deschamps Fréderic , Laraqui Chakib
Published: July 2024

Introduction

The objective was to assess the knowledge, attitudes and practices of healthcare workers of public sector regarding tuberculosis and the application of the recommendations of the national tuberculosis control program.

Methods

This cross-sectional study was carried out during the first semester of 2023 among health professionals working in hospital structures and health centers in the city of Tangier. It involved 412 professionals (87 general practitioners, 62 specialists and 263 nurses), excluding pulmonologists. The self-questionnaire included knowledge about pulmonary tuberculosis, the national tuberculosis control program, screening and diagnosis of pulmonary tuberculosis.

Results and discussion

The average age was 38.6 ± 10.3 years. The female gender represented 66.5%. The National tuberculosis control guide only contributed to strengthening knowledge on the topic of tuberculosis for 35.2% of the sample. 18% of professionals declared that they were aware of the missions of the Center for the diagnosis and treatment of respiratory diseases and 15% were completely unaware of them. 26% of participants were completely unaware of the structures involved in the National tuberculosis control program. Almost all of the people interviewed considered that tuberculosis is a public health problem and affirmed that there is a national program to fight tuberculosis in Morocco. The elements least cited by healthcare workers to confirm the diagnosis of pulmonary tuberculosis are the clinical symptoms (34%) and quantiferon (17.7%).

Conclusion

To avoid negative attitudes, interventions are needed to ensure good knowledge about tuberculosis.
P-139 RISK FACTORS OF LOWER BACK PAIN IN DENTAL UNIVERSITY PRACTITIONERS
Authors: Moussa Amen , Hayouni Mohamed Marouen , Machghoul Samia , Chaari Neila , Amri Charfeddine , Akrout Mohamed , Henchi Mohamed Adnène , Rassas Ines , Merchaoui Irtyah
Published: July 2024

Introduction

Prolonged and inappropriate postures and precise movements in dental procedures lead to high susceptibility to lower back pain (LBP) in dental practitioners. We aimed to explore the related risk factors in dentist practitioners.

Methods

A cross-sectional study was conducted among dentists at the University Clinic of Odontology in Monastir from November to December 2018. Socio-demographic, professional, and clinical data were collected through a self-administered questionnaire with the Nordic questionnaire.

Results

Among the 167 participants included, the mean age was 28.30 ± 6.7 years, female sexe predominated (sex ratio = 0.41) and the prevalence of LBP was 33.7%. Their risk in our participants was multiplied by 4.9 according to daily work duration (p=10-3, CI95 [2,2, 11,1]; by 2.8 in the event of concomitant neck pain (p=0,007, CI95 [1,3, 6,2]); by 1.6 for trainees (p=0,007, CI95 [1,1, 2,3]) and by 0.2 in the case of a lack of breaks (p=0,01, CI95 [0,06, 0,7]).

Discussion

Our results highlight the impact of prolonged working hours on LBP in dentists and the need to manage workloads to reduce musculoskeletal strain. The potential neck-lumbar spine link emphasizes the importance of holistic management. Trainees have a higher risk of LBP possibly due to their limited ergonomic experience, suggesting to associate ergonomic gesture learning with technical dental learning.

Conclusion

Our results provide a foundation for recommendations aimed at promoting comfort and sustainability ensuring long-term well-being for dentists.
P-140 COMPARISON OF THE DIAGNOSTIC EFFICACY OF THE ISHIHARA TEST AGAINST THE FARNSWORTHD15TESTINWORKERS OF A COLOMBIAN SECURITY COMPANY DURING THE PERIOD APRIL TO JUNE2023, ANOBSERVATIONAL STUDY IN OCCUPATIONAL MEDICINE
Authors: Parga Marin Diego Andres , Gonzalez Diana Fernanda Millan , Pachon Ginna Alejandra Mora , Melo Juan Camilo Hernandez , Castillo Linda Marcela Acosta , Guerrero Tannia Guevara , Tunjo Luis Alexander Leon , Henriquez Unice Margarita Noguera , Cardenas Jairo Orlando Ojeda
Published: July 2024

Introduction

There are several color tests that can be used during an optometry consultation, However, there is little evidence on the comparison of both in the field of occupational health and the benefits that applying one instead of the other would bring.

Methods

An observational, prospective cohort study was carried out in which the Ishihara test was established as the pivot of comparison and the Farnsworth D15 test as the gold standard. Data were collected from 796 patients, the effective performance of both tests and the grouped data of age, sex, severity and ophthalmological pathologies.

Results

We worked with a sample of 796 patients, 431 women and 365 men, between 18 and 62 years of age. 7 positive patients for Ishihara were obtained, of which 5 obtained positive results for Farnsworth D15. For the age variable, they were grouped in ranges of decades, evidencing a higher frequency in ages between 20 and 40 years, being 2 for 20 years, 3 for 30 years and 3 for 40 years. With the Farnsworth D15 study, they were grouped according to severity, obtaining 3 deutero and 2 protapositives. Logistic regression is performed establishing probabilities of correlation of the variables, obtaining a statistical significance demonstrated by the R-square of 0.0059, with a statisticalPof0.024 for the gender variable, 0.188 for age and 0.997 for pathological history, demonstrating that the disease is more common in men.

Discussion and conclusion

For candidates for surveillance workers,we were able to demonstrate that the prevalence of the condition is 0.6%, of which the possibility of having said condition that is really restrictive to perform the functions is low, it will be necessary to define in subsequent studies, the cost-effectiveness ratio for companies when performing them.
P-142 QUANTIFYING THE IMPACT OF CHRONIC PAIN ON WORK (QUICK)
Authors: Morton LaKrista , Stevens Martin J , Wainwright Elaine , Anderson R Stuart , Madan Ira , Fear Nicola , Verstappen Suzanne , McNamee Paul , Stagg Anne , Goodson Nicola , Walker-Bone Karen , Hollick Rosemary J , Macfarlane Gary J
Published: July 2024

Introduction

Chronic pain impacts individuals’ work. Existing questionnaires have focussed on assessing consequences for productivity and we have previously noted a discrepancy with the wide range of impacts described in qualitative literature. Given that there have been major changes in how people work, there is a need to develop an instrument to quantify a broader range of impacts of chronic pain on work.

Methods

We identified impacts on work by consulting people with chronic pain and a range of stakeholders. Deliberative focus groups identified key domains important to people which informed the development of the initial instrument. Content and wording of items were then refined through a multi-stage Delphi process with relevant stakeholders. Items were taken forward if they met pre-defined scoring criteria. We are currently validating the instrument within general population, clinical, and occupational samples.

Results

Focus groups with 50 participants identified key impacts including financial consequences, the specific consequences of the fluctuating nature of pain, and the impact on workplace relationships. Ten domains, including, cognitive impacts, hidden disability and degree of support for job modifications, informed the development of a draft set of items, which were then refined as a result of a Delphi process: 14 items have been included for final testing and validation.

Discussion

We have developed a new instrument, with a wide range of stakeholders, which takes account of modern ways of working, to quantify the impact of chronic pain on work more comprehensively.

Conclusion

The QUICK questionnaire is scheduled to be available in 2024.
P-144 WILL SOCIAL CHANGES DUE TO THE COVID-19 EPIDEMIC AFFECT EMPLOYEE HEALTH CHECK-UPS DATA IN JAPAN?
Authors: Kuwabara Hiroyuki , Haruyama Yasuo , Kudo Yuichiro , Nagata Tomohisa , Odagami Kiminori , Mori Koji
Published: July 2024

Introduction

In Japan, a state of emergency was declared four times until December 2022 due to the Covid-19 epidemic. The purpose of this study was to examine the changes in anthropometry and blood test parameters related to lifestyle-related diseases after the Covid-19 outbreak.

Methods

A longitudinal study was employed. A total of 1,198,557 employee who underwent health check-ups at Uguisudani Medical Center from April 1, 2016 to March 31, 2022 in Tokyo, Japan, were analyzed. Data included BMI, waist circumference (WC), systolic and diastolic blood pressure (SBP/DBP), total cholesterol (TC), triglycerides; triacylglycerol (TG), and low- and high-density lipoprotein cholesterol (LDL, HDL), fasting blood glucose (FBG), and uric acid (UA) levels. Descriptive statistics was performed separately for males and females to assess the temporal changes. Ethical approval for this study was obtained from the Dokkyo Medical University Ethics Committee.

Results

Comparing pre-2019 and 2020, SBP/DPB, TC, TG, and LDL increased more than normal and HDL decreased for both men and women after the Covid-19 outbreak. However, comparing data from 2020 and 2021, there is little change or slight improvement.

Discussion and conclusion

The greater deterioration in health check-up results in 2020 was likely due to lifestyle changes, including a decrease in outdoor activity and exercise habits due to voluntary restraint in personal activities. Modest government measures eased the subsequent refraining from personal activities, and the health examination results in 2022 did not deteriorate further. This suggests that social changes due to Covid-19 have a limited impact on health outcomes in Japan.
O-086 SCREENING OF COMMON CANCERS AND NON-COMMUNICABLE DISEASES (NCDS) AMONG POLICE PERSONNEL IN INDIA - AN INTERVENTIONAL STUDY
Authors: Mishra Gauravi , Pimple Sharmila , Pramesh C S , Kulkarni Vasundhara , Patil Anil , Bajpai Jyoti , Tandon Sandeep , Dorai Shakthi , Gaikwad Sushma , Lila Anurag , Patil S M , Majmudar Parishi , Patil S M
Published: July 2024

Introduction

Police personnel are at high risk of several NCDs including cancers because of odd dietary habits, stress, erratic sleep patterns and addictions. Objectives were to formulate demonstrable, sustainable and replicable model on prevention, control and early detection of NCDs among police personnel.

Methods

This cross-sectional interventional study was conducted among police in India. Temporary clinics were set up at police stations and eligible participants were enrolled after obtaining written informed consent. This was followed by socio-demographic and risk factor assessment, health education programme, screening for common cancers (breast, uterine cervix and oral cavity) and NCDs (obesity, hypertension and diabetes) conducted by trained primary health workers. Screen positive participants were referred according to pre-defined referral criteria for further investigations and management. Police health team were trained for conducting awareness and screening through several capacity building workshops.

Results

39,672 police personnel were contacted and invited and 30,291 (76.4%) enrolled. All participated in health awareness. 1251 oral pre-cancers, 58 cervical pre-cancers, 01 breast and 11 oral cavity cancers were diagnosed. They availed diagnostic and treatment at Tata Memorial Hospital. Totally, 4867 (16.1%) police were detected with diabetes, 5897 (19.5%) with hypertension and 13710 (45.3%) with obesity. They availed treatment at Police hospital/ dispensaries.

Discussion and conclusion

High prevalence of NCDs among police, warrants urgent and periodic implementation of education on life style modification, screening for NCDs, institution of timely and appropriate treatment and follow-ups in order to reduce morbidity and mortality among this special high-risk occupational health group.
O-088 SHIFTING FROM AN INDIVIDUAL TO AN ORGANIZATIONAL PERSPECTIVE IN WORK ENVIRONMENT MANAGEMENT – A PROCESS EVALUATION OF A SIX-YEAR INTERVENTION PROGRAM WITHIN THE SWEDISH PUBLIC SECTOR
Authors: Dahlqvist Isabelle , Ståhl Christian , Severin Jonathan , Akerstrom Magnus
Published: July 2024

Introduction

Working systematically with the organizational and psychosocial work environment entails several challenges. This study aims to evaluate the process of a six-year organizational-level intervention program where workplaces could apply for funds to implement preventive measures.

Methods

The process was studied using a mixed-method approach combining qualitative document and content analyses based on process documentation (n=135), quantitative descriptive analyses of submitted applications with decisions (n=621), and interviews with internal occupational health services professionals (n=9).

Results

The project management expressed concerns with sufficient competence and resources among stakeholders and participating workplaces, and role conflicts and ambiguities between the program and everyday operations. Consequently, the application process was developed over time using the knowledge gained from previous years. The proportion of granted intervention measures on an organizational level increased throughout the years from 39% in 2017 to 89% in 2022.

Discussion

A change in perspective, from an individual to an organizational perspective, was seen among the program management group and the internal occupational health services responsible for implementing most of the granted intervention measures. The changes in the application process were believed to be the main contributor to the change in the proportion of granted measures on an organizational level.

Conclusion

Results indicate that a long-term organizational-level workplace intervention program may be used, by the employer, as a tool for shifting from an individual- to an organizational perspective in the work environment management. However, additional measures on multiple levels need to be implemented to secure a sustainable shift in perspective within the organization.
O-089 AN MHEALTH INTERVENTION TO PROMOTE PHYSICAL ACTIVITY AMONG WORKERS USING A DEEP LEARNING MODEL FOR PASSIVE MONITORING OF DEPRESSION AND ANXIETY: A SINGLE-ARM FEASIBILITY TRIAL
Authors: Watanabe Kazuhiro , Okusa Shoichi , Sato Mitsuhiro , Miura Hideki , Morimoto Masahiro , Tsutsumi Akizumi
Published: July 2024

Introduction

Promoting physical activity effectively prevents depression and anxiety. Although mobile health (mHealth) technologies offer promising results in promoting physical activity, conflicting evidence exists on mHealth effectiveness, and workers face barriers to using mHealth services. The present study aimed to preliminarily investigate the effectiveness and implementation of a newly developed smartphone app, named ASHARE, employing a deep learning model to monitor depression and anxiety using physical activity.

Methods

A single-arm intervention study was conducted. From March to April 2023, workers aged 18 and older who were not absent were recruited. The participants were asked to install and use the app for one month. Before and after using the app, self-reported physical activity and psychological distress were measured. Physical activity duration from the app was also recorded digitally. Implementation Outcome Scales for Digital Mental Health were used to measure acceptability, appropriateness, feasibility, satisfaction, and harm.

Results

The study included 24 workers. On average, the app was used for 12.54 days. After using the app, no significant change was observed in physical activity (p=0.309) or psychological distress (p=0.926) either. The participants who had a severe level of psychological distress decreased significantly (p=0.011). The digitally recorded duration of physical activity was increased during the intervention period (p=0.078).

Discussion

Scores in acceptability, appropriateness, and satisfaction were lower compared to previous mHealth studies while those in feasibility and harm were better.

Conclusion

The app ASHARE was not enough to promote physical activity or improve psychological distress. Improving acceptability, appropriateness, and satisfaction is considered a key issue to implement this app.
O-090 WORKPLACE WELLNESS SOLUTIONS LEVERAGING DIGITAL THERAPEUTICS (DTX) RESULTED IN CLINICALLY MEANINGFUL IMPROVEMENT OF METABOLIC PARAMETERS IN INDIAN SEDENTARY OFFICE WORKERS
Authors: Paul Bishwadeep , Nair Vineet , Singal Arbinder
Published: July 2024

Introduction

Lifestyle interventions play a primary role in the management of chronic diseases such as Diabetes, Prediabetes and Obesity. Digital Therapeutics can play a crucial role in solving such disorders among the working population, promote well-being, and foster engagement.

Methodology

In a consumer goods organization, sedentary office workers with diabetes were offered a curated Diabetes and Weight-Loss program. De-identified data of 18(mean age 42.7yrs±6.4; 22%Female) and 40(36.6yrs±5.8;12.5%Female) workers were analyzed who completed diabetes-management and weight-loss program respectively. Both programs provided access to a 90-day curated wellness application, remote-coaching, expert-care, digital-logging (meals, physical activity),and behavioral-therapy. A CGM-device was provided at the start of the Diabetes program. Pre-and post-program anthropometry data (weight-BMI-waist-hip circumferences)were analyzed, and glycemic parameters were assessed. Data were presented as mean and 95%CI, with paired-data being analyzed using Wilcoxon signed-rank test.

Results

Weight-loss program helped reduce weight/BMI, waist, and hip circumference in 90%,95%,and 85% members respectively. Weight reduction by 2.3(1.6,3.0)kg and BMI by 0.85(0.59,1.11)kg/m2 (p-<0.0001, for both) was evident from a baseline of 79.28(75.43,83.13)kg and 27.63(26.3,28.95)kg/m2 respectively. Waist-and-hip circumferences were reduced by 3.33(2.38,4.28)cm (p-<0.0001) and 1.84(0.75,2.92)cm (p-<0.001) from a baseline of 98.14(94.47,101.8)cm and 103.9(101,106.9)cm respectively. The diabetes-program led to HbA1c reduction by 0.75(0.13,1.37)% (p-0.03) from baseline of 7.17(6.32,8.03)%. 94.4% achieved reduction in weight/BMI. Significant reduction in weight by 3.06(1.69,4.44)kg and BMI by 1.11(0.59,1.63)kg/m2 (p-0.0005, for both) was noted from a baseline of 87.48(79.45,95.51)kg and 30.25(27.74,32.76)(kg/m2) respectively. Waist-and-hip circumferences were reduced in 70.58% and 81.5% respectively.

Discussion and conclusion

Implementation of Digital-Therapeutics programs showed significant improvements in weight/BMI, waist, hip-circumference, and glycemic control in sedentary office workers.
O-091 THE EFFECTS OF INTERVENTIONS IMPLEMENTED BY OCCUPATIONAL HEALTH PROFESSIONALS TO PREVENT WORK-RELATED STRESS COMPLAINTS: A SYSTEMATIC REVIEW
Authors: Pees Suzanne Orhan , Van Oostrom Sandra , Schaafsma Frederieke , Proper Karin
Published: July 2024

Background

Occupational health professionals have specific knowledge about the link between the working environment and (mental) health, and therefore are potential key players in the prevention of work-related health problems. Therefore, the aim of this review is to summarize the evidence on the effectiveness of interventions by occupational health professionals to prevent work-related stress complaints among workers.

Methods

A systematic search in electronic databases was performed based on PICO criteria. Inclusion criteria were: peer-reviewed papers with a randomized controlled trial design, quasi-experimental design and pre-post evaluations with a control group; working populations not on sick leave; interventions delivered by occupational health professionals; and work-related stress outcomes. Data was extracted using a pre-defined extraction form, risk of bias was assessed using the RoB2 and ROBINS-I tool, and a narrative analysis was performed to analyze data.

Results

Nine studies met the inclusion criteria. There was a large variation between these articles in terms of interventions, participants, implementers, and outcomes used. All of the studies were assessed with a high risk of bias, mainly due to the lack of blinding. The majority of the studies found no significant effect of the interventions on work-related stress outcomes. Few studies reported a difference on outcomes in favor of the intervention condition, however these effects disappeared over time.

Discussion and conclusion

Overall, no evidence for effectiveness of interventions implemented by occupational health professionals on the prevention of work-related stress was found. More research is needed in how to successfully implement interventions to prevent work-related stress complaints.
O-094 ERGONOMICS COST-EFFECTIVENESS FOR EMPLOYERS: JOB DESIGN AND ORGANIZATIONAL LEADERSHIP
Authors: Punnett Laura , Plaku-Alakbarova Bora , Boakye-Dankwa Ernest , Gore Rebecca , Kurowski Alicia
Published: July 2024

Introduction

Poor job design and work organization have important effects on workers’ safety, health and well-being. Evidence on consequences and costs for employers might motivate stronger organizational support of programs enhancing musculoskeletal and mental health.

Methods

A private corporation provided data on skilled nursing facilities’ characteristics, clients’ medical outcomes, and employee and client satisfaction. Facility-level associations (n=175) of employee satisfaction with client care outcomes and client satisfaction were examined with Poisson regression and linear regression, respectively, adjusting for potential confounders. Separately, cluster analysis was used to identify co-variation among facilities (n=203) in these variables plus success of the safe resident handling program (SRHP), rates of workers’ compensation claims, and employee retention.

Results

A 1-point increase in overall employee satisfaction was associated with 19% decrease in the combined incidence of client falls, unexplained weight loss, and pressure ulcers (p<0.0001) and an increase of 17.4 points (scale 0-100) in satisfaction of clients and family members (p<0.0001). Worker satisfaction with working conditions was especially salient. The facilities clustered into two groups with little overlap. Those in the more favorable cluster had lower rates of workers’ compensation claims; higher SRHP return on investment; greater worker job satisfaction and engagement; higher employee retention; better client care outcomes and satisfaction.

Discussion

Facilities with safer client handling were also more likely to support client safety and wellbeing and workers’ job satisfaction.

Conclusion

Healthcare worker turnover has long been critical worldwide, with workload and safety as major underlying reasons. Reducing injury rates and costs and improving work organization would financially benefit healthcare employers.
P-153 PENETRABILITY OF LIQUID 3,3’-DICHLORO-4,4’-DIAMINODIPHENYLMETHANE TO PROTECTIVE GLOVES
Authors: Yamauchi Takenori , Yamano Yuko
Published: July 2024

Introduction

3,3’-Dichloro-4,4’-diaminodiphenylmethane (MOCA), used as a curing agent for urethane resins, has been suggested to have carcinogenic properties.. In a 2021 epidemiological survey, significant amounts of MOCA were detected inside protective gloves worn by workers handling MOCA on a regular basis. However, as workers were occasionally observed to work without wearing protective gloves, it was unclear whether the MOCA found inside the gloves originated from “MOCA adhered to the fingers and transferred inside the gloves” or “MOCA that penetrated from the outside of the gloves”. Thus, in this study, we examined the ability of MOCA to permeate from the outside to the inside of protective gloves.

Methods

The fingertips of nine different types of protective glove were immersed for 5 seconds in MOCA, heated to 200°C and melted. After 30 minutes, toluene was added to the inside and left standing for another 30 minutes. The toluene was then collected and samples were quantified using the method of Takeuchi et al. (JOH, 2014).

Results

Among the nine types of glove, MOCA penetrated six types, whereas no MOCA was detected inside three types, including those made of fluororubber.

Discussion and conclusion

Melted MOCA can penetrate through many materials, indicating that relying solely on wearing protective gloves as a work management measure may not be sufficient. Particular attention should be paid to the short exposure time in this study. Employing additional work management measures, such as using other equipment, is crucial to preventing MOCA from adhering to protective gloves.
P-155 ENHANCING OCCUPATIONAL HEALTH THROUGH RESEARCH VALORISATION: INTEGRATING HUMAN DESIGN THINKING FOR SUSTAINABLE SOLUTIONS
Authors: Vandenbroeck Sofie , Daenen Liesbeth , Van den Brande Whitney , Delvaux Ellen , Godderis Lode
Published: July 2024

Introduction

Bridging the gap between scientific knowledge and the practical implementation remains a challenge within the field of occupational health. Human Design Thinking (HDT), a problem-solving approach rooted in innovation, and co-creation, a collaborative engagement strategy involving stakeholders, hold promise in addressing this gap. We explored the use and the impact of HDT in the process of research valorisation and implementation.

Methods

The double diamond is a HDT-model consisting of four stages—Discover, Define, Develop, and Deliver—that helps guide the process of problem-solving by emphasizing divergent and convergent thinking at each stage. The iterative and user-centric nature of HDT facilitates the translation of research insights into actionable solutions, while co-creation fosters collaborative involvement of stakeholders.

Results

The application of HDT and co-creation principles yielded substantial improvements in the valorisation of research outcomes. Complex challenges in occupational health were effectively addressed through innovative interventions, benefiting from diverse stakeholder input.

Discussion

The integration of HDT and co-creation represents a novel approach to enhance the impact of research in occupational health. The iterative nature of HDT allows for continuous refinement, while co-creation ensures that stakeholders contribute to solution development, increasing acceptance and implementation success.

Conclusion

We demonstrated the efficacy of HDT and co-creation in the valorisation of research within occupational health. The approach’s collaborative and iterative nature fosters the creation of solutions that address real-world challenges, ensuring a seamless transition from research to implementation. By embracing these principles, the field of occupational health can achieve more effective and sustainable outcomes, ultimately benefiting both workers and employers.
P-156 FARMWORKERS’ PERSPECTIVES ON PROTECTIVE WORK CLOTHING FOR HEAT SAFETY
Authors: Gracia Gabriela
Published: July 2024

Introduction

Globally, farmworkers are largely immigrant laborers and among the most disadvantaged and vulnerable populations. Their work, essential to the food supply chain, has high rates of injury, illness, and death. Heat-related illness (HRI) is a growing threat to outdoor workers as temperatures continue to rise and work demands increase. Research on workplace clothing and their function is limited.

Methods

Between July and August 2023, we administered a short survey on workplace clothing to 134 farmworkers in Illinois. A subset of this sample (n=26) was also asked to identify clothing they believed offered the most protection at work. The survey was administered in Spanish, read aloud and included photos to facilitate understanding.“

Results

The majority of the farmworkers surveyed were H2A workers (n=93) who worked with corn (n=127). The most commonly identified workplace clothing was long-sleeved shirts (n=128), long pants (n=119), hat (n=118), gloves (n=117) and bandanas (n=111). Among a subset of participants (n=26), 24 identified long-sleeved shirts as the clothing that offered the most protection at work.

Discussion

Among our sample, farmworker clothing choices were focused on protection from ultraviolet light and abrasions, as well as accessibility, personal preferences, and community norms. This is at the expense of cooling functionality – ability to dissipate heat. There are many new fabrics – both natural and synthetic, with breathability, that would provide protection against HRI as well as the other hazards and conditions.

Conclusion

Determining acceptability, functionality, and availability will provide a basis for policy and practice recommendations to mitigate HRI in this workforce.
P-169 DIABETES MELLITUS TYPE 2 RISK IN SHIFT WORKERS
Authors: De Roeck An , Acke Sofie , Verbrugghe Mathieu , Grosjean Marie , Schmickler MarieNoëlle , Braeckman Lutgart
Published: July 2024

Introduction

Shift work is associated with type 2 diabetes mellitus (T2DM) partially explained through decreased insulin sensitivity by disruption of the day/night rhythm. Lifestyle interventions can prevent the onset of T2DM, and avoid complications. This study aimed to (1) report the prevalence of pre-diabetes and T2DM in shift workers, (2) study the impact of lifestyle advice on the risk for T2DM.

Methods

A two-step method was used: (1) the risk for T2DM was assessed by the FINnish Diabetes RIsk SCore (FINDRISC), (2) HbA1c was determined by finger prick when FINDRISC was ≥12.

Results

were discussed during medical consultation, and lifestyle advice was given. After three months, the evolution of the FINDRISC score and the HbA1c was evaluated. This study was approved by the ethics committee of Ghent University. Results The response rate was 47%; 44.6% of them were shift workers. 120 participants scored ≥12 on the FINDRISC. According to the HbA1c values, 26.7% had pre-diabetes and 3.3% had T2DM. There was a positive/weak correlation between FINDRISC score and HbA1c (r=0,29; p=0.003). No statistical links were found between shiftwork and FINDRISC (x²; p=0.502). After the intervention 14 of 23 persons had a lower FINDRISC (median from 14 to 12, p=0.010), no significant difference was found for Hba1c.

Discussion

No clear link was found between shift work and diabetes risk. Lifestyle advice did not affect HbA1c significantly after three months. Further research is needed to investigate the risk and preventive intervention among larger groups of shift workers.

Conclusion

(Pre-)diabetes can easily be detected via the two-step method.
P-172 MANAGEMENT AND COSTS OF BLOOD EXPOSURE ACCIDENTS IN THE OCCUPATIONAL MEDICINE DEPARTMENT OF RABTA HOSPITAL, TUNISIA
Authors: Dallagi Amani , Fatma Nawrez Ben , Becherifa Emna , Baraketi Emna , Ismail Saloua , Khouja Nihel , Hsinet Jihene , Benzarti Aida
Published: July 2024

Introduction

A blood exposure accident (AEB) is defined as any contact with blood or a biological fluid containing blood. In fact, it is a frequent reason for consultation in occupational medicine, particularly in healthcare settings. Our objective was to describe the profile of AEB.

Methods

Cross-sectional retrospective descriptive study conducted in the Department of occupational on medecine on cases of AES reported in 2022.

Results

We collected 164 cases with a mean age of 30. 71 years. The services that provided the most were general surgery (12. 2%), emergency (11. 6%), orthopaedic (9. 1%) and medical resuscitation (7. 9%). They were nursing staff in 96. 4% of the cases, mostly medical residents and interns (45. 1%). The tasks most often incriminated were fingering (32. 3%), surgical procedures (14. 6%) and capping (12. 2%). The mechanism of exposure was essentially primarily needle prick (83. 5%). The time limit for taking care was respected by the victims of the AES in 96. 3% of cases. The source person was known in 86% of cases or 141 cases. Hepatitis B prophylaxis was indicated in 6 cases (3.7%). Triple therapy was indicated in 30 cases. The cost of treating AES in 2022 was 131.2 Tunisian Dinars (TD), with a total expenditure of 20,372.8 TD.

Discussion

AEB are common in the care setting and represent a significant expense for the hospital, which implies the need to strengthen preventive measures.

Conclusion

The occupational doctor’s role is crucial in risk assessment and victim care, as well as in raising awareness and informing staff.
O-104 VALIDATION OF A NEWLY DEVELOPED QUESTIONNAIRE TO MEASURE THE ORGANIZATIONAL HEALTH CULTURE AMONG A COHORT OF MANDARIN-SPEAKING FIREFIGHTERS
Authors: Lan Fan-Yun , Huang Chen-Yu , Lin Chih-Hao , Kales Stefanos
Published: July 2024

Introduction

Firefighters face significant occupational health hazards, but few studies and validated tools assess firefighters’ organizational health culture (OHC).

Methods

An expert panel created an initial OHC survey adapted from the Fire Service Organizational Culture of Safety (FOCUS) survey. Thirty-five questions written in traditional Chinese using the 5-level Likert scale were included. A cohort of firefighters (N=543) from Tainan, Taiwan participated in the validation study. Data were collected in mid-May 2023 via the REDCap online platform. We used the R software (version 4.3.1) to conduct the exploratory factor analysis and other tests. We calculated the Spearman’s correlation coefficient (ρ) between the OHC score and the participants’ healthy behaviors (n=447) to assess the concurrent validity. The Institutional Review Board of National Yang Ming Chiao Tung University approved the study (NYCU112057AE).

Results

The OHC survey consisted of six factors: leadership support, leadership commitment, sleep policy, physical activity and nutrition policy, organizational approach, and job satisfaction. The full-length questionnaire demonstrated high internal consistency, with a Chronbach’s alpha of 0.95, and all questions had a factor loading >0.32. The total OHC score was significantly correlated with a validated healthy lifestyle score (ρ= 0.14, P= 0.004). Given the excellent reliability and factorial validity, no further adaptations were made to the initial OHC survey.

Discussion

The strength of our study lies in the expert content review and robust statistical estimates. However, further research is warranted to validate the survey in other languages.

Conclusion

Our newly developed 35-item tool provides a well-designed and validated means of evaluating OHC among Mandarin-speaking firefighters.
P-179 THE DIABETIC PATIENT IN THE WORKPLACE: BETWEEN OBSTACLES AND PROFESSIONAL REINTEGRATION
Authors: Ouhessaine Sofia , Ouahmane Abdessamad , Haraj Nassim Essabah , aziz Siham El , Chadli Asma
Published: July 2024

Introduction

Diabetes is a common chronic disease, affecting a significant number of people in the workplace. Many difficulties can increase: absenteeism, risk of hypoglycemia, etc. Requiring an adaptation of working conditions to the profile of the diabetic patient.

Objectives of the study

Describe the difficulties encountered on a daily basis by diabetic patients that hinder the management of diabetes at work, as well as the various efforts made in terms of social reintegration.

Methods

Observational study, including 316 patients followed in the endocrinology and diseases department metabolic diseases of Casablanca from 2022 to July 2023.

Results

The average age was 42 years. Our patients were type 2 diabetics in 55%, with an average duration of 9.5 years, average HBA1C 11.4%. In terms of complications: retinopathy was noted in 19.3%, nephropathy in 7.59%, and neuropathy in 6.32%. Among these patients, 98.7% were on insulin. Working hours were incompatible with meals and treatment in 39.5%, the average working hours was 8.6 hours/day. Hypoglycemia was reported at work in 57.2%, just 33.8% stopped the activity to regain blood sugar. The prevalence of absenteeism was 1 day/month. Professional reclassification was recorded in 1.89%.

Discussion and conclusion

This study shed light on certain aspects of the difficulties encountered by diabetic patients in the workplace, thus informing those around them becomes a necessity for better prevention of acute and chronic complications of diabetes.