bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-108 ASSOCIATION BETWEEN LONG WORKING HOURS AND ESTIMATED GLOMERULAR FILTRATION RATE AMONG HEALTHCARE WORKERS: A RETROSPECTIVE COHORT STUDY
Authors: Chen Wan-Chin , Yang Hsiao-Yu 
Published: July 2024

Abstract

Introduction
The impact of long working hours on early chronic kidney disease (CKD) remains uncertain. This study aimed to investigate the association between long working hours and estimated glomerular filtration rate (eGFR) in healthcare workers.

Methods
A retrospective cohort study was conducted among healthcare workers at a tertiary medical center in Taiwan from 2002 to 2021. Eligible participants included all hospital employees aged 20 to 65 with complete working hour records and a yearly blood test of eGFR. Those with eGFR &lt;60 ml/min/1.73 m² at enrollment were excluded. Total working hours and night working hours were recorded for each year. The relationship between total working hours, night working hours and eGFR was assessed using the generalized linear mixed model (GLMM), adjusting for demographic and laboratory profiles.

Results
A total of 10,358 participants with a mean age of 26.7 years (standard deviation 7.1) were included, with 88.9% being females. The median follow-up period was 4 years. Each 10-hour increase in weekly working hours was associated with a decrease in eGFR by -2.07 (-2.99, -1.14). Factors such as age, diastolic blood pressure, glucose, uric acid, and male sex were also linked to lower eGFR. The effect of a 10-hour increase in weekly working hours on eGFR was nearly 1.2 times that of each year increase in age.

Discussion and conclusion
This study reveals a significant association between long working hours and lower eGFR among healthcare workers. These findings suggest that regulating working hours may be a potential strategy to impede the progression of early chronic kidney disease.
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

Abstract

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&lt;.05), higher age groups (35-49 years: OR 6.0 [2.3; 16.1], p&lt;.001; 50-67 years: OR 14.9 [5.2; 42.5], p&lt;.001) compared to the young, being widowed (OR 3.4 [1.0; 11.5], p&lt;.05), lower SES, higher freedom to make decisions (OR 1.9 [1.1; 3.2], p&lt;.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

Abstract

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&lt;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

Abstract

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

Abstract

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 (&lt;5 hours/≥5 hours) and high stress or six stress responses.

Results
Short sleep duration (&lt;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

Abstract

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&lt;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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.