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Journal of Occupational and Environmental Medicine

Hien Q Le, John A Tomenson, David B Warheit, Jon P Fryzek, Ashley P Golden, Elizabeth D Ellis
OBJECTIVE: A review of studies of occupational titanium dioxide (TiO2) exposure was conducted, and results from the three industry-based cohort mortality studies were summarized using meta-analysis. METHODS: Summary standardized mortality ratios (SSMR) and summary Cox regression coefficients from exposure-response models were derived using random effects models. RESULTS: Results from studies of 24,312 TiO2 production workers were combined...
March 13, 2018: Journal of Occupational and Environmental Medicine
Erika L Sabbath, Jessica A R Williams, Leslie I Boden, Tommaso Tempesti, Gregory R Wagner, Karen Hopcia, Dean Hashimoto, Glorian Sorensen
OBJECTIVE: Bullied workers have poor self-reported mental health; monetary costs of bullying exposure are unknown. We tested associations between bullying and health plan claims for mental health diagnoses. METHODS: We used data from 793 hospital workers who answered questions about bullying in a survey and subscribed to the group health plan. We used two-part models to test associations between types of incivility/bullying and mental health expenditures. RESULTS: Workers experiencing incivility or bullying had greater odds of any mental health claims...
March 13, 2018: Journal of Occupational and Environmental Medicine
Luisella M Vigna, Amelia Brunani, Francesca Gori, Fabio Mussino, Silvia C M Tomaino, Gianna M Agnelli, Dario Consonni, Luciano Riboldi
OBJECTIVE: Obesity and work-ability may be influenced by reduced performance, associated diseases, and obesogenic environment. METHODS: Two hundred seventy-six male (46.7 ± 10.6 years; BMI 33.3 ± 4.4 kg/m) and 658 female (48.4 ± 9.7 years; BMI 33.6 ± 5.4 kg/m) were enrolled. They were classified by Edmonton Obesity Staging System (EOSS) and interviewed for "perceived" work-ability. RESULTS: Total work ability score was 1...
March 13, 2018: Journal of Occupational and Environmental Medicine
Laura H Bachmann, Bronwen Lichtenstein, Janet S St Lawrence, Margaret Murray, Gregory B Russell, Edward W Hook
OBJECTIVE: The aim of this study was to assess the general and sexual health of long-haul truck drivers in the United States. METHODS: Drivers were recruited from company sites and truck stops in North Carolina, Tennessee, and Mississippi. A sample of 266 drivers was assessed for lifestyle activities; body mass index and blood pressure were measured, and biologic samples were taken for cholesterol, diabetes, and sexually transmitted infection (STI)/HIV testing. RESULTS: The drivers in this study had higher levels of cholesterol and higher rates of smoking, obesity, and diabetes than the U...
March 13, 2018: Journal of Occupational and Environmental Medicine
Amanda T Parrish, Kristen Hammerback, Peggy A Hannon, Caitlin Mason, Michelle N Wilkie, Jeffrey R Harris
OBJECTIVE: The aim of this study was to identify alignments between wellness offerings low socioeconomic status (SES) employees need and those large companies can provide. METHODS: Focus groups (employees); telephone interviews (large companies). Employees were low-SES, insured through their employers, and employed by large Washington State companies. Focus groups covered perceived barriers to healthy behaviors at work and potential support from companies. Interviews focused on priorities for employee health and challenges reaching low-SES employees...
March 13, 2018: Journal of Occupational and Environmental Medicine
Morten Birkeland Nielsen, Jan Shahid Emberland, Stein Knardahl
No abstract text is available yet for this article.
March 13, 2018: Journal of Occupational and Environmental Medicine
Tomoyuki Kawada
No abstract text is available yet for this article.
March 13, 2018: Journal of Occupational and Environmental Medicine
Andrew G Siddall, Richard D M Stevenson, Philip J F Turner, James L J Bilzon
OBJECTIVE: To examine determinants of firefighting simulation task performance. METHODS: Sixty-eight (63 male; 5 female) firefighters completed a firefighting simulation (eg, equipment carry, casualty evacuation) previously validated to test occupational fitness among UK firefighters. Multiple linear regression methods were used to determine physiological and physical attributes that best predicted completion time. RESULTS: Mean (±SD) time taken to complete the simulation was 610 (±79) seconds...
February 26, 2018: Journal of Occupational and Environmental Medicine
Raymond Fabius, Sharon Glave Frazee, Dixon Thayer, David Kirshenbaum, Jim Reynolds
OBJECTIVE: Employers that strive to create a corporate environment that fosters a culture of health often face challenges when trying to determine the impact of improvements on health care cost trends. This study aims to test the stability of the correlation between health care cost trend and corporate health assessment scores (CHAS) using a culture of health measurement tool. METHODS: Correlation analysis of annual health care cost trend and CHAS on a small group of employers using a proprietary CHAS tool...
February 19, 2018: Journal of Occupational and Environmental Medicine
Tess N Tyton, Haley M Scott, Craig A Horswill
OBJECTIVE: Compare energy expenditure (EE, kcal/min) at three workstations during an attention-demanding cognitive function task (Test of Variables of Attention or TOVA). Workstations included the seated desk (SIT), standing desk (STAND), and seated workstation designed to promote spontaneous movement (SWING). METHODS: Adult males (n = 11) and females (n = 13) were assessed for EE using VO2 and VCO2 per quarter of the 22-min TOVA. RESULTS: Average EE were 1...
February 19, 2018: Journal of Occupational and Environmental Medicine
Christine L Baker, Marianna Bruno, Birol Emir, Vicky W Li, Amir Goren
OBJECTIVE: This study quantified differences in indirect costs due to decreased work productivity between current and former smokers. Former smokers were further categorized by number of years since quitting to assess corresponding differences. METHODS: Data on employed individuals were obtained from the 2013 US National Health and Wellness Survey (NHWS; N = 75,000). Indirect costs were calculated for current smokers and former smokers from weekly wages based on age and sex...
February 19, 2018: Journal of Occupational and Environmental Medicine
Catherine S Zaidel, Rajesh K Ethiraj, Manijeh Berenji, Fraser W Gaspar
OBJECTIVE: To describe the relationship between the length of short-term disability (STD) and health care spending. METHODS: Medical claims for insured US employees on STD were evaluated to describe the distribution of disability durations and health expenditures across major diagnostic categories and common medical conditions. Correlations between health expenditures and disability durations were examined. RESULTS: The most expensive 10% of cases accounted for more than half of total health spending...
February 19, 2018: Journal of Occupational and Environmental Medicine
Kyoung Sook Jeong, Jin Zhou, Stephanie C Griffin, Elizabeth T Jacobs, Devi Dearmon-Moore, Jing Zhai, Sally R Littau, John Gulotta, Paul Moore, Wayne F Peate, Crystal M Richt, Jefferey L Burgess
OBJECTIVES: Firefighters have elevated cancer incidence and mortality rates. MicroRNAs play prominent roles in carcinogenesis, but have not been previously evaluated in firefighters. METHODS: Blood from 52 incumbent and 45 new recruit non-smoking firefighters was analyzed for microRNA expression, and the results adjusted for age, obesity, ethnicity and multiple comparisons. RESULTS: Nine microRNAs were identified with at least a 1.5 fold significant difference between groups...
February 19, 2018: Journal of Occupational and Environmental Medicine
Nancy Carnide, Sheilah Hogg-Johnson, Andrea D Furlan, Pierre Côté, Mieke Koehoorn
OBJECTIVE: Compare prescription dispensing before and after a work-related low back injury. METHODS: Descriptive analyses were used to describe opioid, nonsteroidal anti-inflammatory drug (NSAID), and skeletal muscle relaxant (SMR) dispensing one year pre-and post-injury among 97,124 workers in British Columbia with new workers' compensation low back claims from 1998-2009. RESULTS: Before injury, 19.7%, 21.2%, and 6.3% were dispensed opioids, NSAIDs, and SMRs, respectively, increasing to 39...
February 19, 2018: Journal of Occupational and Environmental Medicine
Ulrika K E Clarhed, Martin Svendsen, Linus Schiöler, Johny Kongerud, Kjell Torén, Johan Hellgren, Anne Kristin Fell
OBJECTIVE: To investigate the association between occupational exposure and chronic rhinosinusitis. METHODS: A random population from the region of Telemark, aged 16-50, answered a respiratory questionnaire including questions on chronic rhinosinusitis and exposure in the occupational environment. RESULTS: A total of 16,099/48,142 subjects responded. The prevalence of chronic rhinosinusitis was 9%. Exposure associated with chronic rhinosinusitis comprised paper dust (OR 1...
February 19, 2018: Journal of Occupational and Environmental Medicine
Maria Del Consuelo Medina, Angelica Calderon, Dan I Blunk, Brandy W Mills, Marie Leiner
: Employee wellness programs can provide benefits to institutions as well as employees and their families. Despite the attempts of some organizations to implement programs that take a holistic approach to improve physical, mental, and social wellness, the most common programs are exclusively comprised of physical and nutritional components. In this study, we implemented a wellness program intervention, including training, directed at middle managers in several multinational organizations. We included control and experimental groups to measure wellness and teamwork with two repeated measures...
February 15, 2018: Journal of Occupational and Environmental Medicine
Philippe Gendron, Claude Lajoie, Louis Laurencelle, François Trudeau
OBJECTIVE: We aimed to document the prevalence of cardiovascular disease (CVD) risk factors and symptoms in Québec firefighters. METHODS: Seven hundred and seventy-nine (779) male firefighters (age: 41.6 ± 10.4 years; body mass index (BMI): 28.0 ± 3.6 kg/m) answered an online questionnaire evaluating lifestyle and the presence of CVD risk factors and symptoms. RESULTS: The prevalence of obesity (BMI ≥ 30 kg/m), diagnosed hypertension, diagnosed dyslipidemia and diagnosed type 2 diabetes mellitus was respectively 23...
February 15, 2018: Journal of Occupational and Environmental Medicine
Kelly Doran, Barbara Resnick, Shijun Zhu, Hamzah Alghzawi
OBJECTIVE: We aimed to test the impact of the Worksite Heart Health Improvement Project (WHHIP) on cardiovascular risk factors among long-term care staff. METHODS: The WHHIP was an 18-month cluster randomized control trial conducted in four long-term care facilities (n = 98). RESULTS: A significant positive delayed intervention effect for diastolic blood pressure was seen in intervention group (80.34 mm/Hg [SD = 6.10] at baseline to 73...
February 13, 2018: Journal of Occupational and Environmental Medicine
Robert M Park, Stephen J Gilbert, Christine Whittaker
OBJECTIVES: The butter flavoring additive, diacetyl (DA), can cause bronchiolitis obliterans (BO) by inhalation. A risk assessment was performed using data from a microwave popcorn manufacturing plant. METHODS: Current employees' medical history and pulmonary function tests together with air sampling over a 2.7 yr period were used to analyze FEV1 and FEV1/FVC. The exposure responses for declining pulmonary function and for possible early onset of BO were estimated using multiple regression methods...
February 13, 2018: Journal of Occupational and Environmental Medicine
Yun-Ping Lin, OiSaeng Hong, Chiu-Chu Lin, Shu-Hua Lu, Meei-Maan Chen, Kwo-Chen Lee
OBJECTIVE: This study tested the maintenance outcomes of a 3-month Sit Less, Walk More (SLWM) workplace intervention for office workers compared with usual care at 12 months from the baseline. METHOD: A quasi-experimental study was conducted in two workplaces. The intervention group (n = 51) received multi-component intervention and the comparison group (n = 50) received newsletters only. The outcomes of the study (self-reported psychosocial, physical activity, sitting, and lost productivity; objectively measured cardiometabolic biomarkers) were compared at baseline, 3 and 12 months...
February 12, 2018: Journal of Occupational and Environmental Medicine
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