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Journal of Occupational and Environmental Medicine

Anja Van den Broeck, Tinne Vander Elst, Elfi Baillien, Maarten Sercu, Martijn Schouteden, Hans De Witte, Lode Godderis
OBJECTIVE: The aim of this study was to gain insight in the importance of job demands and resources and the validity of the Job Demands Resources Model across sectors. METHODS: We used one-way analyses of variance to examine mean differences, and multi-group Structural Equation Modeling analyses to test the strength of the relationships among job demands, resources, burnout, and work engagement across the health care, industry, service, and public sector. RESULTS: The four sectors differed in the experience of job demands, resources, burnout, and work engagement, but they did not vary in how (strongly) job demands and resources associated with burnout and work engagement...
February 2, 2017: Journal of Occupational and Environmental Medicine
Michael Marmor, Yongzhao Shao, D Harshad Bhatt, Mark M Stecker, Kenneth I Berger, Roberta M Goldring, Rebecca L Rosen, Caralee Caplan-Shaw, Angeliki Kazeros, Deepak Pradhan, Marc Wilkenfeld, Joan Reibman
OBJECTIVE: Paresthesias can result from metabolic disorders, nerve entrapment following repetitive motions, hyperventilation pursuant to anxiety, or exposure to neurotoxins. We analyzed data from community members exposed to the World Trade Center (WTC) disaster of September 11, 2001, to evaluate whether exposure to the disaster was associated with paresthesias. METHODS: Analysis of data from 3141 patients of the WTC Environmental Health Center. RESULTS: Fifty-six percent of patients reported paresthesias at enrollment 7 to 15 years following the WTC disaster...
February 2, 2017: Journal of Occupational and Environmental Medicine
Junwang Tong, Ying Wang, Juxiang Yuan, Jingbo Yang, Zhaoyang Wang, Yao Zheng, Feng Chai, Xiangwen Li
OBJECTIVE: This study aimed to analyze the interaction of Angiotensin II type 1 receptor (AT1R) gene polymorphism and occupational noise on the occurrence of essential hypertension (EH) in steel and iron enterprise men workers. METHODS: A case control study of 935 iron and steel enterprise men workers was conducted, which included 312 cases of hypertension and 623 cases without hypertension. The noise at the workplace was assessed. Polymorphism of AT1R of the workers was examined using polymerase chain reaction - restriction fragment length polymorphism...
February 2, 2017: Journal of Occupational and Environmental Medicine
Wongyu Lee, Jaehee Kim
OBJECTIVE: The aim of this study was to investigate the prevalence of metabolic syndrome (MS) and its relationships with socio-demographic and lifestyle-related factors in firefighters comparing it to general workers. METHODS: Data from 257 Korean men career firefighters and 1064 Korean men workers were analyzed. RESULTS: There was no significant difference in the prevalence of MS between firefighters (21.4%) and general workers (25.6%). We found that age and obesity were independent risk factors for MS in both firefighters and general workers...
February 2, 2017: Journal of Occupational and Environmental Medicine
Paul L Mosquin, Kenneth J Rothman
OBJECTIVE: The aim of this study was to verify and extend reported associations of beryllium exposure and lung cancer by reanalyzing data from a large occupational cohort at three beryllium processing plants. METHODS: We used standardization and Poisson regression to evaluate the effect of cumulative and maximum exposure, unlagged, and lagged 10 years, adjusting for plant, employment tenure, and date of hire. Exposure was modeled either categorically or continuously using splines...
February 2, 2017: Journal of Occupational and Environmental Medicine
Nathan A Barleen, Mary L Marzec, Nicholas L Boerger, Daniel P Moloney, Eric M Zimmerman, Jeff Dobro
OBJECTIVE: This study examined whether worksite wellness program participation or achievement of health improvement targets differed according to four incentive types (participation-based, hybrid, outcome-based, and no incentive). METHODS: The study included individuals who completed biometric health screenings in both 2013 and 2014 and had elevated metrics in 2013 (baseline year). Multivariate logistic regression modeling tested for differences in odds of participation and achievement of health improvement targets between incentive groups; controlling for demographics, employer characteristics, incentive amounts, and other factors...
January 31, 2017: Journal of Occupational and Environmental Medicine
G Bruce Copley, A Robert Schnatter, Thomas W Armstrong, Richard D Irons, Min Chen, Xiao Qin Wang, Patrick Kerzic
OBJECTIVE: Due to the sparse data on benzene exposure and myelodysplastic syndrome (MDS) subtypes, we studied this relationship in patients from 29 hospitals in Shanghai, China. METHODS: We recruited 604 cases of MDS and 1193 controls matched on age, sex, and admission date. We interviewed subjects for information on workplace and lifestyle exposures, and developed semi-quantitative exposure estimates. RESULTS: Benzene exposure showed a direct exposure-response pattern with refractory cytopenia with multilineage dysplasia, a less certain association with refractory cytopenia with unilineage dysplasia, and no association with other MDS subtypes...
January 31, 2017: Journal of Occupational and Environmental Medicine
Salla Toppinen-Tanner, Petri Böckerman, Pertti Mutanen, Kari-Pekka Martimo, Jukka Vuori
This study examined whether a group intervention focusing on building up preparedness for career management can prevent future sickness absence.Register-based data on the number of sickness absence days and sickness absence episodes were examined as outcomes of the intervention among 684 employees in 17 organizations in a randomized controlled trial. Sickness absence data were collected covering a period from 1 year before (baseline) to approximately 2 years after the intervention (follow-up). The data were analyzed using zero-inflated negative binomial models...
December 22, 2016: Journal of Occupational and Environmental Medicine
Pauline Manon Genin, Fabrice Degoutte, Julien Finaud, Bruno Pereira, David Thivel, Martine Duclos
OBJECTIVE: This pilot study questions the effects of a worksite physical activity program on health and fitness in tertiary employees. METHODS: Ninety-five employees were randomly assigned to Control (CON); Novice (NOV); Experienced group (EXP). The NOV and EXP groups followed a 5-month worksite physical activity program (at least two sessions/week). Body composition, physical activity level and physical fitness, eating habits, health perception, sleep quality, pain, and quality of life were assessed...
February 2017: Journal of Occupational and Environmental Medicine
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February 2017: Journal of Occupational and Environmental Medicine
Laura A Fraade-Blanar, Jeanne M Sears, Kwun Chuen G Chan, Hilaire J Thompson, Paul K Crane, Beth E Ebel
OBJECTIVE: We examined the association between job demand and occupational injury among older workers. METHODS: Participants were workers aged 50+ enrolled in the Health and Retirement Study, 2010 to 2014. Participants reported physical ability within three domains: physical effort, stooping/kneeling/crouching, and lifting. To measure subjective job demand, participants rated their job's demands within domains. We generated objective job demand measures through the Occupational Information Network (ONET)...
February 2017: Journal of Occupational and Environmental Medicine
Wesley Yin, Ruslan Horblyuk, Julia Jane Perkins, Steve Sison, Greg Smith, Julia Thornton Snider, Yanyu Wu, Tomas J Philipson
OBJECTIVE: Determine workplace productivity losses attributable to breast cancer progression. METHODS: Longitudinal analysis linking 2005 to 2012 medical and pharmacy claims and workplace absence data in the US patients were commercially insured women aged 18 to 64 diagnosed with breast cancer. Productivity was measured as employment status and total quarterly workplace hours missed, and valued using average US wages. RESULTS: Six thousand four hundred and nine women were included...
February 2017: Journal of Occupational and Environmental Medicine
Seunghyun Lee, Wanhyung Lee, Jaehoon Roh, Jong-Uk Won, Jin-Ha Yoon
OBJECTIVE: The aim of this study was to determine the relationship between vibration and noise exposure in the workplace and certain nervous system related symptoms (NSRS) among Korean workers. METHODS: Using data from the fourth Korean Working Conditions Survey, we investigated the influence of vibration and noise with three categories; none, mild, and severe, on sleep disturbance, overall fatigue, and headache/eye strain using logistic regression analysis with stratification by personal protective equipment (PPE) wearing status...
February 2017: Journal of Occupational and Environmental Medicine
Wayne N Burton, Chin-Yu Chen, Alyssa B Schultz, Xingquan Li
OBJECTIVE: Poor sleep can impact occupational functioning. The current study examines health risks, medical conditions, and workplace economic outcomes associated with self-reported hours of sleep among employees. METHODS: Employees of a global financial services corporation were categorized on the basis of their self-reported average hours of sleep. Differences in health care costs, productivity measures, health risks, and medical conditions were analyzed by hours of sleep while controlling for confounding variables...
February 2017: Journal of Occupational and Environmental Medicine
Ron Z Goetzel, Karen Kent, Rachel Mosher Henke, Cory Pack, Malinda D'Arco, Jordana Thomas, James Luckett, Traci Arthur-Hartranft
OBJECTIVE: The aim of this study was to compare estimates of the prevalence and incidence of metabolic syndrome (MetS) using various data sources. METHODS: We integrated health risk assessment (HRA), claims, and biometric screening data from Lockheed Martin Corporation. We measured the extent to which MetS risk factors measured using HRA and medical claims correlated with biometric screening data. RESULTS: Using biometric data, 24.9% of employees were identified as having MetS...
February 2017: Journal of Occupational and Environmental Medicine
Matthew S Thiese, Richard J Hanowski, Stefanos N Kales, Richard J Porter, Gary Moffitt, Nan Hu, Kurt T Hegmann
OBJECTIVE: This study aims to quantify the crash risk for truck drivers with multiple comorbid medical conditions, after adjusting for confounders. METHODS: This retrospective cohort of 38,184 drivers evaluated concomitant medical conditions and subsequent crash data between January 1, 2005, and October 31, 2012. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated for any cause and preventable crashes of varying severity. RESULTS: Drivers with three or more medical conditions had a significantly increased risk of preventable Department of Transportation (DOT) reportable crashes (HR = 2...
February 2017: Journal of Occupational and Environmental Medicine
John D Meyer, Patricia O'Campo, Nicolas Warren, Carles Muntaner
OBJECTIVES: We assessed longitudinal patterns of effort-reward imbalance (ERI) and demand-control (DC) scores in pregnancy, and their association with newborn birthweight (BW). METHODS: Sixty-one women were surveyed four times across pregnancy using the ERI and DC questionnaires. Trajectories of change in ERI and DC scores across pregnancy were constructed using growth mixture modeling, and their associations with BW were examined with generalized linear regression...
February 2017: Journal of Occupational and Environmental Medicine
Maren Wright Voss, Wendy Church Birmingham, Lori Wadsworth, Wei Chen, Jerry Bounsanga, Yushan Gu, Man Hung
OBJECTIVE: Unemployment among older adults during recessionary cycles has been tied to early retirement decisions and negative health outcomes. This study explored episodes of unemployment experienced between age 50 and retirement as predictors of retirement age and health outcomes. METHODS: A total of 1540 participants from the U.S. Health and Retirement Study aged 50 years and older who transitioned from workforce to retirement were analyzed with descriptive statistics and multiple regression controlling for unemployment, demographics, and health status...
February 2017: Journal of Occupational and Environmental Medicine
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