Work

工作
  • 文章类型: English Abstract
    目标虽然缺乏身体活动是一个全球性的问题,关于其体力活动(PA)长期趋势的定量数据有限。本研究旨在估计职业PA强度的长期趋势,构成了PA在日本的最大部分。方法从劳动力调查中获得按职业类别划分的日本工人人数数据。根据Tudor-Locke等人的方法和数据,将PA强度(代谢当量[MET])分配给日本标准职业分类中的329个职业。(2011),并计算了11个职业类别的代表性强度值。根据强度,职业类别被重新分类为久坐(≤1.5MET),灯(1.6-2.9MET),中度(≥3METs)。分析了每个类别工人的流行趋势,以及1953年至2022年与职业相关的年度平均医疗费用。与职业相关的平均MET代表PA强度的加权平均值,根据每个职业类别的年度工人人数计算。结果1953-2022年,中等强度职业患病率明显下降,而久坐和轻度职业增加。与职业相关的平均MET连续70年下降。在1962年至2010年的48年期间,职业分类方法没有重大变化,下降了0.25MET,下降了9.6%,从2.60到2.35METs。结论在过去的70年里,日本的职业已经过渡到PA强度较低的职业。因此,所有职业的平均PA强度至少下降了十分之一。由于这项研究假设每个职业都有恒定的强度,由于社会自动化,职业PA强度的实际下降可能更加显著。
    Objectives Although physical inactivity is a global concern, quantitative data on its long-term trends in physical activity (PA) are limited. This study aimed to estimate long-term trends in the intensity of occupational PA, constituting the largest portion of PA in Japan.Methods Data on the number of workers in Japan by occupational category were obtained from the Labour Force Survey. PA intensity (metabolic equivalents [METs]) was assigned to 329 occupations in the Japanese Standard Occupational Classification based on the methods and data of Tudor-Locke et al. (2011), and representative intensity values for 11 occupational categories were calculated. Based on intensity, occupational categories were reclassified into sedentary (≤1.5 METs), light (1.6-2.9 METs), and moderate (≥3 METs). Trends in the prevalence of workers in each category were analyzed, along with the annual mean occupation-related METs from 1953 to 2022. The mean occupation-related METs represented the weighted average of PA intensity, calculated based on the annual worker population for each occupational category. Results From 1953-2022, the prevalence of moderate-intensity occupations significantly declined, whereas sedentary and light-intensity occupations increased. The mean occupation-related METs decreased continuously for 70 years. During the 48-year period from 1962 to 2010, when there were no major changes in occupational classification methods, there was a decline of 0.25 METs, representing a 9.6% decrease, from 2.60 to 2.35 METs.Conclusion Over the past 70 years, occupations in Japan have transitioned to ones with lower PA intensity. Consequently, the average PA intensity across all occupations decreased by at least one-tenth. Since this study assumes a constant intensity for each occupation, the actual decline in occupational PA intensity may be even more significant because of societal automation.
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  • 文章类型: Journal Article
    公共交通是性暴力和性骚扰的热点。通过对在公共交通工具上遭受性暴力和骚扰的妇女和性别多样化人士的41次采访,我们发现,妇女和性别多样化的人从事广泛的“安全工作,“比如改变他们的行为,制定战略,和规划。安全工作需要大量的时间和精力,经常让参与者感到压力。然而,与会者主张改变公共交通,以减少他们为保持安全而做的工作。我们认为重大变化,包括初级预防基于性别的暴力,需要减少他们的安全工作。
    Public transport is a known hotspot for sexual violence and harassment. Through 41 interviews with women and gender-diverse people who have experienced sexual violence and harassment on public transport, we found that women and gender-diverse people engage in extensive \"safety work,\" such as changing their behavior, strategizing, and planning. Safety work takes considerable time and effort, often leaving participants feeling stressed. However, participants advocated for changes to public transport to reduce the work they do to stay safe. We argue that significant changes, including primary prevention of gender-based violence, are needed to reduce their safety work.
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  • 文章类型: Journal Article
    生活在美国的拉丁裔移民极易受到新冠肺炎大流行带来的健康和经济后果的影响。我们使用工作场所尊严的概念框架,基于工作职责的履行而承认的价值,探索拉丁裔移民在大流行前几个月的经历。对LaClínicadelPueblo(LaClínica)进行了定性研究,为低收入拉丁裔移民提供服务的社区卫生中心。从2020年6月到12月,我们对29名拉丁裔移民客户进行了深入的视频采访,以探讨与大流行相关的挑战。包括工作场所的变化,歧视性的经验,以及对健康的影响。我们使用Dedoose软件进行了主题分析。将近一半的参与者是无证移民。大多数参与者因大流行而失业或就业不足,年龄在26-49岁之间;三分之一仍在工作,四分之一是50岁或以上。大约一半是顺性女性,两个是变性女性。就业参与者由于在工作中被社会孤立和污名化而缺乏尊严;他们的额外劳动或病假得不到补偿;并经历歧视性劳动做法。失业的参与者在没有政府支持的情况下成为第一个失去工作的人时缺乏尊严;失去自尊;没有被重新雇用。参与者将否认尊严与健康状况恶化以及焦虑和抑郁增加联系起来。我们的研究表明,通过失业来否认工作场所的尊严,就业不足,以及恶劣的工作条件-与拉丁裔移民的不良健康结果有关。更多的研究应该认识到工作场所的尊严是健康的重要社会决定因素。
    Latino immigrants living in the United States were highly vulnerable to the health and economic consequences brought on by the COVID-19 pandemic. We use the conceptual framing of workplace dignity, worth that is acknowledged based on performance of job responsibilities, to explore Latino immigrants\' experiences during the early months of the pandemic. A qualitative study was conducted with La Clínica del Pueblo (La Clínica), a community health center serving low-income Latino immigrants. From June to December 2020, we conducted in-depth video interviews with 29 Latino immigrant clients to explore pandemic-related challenges, including workplace changes, discriminatory experiences, and effects on health. We conducted thematic analysis using Dedoose software. Nearly half of participants were undocumented immigrants. Most participants were unemployed or underemployed due to the pandemic and 26-49 years of age; one-third were still working, and one-quarter were 50 years or older. About half were cisgender women and two were transgender women. Employed participants experienced a lack of dignity through being socially isolated and stigmatized at work; receiving no compensation for their extra labor or for sick leave; and experiencing discriminatory labor practices. Unemployed participants experienced a lack of dignity in being the first to lose their jobs without government support; losing self-esteem; and not being rehired. Participants associated denial of dignity with worsening health conditions and increased anxiety and depression. Our study suggests that denial of workplace dignity-through job loss, underemployment, and poor working conditions-is linked to adverse health outcomes for Latino immigrants. More research should recognize workplace dignity as an important social determinant of health.
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  • 文章类型: Journal Article
    背景:疾病缺席与短期和长期有关,和穷人一样,在一些研究中睡觉。此类研究从基线测量开始,并跟进随后的疾病缺失。在本研究中,然而,我们关注两年期报告中关于疾病缺勤和睡眠测量的变化(使用与工作相关的变量作为可能的修饰符).我们还搜索了预测因素和性别之间的相互作用,因为女性报告了更多的睡眠问题。
    方法:共有5377个人(来自瑞典工作人群的随机样本)参加了五个两年期的测量。使用混合模型逻辑回归分析数据。
    结果:对五个时间点的变化的多变量分析表明,与睡眠相关的疾病缺席的重要预测因子(前一年至少发生一次)是休息日的睡眠时间(OR=1.16,95%Cl=1.08;1.24)和睡眠问题(OR=1.42,95%CI=1.33;1.51)。在加入心理社会工作因素后,这些因素也仍然很重要。敏感性分析表明,休假期间9小时的睡眠时间可能代表疾病缺勤增加的临界水平,而较晚的上升则导致了疾病缺勤与休假期间长睡眠时间之间的关联。女性报告的缺病率高于男性(OR=2.16,95%CI=1.74;2.68),并且在休息日和工作周期间长时间睡眠的缺病率高于男性。
    结论:得出的结论是,休假期间睡眠问题和睡眠时间的增加与疾病缺席的变化纵向相关,女性在两者之间有更紧密的联系。这表明睡眠问题的治疗可以降低疾病缺席的风险。
    BACKGROUND: Sickness absence has been linked to short and long, as well as poor, sleep in a few studies. Such studies have started from a baseline measurement and followed up on subsequent sickness absence. In the present study, however, we focused on the change in biennial reports of sickness absence and sleep measures (using work-related variables as possible modifiers). We also searched for an interaction between predictors and gender since women report more sleep problems.
    METHODS: A total of 5377 individuals (random sample from the Swedish working population) participated across five biennial points of measurement. Data were analyzed using mixed-model logistic regression.
    RESULTS: The multivariable analysis of variation across the five time points showed that the significant sleep-related predictors of sickness absence (at least one occurrence during the preceding year) were sleep duration during days off (OR = 1.16, 95% Cl = 1.08;1.24) and sleep problems (OR = 1.42, 95% CI = 1.33;1.51). These also remained significant after the addition of psychosocial work factors. Sensitivity analyses indicated that a 9 h sleep duration during days off may represent a critical level in terms of increased sickness absence and that late rising contributed to the association between sickness absence and long sleep duration during days off. Women reported a higher sickness absence than men (OR = 2.16, 95% CI = 1.74;2.68) and had a higher probability of sickness absence for long sleep during days off and during the workweek than men.
    CONCLUSIONS: It was concluded that increases in sleep problems and sleep duration during days off are longitudinally associated with changes in sickness absence and that women have a closer link between the two. This suggests that treatment for sleep problems may reduce the risk of sickness absence.
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  • 文章类型: Journal Article
    背景:就业提供经济保障,一个社交网络,对自我认同很重要。范德诺特及其同事在2014年发表的一篇评论显示,就业对抑郁症和一般心理健康有益。然而,缺乏包括过去十年发表的研究在内的最新综合。在计划的审查中,我们的目标是更新,批判性评估,并综合当前的证据,证明有偿就业(不包括不稳定的就业)和常见的心理健康结果(抑郁症,焦虑,和心理困扰)在劳动力中的工作年龄人口中。
    方法:我们将遵循推荐的指南进行和报告系统综述。四个电子数据库(MEDLINE,Embase,APAPsycINFO,和WebofScience)将从2012年开始使用与我们的纳入标准相关的适当的MeSH术语和文本词进行搜索。我们将根据预定义的资格标准筛选记录,首先通过标题和摘要,使用EPPI-Reviewer中的优先级筛选功能,在进行全文筛选之前。仅包括调查就业与常见心理健康结果之间纵向关系的研究。我们将在OpenAlex中搜索灰色文献,并对所包含的研究进行反向和正向引文搜索。纳入研究的方法学质量将使用Cochrane偏见风险工具(RoB2)进行评估,非随机干预研究(ROBINS-I)中的偏倚风险,或纽卡斯尔-渥太华量表(NOS)。我们将进行叙述性审查,如果可能,遵循预先设定的标准,进行随机效应荟萃分析,以估计就业对抑郁症的综合影响,焦虑,和心理困扰,在纳入的研究中。
    结论:需要对不稳定的就业与心理健康结果之间的关联进行最新的回顾。在计划的审查中,我们将评估纳入研究的质量,并综合研究结果,使决策者和研究人员更容易获得。审查的结果可用于帮助政策决策并指导未来的研究重点。
    背景:PROSPEROCRD42023405919.
    BACKGROUND: Employment provides economic security, a social network, and is important for self-identity. A review published by van der Noordt and colleagues in 2014 showed that employment was beneficial for depression and general mental health. However, an updated synthesis including research published in the last decade is lacking. In the planned review, we aim to update, critically assess, and synthesise the current evidence of the association between paid employment (excluding precarious employment) and common mental health outcomes (depression, anxiety, and psychological distress) among the working age population in the labour force.
    METHODS: We will follow recommended guidelines for conducting and reporting systematic reviews. Four electronic databases (MEDLINE, Embase, APA PsycINFO, and Web of Science) will be searched from 2012, using appropriate MeSH terms and text words related to our inclusion criteria. We will screen the records against predefined eligibility criteria, first by title and abstract using the priority screening function in EPPI-Reviewer, before proceeding to full-text screening. Only studies investigating the longitudinal relationship between employment and common mental health outcomes will be included. We will search for grey literature in OpenAlex and conduct backward and forward citation searches of included studies. The methodological quality of the included studies will be assessed using the Cochrane risk-of-bias tool (RoB 2), Risk Of Bias In Non-randomised Studies of Interventions (ROBINS-I), or the Newcastle-Ottawa scale (NOS). We will conduct a narrative review and, if possible following pre-set criteria, conduct random-effects meta-analyses to estimate the pooled effect of employment on depression, anxiety, and psychological distress, across the included studies.
    CONCLUSIONS: An updated review of the association between non-precarious employment and mental health outcomes is needed. In the planned review, we will assess the quality of the included studies and synthesise the results across studies to make them easily accessible to policy makers and researchers. The results from the review can be used to aid in policy decisions and guide future research priorities.
    BACKGROUND: PROSPERO CRD42023405919.
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  • 文章类型: Journal Article
    肩部复合体依靠肩胛骨周围肌肉控制的肩胛骨运动来实现最佳的手臂功能。然而,最少的研究探索了功能任务期间肩胛骨肌肉的激活率,也不知道它们如何受到生物性别的影响。这项研究旨在表征性别如何影响功能任务期间的肩胛骨肌肉激活率。
    20名参与者(10名女性,10名男性)在七个功能任务中通过表面肌电图(EMG)和运动跟踪进行了评估。根据标准化的EMG计算出三个斜方肌和前锯肌的激活率。使用YXZEuler序列计算肩胛骨角度。双向混合方法ANOVAs(p<.05)用于评估性别和肱骨抬高水平对比率和角度的影响。
    在TieApron任务中存在基于性别的差异,男性的上斜方肌/下斜方肌和上斜方肌/中斜方肌比率高于女性。在此任务中,雄性也显示出内部旋转减少。其他任务显示了肩胛骨向上旋转的显着性别差异,但激活率却没有。肱骨抬高通常与肩胛骨肌肉激活率成反比。
    这项研究强调了在特定功能任务期间肩胛骨肌激活率的性别差异,强调在分析肩部运动时需要考虑性别。提供了功能任务的规范激活率,为未来与非规范群体的比较奠定了基础。需要进一步的研究来确认和探索其他影响因素,提高我们对不同人群中肩部激活和运动的理解。
    UNASSIGNED: The shoulder complex relies on scapular movement controlled by periscapular muscles for optimal arm function. However, minimal research has explored scapular muscle activation ratios during functional tasks, nor how they might be influenced by biological sex. This investigation aims to characterize how sex impacts scapular muscle activation ratios during functional tasks.
    UNASSIGNED: Twenty participants (ten females, ten males) were assessed with surface electromyography (EMG) and motion tracking during seven functional tasks. Activation ratios were calculated from normalized EMG for the three trapezius muscles and serratus anterior. Scapular angles were calculated using a YXZ Euler sequence. Two-way mixed methods ANOVAs (p < .05) were used to assess the effects of sex and humeral elevation level on ratios and angles.
    UNASSIGNED: Sex-based differences were present in the Tie Apron task, with males exhibiting higher upper trapezius/lower trapezius and upper trapezius/middle trapezius ratios than females. Males also demonstrated decreased internal rotation in this task. Other tasks showcased significant sex-based differences in scapular upward rotation but not in activation ratios. Humeral elevation generally demonstrated an inverse relationship with scapular muscle activation ratios.
    UNASSIGNED: This study highlights sex-based differences in scapular muscle activation ratios during specific functional tasks, emphasizing the need to consider sex in analyses of shoulder movements. Normative activation ratios for functional tasks were provided, offering a foundation for future comparisons with non-normative groups. Further research is warranted to confirm and explore additional influencing factors, advancing our understanding of shoulder activation and movement in diverse populations.
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  • 文章类型: Journal Article
    背景:ADHD和自闭症是世界上常见且日益严重的神经发育障碍,也发生在护士中。然而,对有这些诊断的护士几乎一无所知。促进护理人员的优质护理服务和福祉,重要的是发现更多关于这些护士。因此,在本研究中,我们旨在描述患有多动症和/或自闭症的护士如何体验他们的工作生活.
    方法:本研究设计为描述性的。通过针对护士的瑞典Facebook团体邀请护士。对17名患有ADHD和/或自闭症的护士进行了半结构化个人访谈,在线或电话。采用定性内容分析法对数据进行分析。
    结果:分析中出现了一个总体主题和七个子主题。主题“感觉像未开发的资源”反映了子主题:1)对工作充满热情,2)在工作生活中具有优势和才能,3)压力和令人不安的工作环境抑制个人优势,4)管理者表现出善意,但缺乏知识和资源,5)感到赞赏,但同事之间的社会不同,6)使用各种策略来促进工作生活,7)走向不确定的未来。
    结论:患有ADHD和/或自闭症的护士具有在护理专业中有用的能力和才能。然而,他们认为,身体和组织的工作条件以及缺乏管理支持带来了挑战,这些挑战使他们无法最佳地利用自己的优势。
    BACKGROUND: ADHD and autism are common and increasing neurodevelopmental disorders in the world and also occur among nurses. However, almost nothing is known about nurses with these diagnoses. To promote high-quality care provision and well-being in the nursing workforce, it is important to discover more about these nurses. Therefore, in the present study, we aimed to describe how nurses with ADHD and/or autism experience their working life.
    METHODS: The study was descriptive in design. Nurses were invited via Swedish Facebook groups targeting nurses. Semi-structured individual interviews were conducted with 17 nurses with ADHD and/or autism, online or by telephone. Data were analyzed using qualitative content analysis.
    RESULTS: One overarching theme and seven subthemes emerged from the analysis. The theme \"feeling like an untapped resource\" reflected the subthemes: 1) Being passionate about one\'s job, 2) having strengths and talents to use in working life, 3) a stressful and disturbing work environment inhibits personal strengths, 4) managers show goodwill but lack knowledge and resources, 5) feeling appreciated but socially different among colleagues, 6) using a variety of strategies to facilitate working life and 7) toward an uncertain future.
    CONCLUSIONS: Nurses with ADHD and/or autism experience having abilities and talents that are useful in the nursing profession. However, they feel that the physical and organizational working conditions and lack of managerial support entail challenges that prevent them from making optimal use of their strengths.
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  • 文章类型: Journal Article
    由于职业疲劳对健康的负面影响,旷工,有效控制和管理其风险因素至关重要。
    本研究旨在吸引研究人员注意有关职业疲劳的研究要求。
    该研究简要探讨了职业疲劳的后果,并讨论了其评估工具。然后,它解决了整合风险因素和确定有效干预措施的挑战。最后,它强调解决与新技术相关的职业疲劳的重要性。
    可穿戴式传感器,生物样本中的生物标志物,和图像处理是准确评估职业疲劳的宝贵工具。人工智能(AI)模型可以整合多个风险因素;而经济评估可以帮助评估控制措施的有效性。雇主和研究人员应准备好管理和监测与新技术相互作用导致的职业疲劳。
    这篇评论强调了职业疲劳领域的研究差距,以便在当今不断发展的世界中更好地管理这种现象。
    UNASSIGNED: Due to the negative effects of occupational fatigue on health, absenteeism, and economic cost it is essential to control and manage its risk factors effectively.
    UNASSIGNED: This study seeks to draw researchers\' attention to the research requirements concerning occupational fatigue.
    UNASSIGNED: The study briefly explores the consequences of occupational fatigue and discusses tools for its assessment. It then addresses the challenge of integrating risk factors and identifying efficient interventions. Lastly, it emphasizes the importance of addressing occupational fatigue related to new technologies.
    UNASSIGNED: Wearable sensors, biomarkers in biological samples, and image processing are valuable tools for accurately assessing occupational fatigue. Artificial intelligence (AI) models can integrate multiple risk factors; while economic evaluations can help assess the effectiveness of control measures. Employers and researchers should be prepared to manage and monitor occupational fatigue resulting from interactions with new technologies.
    UNASSIGNED: This commentary highlights the research gap in the field of occupational fatigue to better manage this phenomenon in today\'s evolving world.
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  • 文章类型: Journal Article
    背景:抑郁症是一种常见的精神障碍,与工作障碍有关。为了实施基于证据的干预措施,例如德国抑郁症患者的个人安置和支持(IPS),这项研究的目的是调查预测重返工作岗位的客户变量。
    方法:样本由129名参与者组成,最初因严重抑郁症在精神病医院接受治疗,他参加了IPS作为德国临床试验的一部分。基线人口统计(年龄,性别,教育,疾病缺席日,就业状况),精神病(症状严重程度,合并症,一般身心健康,残疾),和神经心理学(自我评估的缺陷,测试性能)变量包括在内。使用单独的和整体的二元逻辑回归分析来预测一年内的重返工作。
    结果:在一年的随访期内,共有70名参与者(56%)重返工作岗位。>进入研究前一年的病假100天(vs.<100天)和较高的自我评估认知缺陷与IPS一年内重返工作的几率降低显着相关。
    结论:样本由具有相对良好工作经历的参与者组成,他们被治疗小组分配到IPS,因此,结果的普适性是有限的。
    结论:参与IPS干预的抑郁症患者可能受益于专门针对感知的认知缺陷。与抑郁症导致的长期病假相关的因素及其在返回IPS工作中的作用需要进一步调查。
    BACKGROUND: Depression is a common mental disorder and is associated with work disability. For the implementation of evidence-based interventions, such as Individual Placement and Support (IPS) for people with depression in Germany, the aim of this study was to investigate client variables that predict return to work.
    METHODS: The sample consisted of 129 participants, initially treated in a psychiatric hospital due to major depression, who participated in IPS as part of a German clinical trial. Baseline demographic (age, sex, education, sickness absence days, employment status), psychiatric (symptom severity, comorbidity, general physical and mental health, disability), and neuropsychological (self-rated deficits, test performance) variables were included. Return to work within one year was predicted using separate and overall binary logistic regression analyses.
    RESULTS: A total of 70 participants (56 %) returned to work within the one-year follow-up period. >100 days of sick leave in the year prior to study entry (vs. <100 days) and higher self-rated cognitive deficits were significantly associated with reduced odds of return to work within one year of IPS.
    CONCLUSIONS: The sample consisted of participants with a relatively good work history who were assigned to IPS by the treatment team, thus, the generalizability of the results is limited.
    CONCLUSIONS: People with depression who participate in IPS interventions might benefit from specifically targeting perceived cognitive deficits. Factors associated with prolonged sick leave due to depression and their role in return to work with IPS need further investigation.
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