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  • 1. Arnetz, B
    et al.
    Berg, Mats
    Anderzén, Ingrid
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Lundberg, T
    Haker, Eva
    A nonconventional approach to the treatment of "environmental illness".1995Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948Artikel i tidskrift (Refereegranskat)
  • 2.
    Arnetz, Bengt B
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin.
    Broadbridge, Carissa L
    Ghosh, Samiran
    Longitudinal determinants of energy levels in knowledge workers2014Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 56, nr 1, s. 79-85Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Increasingly, workers in the service, welfare, and health care sectors suffer adverse effects (ie, depression, burnout, etc) of "low-energy syndromes." Less is known about energy-based outcomes among knowledge workers. This study aimed to identify determinants of self-rated energy in knowledge workers and examine how these determinants change over time.

    METHODS: In collaboration with a large union and employer federation, 317 knowledge workers in Sweden responded to the health and productivity survey three times.

    RESULTS: At each assessment, worry, satisfaction with eating habits, and work-effectiveness were predictive of energy levels; however, only work-effectiveness covaried with energy over time.

    CONCLUSIONS: This study suggests that perceived work-effectiveness is an important factor in preventing knowledge workers from experiencing "low-energy syndromes." Lifestyle factors also play a role. Therefore, multifaceted interventions for increasing energy are needed.

  • 3.
    Arnetz, Bengt B.
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Socialmedicin.
    Lucas, Todd
    Arnetz, Judith E.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Socialmedicin.
    Organizational Climate, Occupational Stress, and Employee Mental Health: Mediating Effects of Organizational Efficiency2011Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 53, nr 1, s. 34-42Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To determine whether the relationship between organizational climate and employee mental health is consistent (ie, invariant) or differs across four large hospitals, and whether organizational efficiency mediates this relationship. Methods: Participants (total N = 5316) completed validated measures of organizational climate variables (social climate, participatory management, goal clarity, and performance feedback), organizational efficiency, occupational stress, and mental health. Results: Path analysis best supported a model in which organizational efficiency partially mediated relationships between organizational climate, occupational stress, and mental health. Conclusions: Focusing on improving both the psychosocial work environment and organizational efficiency might contribute to decreased employee stress, improved mental well-being, and organizational performance.

  • 4.
    Arnetz, Judith E.
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin. Michigan State Univ, Dept Family Med, E Lansing, MI 48824 USA.; Wayne State Univ, Dept Family Med, Detroit, MI USA.;Wayne State Univ, Dept Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Hamblin, Lydia
    Wayne State Univ, Dept Family Med, Detroit, MI USA.;Wayne State Univ, Dept Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Dept Psychol, 71 W Warren Ave, Detroit, MI 48202 USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Russell, Jim
    Wayne State Univ, Occupat Hlth Serv, Detroit Med Ctr, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Upfal, Mark J.
    Wayne State Univ, Occupat Hlth Serv, Detroit Med Ctr, Detroit, MI USA.;Wayne State Univ, Dept Emergency Med, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Luborsky, Mark
    Wayne State Univ, Inst Gerontol, Detroit, MI 48202 USA.;Karolinska Inst, Dept Neurobiol Caring Sci & Soc, S-10401 Stockholm, Sweden.;Wayne State Univ, Detroit, MI 48202 USA..
    Janisse, James
    Wayne State Univ, Dept Family Med, Detroit, MI USA.;Wayne State Univ, Dept Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Essenmacher, Lynnette
    Wayne State Univ, Occupat Hlth Serv, Detroit Med Ctr, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
    Preventing Patient-to-Worker Violence in Hospitals: Outcome of a Randomized Controlled Intervention2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 1, s. 18-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. Methods: Forty-one units across seven hospitals were randomized into intervention (n = 21) and control (n = 20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. Results: Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared with controls (incident rate ratio [IRR] 0.48, 95% confidence interval [CI] 0.29 to 0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared with controls (IRR 0.37, 95% CI 0.17 to 0.83). Conclusions: This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury.

  • 5. Bakke, Jan Vilhelm
    et al.
    Moen, Bente E
    Wieslander, Gunilla
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Norbäck, Dan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Gender and the physical and psychosocial work environments are related to indoor air symptoms2007Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 49, nr 6, s. 641-650Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: To assess gender differences in self-reported symptoms, psychosocial, subjective, and objective physical environments. Methods: Staff (N = 173) in four university buildings were investigated by questionnaires, blood samples, and objective assessment of indoor environment (temperature, air velocity, relative humidity, CO2, and dust [PM10]). Analyses were performed by linear and logistic regressions. Results: Women reported health symptoms more often than did men and complained more about physical but not psychosocial factors. Men's symptoms and complaints were more specifically associated to air velocity and humidity. For both genders, symptoms were related to both strain (P = 0.02) and perceived physical environments (P = 0.01). Lower relative humidity in the range of 15% to 35% was associated with perception of too low temperature and dry air. Conclusion: Gender, psychosocial, and physical environment factors were related to symptoms and perceived indoor climate.

  • 6. Bergström, Gunnar
    et al.
    Bodin, Lennart
    Hagberg, Jan
    Aronsson, Gunnar
    Josephson, Malin
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Sickness presenteeism today, sickness absenteeism tomorrow?: A prospective study on sickness presenteeism and future sickness absenteeism2009Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 51, nr 6, s. 629-638Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To prospectively investigate whether sickness presenteeism (SP), ie, going to work despite illness, has an impact on future sickness absenteeism. METHODS: Two study populations were used, one female dominated from the public sector that included 3757 employees, and one male dominated from the private sector comprising 2485 employees. RESULTS: SP on more than five occasions during the baseline year (2000) was a statistically significant risk factor for future sick leave (2002 and 2003) of more than 30 days among both populations even after adjusting for previous sick leave, health status, demographics, lifestyle, and work-related variables (2002, public sector, relative risk = 1.40; private sector, relative risk = 1.51). CONCLUSIONS: SP may be an important phenomenon to consider when evaluating measures aimed at decreasing sickness absenteeism because more SP may lead to future sickness absence.

  • 7. Blessman, James
    et al.
    Skupski, James
    Jamil, Mada
    Jamil, Hikmet
    Bassett, David
    Wabeke, Roger
    Arnetz, Bengt
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Barriers to at-home-preparedness in public health employees: implications for disaster preparedness training2007Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 49, nr 3, s. 318-326Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To assess "at-home" preparedness and barriers to preparedness in a cohort of public health employees. METHOD: Conducted a cross-sectional survey involving 100 employees attending emergency preparedness training that emphasized incident command training and included a segment on "at-home" preparedness. RESULTS: Fifteen percent of participants were rated as "better prepared," and only 8% of participants would be considered "most prepared." There was no relationship between the concern for bioterrorism and other disasters and preparedness. The principal barrier involved challenges in getting the task done versus lack of desire or knowledge. CONCLUSIONS: There is great potential for distraction of public health workers during an emergent event if they are not prepared at home and have concern for family members. At-home preparedness training efforts that emphasize what should be done and why are likely to have limited impact on changing behavior. Strategies that ensure that small steps are taken are likely to be more successful.

  • 8. Ernstgård, Lena
    et al.
    Löf, Agneta E.
    Wieslander, Gunilla
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Norbäck, Dan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Johanson, Gunnar
    Acute Effects of Some Volatile Organic Compounds Emitted From Waters-Based Paints2007Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 49, nr 8, s. 880-889Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Acute effects during controlled exposure to some of the volatile organic compounds emitted from water-based paints were evaluated. METHODS: Healthy volunteers (10 atopics, 10 nonatopics, and 10 painters) were exposed to a mixture of propyleneglycol, texanol, diethyleneglycol monoethylether, diethyleneglycol monobutyl ether, and dipropyleneglycol monomethyl ether at a total concentration of 35 mg/m3 (G), a mixture of G and ammonia (15 mg/m3) (GA), and clean air (C). RESULTS: Subjective ratings of irritation in eyes, nose, throat, and dyspnea were significantly higher during the G and GA conditions, when compared with during the C condition. Nasal mucosal swelling was observed after G but not after GA exposure. No effects of the exposure on the pulmonary function, markers of inflammation in nasal lavages, and renal function in urine were seen. CONCLUSION: Exposure to G and GA caused mild irritation in eyes, nose, and airways.

  • 9.
    Falkenberg, Anna
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Nyfjäll, Mats
    Bildt, Carina
    Vingård, Eva
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Predicting Sickness Absence-Are Extended Health Check-ups of Any Value?: Comparisons of Three Individual Risk Models2009Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 51, nr 1, s. 104-111Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To predict sickness absence by three health check-up models. METHODS: A study group of 821 participants from the public sector in Sweden where three health check-up models were compared 1) the limited variable model including smoking, body mass index, blood pressure, and cholesterol, 2) the several variable model including smoking, waist-hip ratio, blood pressure, relation between low density lipoproteins and high density lipoproteins, serum triglycerides, and fitness test, and 3) Self-rated health measured by one single question. Sickness absence data during 1 year was delivered from the employer. RESULTS: The three models served their purpose to predict sickness absence. CONCLUSIONS: The self-rated health-model with one single question has as good quality in predestination as more complicated models. This may have an implication for cost-effective procedures in occupational health services.

  • 10. Finnes, Anna
    et al.
    Enebrink, Pia
    Sampaio, Filipa
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Sorjonen, Kimmo
    Dahl, JoAnne
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Ghaderi, Ata
    Nager, Anna
    Feldman, Inna
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders.2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 12, s. 1211-1220Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate cost-effectiveness of Acceptance and Commitment Therapy (ACT) and workplace dialogue intervention (WDI), both as stand-alone interventions and in combination, compared with treatment as usual (TAU), for employees on sickness absence with mental disorders.

    METHODS: Employees (n = 352, 78.4% females) on sickness absence were randomized to one of four groups. Cost-utility analyses were conducted from a health care perspective and a limited societal perspective.

    RESULTS: All groups reported significant improvements in health-related quality-of-life (HRQoL) and there were no significant differences in HRQoL or costs between groups. The probability of cost-effectiveness for ACT+WDI was 50% compared with ACT, indicating that both treatment alternatives could be considered equally favorable for decision-makers. TAU and WDI were rejected due to less economic efficiency.

    CONCLUSION: Adding WDI to ACT cannot be recommended on the basis of our study results.

  • 11.
    Hamblin, Lydia E.
    et al.
    Michigan State University, Department of Family Medicine.
    Essenmacher, Lynnette
    Detroit Medical Center, Occupational Health Services.
    Luborsky, Mark
    Wayne State University, Institute of Gerontology; Karolinska Institutet, Caring Sciences and Society, Department of Neurobiology.
    Russell, Jim
    Detroit Medical Center, Occupational Health Services.
    Janisse, James
    Wayne State University, Department of Family Medicine and Public Health Sciences.
    Upfal, Mark
    Detroit Medical Center, Occupational Health Services; Wayne State University, Department of Emergency Medicine.
    Arnetz, Judith
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin. Michigan State University, Department of Family Medicine; Umeå University, Department of Public Health and Clinical Medicine.
    Worksite Walkthrough Intervention: Data-driven Prevention of Workplace Violence on Hospital Units2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 9, s. 875-884Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of this study was to describe the implementation of a data-driven, unit-based walkthrough intervention shown to be effective in reducing the risk of workplace violence in hospitals.

    Methods: A structured worksite walkthrough was conducted on 21 hospital units. Unit-level workplace violence data were reviewed and a checklist of possible prevention strategies and an Action Plan form guided development of unit-specific intervention. Unit supervisor perceptions of the walkthrough and implemented prevention strategies were reported via questionnaires. Prevention strategies were categorized as environmental, behavioral, or administrative.

    Results: A majority of units implemented strategies within 12 months' postintervention. Participants found the walkthrough useful, practical, and worthy of continued use.

    Conclusions: Structured worksite walkthroughs provide a feasible method for workplace violence reduction in hospitals. Core elements are standardized yet flexible, promoting fidelity and transferability of this intervention.

  • 12.
    Holmberg, Sara
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och klinisk epidemiologi.
    Thelin, Anders
    Stiernström, Eva-Lena
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och klinisk epidemiologi.
    Svärdsudd, Kurt
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och klinisk epidemiologi.
    Psychosocial factors and low back pain, consultations, and sick leave among farmers and rural referents: A population-based study2004Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 46, nr 9, s. 993-998Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Farmers have more low back pain (LBP) than nonfarmers. In a previous report, we found that differences between farmers and nonfarmers in physical work exposure did not explain the LBP differences. In this report, we tested the hypothesis that psychosocial factors might explain the differences in LBP reporting, medical consultation, and sick leave. A cross-sectional population-based survey of 1,013 middle-aged farmers and 769 matched referents was performed. Data on LBP, consultations, and sick leave during lifetime was obtained along with information on psychosocial, social network, and lifestyle variables. Several of the psychosocial variables were associated with LBP but the difference in LBP prevalence between farmers and nonfarmers could be explained only marginally. Farmers and self-employed referents tended to have lower odds of sick leave because of LBP than employed referents after adjustment for psychosocial factors.

  • 13. Hultin, Hanna
    et al.
    Moller, Jette
    Alexanderson, Kristina
    Johansson, Gun
    Lindholm, Christina
    Lundberg, Ingvar
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Hallqvist, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin.
    Low Workload as a Trigger of Sick Leave: Results From a Swedish Case-Crossover Study2012Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 54, nr 2, s. 202-209Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives:

    To investigate if exposure to an unusually low workload when ill can trigger taking sick leave.

    Methods:

    A case-crossover design was applied to 546 sick-leave spells obtained from a cohort of 1430 employees within six Swedish workplaces. New sick-leave spells were reported from the workplaces during 3 to 12 months follow-up. Exposure was assessed in structured participant interviews at sick leave. Case and control periods from the same individual were sampled according to the matched-pair and usual-frequency approaches. Results are presented as odds ratios with surrounding 95% confidence intervals.

    Results:

    The odds ratio of sick leave on a day with an unusually low workload was 2.57 (confidence interval, 1.07-6.16).

    Conclusions:

    Becoming ill on a day with a lower workload than usual can trigger the decision to take sick leave.

  • 14. Jamil, Hikmet
    et al.
    Campbell-Voytal, Kimberly
    Arnetz, Judith E.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Perceptions of Training in Occupational and Environmental Medicine Among Family Medicine Residents2010Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 52, nr 2, s. 202-206Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Although knowledge of occupational and environmental medicine (OEM) is important for effective primary health care practice, few Studies have examined physicians' appraisals of training in OEM. We evaluated family medicine residents' perceptions of a 4-week rotation in OEM that combined lectures, worksite visits, and clinical placements. Methods: Qualitative analysis of residents' rotation evaluations (n = 208) collected between 2002 and 2008. Subjective appraisals were compared with quantitative changes in resident knowledge of OEM measured by pre- and posttests. Results: Residents' perceptions of the usefulness of the OEM rotation were grouped into three main categories: knowledge, experience, and skill development. Posttest scores demonstrated significantly improved knowledge in key OEM subject areas. Conclusions: Residents gained knowledge and insight regarding the possible impact of work on patients' health and considered the rotation highly relevant to their family medicine practice.

  • 15. Lohela, Malin
    et al.
    Björklund, Christina
    Vingård, Eva
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Hagberg, Jan
    Jensen, Irene
    Does a Change in Psychosocial Work Factors Lead to a Change in Employee Health?2009Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 51, nr 2, s. 195-203Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The aim was to identify psychosocial factors at work that promote positive changes in employee health and factors that prevent negative changes in employee health. METHOD:: This study is part of a large longitudinal study and includes 1212 employees. Data for psychosocial work factors and self rated health was collected in 2000 and 2003. A modified Poisson regression was used to find factors of relevance for positive and negative changes in health. RESULTS:: A negative change in leadership, organizational commitment and reporting job strain increased the risk for negative change in health. Improved leadership and social climate increased the chance for positive changes in health. CONCLUSION:: By improving psychosocial factors at work, it is possible to promote employee health as well as prevent employee ill-health.

  • 16. Marsh, Gary M
    et al.
    Buchanich, Jeanine M
    Zimmerman, Sarah
    Liu, Yimeng
    Balmert, Lauren C
    Graves, Jessica
    Kennedy, Kathleen J
    Esmen, Nurtan A
    Moshammer, Hanns
    Morfeld, Peter
    Erren, Thomas
    Groß, Juliane Valérie
    Yong, Mei
    Svartengren, Magnus
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Westberg, Hakan
    McElvenny, Damien
    Cherrie, John W
    Mortality Among Hardmetal Production Workers: Pooled Analysis of Cohort Data From an International Investigation.2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 12, s. e342-e364Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: Based on a pooled analysis of data from an international study, evaluate total and cause-specific mortality among hardmetal production workers with emphasis on lung cancer.

    METHODS: Study members were 32,354 workers from three companies and 17 manufacturing sites in five countries. We computed standardized mortality ratios and evaluated exposure-response via relative risk regression analysis.

    RESULTS: Among long-term workers, we observed overall deficits or slight excesses in deaths for total mortality, all cancers, and lung cancer and found no evidence of any exposure-response relationships for lung cancer.

    CONCLUSIONS: We found no evidence that duration, average intensity, or cumulative exposure to tungsten, cobalt, or nickel, at levels experienced by the workers examined, increases lung cancer mortality risks. We also found no evidence that work in these facilities increased mortality risks from any other causes of death.

  • 17.
    Rehfisch, Pia
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Anderson, Martin
    Berg, Peter
    Lampa, Erik
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Nordling, Yvonne
    Svartengren, Magnus
    Westberg, Hakan
    Gunnarsson, Lars-Gunnar
    Lung Function and Respiratory Symptoms in Hard Metal Workers Exposed to Cobalt2012Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 54, nr 4, s. 409-413Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To follow-up lung function and airway symptoms in workers exposed to cobalt dust at a hard metal plant.

    Methods: A total of 582 employees underwent spirometry and completed a questionnaire. A historical exposure matrix was created, assigning figures for historical and recent work-related exposure.

    Results: At the time of employment, 5% reported symptoms from respiratory tract. At follow-up, 5% suffered from persistent coughing and 7% reported asthma; 20% were daily smokers. Among nonsmokers without asthma, an evident, statistically nonsignificant, dose-response effect was seen between increasing cobalt exposure and decline in FEV1 (forced expiratory volume in the first second). In all exposure categories, the FEV1 in smokers declined 10 mL more per year than for nonsmokers.

    Conclusions: Even low levels of cobalt exposure seem to hamper lung function both in smokers and nonsmokers. This impact is considered low in relation to the effect of aging.

  • 18. Schell, Elisabet
    et al.
    Theorell, Tores
    Hasson, Dan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Socialmedicin.
    Arnetz, Bengt
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Socialmedicin.
    Saraste, Helena
    Impact of a web-based stress management and health promotion program on neck-shoulder-back pain in knowledge workers? 12 month prospective controlled follow-up2008Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 50, nr 6, s. 667-676Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    To evaluate the influence of a web-based stress management program on neck-shoulder-back pain and perceived pain-relatedness to stress in a prospective and controlled study.

    Methods

    Study points were baseline, after 6, months intervention and at 12 months follow-up on 226 news media employees in two study groups and one control group.

    Results

    Between groups no significant differences were found at any study point. Within groups, the study group with less intensive program improved in pain-relatedness to stress at follow-up. Between baseline and after intervention, the group with more intensive program showed decreased low back pain, and the control group showed less pain-relatedness to stress. Within group differences varied according to pain localization and were inconsistent.

    Conclusion

    Present web-based stress management program did not influence neck-shoulder-back pain or perceived pain-relatedness to stress in stress-intensive occupations.

  • 19.
    Svartengren, Magnus
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Bryngelsson, Ing-Liss
    Marsh, Gary
    Buchanich, Jeanine
    Zimmerman, Sarah
    Kennedy, Kathleen
    Esmen, Nurtan
    Westberg, Håkan
    Cancer Incidence Among Hardmetal Production Workers: The Swedish Cohort.2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 12, s. e365-e373Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    : The cancer incidence was determined for 3713 workers from three plants from 1958 to 2011. The exposure measures were ever/never exposed, duration, cumulative, and mean cobalt concentrations.The incidence of all malignant neoplasms was increased at one plant, but standardized incidence ratio (SIR) was 0.96 for all workers. Lung cancer incidence was increased for all workers, SIR 1.38 (1.01 to 1.85). The lung cancer incidence was associated with shorter employment time and showed no exposure-response. There was decreased incidence for skin cancer. Increased lip cancer incidence found at one of the production plants might be related to diagnostic intensity.Lung cancer incidence showed no correlation to cobalt exposure based on internal comparison. The increased SIR for all workers might be associated with other factors.

  • 20. Svensen, Erling
    et al.
    Arnetz, Bengt B.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Ursin, Holger
    Eriksen, Hege R.
    Health complaints and satisfied with the job?: A cross-sectional study on work environment, job satisfaction, and subjective health complaints2007Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 49, nr 5, s. 568-573Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The aim of this study was to examine the prevalence of subjective health complaints (SHCs) among satisfied and dissatisfied workers. The second aim was to evaluate whether any SHC differences were attributable directly to the work environment or mediated by the individual perception of the environment (satisfactory or not). METHOD: In a cross-sectional study of 458 employees (56% women) in 5 different organizations, work environment, job satisfaction, and SHC were measured. RESULTS: Satisfied workers reported an average of five to six subjective health complaints that correspond to the prevalence found in a Norwegian general population. Work environment explained 43% of the variance for job satisfaction and 9% of the variance in SHCs. CONCLUSION: SHCs are common among satisfied workers. Work environment has only a limited influence on this validated health indicator.

  • 21. Virtanen, Pekka
    et al.
    Janlert, Urban
    Umeå universitet, Epidemiologi och global hälsa.
    Hammarström, Anne
    Umeå universitet, Allmänmedicin.
    Exposure to nonpermanent employment and health: analysis of the associations with 12 health indicators2011Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 53, nr 6, s. 653-657Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To clarify the associations of nonpermanent employment with poor health in longitudinal setting with different health outcomes.

    METHODS: A population cohort (n = 1071) was surveyed at the age of 30 and then again at the age of 42. They were classified according to exposure to nonpermanent employment. The outcomes included indicators of mental and somatic health and health behavior.

    RESULTS: When adjusted for baseline level of the outcome under study, the odds ratio of the heavily exposed was 1.90 (1.25 to 2.88) for nervous symptoms, 1.77 (1.03 to 2.05) for psychological distress, and 1.52 (1.03 to 2.25) for suboptimal mood. Among the lightly exposed, the odds ratio for psychological distress was 1.94 (1.10 to 2.10).

    CONCLUSIONS: Psychological distress is particularly sensitive to exposure to nonpermanent employment. The effects on somatic health or health behavior should be studied only with carefully specified hypotheses.

  • 22.
    Virtanen, Pekka
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Folkhälsovetenskap. Univ Tampere, Fac Social Sci, Tampere 33014, Finland.
    Pentti, Jaana
    Univ Turku, Dept Publ Hlth, Turku, Finland.
    Vahtera, Jussi
    Univ Turku, Dept Publ Hlth, Turku, Finland;Turku Univ Hosp, Turku, Finland.
    Kivimaki, Mika
    UCL, Dept Epidemiol & Publ Hlth, London, England;Univ Helsinki, Fac Med, Clinicum, Helsinki, Finland.
    Virtanen, Marianna
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Self-Rated Health of the Temporary Employees in a Nordic Welfare State Findings From the Finnish Public Sector Study2018Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 60, nr 2, s. E106-E111Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This 9-year follow-up study explores a possible association between temporary employment and declining health. Methods: Years in temporary employment from 2004 to 2008 to 2009 were measured for a cohort of 26,886 public sector employees. Self-rated health was measured by surveys in 2004 (baseline), 2008/2009 (short-term follow-up), and 2012/2013 (long-term follow-up). Results: Compared with the permanently employed, the baseline health-adjusted odds of poor health were lower both in the short-term and long-term follow-up, but the differences became nonsignificant when adjusted for sociodemographic and work-related factors. Conclusion: The results would suggest that temporary employment in public sector of a Nordic welfare state does not entail health risks. Future research is needed to elucidate if this is true also among those exposed to nonpermanent employment in the private labor market, in particular those with most atypical jobs and unstable job careers.

  • 23. Wahlqvist, P
    et al.
    Brook, RA
    Campbell, SM
    Wallander, Mari-Ann
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och klinisk epidemiologi.
    Alexander, AM
    Smeeding, JE
    Kleinman, NL
    Objective measurement of work absence and on-the-job productivity: a case-control study of US employees with and without gastroesophageal reflux disease2008Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 50, nr 1, s. 25-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To establish an association between gastroesophageal reflux disease (GERD) and increased work absence, as well as reduced productivity while at work, by using objective productivity measurements. METHODS: Retrospective case-control analysis of a database containing US employees' administrative health care and payroll data for employees (N = 11,653 with GERD; N = 255,616 without GERD) who were enrolled for at least one year in an employer-sponsored health insurance plan. RESULTS: Employees with GERD had 41% more sick leave days (P < 0.0001), 59% more short-term disability days (P < 0.0001), 39% more long-term disability days (P = 0.1910), 48% more workers' compensation days (P < 0.0001), 4.4% lower objective productivity per hour worked (P = 0.0481), and 6.0% lower annual objective productivity (P = 0.0391) than the employees without GERD. CONCLUSIONS: GERD is associated with a significant impact on employees' work absence and productivity while at work as measured using objective data.

  • 24. Westberg, Håkan
    et al.
    Bryngelsson, Ing-Liss
    Marsh, Gary
    Buchanich, Jeanine
    Zimmerman, Sarah
    Kennedy, Kathleen
    Esmen, Nurtan
    Svartengren, Magnus
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Mortality Among Hardmetal Production Workers: The Swedish Cohort.2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 12, s. e263-e274Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The mortality pattern was determined in a cohort of 16,999 white and blue-collar workers in the Swedish hardmetal industry, particularly for cobalt exposure and lung cancer.

    METHODS: The mortality follow-up analysis in the Swedish Mortality register covered the period from 1952 to 2012. The exposure measures were ever/never exposed, duration of exposure, cumulative, and mean cobalt concentrations.

    RESULTS: The mortality of all causes was significantly increased, highly associated with the short-term employed workers. A negative exposure-response was found for lung cancer and duration of exposure. An exposure-response was determined for cumulative and mean cobalt exposures analyzed by quartiles, but not for exposure classes. Internal comparison analysis using proportional hazard showed no exposure-response.

    CONCLUSIONS: The cohort lung cancer mortality showed no correlation to cobalt, nickel, or tungsten exposure.

  • 25. Westberg, Håkan
    et al.
    Bryngelsson, Ing-Liss
    Marsh, Gary
    Kennedy, Kathleen
    Buchanich, Jeanine
    Zimmerman, Sarah
    Esmen, Nurtan
    Svartengren, Magnus
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Mortality Among Hardmetal Production Workers: Swedish Measurement Data and Exposure Assessment.2017Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 12, s. e327-e341Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Mortality pattern was determined in a cohort of 16,999 white and blue-collar workers in the Swedish hardmetal industry. Exposure assessment for cobalt is presented.

    METHODS: A historical database (1970 to 2012) of personal and area measurements of cobalt, tungsten, and nickel in the Swedish hardmetal industry was created. Log linear and exponential modeling of cobalt concentrations based on time period, job, and site was performed, and cumulative and mean exposures were calculated.

    RESULTS: Some 37% of the personal cobalt measurements exceeded 0.02 mg/m, mostly for powder production, pressing, and shaping. The log linear regression showed statistical differences (P < 0.05) between sites, time periods, and jobs. Some 1.6% of the cobalt cumulative exposures for blue-collar workers exceeded 0.4 mg/m years.

    CONCLUSION: Low levels of cumulative and mean exposures were determined.

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