scholarly journals 0404 Jewish-Arab Disparities in Sleep Behaviors and Differential Ethnic Impact on Daytime Functioning, Driving Safety, and Health in Israel

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A154-A155
Author(s):  
E Rosenberg ◽  
M L Perlis ◽  
S Parthasarathy ◽  
G Jean-Louis ◽  
S Chakravorty ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Functional Impairment ◽  
Motor Vehicle ◽  
Health And Safety ◽  
Population Based ◽  
Driving Safety ◽  
Drowsy Driving ◽  
The Impact ◽  
Sleep Difficulties

Abstract Introduction In Israel, those with Arabic as compared to Jewish ethnicity, exhibit poorer health and motor vehicle safety behaviors. Their ethnic differences in sleep duration and quality may modulate their vulnerabilities to these behaviors. Methods 7,230 Israeli individuals (N=5,880 Jewish and N=1350 Arabic) responded to the 2017 Israeli Bureau of Statistics population-based survey of households. Variables were self-reported. Outcomes included sleepiness, sleep medications, functional impairment, drowsy driving, overall health, 1-year health change, and obesity. Predictors included categorical sleep duration (<=5, 6, 7, 8 [reference], or >=9 hours) and sleep disturbance in the past month (none [reference], mild [1/week], moderate [2-3/week], or severe [>3/week]). Covariates included age, sex, and financial status. Ethnicity (Jewish/Arabic) was treated as a predictor of sleep and behavioral outcomes. Results When compared to normal (8-hour) sleepers, Jewish as compared to Arabic individuals were more likely to to sleep <=5h (RRR=3.99, p<0.0005), 6h (RRR=4.65, p<0.0005), and 7h (RRR=3.34, p<0.0005), and were more likely to report severe sleep difficulties (RRR=1.49, p<0.0005) and sleepiness (oOR=1.52, p< 0.0005). Yet, they were less likely to report functional impairment (oOR=0.65, p<0.0005), drowsy driving (OR=0.58, p<0.0005), worse health (oOR=0.51, p<0005), worsening health (oOR=0.70, p<0.0005), or obesity (OR=0.64, p<0.0005). Significant ethnicity by sleep duration interactions (p<0.05) characterized sleepiness, sleep medications, functional impairment, health, and health change. Moreover, significant ethnicity by sleep disturbance interactions (p<0.05) characterized the same outcomes, in addition to drowsy driving. Overall, the impact of sleep duration and sleep difficulties was generally greater among Arabs for all variables. Conclusion Despite Jewish individuals endorsing relatively shorter sleep and more severe sleep difficulties, Arabs seem to be more vulnerable to the health and functional outcomes. This finding may explain some of the discrepancies in the health and safety outcomes between these ethnic groups. Support Dr. Grandner is supported by R01MD011600

scholarly journals 0405 Sleep Duration and Sleep Disturbance Related to Obesity, Health, Motor Vehicle Safety, and Daytime Functioning in Israel: Data From the 2017 Israel Social Survey

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A155-A155
Author(s):  
E Rosenberg ◽  
M L Perlis ◽  
S Parthasarathy ◽  
S Chakravorty ◽  
M A Grandner
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Motor Vehicle ◽  
Vehicle Safety ◽  
Short Sleep Duration ◽  
Drowsy Driving ◽  
Short Sleep ◽  
Israeli Population ◽  
Motor Vehicle Safety ◽  
Post Hoc

Abstract Introduction Previous studies suggest the Israeli population exhibits relatively short sleep duration and experiences sleep difficulties. This analysis evaluates the relationships between habitual sleep and outcomes of interest in this population. Methods Data were obtained from 7,230 Israeli individuals. The sample consisted a 2017 population-based survey of households, conducted by the Israeli Bureau of Statistics. All variables were self-reported. Outcomes of interest included drowsy driving, sleep medication use, functional impairment, sleepiness, overall health, 1-year health change, and obesity. Predictors included categories of sleep duration (<=5, 6, 7, 8 [reference], or >=9 hours) and sleep disturbance in the past month (none [reference], mild [1/week], moderate [2-3/week], or severe [>3/week]). Covariates included age, sex, ethnic group, and financial status. Binary and ordinal logistic regressions were employed to evaluate the relationship between them and post-hoc analyses evaluated the relationships between subgroups. Results Drowsy driving was associated with <=5h, 6h, and 7h sleep duration categories, and severe sleep disturbance. The use of sleep medication use was associated with <=5h and >=9h, and all levels of sleep disturbance. Functional impairment and sleepiness were both associated with <=5h, 6h, 7h, and >=9h, and all levels of sleep disturbance. Their reported overall health was linked to sleep duration of <=5h and >=9h, and all levels of sleep disturbance. Worsening health was associated with <=5h and all levels of sleep disturbance. Obesity was associated with <=5h and severe sleep disturbance. In post-hoc analyses restricted to individuals with no sleep disturbance, habitual sleep duration was still statistically significantly related to drowsy driving, sleep medications, sleepiness, and health change. Conclusion Short sleep duration and sleep disturbance are associated with worse motor vehicle safety, health, and functioning in the Israeli population. Effects of sleep duration were generally maintained even for those without sleep disturbance. These results may help focus public health efforts on improving sleep health. Support Dr. Grandner is supported by R01MD011600

scholarly journals 0120 Association Between Sleep Duration and Daytime Memory and Cognition Depends on Sleep Quality: Data from the 2017 Israel Social Survey

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A47-A48
Author(s):  
C C Wills ◽  
E A Rosenberg ◽  
M L Perlis ◽  
S Parthasarathy ◽  
S Chakravorty ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Duration ◽  
Quality Data ◽  
Poor Sleep ◽  
Israeli Population ◽  
Long Sleep ◽  
Cognitive Problems ◽  
The Impact ◽  
Sleep Difficulties

Abstract Introduction This study examines the relationship between sleep duration, sleep disturbance, and cognitive problems in a representative sample of the Israeli population. Methods 7,230 Israelis responded to an Israeli Bureau of Statistics population-based survey of households from the year 2017. All variables were self-reported. Outcome of interest was difficulty with memory/concentration (none, mild, or severe). Predictors included previous month sleep duration (<=5hrs, 6hrs, 7hrs [reference], 8hrs, or >=9hrs) and sleep disturbance (none [reference], mild [1/week], moderate [2–3/week], or severe [>3/week]). Covariates included age, sex, ethnic group, and financial status. Multinomial logistic regressions evaluated the relationships between variables, and post-hoc testing identified relationships within specific subgroups. Results 72.9% denied cognitive problems, 22.2% reported mild problems, and 4.9% severe problems. In adjusted analyses, Sleep <=5hrs and >=9hrs were associated with mild (RRR=1.39, p<0.0005), (RRR=1.46, p=0.004) and severe (RRR=2.75, p<0.0005), (RRR=3.24, p<0.0005) cognitive problems, respectively. Mild, moderate, and severe sleep difficulties were associated with mild cognitive problems (RRR=2.09, p<0.0005), (RRR=2.22, p<0.0005), (RRR=2.44, p<0.0005), and severe cognitive problems (RRR=1.77, p=0.001), (RRR=3.04, p<0.0005), (RRR=4.22, p<0.0005), respectively. There was an interaction between sleep duration and sleep difficulties (p<0.05). Among those denying sleep difficulties, only >=9hrs of sleep was associated with cognitive problems. Among those with mild, moderate, and severe sleep difficulties, both short and long sleep were associated with cognitive problems. Conclusion In an Israeli population sample, both sleep duration and quality were associated with cognitive problems. Among those with sleep difficulties, short and long sleep duration were associated with cognitive problems, but among those denying sleep difficulties, only long sleep was associated with cognitive problems. These results suggest that the impact of sleep loss on real-world cognition may also rely on the presence of poor sleep quality. Support Dr. Grandner is supported by R01MD011600

scholarly journals 0785 Associations Between Circadian Preference And Sleep-related Thoughts: Data From The 2015 Sleep In America Poll

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A298-A299
Author(s):  
B Jeon ◽  
F S Luyster ◽  
E R Chasens
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
Secondary Analysis ◽  
Logistic Models ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Circadian Preference ◽  
Physical Consequences ◽  
The Impact

Abstract Introduction Evening types of sleep tend to have poorer sleep quality and sleep habits than morning types. Maladaptive beliefs or thoughts about sleep can affect one’s sleep and may differ between evening and morning types. We examined the association between the circadian preference and sleep-related thoughts in U.S adults. Methods A secondary analysis used survey data from the 2015 National Sleep Foundation’s Sleep in America Poll. Questions included normal bedtime and wake-up time for week/work days and weekend/non-work days. Circadian preference was determined by midpoint of sleep calculated as midpoint of sleep on weekends corrected for average nightly sleep duration. Participants were excluded if their sleep midpoint was from noon to midnight. Midpoint of sleep was divided into two groups using median split (“earlier” vs. “later”). Sleep-related thoughts were “worry about getting a good sleep”, “overwhelming thoughts about getting enough sleep”, “motivation to get sleep”, and “concern about serious physical consequences due to poor sleep”; responded often/always or extremely to somewhat for these items were coded as maladaptive. Logistic regression analysis controlling for socio-demographics, sleep duration, and sleep disturbance (PROMIS Scale; higher scores = greater sleep disturbance) was conducted to examine the relationships between midpoint of sleep and sleep-related thoughts. Results The sample (N = 1011) was primarily White (73.6%), male (50.9%), college educated (62.2%), married/partnered (67.6%) with a mean age of 51.65 ± 17.05 years. Mean midpoint of sleep in “earlier” type was 2:33AM and 5:29AM in “later” type. “Later” type had shorter sleep duration on weekdays and longer sleep duration on weekends than “earlier” type (p < .01), but average sleep duration was similar between two types. “Later” type had more “worry” and “overwhelming thoughts” (p < .05) about sleep. In logistic models, midpoint of sleep was significant only for “concern” (p = .02). Conclusion In this study, late chronotype was associated with increased sleep disturbances and greater variability in sleep duration. The relationship between the timing of sleep and thoughts about the impact of impaired sleep remains unclear and an area for further study with objective measures. Support  

scholarly journals The Impact of COVID-19 on Sleep Quality in People Living With Disabilities

2021 ◽  
Vol 12 ◽  
Author(s):  
Nikki Heinze ◽  
Syeda F. Hussain ◽  
Claire L. Castle ◽  
Lauren R. Godier-McBard ◽  
Theofilos Kempapidis ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Duration ◽  
State Anxiety ◽  
People With Disabilities ◽  
Convenience Sample ◽  
Sleep Medication ◽  
Quality Sleep ◽  
The Impact

Background: Research exploring the impact of the COVID-19 pandemic on sleep in people with disabilities has been scarce. This study provides a preliminary assessment of sleep in people with disabilities, across two timepoints during the pandemic, with a focus on those with visual impairment (VI).Methods: Two online surveys were conducted between April 2020 and March 2021 to explore sleep quality using the Pittsburgh Sleep Quality Index (PSQI). A convenience sample of 602 participants completed the first survey and 160 completed the follow-up survey.Results: Across both timepoints, participants with disabilities reported significantly poorer global sleep quality and higher levels of sleep disturbance, use of sleep medication and daytime dysfunction than those with no disabilities. Participants with VI reported significantly higher levels of sleep disturbance and use of sleep medication at both timepoints, poorer global sleep quality, sleep duration and latency at time 1, and daytime dysfunction at time 2, than those with no disabilities. Global sleep quality, sleep duration, sleep efficiency, and self-rated sleep quality deteriorated significantly in participants with no disabilities, but daytime dysfunction increased in all three groups. Disability and state anxiety were significant predictors of sleep quality across both surveys.Conclusion: While sleep was consistently poorer in people with disabilities such as VI, it appears that the COVID-19 pandemic has had a greater impact on sleep in people with no disabilities. State anxiety and, to a lesser extent, disability, were significant predictors of sleep across both surveys, suggesting the need to address anxiety in interventions targeted toward improving sleep.

scholarly journals P.021 Seizures among drivers in Newfoundland and Labrador

2016 ◽  
Vol 43 (S2) ◽  
pp. S26-S26
Author(s):  
KS Aminian ◽  
A Ogunyemi ◽  
J Coombs
Keyword(s):  
Newfoundland And Labrador ◽  
Motor Vehicle ◽  
Age Groups ◽  
Population Based ◽  
Mandatory Reporting ◽  
High Rate ◽  
Driving Safety ◽  
Motor Vehicles ◽  
Seizure Type ◽  
Vehicle Collision

Background: Regulation of drivers licences aims to strike a balance between autonomy and public safety. In Newfoundland and Labrador, an individual experiencing seizures must have a 6-month seizure-free interval before a driving licence is reinstated, although exceptions apply. There is a paucity of data surrounding driving safety in people with epilepsy. Methods: The Department of Motor Vehicles and Registration extracted data from the charts of drivers experiencing seizures for the period between 2010-2014, inclusive. Two groups were examined: drivers aged 16-24 (n=104) and 75+ (n=115). Given that mandatory reporting is required in Newfoundland and Labrador, this theoretically represents a population-based study. Results: Overall, 5.1% of the population experienced a motor vehicle collision, and collisions were more frequent among younger drivers. Significantly more people in the 75+ category had a medical history that could have contributed to seizures. Only 37.6% of the overall sample had their first seizure reported. This was not different between age groups or seizure types (generalized vs. focal). Though the age groups differed with respect to seizure type, this did not affect driving safety, as measured by motor vehicle collisions and driving disobedience. Conclusions: We found a high rate of driving disobedience despite the requirement for mandatory reporting and seizure type did not affect driving safety.

Relationships between distress and sleep in advanced cancer patients and spouse caregivers.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 195-195
Author(s):  
Maija Reblin ◽  
Brian Gonzalez ◽  
Richard E Heyman ◽  
Lee Ellington ◽  
Susan Thomas Vadaparampil
Keyword(s):  
Psychological Distress ◽  
Sleep Disturbance ◽  
Cancer Patients ◽  
Sleep Duration ◽  
Advanced Cancer ◽  
Anxiety And Depression ◽  
Advanced Cancer Patients ◽  
Longitudinal Effects ◽  
Spouse Caregivers ◽  
The Impact

195 Background: Sleep disturbance is a common problem among individuals with advanced cancer. Distress and sleep disturbance are highly interdependent in spouses. Little research has examined dyadic effects of psychological distress on sleep in patient-caregiver spouses, most of whom sleep together. The goal of this study was to determine how anxiety and depression impact one’s own sleep and partner’s sleep in advanced cancer patients and their spouse caregivers. Methods: As part of a larger study, 86 advanced cancer patients and their spouse caregivers completed surveys on demographics and self-reported health, including sleep duration, and the HADS measure of anxiety and depression. A path analysis was conducted to determine the impact of patient and caregiver anxiety and depression on their own and their partner’s sleep. Results: The majority of dyads were white (n = 79) and all were heterosexual. The patient was female in 25 couples. The average age for patients was 67 and 65 for caregivers; couples had been together an average of 35 years. Patients reported sleeping 7.2 hours/night (SD = 1.7) and caregivers reported sleeping 6.72 hours/night (SD = 1.3). Patient and caregiver sleep was significantly correlated (r = .42, p < .01). Controlling for age, sex, and general health, one’s own anxiety was negatively associated with one’s own sleep duration (patient B = -.12, p = .04; caregiver B = -.13, p < .01), but patients’ anxiety was not associated with caregivers’ sleep duration or vice versa. Individuals’ depression was not associated with their own sleep duration, but patient depression was positively associated with caregiver sleep duration (B = .10, p = .05). Conclusions: This is one of the first dyadic explorations of psychological distress and sleep duration in advanced cancer patients and spouse caregivers. The increase in the caregivers’ reported sleep duration associated with patient depression may be an early indicator of caregiver depression. These findings strongly support further research of the dyadic effects of distress on sleep to identify longitudinal effects on holistic sleep outcomes for spouses coping with cancer.

Application of Advanced Driver-Assistance Systems in Police Vehicles

2021 ◽  
pp. 036119812110171
Author(s):  
Vanessa Nasr ◽  
David Wozniak ◽  
Farzaneh Shahini ◽  
Maryam Zahabi
Keyword(s):  
Police Officers ◽  
Motor Vehicle ◽  
Detection System ◽  
Driving Safety ◽  
Driver Assistance ◽  
Driver Assistance Systems ◽  
Advanced Driver Assistance Systems ◽  
Assistance Systems ◽  
Police Vehicles ◽  
The Impact

Motor vehicle crashes are one of the leading causes of injuries and deaths for police officers. Advanced driver-assistance systems (ADAS) are driving control systems that have been found to improve civilian drivers’ safety; however, the impact of ADAS on police officers’ driving safety has yet to be investigated thoroughly. Disparities between driver states and tasks performed while driving between police and civilian drivers necessitate this distinction. This study identified the types of ADAS used in police vehicles, their impact on officers’ safety, and proposed potential future ADAS features to be implemented in police vehicles. A systematic literature review was conducted using Google Scholar, Compendex, Web of Science, Transport Research International Documentation (TRID), and Google Patents databases to identify the most prevalent police vehicles used in the U.S., available ADAS features in those vehicles, and the impact of ADAS on officers’ safety. A list of recommended ADAS features was developed based on the review of literature, authors’ knowledge and experience in the field, and the findings of an online survey with 73 police officers. Results indicated the addition of multiple ADAS features including the front vehicle detection system, intersection collision avoidance, evasive steering systems, left turn assist, traffic sign detection system, traffic jam assist, two lane and lane-ending detection, wrong-way alert, and autonomous highway driving features have the potential to improve officer safety and performance while driving. However, there was a void of studies focused on ADAS effects on police driving safety which needs to be addressed in future investigations.

scholarly journals Associations between Bedtime Eating or Drinking, Sleep Duration and Wake after Sleep Onset: Findings from the American Time Use Survey

2021 ◽  
pp. 1-30
Author(s):  
Su I Iao ◽  
Erica C. Jansen ◽  
Kerby Shedden ◽  
Louise M. O’Brien ◽  
Ronald D. Chervin ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Time Use ◽  
Sleep Onset ◽  
Population Based ◽  
American Time Use Survey ◽  
Late Night ◽  
Causal Pathways ◽  
Long Sleep ◽  
Time Use Survey ◽  
The Impact

Abstract Sleep hygiene recommendations discourage eating before bedtime, however, the impact of mealtime on sleep has been inconsistent. We examined gender-stratified associations between eating or drinking <1, <2 and <3 hours before bedtime, sleep duration, and wake after sleep onset (WASO>30 minutes). This study utilized 2003-2018 data from the American Time Use Survey (ATUS), a nationally representative sample of US residents aged≥15. Participants recorded weekday/weekend activities during a 24-hour period. Age-specific Sleep duration and WASO were estimated categorically and continuously. Eating or drinking were identified from all activities recorded <1, <2 and <3 hours before bedtime. Mean±SE sleep duration was 8.0±0.006 hours, and 6% of participants ate or drank <1 hour prior to weekdays bedtime. Overall, eating or drinking <1 hour prior to bedtime was associated with longer weekdays sleep duration. Women and men who ate or drank <1 hour before bedtime, vs. those who did not, had 35 minutes [95%CI (30,39)] and 25 minutes [95%CI (21,29)] longer sleep duration, respectively, as well as increased odds of WASO; women [OR=2.03,95%CI (1.66,2.49)] and men [OR=2.64,95%CI (2.08,3.36)]. As the interval of eating or drinking prior to bedtime expanded, odds of short and long sleep durations and WASO decreased. This population-based data linked eating or drinking <1 hour before bedtime to longer sleep duration, but increased WASO. Eating or drinking further from bedtime lowers the odds of short and long sleep duration and WASO. Causal pathways are difficult to discern, though inefficient sleep after late-night eating could increase WASO and trigger compensatory increases in sleep duration.

scholarly journals The impact of Mendelian sleep and circadian genetic variants in a population setting

2022 ◽  
Author(s):  
Michael N Weedon ◽  
Samuel E Jones ◽  
Jacqueline Lane ◽  
Jiwon Lee ◽  
Hanna M Ollila ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Rare Variants ◽  
Sequence Data ◽  
Large Population ◽  
Population Based ◽  
Self Report ◽  
Uk Biobank ◽  
Sleep Phase ◽  
Sleep Timing ◽  
The Impact

Rare variants in ten genes have been reported to cause Mendelian sleep conditions characterised by extreme sleep duration or timing. These include familial natural short sleep (ADRB1, DEC2/BHLHE41, GRM1 and NPSR1), advanced sleep phase (PER2, PER3, CRY2, CSNK1D and TIMELESS) and delayed sleep phase (CRY1). The association of variants of these genes with extreme sleep conditions were usually based on clinically ascertained families, and their effects when identified in the population are unknown. We aimed to determine the effects of these variants on sleep traits in large population-based cohorts. We performed genetic association analysis of variants previously reported to be causal for Mendelian sleep and circadian conditions. Analyses were performed using 191,929 individuals with data on sleep and whole-exome or genome-sequence data from 4 population-based studies: UK Biobank, FINRISK, Health-2000-2001, and the Multi-Ethnic Study of Atherosclerosis (MESA). We identified sleep disorders from self-report, hospital and primary care data. We estimated sleep duration and timing measures from self-report and accelerometery data. We identified carriers for 10 out of 12 previously reported pathogenic variants for 8 of the 10 genes. They ranged in frequency from 1 individual with the variant in CSNK1D to 1,574 individuals with a reported variant in the PER3 gene in the UK Biobank. We found no association of any of these variants with extreme sleep or circadian phenotypes. Using sleep timing as a proxy measure for sleep phase, only PER3 and CRY1 variants demonstrated association with earlier and later sleep timing, respectively; however, the magnitude of effect was smaller than previously reported (sleep midpoint ~7 mins earlier and ~5 mins later, respectively). We also performed burden tests of protein truncating (PTVs) or rare missense variants for the 10 genes. Only PTVs in PER2 and PER3 were associated with a relevant trait (for example, 64 individuals with a PTV in PER2 had an odds ratio of 4.4 for being "definitely a morning person", P=4x10-8; and had a 57-minute earlier midpoint sleep, P=5x10-7). Our results indicate that previously reported variants for Mendelian sleep and circadian conditions are often not highly penetrant when ascertained incidentally from the general population.

scholarly journals Reducing isocyanate exposure and asthma risk in motor vehicle repair

2015 ◽  
Vol 8 (4) ◽  
pp. 272-283 ◽  
Author(s):  
Mark Piney ◽  
Diane Llewellyn ◽  
Rachel O'Hara ◽  
John Saunders ◽  
John Cocker ◽  
...  
Keyword(s):  
Occupational Asthma ◽  
Motor Vehicle ◽  
Small And Medium Enterprises ◽  
Health And Safety ◽  
Control Measures ◽  
Third Party ◽  
Exposure Control ◽  
Content Type ◽  
The Uk ◽  
The Impact

Purpose – Exposure to isocyanates was the leading cause of occupational asthma in the UK. Motor vehicle repair (MVR) bodyshop paint sprayers were at greatest risk, despite widespread use of air-fed breathing apparatus and ventilated booths. Most paint sprayers work in small and medium enterprises (SMEs). The purpose of the Health and Safety Executive (HSE) project, described in this paper, is to improve exposure control measures in at least 20 per cent of MVR bodyshops, and reduce the risk of occupational asthma. The paper aims to discuss this issue. Design/methodology/approach – A three-stranded plan consisted of: Safety and Health Awareness Days (SHADs); workplace inspections; and third-party stakeholder communications. The impact of various parts of the project were evaluated. Findings – Approximately 18 per cent of bodyshops in the UK attended one of 32 SHADs, following which over 90 per cent of delegates expressed an “intention to act” to improve exposure control measures. A local assessment showed that at least 50 per cent of bodyshops improved exposure control measures. An evaluation of 109 inspections found that enforcement action was taken at 40 per cent of visits. Third-party engagement produced a joint HSE-industry designed poster, new agreed guidance on spray booths and dissemination of SHAD material. Knowledge of booth clearance time has become widespread, and 85 per cent of booths now have pressure gauges. Biological monitoring data show that, post-SHAD, exposures were lower. Originality/value – A sustained national project using clear, relevant, tested messages delivered via different routes, had a sector-wide impact in bodyshops. It is probable that the project has improved isocyanate exposure control in at least 20 per cent of bodyshops. The generic lessons could be applied to other widespread SME businesses.

Sign in / Sign up

Export Citation Format

Share Document