scholarly journals P.1.24 The development and impact of policies and research for preventing and recognizing overwork-related cardiovascular disease in taiwan

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A83.2-A83
Author(s):  
Ro-ting Lin

IntroductionOverwork-related cardiovascular and cerebrovascular disease (CVD) is an emerging occupational and public health issue in East Asian societies with a substantial impact on workers’ rights and labor standards. To eliminate exposure to work-related risk factors and prevent overwork-related CVD, establishing national policy is a key step. We investigated the development and impact of policies and research regarding overwork-related CVD in recent years in Taiwan.MethodsWe collected information regarding government policies that aimed to prevent and recognize overwork-related CVD. Among the risk factors, long working hours have been widely adopted as a quantitative measure to recognize CVD as overwork-related or not. We also collected data on the number of overwork-related CVD cases and average working hours for each industry from 2006 to 2017.ResultsIn Taiwan, overwork-related CVD 79% of all deaths due to occupational diseases in 2017, although it accounted for 13% of all cases of occupational diseases. Taiwanese workers have long working hours compared to those in other countries, but Taiwan did not have official criteria for recognizing overwork-related diseases until 1991, and it did not recognize its first case until 2006 after several onsets of CVD reported on the news. Our estimation showed an under-recognition problem in less severe outcomes (i.e., illness). We also found variations in CVD risks across industries, with the higher risk in transportation and information.ConclusionsNational policy changes for preventing overwork were pushed by insightful scholars, labor unions, nongovernmental organizations, and legislators. Clear criteria for recognizing overwork-related CVD can help occupational physicians and industrial hygienists to assess the workers’ working characteristics more objectively. Although Taiwanese government has adopted the criteria for recognizing overwork-related CVD from Japan, the underreporting of less severe outcomes and industry disparities warrants further research to explore causal mechanisms and policies to narrow the gaps.

2020 ◽  
Vol 71 (4) ◽  
pp. 237-248
Author(s):  
Farhad Azimi Yancheshmeh ◽  
S. Hossain Mousavizadegan ◽  
Amin Amini ◽  
Andrew P. Smith ◽  
Reza Kazemi

2019 ◽  
Vol 76 (6) ◽  
pp. 389-395 ◽  
Author(s):  
Lee S Friedman ◽  
Kirsten S Almberg ◽  
Robert A Cohen

ObjectivesThe mining industry is increasingly adopting extended workdays of 10–12 hour shifts. Studies demonstrate that long work hours are associated with psychomotor impairments caused by fatigue and an increased risk of injury. However, studies involving miners remain limited. This analysis aimed to identify risk factors associated with long working hour injuries and to determine if long working hour incidents were associated with being killed or incidents involving multiple injured workers.MethodsData from US Mine Safety and Health Administration Part 50 reports, 1983–2015, were used to identify long working hour injuries, which were defined as incidents occurring nine or more hours after the start of a shift.ResultsA total of 52 206 injuries (9.6%) occurred during long working hours. The proportion of long working hour injuries increased from 5.5% of all injuries in 1983 to its peak in 2015 at 13.9% (p<0.001). Risk factors associated with long working hour injuries included irregular shift starts, being newly employed, employment by a contractor, metal/non-metal operations and mines with <100 employees. In two separate adjusted models, long working hour injuries were associated with a higher odds of death (adjusted OR [aOR]=1.32; 95% CI 1.18 to 1.48) and single incidents resulting in two or more workers injured (aOR=1.73; 95% CI 1.58 to 1.89).ConclusionsLong working hour injuries were associated with a lack of routine, being new at the mine and specific mining activities. An international shift towards using contract labour and extended workdays indicates that injuries during long working hours will likely continue to grow as a problem in the mining industry.


Author(s):  
Lars-Kristian Lunde ◽  
Øivind Skare ◽  
Asgeir Mamen ◽  
Per Anton Sirnes ◽  
Hans C. D. Aass ◽  
...  

There is a plausible association between shift work and cardiovascular disease (CVD), which may be due to disruption of the circadian rhythm causing hormonal changes and metabolic disturbances, resulting in high blood pressure, atherosclerosis, diabetes, and being overweight. However, few studies have investigated the association between several consecutive long work shifts, including night shifts, and risk factors for developing CVD. Moreover, knowledge is lacking on factors that may modify or enhance this suggested relationship. The study period is planned from the third quarter of 2018 to the fourth quarter of 2021, and will involve 125 industrial employees at two Norwegian enterprises producing insulation. The work schedule is either rotating shiftwork (morning, evening, night) or regular day work. At baseline, we will measure blood parameters, including markers of inflammation, lipids, and glycosylated hemoglobin. We will also collect measures of blood pressure, resting heart rate, arterial stiffness, carotid intima-media thickness, and aerobic fitness. At the end of baseline data collection, a subgroup will undergo a supervised high-intensity interval training intervention for eight weeks, initiated by the Occupational Health Service. At one-year follow-up, we repeat baseline measures with added measures of heart rate variability and additional five weeks monitoring of sleep and physical activity, and assessment of respirable dust. At the two year follow-up, we will measure CVD risk factors before and after a planned three-month shutdown in one of the studied plants. We will also assess respirable dust, monitor sleep, and compile a one-year retrospective detailed overview of working hours. A final data collection, similar to the one at baseline, will be carried out after three years. We will use a comprehensive set of methods to identify the effects of shift work with long working hours and night shifts on cardiovascular health. This will provide new knowledge on the association between early manifestations of CVD and occupational exposure to shift work. Further, we can study whether work organization such as extensive overtime, sleep loss, and dust exposure have detrimental effects, and if a three-month cease in shift work or increased physical activity will modify early manifestations of CVD.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027027 ◽  
Author(s):  
Kirsten Nabe-Nielsen ◽  
Åse Marie Hansen ◽  
Kazi Ishtiak-Ahmed ◽  
Matias Brødsgaard Grynderup ◽  
Finn Gyntelberg ◽  
...  

ObjectiveShift work and long working hours are potential risk factors for dementia, but previous studies on shift work, long working hours and dementia are sparse and their findings are conflicting. Therefore, we investigated the effect of night shift work and long working hours on dementia.DesignA longitudinal study.SettingDenmark.Participants3435 occupationally active men and women from the general working population.MethodsWork schedule covered day work (reference) and shift schedules without/with night work. Working hours covered <27, 28–36, 37 (reference), 38–44, and ≥45 hours/week. As the primary outcome, we used register-based information about dementia, and estimated incidence rate ratios (IRR) and 95% CI. Estimates were adjusted for gender, age, psychosocial work factors and cardiovascular risk factors.ResultsWe identified 85 dementia cases during a mean of 9.8 years of follow-up. We found a positive, but statistically insignificant association between night shift work and dementia (IRR=2.01; 95% CI: 0.87-4.65). Post hoc analyses indicated that this was only due to a higher risk in permanent night workers (IRR=3.25; 95% CI: 1.35-7.83). The dementia risk was also significantly higher among participants working 38–44 hours/week (IRR=2.08; 95% CI: 1.11-3.90) compared with those working 37 hours/week. We found no indications of a higher risk of dementia in participants working <37 hours/week or ≥45 hours/week.ConclusionWe did not find arguments that night shift work or long working hours increased dementia risk in general. However, we found a higher risk of dementia in specific subgroups, that is, permanent night workers and employees with moderately longer weekly working hours than the standard.


Work ◽  
2020 ◽  
Vol 67 (4) ◽  
pp. 993-1005
Author(s):  
Mona Sahu ◽  
Darius Gnanaraj Solomon ◽  
Santhiyagu Joseph Vijay ◽  
Jayaseelan Clement Sudhahar

BACKGROUND: In developing countries, the recent increase in computer-related work has considerably increased the occupational complaint of pain. OBJECTIVE: To examine the effects of workstation design, posture and ergonomic awareness on the prevalence of pain for a year in the upper part of the body (eyes, hands, arms, shoulders, lower back, and upper back) among IT professionals in India. METHOD: To investigate the association of risk factors with the prevalence of pain in different body parts, a newly designed online questionnaire titled “A Questionnaire based on ergonomics for IT Professionals” was developed. The psychometric properties of this questionnaire were tested. 110 computer office workers were recruited from IT companies from major cities in India. RESULTS: The confirmation of reliability and lack of redundancy of items was provided by the calculation of internal consistency (Cronbach’s alpha 0.804) and cross-validation. 60% of participants was male. Mean age was 29.73±6.09 years. The prevalence of pain for a year in the upper part of the body was 38.2%. The frequently reported pains were in the neck (22.7%), lower back area (22.7%), and eye strain (21.8%). CONCLUSION: It was identified that long working hours, excessive usage of smartphones, lack of exercise, incorrect workstation adjustments, and incorrect posture were the risk factors for the prevalence of pain.


English Today ◽  
2018 ◽  
Vol 34 (2) ◽  
pp. 35-38
Author(s):  
Jürg R. Schwyter

It is now ten years since I suffered a stroke. I continue to improve, albeit much more slowly than in the first one or two years. Readers of English Today may remember (Schwyter, 2011) that I was head of the English Department at the University of Lausanne, and a graduate of both the University of Pennsylvania and the University of Cambridge. My stroke came really out of the blue; I did not have any of the early warning signs. And the only possible risk factors I was aware of were very long working hours and stress in all its forms – though ‘stress’ is not very well defined medically, being not one symptom but rather a cluster of symptoms (Kivimäki et al., 2015).


Author(s):  
Fernando Graton Alves ◽  
Leandro Nakashima ◽  
Gilmara De Farias Souza Klein

A hipertensão arterial sistêmica (HAS) contribui para uma elevada mortalidade cardiovascular em todo país, e representa um sério problema de saúde pública. Alguns fatores de risco favorecem o aparecimento da mesma, como alimentação inadequada, tabagismo, estresse, sedentarismo, carga horária de trabalho elevada, entre outros. Frente a essa realidade, observa-se que o docente de nível superior tem predisposição para o desenvolvimento de HAS, o que motivou a investigar tal fato. Estudo quantitativo com docentes de uma instituição de ensino superior, do curso de enfermagem. Foram selecionados aleatoriamente e convidados a participarem da pesquisa 30 professores, objetivando-se conhecer seus hábitos de vida e seus níveis pressóricos. Os resultados mostraram que a maioria dos atores possui valores pressóricos normais, porém apresenta um conjunto de fatores de risco para desenvolvê-la, o que mostra a necessidade de mudança substancial no estilo de vida.Descritores: Fatores de Risco, Hipertensão Arterial, Docentes, Enfermagem.Risk factors for hypertension in the course of teaching nursing of a private universityAbstract: Systemic Arterial Hypertension (SAH) is a disease with important systemic consequences that can lead to death and it represents a serious public health problem in Brazil. It is caused by a variety of factors: bad alimentation, cigarette smoking, stress, sedentary life, long working hours, and others. The main reason that motivated this study was the fact that teachers have predisposition to develop the SAH. Quantitative study with teachers from an institution of higher education, the nursing course. The 30 professors invited to participate of this research were select randomly. The intention of this study was to know their lifestyles and their blood pressure levels. The results showed that most of them have a normal blood pressure level, but they present risk factors to develop the disease. Therefore, they need to make big lifestyle changes. Descriptors: Risk Factors, Arterial Hypertension, Professors, Nursing.Factores de riesgo para la hipertensão arterial en docentes del curso de enfermería de una universidad privadaResumen: La hipertensión arterial sistémica (HAS) contribuye para una elevada tasa de mortalidad cardiovascular en todo el país y representa un grave problema de salud pública en Brasil. Algunos factores de riesgo favorecen la aparición de la misma, es decir: la dieta inadecuada, el tabaquismo, el estrés, el estilo de vida sedentario, la jornada de trabajo elevada, entre otros. Ante esta realidad, los docentes de nivel superior tienen una predisposición a desarrollar la HAS, lo que nos motivó a investigar el hecho. Es un estudio cuantitativo realizado con profesores de una institución de enseñanza superior en el curso de enfermería. Fueron seleccionados aleatoriamente e invitados a participar del estudio 30 docentes, con el propósito de conocer sus estilos de vida y sus niveles de presión arterial. Los resultados mostraron que la mayoría de los profesores tienen valores de presión arterial normales, pero suman un conjunto de factores de riesgo para desarrollar la HAS, lo que muestra la necesidad de un cambio sustancial en el estilo de vida. Descriptores: Factores de Riesgo, Hipertensión Arterial, Docentes, Enfermería.


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