scholarly journals P.2.24 The effect of the exposure to work-related potentially traumatic events on occupational functioning (work limitations) among firefighters: a cross-sectional study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A94.1-A94
Author(s):  
Ki Soo Park

ObjectiveThe purpose of this study was to investigate whether firefighters’ exposure to work-related trauma events is related to work limitations that form part of social health.MethodsIn 2016, 618 firefighters from four cities in Gyeongsangnam-do participated in this study. They were analyzed using a health-related work limitations questionnaire, experience and type of work-related trauma, Korea Depression Scale, and the World Health Organization quality of life assessment instrument. The health-related work limitations consisted of three scales: ‘physical work demands,’ ‘psychosocial work demands,’ and ‘environmental work demands.’ The analysis was done by hierarchical logistic regression analysis.ResultsOf the subjects, 70.2% remembered traumatic experiences they had experienced during their job. The total work limitations were 21.5%; the limitation of physical work demands was 16.8%, that of psychosocial work demands was 15.5%, and that of environmental work demands was 13.8%. Logistic regression analysis of the final model 3 showed that, if firefighters have experience of their own risks and personal injury, physical (95% CI=1.169–9.405), psychosocial (95% CI=1.080–8.609), and environmental (95% CI=1.659–14.402), the total (95% CI=1.439–9.678) work limitation was significantly increased. When there was a memory of a terrible body or injury, the total work limitations increased significantly (95% CI=1.092–3.905).ConclusionsWhen firefighters are exposed to trauma events during their jobs, these have a negative impact on their work. In order to protect and improve the occupational functions of firefighters, effective prevention and management of work-related trauma incidents should be considered.

Author(s):  
Mi-Ji Kim ◽  
Yeoju Jeong ◽  
Yeun-Soon Choi ◽  
Ae-Rim Seo ◽  
Yeongmi Ha ◽  
...  

Many firefighters suffering from traumatic events while on duty participate in the work force. However, the impact of work-related traumatic events on work performance is unclear. To address this issue, we administered a work-related traumatic event experience survey, the health-related work limitations questionnaire, the Korea Depression Scale, and the World Health Organization quality of life assessment to firefighters from four cities in Korea. The health-related work limitations questionnaire measured limitations in their ability to perform three specific work demands—physical, psychosocial, and environmental. Of 685 firefighters enrolled in the study, 618 (90.2%) were included in the final analyses. Their mean age ± standard deviation (SD) was 41.1 ± 8.0 years and mean employment period ± SD was 163.0 ± 101.2 months. A large percentage of participants reported they had experienced work-related traumatic events. Among the firefighters, the total work limitation prevalence was 21.5%, 16.8% of them were limited in their abilities to perform physical work demands, 15.5% were limited in performing psychosocial work demands, and 13.8% were limited in their abilities to function without difficulty within the ambient work environment. Based on multivariable logistic regression, with having work-related traumatic event experience of a threat or injury to self, the odds ratio (OR) of having work limitations in physical (OR = 3.32, 95% CI = 1.17–9.41), psychosocial (OR = 3.05, 95% CI = 1.08–8.61), environmental (OR = 4.89, 95% CI = 1.66–14.40) work demands, and total work limitation (OR = 3.73, 95% CI = 1.44–9.68) increased significantly. With experiences of treating fatalities or injured patients, the OR of total work limitation increased significantly (OR = 2.07, 95% CI = 1.09–3.91). We demonstrated a relationship between the firefighters’ exposure to work-related traumatic events and their work limitations. A professional care management system for firefighters to prevent and manage work-related traumatic events should be developed in order to protect and improve their performance ability.


Author(s):  
Astrid de Wind ◽  
Ranu Sewdas ◽  
Emiel O. Hoogendijk ◽  
Allard J. van der Beek ◽  
Dorly J. H. Deeg ◽  
...  

Policies to extend working lives often do not take into account potentially important health inequalities arising from differences in occupational exposures. Little is known about which occupational exposures are associated with these inequalities. This study aims to examine differences in life expectancy without and with disability by occupational exposures. Longitudinal data (1992–2016) on disability and physical and psychosocial work demands and resources of 2513 (former) workers aged ≥55 years participating in the Longitudinal Aging Study Amsterdam were used. Gender specific life expectancies without and with disability by occupational exposures were calculated using multistate survival models. Women aged 55 years with high physical work demands had a lower life expectancy without disability than those with low exposure (1.02–1.57 years), whereas there was no difference for men. Men and women with high psychosocial work demands and resources had a longer life expectancy without disability than those with low exposure (1.19–2.14 years). Life expectancy with disability did not significantly differ across occupational exposures. Workers with higher psychosocial demands and resources and lower physical demands can expect to live more disability-free years. Information on occupational exposure helps to identify workers at risk for lower life expectancy, especially without disability, who may need specific support regarding their work environment.


2021 ◽  
pp. 140349482199366
Author(s):  
Rahman Shiri ◽  
Aapo Hiilamo ◽  
Tea Lallukka

Objective: This narrative review summarizes the available indicators for working life expectancy and years of working life lost (YWLL) and their determinants. Methods: We searched PubMed and Embase databases from their inception until August 2020 and screened all studies proposing an indicator for working life expectancy or YWLL. We also reviewed studies focusing on sociodemographic, lifestyle and work-related determinants of working life expectancy and YWLL. The results were synthesized narratively. Results: We identified 13 different indicators for the length of working life or YWLL. The most frequently used indicators were ‘working life expectancy’, ‘healthy working life expectancy’, and YWLL. Working life expectancy and healthy working life expectancy are longer for men than women. Working life expectancy at the age of 50 has been increasing since the mid-90s, and the increase has been larger for women, reducing the sex difference. Working life is shorter for people with a low level of education, in lower occupational classes, for people exposed to high physical work demands, those living in the most socioeconomically deprived areas, people with overweight or obesity, smokers, people who are inactive during leisure time and in people with a chronic health problem. Conclusions: Despite increasing interest in understanding the determinants of YWLL, only a few studies have simultaneously considered multiple exit routes from the labour market. We propose a new measure for total YWLL considering all relevant exit routes from employment. This comprehensive measure can be used to assess the effect of given policy changes on prolonging working life.


Author(s):  
Emil Sundstrup ◽  
Sannie V. Thorsen ◽  
Reiner Rugulies ◽  
Mona Larsen ◽  
Kristina Thomassen ◽  
...  

Background: This study investigates the role of physical work demands and psychosocial work factors for early retirement among older workers. Methods: Data from three Danish surveys on work environment and health among employed older workers (age 55–59) were merged with a national register containing information on labour market participation. Robust Poisson regression modelled the risk ratios (RR) and 95% confidence intervals (CI) for the association between physical and psychosocial work factors and early retirement, that is, not working after the age of 64. Results: Of the 2800 workers, 53% retired early. High physical work demands (RR 1.33, 95%CI 1.19–1.48), poor overall psychosocial working conditions (RR 1.43, 95%CI 1.26–1.61), and access to early retirement benefits (RR 1.79, 95%CI 1.53–2.10) predicted early retirement. Subgroup analyses revealed that poor overall psychosocial working conditions were a stronger predictor for early retirement among workers with seated jobs than those with physically active jobs. Conclusions: High physical work demands and poor psychosocial working conditions are factors that can push older workers out of the labour market prematurely. Poor psychosocial working conditions seem to be a particularly strong push factor among workers with seated work.


2018 ◽  
Vol 75 (6) ◽  
pp. 421-426 ◽  
Author(s):  
Eivind Schjelderup Skarpsno ◽  
Tom Ivar Lund Nilsen ◽  
Trond Sand ◽  
Knut Hagen ◽  
Paul Jarle Mork

ObjectivesTo prospectively investigate (i) the association of physical work demands and work-related physical fatigue with risk of insomnia symptoms and (ii) if these associations are influenced by chronic musculoskeletal pain.MethodsProspective study on a working population of 8563 women and 7598 men participating in the Nord-Trøndelag Health Study (Norway) who reported no insomnia at baseline in 1995–1997. Occurrence of insomnia symptoms was assessed at follow-up in 2006–2008. A Poisson regression model was used to calculate adjusted risk ratios (RRs) for insomnia symptoms with 95% CI.ResultsCompared with workers without work-related physical fatigue, women and men who reported that they were always fatigued had RRs of insomnia of 2.34 (95% CI 1.72 to 3.18) and 2.47 (95% CI 1.59 to 3.83), respectively. Overall, physical work demands was not associated with risk of insomnia, although men who reported heavy physical work had an RR of 0.67 (95% CI 0.47 to 0.97) compared with men with mostly sedentary work. Compared with the reference group of workers without work-related physical fatigue and no chronic pain, analyses of joint effects showed that women with excessive work-related fatigue had an RR of 4.20 (95% CI 2.95 to 5.98) if they reported chronic pain and an RR of 1.67 (95% CI 0.87 to 3.18) if they did not. Corresponding RRs in men were 3.55 (95% CI 2.11 to 5.98) and 2.13 (95% CI 1.07 to 4.25).ConclusionThese findings suggest that there is an interplay between work-related physical fatigue and musculoskeletal pain that should receive particular attention in the prevention of insomnia in working populations.


2009 ◽  
Vol 43 (2) ◽  
pp. 326-334 ◽  
Author(s):  
Rita de Cássia Pereira Fernandes ◽  
Fernando Martins Carvalho ◽  
Ada Ávila Assunção ◽  
Annibal Muniz Silvany Neto

OBJECTIVE: To examine the interaction between physical and psychosocial demands of work associated to low back pain. METHODS: Cross-sectional study carried out in a stratified proportional random sample of 577 plastic industry workers in the metropolitan area of the city of Salvador, Northeast Brazil in 2002. An anonymous standard questionnaire was administered in the workplace by trained interviewers. Physical demands at work were self-rated on a 6-point numeric scale, with anchors at each end of the scale. Factor analysis was carried out on 11 physical demand variables to identify underlying factors. Psychosocial work demands were measured by demand, control and social support questions. Multivariate analysis was performed using the likelihood ratio test. RESULTS: The factor analysis identified two physical work demand factors: material handling (factor 1) and repetitiveness (factor 2). The multiple logistic regression analysis showed that factor 1 was positively associated with low back pain (OR=2.35, 95% CI 1.50;3.66). No interaction was found between physical and psychosocial work demands but both were independently associated to low back pain. CONCLUSIONS: The study found independent effects of physical and psychosocial work demands on low back pain prevalence and emphasizes the importance of physical demands especially of material handling involving trunk bending forward and trunk rotation regardless of age, gender, and body fitness.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefan Oliv ◽  
Ewa Gustafsson ◽  
Adnan Noor Baloch ◽  
Mats Hagberg ◽  
Helena Sandén

Abstract Background The aim of this study was to investigate what exposure to work demands, physical and psychosocial, is associated with lower levels of sickness absence among workers with neck or upper back pain in different groups, by age, gender, duration of sickness absence and work ability score. Methods This study was a prospective study of 4567 workers with neck or upper back pain. Data on neck or upper back pain, work demand and work ability were obtained from the Swedish Work Environment survey over a 3–year period (2009–2013). Register data on sickness absence, 1 year after each survey was conducted, were obtained from the Swedish health insurance database. Analyses were performed to estimate the association between self-reported work demands and registered sick days > 14 days. The analyses were stratified for gender, age group and work ability score. Results Lower numbers of sick days were found for workers reporting low exposure to lifting ≥15 kg and twisted or forward-leaning work postures. Lower numbers of sick days were found for workers reporting high work control and seated work. The associations were generally stronger in the older age groups for the physical work demands. Conclusions The findings in this study suggest that certain physical work demands and having high control over one’s work can result in lower sickness absence, especially among middle-aged and older workers with neck or upper back pain.


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