Shoulder pain prevalence by age and within occupational groups: a systematic review

Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain continue to increase after the age of 50 in working populations and to compare these estimates in physically demanding occupations with sedentary occupations. Methods A systematic review of retrospective, cross-sectional, prospective, or longitudinal. studies reporting prevalence or incidence of non-specific shoulder pain in occupational groups stratified by age. Searches were conducted in PubMed, Scopus, and CINAHL from inception until January 2020. Study characteristics and prevalence estimates stratified by age were extracted. Two reviewers independently performed a critical analysis of the included studies to determine their validity and risk of bias. Results Twenty studies with a total of 40,487 participants and one study of a clinical data base were included and assigned a direction of the estimates for shoulder pain as either ‘increasing’, ‘remaining stable’ or ‘decreasing’ past the age of 50. Shoulder pain generally increased past 50, with 16 of the 21 included studies reporting higher estimates/odds ratios in older participants. In the more physically active occupations over 50, the estimates increased in 14 of the 18 samples compared to only two of the four involving sedentary occupations. Conclusions Shoulder pain prevalence remains common in workers beyond the age of 50. Prevalence continues to increase in physically demanding occupations. Clinicians should consider factors of occupation when managing shoulder pain. Trial registration PROSPERO (CRD42019137831).

Marketisation and regional planning in neoliberal public services: Evidence from French hospitals

Marxist scholarship has documented the implications of ‘neoliberal’ reforms to public services. This scholarship often considers these reforms as class projects which have disciplined working populations and created new opportunities for capitalist profit-making. But in this article, we shift emphasis to the internal dysfunction that shapes states’ pursuit of market-oriented policy agendas. We place closer focus on the specific levers through which marketising reforms are implemented, noting the conflicting pressures they unleash, and the cracks this may open through which a more democratic agenda can be advanced. Taking the French hospital sector as an example, we show how attempts to expand and intensify competition in public services have coincided with attempts to decentralise governance to the regional level. While ostensibly part of the same ‘reforming’ policy agenda, marketising policies have a strongly centralising logic which has in practice undermined efforts to develop meaningful regional planning. These institutional tensions have catalysed new political currents, as the relationship between public authorities and private sector actors has become more overtly conflictual. We argue that Marxist theorists of the state need to pay closer attention to the often dysfunctional relationship between different branches of the state, and that in the context of neoliberal public service reform, the tensions between central and regional states are particularly salient. We conclude that opponents of the marketisation of public services need to pay attention to the contested and ambiguous nature of ‘decentralisation’: while it is often a rhetorical cover for marketisation, there are opportunities for the left in demanding more meaningful and authentic forms of regional planning.

Qualitative Investigation into Therapists’ Experiences of Online Therapy: Implications for Working Clients

Online therapy has increasingly been utilised during the COVID-19 pandemic by many, including working populations. However, few qualitative studies have explored how online therapy is experienced in practice and discussed its implications for those working clients. Semi-structured interviews attended by nine integrative psychotherapists practising in California, the United States, were conducted. Thematic analysis of the transcripts identified three themes: (i) ‘Positive experiences of online therapy’, (ii) ‘Challenges experienced by therapists and clients in online therapy’, and (iii) ‘Preparation and training for online therapy’. Online therapy was assessed as being helpful, particularly in terms of mitigating against previous geographical and temporal barriers to uptake. However, due to technological disruptions and potential blurring of professional boundaries, online therapy may detract from the emotional salience of therapy, negatively impacting the therapeutic relationship and containment. Considering these positive experiences, participants expected that the demand for online therapy would continue to increase. Particularly in the occupational context, online therapy can offer interventions without fostering shame regarding mental health. The findings provide preliminary qualitative evidence that online therapy can be a useful adjunct to traditional forms of face-to-face therapy. However, therapists require more explicit training in implementing online therapy. Results are discussed in particular regarding the utility of this therapy for working clients.

Changing patterns of sickness absence among healthcare workers in England during the COVID-19 pandemic

Background Patterns of sickness absence shed useful light on disease occurrence and illness-related behaviours in working populations. Methods We analysed prospectively collected, pseudonymized data on 959 356 employees who were continuously employed by National Health Service trusts in England from 1 January 2019 to 31 July 2020, comparing the frequency of new sickness absence in 2020 with that at corresponding times in 2019. Results After exclusion of episodes directly related to COVID-19, the overall incidence of sickness absence during the initial 10 weeks of the pandemic (March–May 2020) was more than 20% lower than in corresponding weeks of 2019. Trends for specific categories of illness varied substantially, with a fall by 24% for cancer, but an increase for mental illness. A doubling of new absences for pregnancy-related disorders during May–July of 2020 was limited to women with earlier COVID-19 sickness absence. Conclusions Various factors will have contributed to the large and divergent changes that were observed. The findings reinforce concerns regarding delays in diagnosis and treatment of cancers and support a need to plan for a large backlog of treatment for many other diseases. Further research should explore the rise in absence for pregnancy-related disorders among women with earlier COVID-19 sickness absence.

Using sensors to measure inbox stress

Email notifications are constantly calling for our attention, and the volume of emails is ever-increasing. A research group at the University of California, Irvine explores how managing the inbox affects stress for different working populations.

Differences in the association between the 2018 ACGIH TLV for Hand Activity and carpal tunnel syndrome by gender and age

The recently revised ACGIH TLV for Hand Activity (TLV2018) is a widely used tool for assessing risk for upper limb musculoskeletal disorders. The purpose of this analysis was to compare the strength of the exposure-response relationships between the TLV2018 and carpal tunnel syndrome (CTS) between men and women and across age strata. Heterogeneity of the effect size by sex or age would be important to specialists using the method for prevention of CTS among working populations. Data from two large prospective studies were combined to allow for stratification of exposure-response models assessing the association between the TLV2018 and CTS by gender and age. Results show greater risk for women than men and for younger workers than older workers for TLV2018 values above the action limit. Although the TLV2018 is an effective surveillance tool for estimating increased risk of CTS with increasing exposure, these analyses show that such increase are not homogeneous across sex and age.

Exploring the Ethnic Immigrant Inflows from Latin America to Canada: 1981-2016

Using 2016 census data, the study carried out five socio-demographic explorations regarding 25 ethnic immigrant inflows from Latin America to Canada occurring between 1981 and 2016. The population represented by these inflows comprised approximately 470 thousand immigrants. The data was drawn from two special 2016 census tables which collected information on immigrants' admission categories (economic, family and refugee) and their reported ethnic ancestries. Explorations focused on the following aspects: census counts and periods of arrival, residential preferences, admission class mix, population configurations and human capital attainment profiles. Five main historical immigrant waves had been already been identified by Canadian scholars: Lead or Eurolatino, Andean, Coup, Central American and Technological or Professional. Evidence of the presence of these immigrant waves was found in the census data explorations undertaken. Census figures revealed that the largest ethnic immigrant inflow corresponded to those reporting Spanish ancestry (158 thousand or 34% of the total) followed by the Colombian, Mexican, Salvadoran and Peruvian inflows. Residential concentrations in the provinces of Ontario and Quebec were also detected. Explorations suggest that "Latino" communities in Canada are emerging as the demographic product of a mixture of admission classes which are uniquely distributed in age-gender cohorts of their respective population configurations. Human capital attainment explorations revealed that inflow members of the working populations corresponding to the fifth technological or professional wave from countries such as Venezuela, Mexico, Brazil and Colombia ranked at top levels of education and income achievements, those admitted as economic class in particular. The study of Latin American ethnic inflows to Canada is especially relevant for social policy because it represents a "collective" case study where the researcher is able to summarize a complex immigration picture through the examination of the geographical region representing a sample of units which ensures maximum variation in terms of several push-pull migratory factors at work.

Working during a Pandemic between the Risk of Being Infected and/or the Risks Related to Social Distancing: First Validation of the SAPH@W Questionnaire

Background: The COVID-19 pandemic led the worldwide healthcare system to a severe crisis in which personnel paid the major costs. Many studies were promptly dedicated to the physical and psychological consequences of the COVID-19 exposure among healthcare employees, whereas the research on the other working populations has been substantially ignored. To bridge the current lack of knowledge about safe behaviors related to the risk of COVID-19 contagion at work, the aim of the study was to validate a new tool, the SAPH@W (Safety at Work), to assess workers’ perceptions of safety. Methods: A total of 1085 participants, employed in several organizations sited across areas with different levels of risk of contagion, completed an online questionnaire. To test the SAPH@W validity and measurement invariance, the research sample was randomly divided in two. Results: In the first sub-sample, Confirmatory Factor Analysis demonstrated the adequacy of the SAPH@W factorial structure. In the second sub-sample, multi-group Confirmatory Factor Analysis revealed that the SAPH@W was invariant across gender, ecological risk level, and type of occupation (in-person vs. remote working). Conclusions: The study evidenced the psychometric properties of the SAPH@W, a brief tool to monitor workers’ experiences and safety perceptions regarding the COVID-19 risk in any organisational setting.

Ripped at the Seams: RMG Sector Workers During a Global Pandemic

Authors from NORC at the University of Chicago conducted a five-month rapid assessment of COVID-19’s impact on the Ready Made Garments industry (RMG) in Bangladesh and India with funding from the Global Fund to End Modern Slavery (GFEMS). The research presented here highlights the increased risk of forced labor among vulnerable working populations associated with the COVID-19 pandemic. The rapid assessment addresses descriptive and normative questions about the short- and long-term impact of the COVID-19 pandemic on Bangladesh and India’s RMG industries. Qualitative data collection methods included 19 semi- structured key informant interviews (KIIs) with governmental and non-governmental stakeholders and actors across the RMG supply chain. KIIs were informed by a systematic review of recently published media articles, reports, white papers, and other online content. RMG sector stakeholders, including private sector supply chain actors, policy actors, and implementing partners, can use this research to adapt programs and address the multi-faceted challenges facing apparel workers during a global pandemic.

Features of Occupational Health Risks in the Russian Arctic (on the Example of Nenets Autonomous Okrug and Chukotka Autonomous Okrug)

Working in the Arctic increases the risk of occupational diseases, which is especially important in the context of acute shortage of manpower in the region. The purpose of the study was to comparatively evaluate the working conditions and occupational pathology in Nenets Autonomous Okrug (NAO) and Chukotka Autonomous Okrug (ChAO) of Russia. We analyzed the results of socio-hygienic monitoring “Working Conditions and Occupational Morbidity” in 2008–2018. Despite similar climatic and socio-economic conditions, significant differences exist in the health risks of the working populations of the two regions. In NAO two-thirds of workers were employed at facilities with satisfactory sanitary and epidemiological well-being, while in ChAO only 13% of workers had such conditions. In NAO, almost all occupational diseases (93.2%) were due to exposure to noise among civil aviation workers. In ChAO, health problems mainly occurred among miners (81.5%). The most common of these were noise effects on the inner ear (35.2%), chronic bronchitis (23.1%), and mono- and polyneuropathies (12.5%). In 2008–2018, the occupational pathology risk in ChAO was higher than in NAO: RR = 2.79; CI 2.09–3.71. Thus, specificity of technological processes and forms of labor organization create significant differences in health risks for workers. It is necessary to use modern mining equipment to decrease the occupational morbidity in ChAO. In NAO, this effect can be achieved by updating the fleet of civil aviation.