Occupational health hazards and use of personal protective equipment among automobile mechanics in Surulere local government area of Lagos State, Nigeria - a descriptive study

Introduction: The job of an automobile mechanic is associated with hazards, illness, and injuries, which may result in sickness, absenteeism, economic loss, disability, or even death. This study assessed the level of knowledge and workplace safety practice by automobile mechanics. Methods: A descriptive cross-sectional study was carried out among 120 registered automobile mechanics in Surulere Local Government Area of Lagos State, Nigeria. A questionnaire was used to obtain information on socio-demography and occupational health practices. Data entry and analysis were done with Epi-info 3.5.1(2008). Chi-square and Fischer Exact tests were used to test for significance. Results: The respondents were all males with a mean age of 39.9±7.5 years, the majority learned the trade through apprenticeship (95.80%) and on full-time work (98.30%). Most respondents (95.8%) were aware of at least one health problem associated with its hazards. Over 75% of respondents were aware of physical hazards. Over eighty percent (84.17%) of respondents used their own overalls, 40% of them used overalls regularly, and only 26.67% of respondents used overalls appropriately. Conclusion: Many respondents were aware of health problems, occupational hazards, and PPE used in the Automobile workplace but did not translate to good practice of workplace safety as seen in only 1.67%. The respondents did not deem the use of PPE necessary and lack, or inadequate training on the ‘how’ and ‘why’ PPE were identified as factors hindering PPE use. Workers' training and adherence monitoring could help improve good workplace safety practices in Lagos, Nigeria.

Sick Leave Characteristics Among Nurses of a Referral Hospital During COVID-19 Pandemic

Hospital-related infections have been widely reported during the Covid-19 outbreak that exposes healthcare professionals to at greater risk of infection. This cross-sectional study was designed to evaluate the frequency of absenteeism in hospital staff during the first and second months of the Covid-19 pandemic, from 26 February until 19 April 2020. Occupational data and sickness absenteeism characteristics were collected from the records of the nursing management department. 304 (17.8%) had sick leave due to coronavirus or corona-like symptoms. Nurses and then nursing aid workers constituted the categories with more frequency of sick leave. The more median days of sick leave were observed among supervisors and midwives. About 80% of participants had typical symptoms of Coronavirus. In conclusion, the median days of sick leave due to coronavirus were not as high as we thought. This could be due to human resource shortage and insufficient knowledge regarding return-to-work guidelines in the early phase of this pandemic.

Causes of Sickness Absenteeism in Europe—Analysis from an Intercountry and Gender Perspective

This study aims to extract and explain the territorially varied relation between socioeconomic factors and absence rate from work due to own illness or disability in European countries in the years 2006–2020. For this purpose, several causes were identified, depending on men and women. To explain the absenteeism and emphasize gender as well as intercountry differences, geographically weighted regression was applied. For men, there were five main variables that influenced sickness absence: body mass index, the average rating of satisfaction by job situation, employment in the manufacturing sector, social benefits by sickness/health care, and performing health-enhancing physical activity. For women, there were five main variables that increased the absence rate: the risk of poverty or social exclusion, long-standing illness or health problems, employment in the manufacturing sector, social protection benefits, and deaths due to pneumonia. Based on the conducted research, it was proven that the sickness absence observed in the analyzed countries was highly gender and spatially diverged. Understanding the multifactorial factors playing an important role in the occurrence of regional and gender-divergent sickness absence may be a good predictor of subsequent morbidity and mortality as well as be very useful to better prevent this outcome.

Designing Stress Relieving Game Associated to Virtual and Augmented Reality for Bus Drivers

Stress is a phenomenal problem that affects a large number of worker, regardless of the financial or social status, age and profession, a person exposed to stress may develop health problems that can interfere with work and his quality of life. Problems about stress should not be taken for granted as it may lead to health problems that causes sickness absenteeism. In this scenario it is important to have strategies that helps to deal with such problem. Nowadays technology has been used in different areas not only to help our day to day transactions easy but also provide assistance in coping with psychological problems like stress thru computer games, mainly those based upon Virtual and Augmented Reality (VR/AR) techniques because it offers players some experiences like: relaxation, sense of control, challenges, learning opportunities and immersion and so these characteristics can contribute to the control process of stress. In this paper, it aimed to describe a design intervention though virtual reality game controlled by breathing and simple body movements to relieve stress.

The Causal Structure of the Effort-Reward Imbalance Model and Absenteeism in a Cohort Study of German Employees

The present study contributes to previous research by assessing the validity of the causal structure of the Effort-Reward Imbalance model in relation to the psychosocial mechanisms involved in sickness absenteeism. To this end, data from the German Cohort Study on Work, Age, Health and Work Participation are analysed (lidA Study, n = 6,270). The main hypotheses concerning short- and long-term sick-leave rates are investigated with six hurdle regression models. The results suggest that a high effort-reward imbalance, and high efforts and low rewards at work are associated with an increasing likelihood of sick leave. However, the combination of high effort-reward imbalance and high overcommitment was associated with lower sick-leave rates, in contradiction to the hypothesis postulating cumulative adverse effects of increased effort-reward imbalance and high overcommitment on health-related outcomes. Long-term sick-leave rates among workers of higher occupational and educational status were substantially lower in comparison to those among workers of lower status categories. Even though most hypotheses of the Effort-Reward Imbalance model are suitable for explaining the patterns of absenteeism in this sample, the results point to more complex motivational processes and socioeconomic characteristics of employees moderating and mediating the associations between perceived efforts and rewards at work and absenteeism.

SMART STEP – SMARTphone-driven exercise and pedometer-based STEP intervention to promote physical activity among desk-based employees: Study protocol for a three-arm cluster randomized controlled trial

BACKGROUND: Prolonged sitting in desk-based office workers is found to be associated with increased cardiometabolic risk and poor cognitive performance. Technology-based physical activity (PA) interventions using smartphone applications (SmPh app) to promote PA levels might be effective in reducing cardiometabolic risk among sedentary population but the evidence remains inconclusive. OBJECTIVE: The objective is to investigate the effects of a technology-based PA intervention compared to PA education with a worksite manual or no intervention on PA levels, cardiometabolic risk, cognitive performance, and work productivity among desk-based employees. METHOD: A three-arm clustered randomized trial will be conducted. The study will be conducted among various administrative offices of a multifaceted university in India. Desk-based employees aged between 30 and 50 years (n = 159; 53 in each arm) will be recruited. Employees from various constituent institutions (clusters) of the university will be randomized into one of the three following groups - SMART: SmPh app-driven break reminders (visual exercise prompts) plus pedometer-based step intervention, TRADE: worksite PA education with a manual plus American College of Sports Medicine guided PA prescription, or CONTROL: usual work group. At baseline and after the 1st, 3rd and 6th month of the trial period, accelerometer-measured sitting time and PA levels, cardiometabolic risk (fasting blood glucose, triglycerides, insulin, blood pressure, heart rate variability, functional capacity, and subcutaneous fat), cognitive performance (executive function), sickness absenteeism and work limitations will be assessed by a blinded assessor. Therapist delivering interventions will not be blinded. CONCLUSION: This trial will determine whether a combined SmPh-app and pedometer-based intervention is more effective than education or no intervention in altering PA levels, cardiometabolic risk and cognitive performance among desk-based employees in India. This study has the potential to foster institutional recommendations for using SmPh-based technology and pedometers to promote PA at work.

Understanding the Decision-Making Process Between Presenteeism and Absenteeism

Due to their impact on various stakeholder groups, research on the global phenomena of sickness presenteeism (working despite illness) and sickness absenteeism (absence due to illness) is constantly growing. Most studies focus on identifying factors associated with the attendance behaviors. In contrast, there have been few theoretical approaches to explain the individual decision-making process for or against working while ill. Moreover, their empirical verification is still pending. In the present study, we refer to expectancy theory to theoretically explain how the decision is made. To empirically test the model predictions we applied experimental vignette methodology in an online survey with working adults. The hypotheses were confirmed in that the calculated and predicted decisions significantly matched the intentionally chosen decisions. The results contribute to a better theoretical understanding of the decision-making process and provide starting points for interventions to manage attendance behavior in organizations.

Prevalence of musculoskeletal disorders and their association with ergonomic physical risk factors among women working in tea gardens of Darjeeling district of West Bengal, India

Introduction: Work related musculoskeletal disorders (WRMSDs) is common among tea-plucking folks and may be attributed to the long duration of work in same posture, the load they carry while plucking and transporting the leaves to the nearest depot, improper job rotations and the difficult hilly terrains. Objective: To determine the prevalence and pattern of musculoskeletal disorders among tea garden workers and to ascertain the risk factors for the same. Methods: A cross-sectional study was conducted among 210 female tea garden workers employed in tea gardens of Darjeeling district using 30 cluster sampling design. Data on musculoskeletal morbidities were collected using Standard Nordic Musculoskeletal Questionnaire and ergonomic risk was assessed by Rapid Entire Body Assessment (REBA) worksheet. Results: Proportion of musculoskeletal disorders in past 12 months was 92.4% and in past 7 days was 71.4%. Upper extremities were the most commonly affected body part. Higher altitude, age, BMI, more duration in present job, history of work related injuries and increased REBA risk assessment score were found to be significantly associated with musculoskeletal disorders. Conclusion: Musculoskeletal morbidities among female tea garden workers of Darjeeling were found to be considerably high. Ergonomic mechanised assistance in tea plucking can reduce this proportion of MSD and thus may go a long way in reducing sickness absenteeism and increasing productivity. Financial support and sponsorship - Nil. Conflicts of interest - There are no conflicts of interest.

Health inequities in influenza transmission and surveillance

The lower an individual’s socioeconomic position, the higher their risk of poor health in low-, middle-, and high-income settings alike. As health inequities grow, it is imperative that we develop an empirically-driven mechanistic understanding of the determinants of health disparities, and capture disease burden in at-risk populations to prevent exacerbation of disparities. Past work has been limited in data or scope and has thus fallen short of generalizable insights. Here, we integrate empirical data from observational studies and large-scale healthcare data with models to characterize the dynamics and spatial heterogeneity of health disparities in an infectious disease case study: influenza. We find that variation in social and healthcare-based determinants exacerbates influenza epidemics, and that low socioeconomic status (SES) individuals disproportionately bear the burden of infection. We also identify geographical hotspots of influenza burden in low SES populations, much of which is overlooked in traditional influenza surveillance, and find that these differences are most predicted by variation in susceptibility and access to sickness absenteeism. Our results highlight that the effect of overlapping factors is synergistic and that reducing this intersectionality can significantly reduce inequities. Additionally, health disparities are expressed geographically, and targeting public health efforts spatially may be an efficient use of resources to abate inequities. The association between health and socioeconomic prosperity has a long history in the epidemiological literature; addressing health inequities in respiratory-transmitted infectious disease burden is an important step towards social justice in public health, and ignoring them promises to pose a serious threat.