ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The effect of participation in an employee fitness program on reduction of absenteeism due to illness on three different worksites (police force, chemical industry, banking) was studied. The study used a longitudinal pretest-posttest design. From 884 subjects, data were collected on absenteeism in the pre-intervention year and on absenteeism in the first year of the fitness program. The subjects were divided into three groups: high participation, low participation, and no participation in the employee fitness program. Results of covariance analyses show that the high participation group had a significant decline in sick days (4.8 days), while the low and no participation groups showed no change in sick days. Even when self-selection in the participation in an employee fitness program seems to be present, there is potentially for a great deal to be gained from participation of this self-selected group in terms of changed sick days.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Over 3700 occupational fatalities among all US construction laborers 16 years of age and older during 1980-1992 were analyzed from death certificates to identify differences in mortality rates, higher risk groups, and leading causes of death to be targeted for prevention and monitored over time. Female laborers had an average fatality rate (17.4 deaths/100,000 workers) similar to that for all male construction workers (17.3 deaths/100,000 workers), and ten times higher than for all female construction workers. On average, nonwhite laborers had 27% greater mortality than white laborers. Women were at a higher risk (10.8 deaths/100,000 workers) for motor vehicle injury than were men (6.1 deaths/100,000 workers). The smallest percentage annual decline in cause-specific mortality rates was from motor vehicle for construction laborers (0.1 %) and all construction workers (1.4%). Environmental-related fatality rates for laborers rose an average of 0.8% annually. The average years of potential life lost (to age 65) ranged from 27.4 years from explosion to 34.3 years from electrocution. Prevention measures aimed at addressing the highest risk areas, along with research needs, are discussed. With over a quarter of construction fatalities occurring among laborers, occupational injury research on laborers should become a priority.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Passage of the Occupational Safety and Health Act in 1971 represented a major milestone for occupational and environmental medicine. Creation of the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) flowed directly from the legislation, and the specialty of occupational medicine entered a new era. As the 25th anniversaries of OSHA and NIOSH are celebrated, consideration of the future of the specialty of occupational and environmental medicine seems timely. In this lecture, an expanded role for the specialty is proposed, based on an analysis of the forces shaping the practice of public health and the opportunities that these forces present. This analysis suggests considering the concept of a "Chief Health Officer" serving the broad health needs of the workplace.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Intra-institutional spread of tuberculosis (Tb) has re-emerged as a substantial public and occupational health threat. To characterize the person-hours and lifetime risks of Tb-related morbidity and mortality, we performed a risk assessment for health care workers (HCWs) developing Tb-related morbidity and mortality at varying levels of exposure, engineering controls, and respiratory protection. Under average conditions of exposure, one Tb skin-test conversion is estimated to occur for every 2650 person-hours of work by unprotected workers. With higher exposures, a skin-test conversion for an unprotected worker may occur in as few as 3 person-hours. Use of respiratory protection is estimated to reduce risks by the following proportions: surgical mask, 2.4-fold; disposable dust, fume, mist, or disposable high-efficiency particulate air filtering (HEPA) mask, 17.5-fold; elastomeric HEPA cartridge respirator, 45.5-fold; or powered air-purifying respirator (PAPR), 238-fold. Assuming a lifetime exposure of 250 hours, the risk of a skin-test conversion is estimated to be 9%. We conclude that HCWs are at substantial risk for Tb-related morbidity and mortality, and that administrative controls, engineering controls, and respirators offer substantial benefits in risk reduction.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

An estimated 136,985 nonfatal, work-related injuries to workers 55 years of age and older were presented for treatment in hospital emergency departments across the United States during 1993. Men accounted for 63.7% of the injuries and had an injury rate of 1.06 per 100 workers, compared with a rate of 0.76 among women. Among the oldest workers (65+ years), injuries were more likely to be fractures or dislocations, to result from falls on the same level, or to involve hospitalization. The services industry had the largest number of injuries (31.9%), whereas the highest injury rate occurred in the agriculture/forestry/fishing industry (1.50 per 100 workers). The types of injuries most frequently requiring hospitalization were fractures or dislocations that resulted from a fall. Because older workers' employment demographics and injury patterns differ from the remainder of the labor force, interventions need to be developed which are specific to the workplace for this older working population.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Regarding smoking control in the workplace, small independent operations may differ from large workplaces or from small worksites that are branch units of large companies/organizations. We examined the relationships of worksite and company size to workplace smoking restrictions and programs, using data from a population-based telephone survey. Three worker groups, differentiated by worksite and company size, were compared. Small workplace workers were least knowledgeable about smoking restrictions, reported fewer restrictions in place, and were least willing to intervene in coworkers' smoking. As well, smoking-related programs, although generally uncommon, were reported least often by these workers. Branch workers were not uniformly similar to either small or large workplace workers. In policy and program interventions, organizational influences and/or attributes of individuals drawn to different-size work settings should be considered.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This study concerns psychosocial factors among Israeli occupational physicians. Eighty-one participants (specialists, residents, and general practitioners) responded anonymously to questionnaires assessing activities demanded by the job, satisfaction from these activities, negative and positive job characteristics, job involvement, and global job satisfaction. There was little overlap between the most frequent activities (fitness for work assessments, statutory health surveillance examinations, and administrative tasks) and the activities the physicians enjoyed most (professional consultations and participation in continuing medical education (CME) activities, fitness for work assessments, and scheduled workplace visits). The most powerful predictors of job satisfaction were job involvement and satisfaction with job activities. Job involvement was related to job characteristics. The findings provide various insights for promoting job involvement and satisfaction, such as improving communication, social support, and feedback within the occupational health system and finding ways to increase quality.

ISSN:1076-2752    

出版商:OVID    

年代:1997

数据来源: OVID