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1.
Microbiol Spectr ; 9(2): e0017821, 2021 10 31.
Artigo em Inglês | MEDLINE | ID: mdl-34549995

RESUMO

In the current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, testing for SARS-CoV-2-specific antibodies is paramount for monitoring immune responses in postauthorization vaccination and seroepidemiological studies. However, large-scale and iterative serological testing by venipuncture in older persons can be challenging. Capillary blood sampling using a finger prick and collection on protein saver cards, i.e., dried blood spots (DBSs), has already proven to be a promising alternative. However, elderly persons have reduced cutaneous microvasculature, which may affect DBS-based antibody testing. Therefore, we aimed to evaluate the performance of DBS tests for the detection of SARS-CoV-2 antibodies among nursing homes residents. We collected paired venous blood and DBS samples on two types of protein saver cards (Whatman and EUROIMMUN) from nursing home residents, as well as from staff members as a reference population. Venous blood samples were analyzed for the presence of SARS-CoV-2 IgG antibodies using the Abbott chemiluminescent microparticle immunoassay (CMIA). DBS samples were analyzed by the EUROIMMUN enzyme-linked immunosorbent assay (ELISA) for SARS-CoV-2 IgG antibodies. We performed a statistical assessment to optimize the ELISA cutoff value for the DBS testing using Youden's J index. A total of 273 paired DBS-serum samples were analyzed, of which 129 were positive, as assessed by the reference test. The sensitivities and specificities of DBS testing ranged from 95.0% to 97.1% and from 97.1% to 98.8%, respectively, depending on the population (residents or staff members) and the DBS card type. Therefore, we found that DBS sampling is a valid alternative to venipuncture for the detection of SARS-CoV-2 antibodies among elderly subjects. IMPORTANCE Since the implementation of newly developed SARS-CoV-2 vaccines in the general population, serological tests are of increasing importance. Because DBS samples can be obtained with a finger prick and can be shipped and stored at room temperature, they are optimal for use in large-scale SARS-CoV-2 serosurveillance or postauthorization vaccination studies, even in an elderly study population.


Assuntos
Anticorpos Antivirais/sangue , Teste Sorológico para COVID-19/métodos , COVID-19/diagnóstico , Teste em Amostras de Sangue Seco/métodos , Imunoglobulina G/sangue , SARS-CoV-2/imunologia , COVID-19/imunologia , Vacinas contra COVID-19/imunologia , Ensaio de Imunoadsorção Enzimática , Humanos , Casas de Saúde , Flebotomia/métodos , Sensibilidade e Especificidade , Manejo de Espécimes
2.
BMC Public Health ; 19(1): 765, 2019 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-31202266

RESUMO

BACKGROUND: In the current labour system many workers are still exposed to heavy physical demands during their job. In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) is associated with an increased risk of cardiovascular diseases and all-cause mortality, termed "the physical activity (PA) health paradox". In order to gain more insight into the PA health paradox, an exploration of structural preventive measures at the workplace is needed and therefore objective field measurements are highly recommended. The objective of this paper is to provide an overview of the protocol of the Flemish Employees' Physical Activity (FEPA) study, including objective measurements of PA, heart rate (HR) and cardiorespiratory fitness (CRF) to gain more insight into the PA health paradox. METHODS: A total of 401 workers participated in the FEPA study across seven companies in the service and production sector in Belgium. The participants comprised 167 men and 234 women, aged 20 to 65 years. OPA and LTPA were assessed by two Axivity AX3 accelerometers on the thigh and upper back. Ambulatory HR was measured by the Faros eMotion 90° monitor. Both devices were worn during two to four consecutive working days. In addition, CRF was estimated by using the Harvard Step Test. Statistical analyses will be performed using Pearson correlation, and multiple regression adjusted for possible confounders. DISCUSSION: This study aims to provide a better insight in the PA health paradox and the possible buffering factors by using valid and objective measurements of PA and HR (both during LTPA and OPA) over multiple working days. The results of the study can contribute to the prevention of cardiovascular disease by providing tailored recommendations for participants with high levels of OPA and by disseminating the results and recommendations to workplaces, policy makers and occupational health practitioners.


Assuntos
Aptidão Cardiorrespiratória/fisiologia , Aptidão Cardiorrespiratória/psicologia , Exercício Físico/fisiologia , Exercício Físico/psicologia , Saúde do Trabalhador , Local de Trabalho/psicologia , Adulto , Idoso , Bélgica , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
3.
J Occup Environ Med ; 61(1): 29-34, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30256301

RESUMO

OBJECTIVE: The study aims enhancing insights into the relation between personality and engagement. METHODS: Data were collected from 713 Flemish workers. Personality (conscientiousness, neuroticism, extraversion, agreeableness, openness), work characteristics and engagement (including vigor, dedication, and absorption) were assessed using validated questionnaires. Multiple linear regression analysis was applied to investigate the relation between personality traits and engagement. RESULTS: Both conscientiousness and extraversion were positively related to engagement and its three dimensions. Higher levels of neuroticism were related to lower levels of vigor and dedication. No relation was found between agreeableness and engagement nor its dimensions. Openness was negatively related to dedication. CONCLUSIONS: These results show that the impact of personality, beside the psychosocial work characteristics, should not be underestimated. Therefore, it is suggested that interventions aiming to increase work engagement should also take into account personality traits.


Assuntos
Personalidade , Engajamento no Trabalho , Adulto , Bélgica , Extroversão Psicológica , Feminino , Humanos , Masculino , Neuroticismo , Inquéritos e Questionários
4.
Int Arch Occup Environ Health ; 91(8): 1001-1009, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30019175

RESUMO

OBJECTIVES: Although social capital approach has showed its merits in predicting well-being and health in the working environment, studies examining the relation between social capital and burnout are scarce and limited to cross-sectional studies in the health care sector. This study aims to explore the longitudinal relationship between workplace social capital and burnout in a Belgian company in the energy sector. An additional aim was to assess whether the relation between workplace social capital and the dimensions of burnout was independent of job characteristics, i.e., the level of decision-making autonomy and task variety, and demographical variables. METHODS: Analyses are conducted on the questionnaire data of 473 workers who participated at the two waves (2013 and 2014) of a longitudinal study. RESULTS: The results showed a negative relation between social capital and distance and a positive relation between social capital and competence, after 1-year follow-up and after adjustments for baseline levels of the respective burnout dimension. In contrast with the literature, no relation between social capital and emotional exhaustion was found after adjustment for baseline level of emotional exhaustion. After additional adjustments were made for the job characteristics 'decision-making autonomy' and 'task variety', the relation between social capital and competence disappeared. CONCLUSIONS: This study delivered evidence for the lagged relation between social capital and distance, even after controlling for demographical and job characteristics. Therefore, the findings suggest that organizations should pay attention to strategies enhancing social interaction, enabling to increase the levels of support, reciprocity, sharing and trust, in the prevention of burnout.


Assuntos
Esgotamento Profissional/psicologia , Capital Social , Local de Trabalho/psicologia , Adulto , Bélgica , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Autonomia Profissional , Inquéritos e Questionários
5.
J Occup Environ Med ; 59(4): e41-e45, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28252458

RESUMO

OBJECTIVE: The aim of this study was to evaluate changes in knowledge, attitude, and preventive practices of students regarding occupational hazards before and after entering clinical training. METHODS: A self-administered questionnaire was used to follow up a cohort of Belgian medical students in 2014 and 2015. Inquiries about students' characteristics, awareness, knowledge, and practices of protective measures were included. Descriptive and multivariable analyses were performed. RESULTS: Overall, 249 (94%) students completed the preclinical questionnaire and 147 (56%) responded on both occasions. Our findings revealed that student awareness and knowledge scores were inadequate but increased after admission as trainees. Students with an accidental blood contact (n = 43) showed no better knowledge of postexposure management than those without such an incident. CONCLUSIONS: The observed lack of awareness and knowledge regarding occupational hazards among students provides an opportunity to improve basic education and training environments.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Traumatismos Ocupacionais/prevenção & controle , Estudantes de Medicina/psicologia , Estágio Clínico , Feminino , Humanos , Análise de Séries Temporais Interrompida , Estudos Longitudinais , Masculino , Inquéritos e Questionários
6.
J Occup Health ; 59(2): 177-186, 2017 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-28111414

RESUMO

OBJECTIVES: The main objective of this study is to examine the relationship between indicators of non-standard work arrangements, including precarious contract, long working hours, multiple jobs, shift work, and work-related accident absence, using a representative Belgian sample and considering several socio-demographic and work characteristics. METHODS: This study was based on the data of the fifth European Working Conditions Survey (EWCS). For the analysis, the sample was restricted to 3343 respondents from Belgium who were all employed workers. The associations between non-standard work arrangements and work-related accident absence were studied with multivariate logistic regression modeling techniques while adjusting for several confounders. RESULTS: During the last 12 months, about 11.7% of workers were absent from work because of work-related accident. A multivariate regression model showed an increased injury risk for those performing shift work (OR 1.546, 95% CI 1.074-2.224). The relationship between contract type and occupational injuries was not significant (OR 1.163, 95% CI 0.739-1.831). Furthermore, no statistically significant differences were observed for those performing long working hours (OR 1.217, 95% CI 0.638-2.321) and those performing multiple jobs (OR 1.361, 95% CI 0.827-2.240) in relation to work-related accident absence. Those who rated their health as bad, low educated workers, workers from the construction sector, and those exposed to biomechanical exposure (BM) were more frequent victims of work-related accident absence. No significant gender difference was observed. CONCLUSION: Indicators of non-standard work arrangements under this study, except shift work, were not significantly associated with work-related accident absence. To reduce the burden of occupational injuries, not only risk reduction strategies and interventions are needed but also policy efforts are to be undertaken to limit shift work. In general, preventive measures and more training on the job are needed to ensure the safety and well-being of all workers.


Assuntos
Absenteísmo , Acidentes de Trabalho/estatística & dados numéricos , Traumatismos Ocupacionais/epidemiologia , Traumatismos Ocupacionais/etiologia , Adulto , Bélgica/epidemiologia , Emprego , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Fatores Socioeconômicos , Tolerância ao Trabalho Programado , Carga de Trabalho , Adulto Jovem
7.
J Public Health (Oxf) ; 39(4): e127-e133, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-27744375

RESUMO

Background: Previous research demonstrated an association between low employment quality and lower sickness absence, which may be explained by presenteeism. Therefore, this study aimed exploring the relation between three indicators of employment quality (long working hours, precarious employment, job insecurity) and attendance behavior. Methods: The association between employment quality and attendance behavior was investigated in 28.999 workers (mean age: 40.0 years, 53% males) of the fifth wave of the European Working Conditions Survey, using multilevel multinomial logistic regression analysis. Attendance behavior was operationalized as different combinations of sickness absence and presenteeism. Results: Those working >48 h/week, had a higher risk to report presenteeism (with or without sickness absence). They had a lower risk to report sickness absence without presenteeism. Workers with a precarious contract had a lower risk to report absenteeism without presenteeism and the combination of both presenteeism and absenteeism. Finally, for workers perceiving job insecurity, the risk for presenteeism without sickness absence was significantly higher. Conclusions: Several indicators of low employment quality were associated with attendance behavior, suggesting a complex behavioral mechanism in workers facing low job quality employment. Therefore, policy makers are recommended to re-establish the indefinite contractual employment as the standard, avoiding long working hours.


Assuntos
Emprego/normas , União Europeia/estatística & dados numéricos , Presenteísmo/estatística & dados numéricos , Adulto , Emprego/economia , Emprego/estatística & dados numéricos , União Europeia/economia , Feminino , Humanos , Masculino , Presenteísmo/economia , Licença Médica/economia , Licença Médica/estatística & dados numéricos
8.
BMC Public Health ; 16(1): 851, 2016 08 22.
Artigo em Inglês | MEDLINE | ID: mdl-27549206

RESUMO

BACKGROUND: In this longitudinal study the complex interplay between both job strain and bullying in relation to sickness absence was investigated. Following the "work environment hypothesis", which establishes several work characteristics as antecedents of bullying, we assumed that job strain, conceptualized by the Job-Demand-Control model, has an indirect relation with long-term sickness absence through bullying. METHODS: The sample consisted of 2983 Belgian workers, aged 30 to 55 years, who participated in the Belstress III study. They completed a survey, including the Job Content Questionnaire and a bullying inventory, at baseline. Their sickness absence figures were registered during 1 year follow-up. Long-term sickness absence was defined as at least 15 consecutive days. A mediation analysis, using structural equation modeling, was performed to examine the indirect association of job strain through bullying with long-term sickness absence. The full structural model was adjusted for several possible confounders: age, gender, occupational group, educational level, company, smoking habits, alcohol use, body mass index, self-rated health, baseline long-term sickness absence and neuroticism. RESULTS: The results support the hypothesis: a significant indirect association of job strain with long-term sickness absence through bullying was observed, suggesting that bullying is an intermediate variable between job strain and long-term sickness absence. No evidence for the reversed pathway of an indirect association of bullying through job strain was found. CONCLUSIONS: Bullying was observed as a mediating variable in the relation between job strain and sickness absence. The results suggest that exposure to job strain may create circumstances in which a worker risks to become a target of bullying. Our findings are generally in line with the work environment hypothesis, which emphasizes the importance of organizational work factors in the origin of bullying. This study highlights that remodeling jobs to reduce job strain may be important in the prevention of bullying and subsequent sickness absence.


Assuntos
Absenteísmo , Bullying , Doenças Profissionais/psicologia , Licença Médica/estatística & dados numéricos , Adulto , Bélgica , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Fatores de Risco , Inquéritos e Questionários , Local de Trabalho/psicologia
9.
Int J Occup Med Environ Health ; 29(2): 331-44, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26670359

RESUMO

OBJECTIVES: This study aimed at investigating cross-sectional relationships between psychosocial characteristics of work and presenteeism in a sample of Belgian middle-aged workers. MATERIAL AND METHODS: Data were collected from 1372 male and 1611 female workers in the Belstress III study. Psychosocial characteristics assessed by the use of self-administered questionnaires were: job demands, job control, social support, efforts, rewards, bullying, home-to-work conflict and work-to-home conflict. Presenteeism was measured using a single item question, and it was defined as going to work despite illness at least 2 times in the preceding year. Logistic regression models were used to investigate the relationship between psychosocial characteristics and presenteeism, while adjusting for several socio-demographic, health-related variables and neuroticism. An additional analysis in a subgroup of workers with good self-rated health and low neuroticism was conducted. RESULTS: The prevalence of presenteeism was 50.6%. Overall results, adjusted for major confounders, revealed that high job demands, high efforts, low support and low rewards were associated with presenteeism. Furthermore, a significant association could be observed for both bullying and work-to-home conflict in relation to presenteeism. The subgroup analysis on a selection of workers with good self-rated health and low neuroticism generally confirmed these results. CONCLUSIONS: Both job content related factors as well as work contextual psychosocial factors were significantly related to presenteeism. These results suggest that presenteeism is not purely driven by the health status of a worker, but that psychosocial work characteristics also play a role.


Assuntos
Absenteísmo , Presenteísmo/organização & administração , Licença Médica/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Bélgica/epidemiologia , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários
11.
PLoS One ; 10(11): e0141608, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26524011

RESUMO

BACKGROUND: The persistent lack of evidence on causal mechanisms between social capital and health threatens the credibility of the social capital-health association. The present study aims to address this ongoing problem by investigating whether health behaviours (i.e. smoking, alcohol consumption, and physical activity) mediate the prospective relation between workplace reciprocity and future sickness absence. METHODS: A cohort of 24,402 Belgian employees was followed up during 12 months for sickness absence. Workplace reciprocity was measured with four indicators-colleague help, colleague interest, supervisor help, and supervisor concern. Three types of multilevel mediation models were applied. RESULTS: Overall, workplace reciprocity negatively related to high sickness absence (≥ 10 days) mainly independently from health behaviours. Uniquely, colleague interest positively related to smoking (OR = 1.058, 95% CI = 1.019, 1.098) and smoking in turn, positively related to sickness absence (OR = 1.074, 95% CI = 1.047, 1.101). No behavioural pathways could be identified between company-level reciprocity and sickness absence, and company-level health-related behaviours did not mediate the relation between company-level reciprocity and individual sickness absence. CONCLUSIONS: These results suggest that both social capital and health behaviours are relevant for employee health, but health behaviours seem not to be the underlying explanatory mechanism between workplace reciprocity and health.


Assuntos
Absenteísmo , Comportamentos Relacionados com a Saúde , Adulto , Bélgica , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Local de Trabalho/psicologia
12.
J Nurs Scholarsh ; 46(4): 292-301, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24754533

RESUMO

PURPOSE: The purpose of this study was to investigate the influence of job stress on sickness absence of nurses and determine the predictive power of the Demand-Control-Support (DCS) model, the Effort-Reward Imbalance-Overcommitment (ERI-OC) model, and a combination of both. DESIGN: A survey was conducted to measure job stress in a sample of 527 Belgian nurses, followed by prospective data collection of sickness absence (long-term, short-term, and multiple episodes). FINDINGS: Perceptions of job strain and ERI increased the odds for long-term (adjusted odds ratio [OR] = 2.26; 99% confidence interval [CI; 1.27-4.04]) and multiple episodes of sickness absence (adjusted OR = 1.64; 95% CI [1.01-2.65]). Iso-strain and ERI-OC increased the odds for long-term (OR = 1.75; 95% CI [0.98-3.11]), multiple episode (adjusted OR = 1.93; 95% CI [1.14-3.26]), and short-term (adjusted OR = 1.69; 95% CI [1.03-2.76]) sickness absence. CONCLUSIONS: The combined model of DCS and ERI-OC predicts the odds for long-term and short-term sickness absence and multiple episodes. CLINICAL RELEVANCE: This study has implications for human resources management in nursing organizations. Nursing administrators are advised to monitor and balance nurses' job demands and efforts. They should recognize the importance of social support, job control, job rewards, and overcommitment in order to reduce the job stress of nurses.


Assuntos
Atitude do Pessoal de Saúde , Emprego/psicologia , Enfermeiras e Enfermeiros/psicologia , Licença Médica/estatística & dados numéricos , Estresse Psicológico/etiologia , Adulto , Bélgica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estudos Prospectivos , Fatores de Tempo
13.
Eur J Public Health ; 24(3): 428-33, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24567292

RESUMO

BACKGROUND: The aim was to study the impact of psychosocial risk factors on long-term sickness absence due to mental health problems (LSA-MH) or musculoskeletal disorders (LSA-MSD) in 2983 Belgian middle-aged workers. METHODS: Data were collected from 1372 male and 1611 female workers in the Belstress III study. Considered psychosocial risk factors were job demands, job control, social support, job strain, efforts, rewards, effort-reward imbalance and bullying. Prospective registered sickness absence data were collected during 12 months follow-up; the causes for long-term sickness absence episodes of at least 15 consecutive days were obtained by contacting the general practitioner of the worker. Multiple logistic regression models were used to investigate the relationship between the psychosocial risk factors and LSA-MH and LSA-MSD. RESULTS: Higher levels of rewards at baseline were independently and significantly associated with a lower risk for LSA-MH. Higher levels of control were associated with a lower risk for LSA-MSD during follow-up. Higher job demands and efforts were significantly related to a lower risk for LSA-MSD. Finally, bullying was significantly and independently related to both LSA-MH and LSA-MSD during the follow-up period. CONCLUSIONS: These results suggest that psychosocial risk factors are related to LSA-MH and LSA-MSD, of which especially bullying seems to be a potent stressor.


Assuntos
Licença Médica/estatística & dados numéricos , Estresse Psicológico/complicações , Adulto , Bélgica , Bullying , Feminino , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Transtornos Mentais/etiologia , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Fatores de Risco , Inquéritos e Questionários
14.
Med Teach ; 36(4): 340-6, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24571645

RESUMO

OBJECTIVE: To investigate the impact of three different training formats in occupational medicine (OM) on perceptions and performance of undergraduate students. METHODS: A comparative study which included all fourth-year medical students was conducted over a three-year period. The year group in 2010 (211 students) received paper case studies followed by one small group session. The format used in 2011 actively engaged 188 students in the learning process by adding collaborative work and group discussions to the written information. In 2012, the approach comprised no longer constructed text cases but 212 students encountered real patients. Students' perceptions were obtained by questionnaire. Their learning performance was assessed through review of written reports and score on oral presentations. Statistical differences in ratings were analyzed using Fisher's exact and Kruskal-Wallis tests. RESULTS: All three formats were found to equally achieve the stated learning objectives. The year groups with incorporation of active learning strategies and patient contacts had significant better test performance compared to those receiving only written case studies. Real patient students gave statistically significant higher rates for relevance, authenticity and appropriate difficulty level of the training than did students who discussed written case studies. CONCLUSION: Both approaches with augmented interaction in 2011 and 2012, improved performance and satisfaction among students. However, students valued the use of real patients higher than paper-form cases.


Assuntos
Competência Clínica , Educação de Graduação em Medicina/métodos , Medicina do Trabalho/educação , Aprendizagem Baseada em Problemas , Humanos , Simulação de Paciente , Ensino
15.
J Occup Environ Med ; 55(11): 1276-80, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24164768

RESUMO

OBJECTIVES: Self-efficacy is defined as a person's beliefs in his or her abilities to successfully complete a task, and has been shown to influence student motivation and academic achievement. The purpose of this study was to evaluate the impact of a new European teaching module in occupational medicine on undergraduate students' self-efficacy and knowledge in the subject matter. METHODS: Pre-, in-between, and posttraining tests were used to assess self-efficacy and knowledge building of 261 third-year medical students on occupational health issues. Determinants of self-efficacy and knowledge were also identified. Repeated measurement data were analyzed with multilevel statistical procedures. RESULTS: The level of self-efficacy and knowledge in occupational medicine increased after the training. Students who frequently attended the lectures scored significantly higher than sporadic attendees. There was no relation between the level of self-efficacy and the final knowledge score. CONCLUSIONS: Teaching with the new occupational medicine module was effective. Lecture attendance is an important determinant of self-efficacy and performance. Self-efficacy was not associated with knowledge score. Encouraging classroom participation may enhance student achievement.


Assuntos
Educação de Graduação em Medicina/métodos , Conhecimentos, Atitudes e Prática em Saúde , Medicina do Trabalho/educação , Autoeficácia , Estudantes de Medicina/psicologia , Avaliação Educacional , Feminino , Humanos , Masculino , Saúde do Trabalhador/educação , Avaliação de Programas e Projetos de Saúde
16.
J Occup Environ Med ; 55(7): 824-31, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23787572

RESUMO

OBJECTIVE: This study examines the multidimensional association between reciprocity at work and depressive symptoms. METHODS: Data from the Belgian BELSTRESS survey (32 companies; N = 24,402) were analyzed. Multilevel statistical procedures were used to account for company-level associations while controlling for individual-level associations. RESULTS: Different dimensions of individual reciprocity were negatively associated with depressive symptoms. On the company level, only vertical emotional reciprocity was negatively associated (ß = -4.660; SE = 1.117) independently from individual reciprocity (ß = -0.557; SE = 0.042). Complex interactions were found such that workplace reciprocity (1) may not uniformly benefit individuals and (2) related differently to depressive symptoms, depending on occupational group. CONCLUSIONS: This study extends the existing literature with evidence on the multidimensional, contextual, and cross-level interaction associations of reciprocity as a key aspect of social capital on depressive symptoms.


Assuntos
Comportamento Cooperativo , Depressão/etiologia , Relações Interprofissionais , Doenças Profissionais/etiologia , Facilitação Social , Adulto , Bélgica , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Satisfação no Emprego , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos
17.
J Occup Health ; 55(3): 132-41, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23485571

RESUMO

OBJECTIVES: The aim of this study was to examine the relation between sickness presenteeism and different types of future sickness absence in 2,983 Belgian middle-aged workers. METHODS: Data were collected from 1,372 male and 1,611 female workers. Presenteeism was assessed by a single question, evaluating the frequency of occasions of going at work, despite illness, during the preceding year. Prospective, registered sickness absence data were collected during 12 months of follow-up. Multivariate logistic regression models were used to investigate the relationship between presenteeism and short/long spells of absenteeism and high sickness absence frequency. RESULTS: High rates (>5 times) of presenteeism at baseline were significantly and independently associated with both long spells of sickness absence (at least 15 consecutive sick leave days) (men, OR=2.73, 95% CI=1.24-6.03; women, OR=2.40, 95% CI=1.31-4.40) and short spells of sickness absence (sick leave between 1 and 3 days) (men, OR=2.38, 95% CI=1.25-4.51; women, OR=1.90, 95% CI=1.17-3.11) in both genders during one year follow-up. Moderate rates (2-5 times) of presenteeism were significantly associated with long spells of sickness absence only in the male group (OR=1.90, 95%CI= 1.21-2.97). With regard to high sickness frequency (at least 3 sick leave episodes), a significant and positive association with high rates of presenteeism was demonstrated only in the female workers (OR=2.38, 95% CI=1.40-4.04). CONCLUSIONS: These results suggest that presenteeism was related to different types of future sickness absence.


Assuntos
Absenteísmo , Saúde do Trabalhador , Licença Médica/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Adulto , Meio Ambiente , Feminino , Comportamentos Relacionados com a Saúde , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
18.
Eur J Epidemiol ; 28(3): 241-7, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23329153

RESUMO

The interplay of occupational and leisure time physical activity (LTPA) in affecting cardiovascular health is subject to debate. This study aimed to examine the independent and interacting associations of leisure time and occupational physical activity (OPA) with the incidence of coronary events within the BELSTRESS cohort. The study included 14,337 middle-aged men free from coronary heart disease at baseline. Standardized questionnaires and clinical examinations were used to assess socio-demographic factors, level of physical activity, job strain and classical coronary risk factors. The incidence of clinical coronary events was monitored during a mean follow-up time of 3.15 years. Results demonstrated overall a beneficial relation of LTPA and an adverse relation of physical work demands with cardiovascular health. However, an interaction effect between both physical activity types was observed, showing that men with high physical job demands who also engaged in physical activity during leisure time had an almost four times increased incidence of coronary events after adjusting for socio-demographic and classical coronary risk factors (HR 3.82; 95% CI 1.41-10.36). Stratified analyses revealed that moderate to high physical activity during leisure time was associated with a 60% reduced incidence rate of coronary events in men with low OPA (age adjusted HR 0.40; 95% CI 0.21-0.76), while this protective association was not observed in workers being exposed to high physical work demands (age adjusted HR 1.67; 95% CI 0.63-4.48). These findings suggest that recommendations regarding LTPA should be tailored according to the level of occupational physical activity.


Assuntos
Doença das Coronárias/epidemiologia , Exercício Físico , Atividades de Lazer , Atividade Motora , Ocupações/estatística & dados numéricos , Bélgica/epidemiologia , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Fatores de Risco , Comportamento Sedentário , Fatores Socioeconômicos , Inquéritos e Questionários , Trabalho
19.
J Occup Environ Med ; 54(5): 604-9, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22476112

RESUMO

OBJECTIVE: To examine the relationship between body mass index class, presenteeism, and prospective registered sickness absence. METHODS: Data were collected from 2983 Belgian workers. Presenteeism was assessed by a single question, evaluating the frequency of being at work, despite illness, during the preceding year. Sickness absence data were registered during 12 months' follow-up. Multiple logistic regression analysis was conducted. RESULTS: Body mass index class was positively and significantly associated with presenteeism (at least two occasions of working despite illness) in the male employees and was a significant predictor of high sickness absence (at least 10 sick leave days) in the female population. A final multivariate model demonstrated that these relations were only partly mediated by self-rated health. CONCLUSION: The results of this study suggest a gender difference concerning absenteeism and presenteeism in overweight and obese employees.


Assuntos
Absenteísmo , Índice de Massa Corporal , Sobrepeso/complicações , Licença Médica , Adulto , Bélgica , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Obesidade/complicações , Estudos Prospectivos , Fatores Sexuais , Inquéritos e Questionários
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