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1.
An. psicol ; 36(2): 361-369, mayo 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192073

RESUMO

Las organizaciones están implementando acciones para la mejora de la salud y calidad de vida de sus empleados. Este hecho repercute por tanto en las empresas y en sus empleados, caracterizándose éstos últimos por disponer de cinco fortalezas como son el engagement, la resiliencia, la autoeficacia, el optimismo y la esperanza. El cuestionario del empleado saludable mide ocho dimensiones, por lo que el objetivo del trabajo es validar el instrumento reduciendo el constructo del empleado saludable de ocho dimensiones a cinco dimensiones y constatar la fiabilidad del mismo como medio de evaluación del empleado saludable. 287 empleados (208 hombres y 79 mujeres) de edades comprendidas entre 20-59 años participaron en es-te estudio. Se analizó el ajuste de los modelos de cinco y ocho dimensiones mediante un Análisis Factorial Confirmatorio (AFC), utilizando el método de estimación de Máxima Verosimilitud Robusto. Los índices incrementa-les (CFI y NNFI) y el absoluto SRMR mostraron un buen ajuste en ambos modelos al ser superiores a ,90 e inferior a ,08 respectivamente. En cuanto a la comparación de modelos se observa un aumento significativo del estadístico de contraste Chi Cuadrado de Satorra-Bentler en el modelo de cinco frente al de ocho dimensiones, aunque la reducción del CFI en el modelo de cinco dimensiones no superó el criterio de ,01, lo que permitió considerar ambos modelos como similares en cuanto a ajuste. Ambos modelos mostraron resultados satisfactorios en cuanto al ajuste, este hecho confirma el uso del cuestionario del empleado saludable de ocho dimensiones a cinco dimensiones


Organisations are implementing actions to improve the health and quality of life of their employees. This fact therefore has an impact on companies and their employees, the latter being characterised by five strengths: engagement, resilience, self-efficacy, optimism and hope. The Healthy Employee Questionnaire measures eight dimensions, so the aim of the work is to validate the instrument by reducing the construct of the healthy employee from eight dimensions to five dimensions and to ascer-tain the reliability of the instrument as a means of evaluating the healthy employee. 287 employees (208 men and 79 women) aged 20-59 participat-ed in this study. The fit of the five- and eight-dimensional models was ana-lysed by Confirmatory Factor Analysis (CFA), using the Robust Maximum Likelihood estimation method. The incremental indices (CFI and NNFI) and the absolute SRMR showed a good fit in both models being higher than .90 and lower than .08, respectively. In terms of model comparison, a significant increase in the Satorra-Bentler Chi Square contrast statistic was observed in the five versus eight-dimensional model, although the reduc-tion of the CFI in the five-dimensional model did not exceed the criterion of .01, which allowed both models to be considered as similar in terms of fit. The two models showed satisfactory results in terms of fit, this fact confirming the reduction of the healthy employee questionnaire from eight dimensions to five dimensions


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários/normas , 16054/psicologia , Saúde do Trabalhador/estatística & dados numéricos , Autoeficácia , Resiliência Psicológica , Análise Fatorial , Serviços de Saúde do Trabalhador/estatística & dados numéricos
2.
Am J Ophthalmol ; 218: 148-155, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32574769

RESUMO

PURPOSE: To determine the incidence of central serous chorioretinopathy (CSC) stratified by age, sex, and diagnosis with obstructive sleep apnea (OSA), and to determine whether some patients with newly diagnosed CSC may be candidates for OSA evaluation. DESIGN: Retrospective cohort study. METHODS: We used the IBM MarketScan database to select 59,016,145 commercially insured patients in the United States between 2007 and 2016. We identified patients' first diagnosis with CSC, and defined patients as having OSA if they had a diagnosis following a sleep study. We specified Cox proportional hazard models with interactions between age, sex, and OSA status to determine patients' risk of developing CSC. We estimated the positive predictive value (PPV) that a new diagnosis of CSC would have in predicting a subsequent diagnosis of OSA. RESULTS: Risk of CSC increased with age in years (hazard ratio [HR] = 1.030, P < .001) and OSA diagnosis (HR = 1.081, P < .033), and was lower in women (HR = 0.284, P < .001). We estimated the annual incidence of CSC was 9.6 and 23.4 per 100,000 women and men, respectively. Incidence was higher in women and men with OSA (17.2 and 40.8 per 100,000). The PPV of CSC diagnosis as a predictor of OSA was highest in the fifth decade of life. CONCLUSION: The incidence of CSC in our patient sample is higher than previously reported. Risk of CSC is higher in men than in women, and OSA increases risk of CSC in both men and women. Some patients, particularly older male patients, may be good candidates for OSA evaluation following a CSC diagnosis.


Assuntos
Coriorretinopatia Serosa Central/epidemiologia , Apneia Obstrutiva do Sono/complicações , Adulto , Distribuição por Idade , Coriorretinopatia Serosa Central/diagnóstico , Bases de Dados Factuais , Feminino , Humanos , Incidência , Revisão da Utilização de Seguros , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Fatores de Risco , Distribuição por Sexo , Apneia Obstrutiva do Sono/diagnóstico , Adulto Jovem
3.
PLoS One ; 15(4): e0231792, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32298356

RESUMO

There is little knowledge on socioeconomic differences in use of health care organized by different care schemes and on exclusive and concurrent use of health care at different schemes in different socioeconomic groups. In Finland, public, occupational and private schemes offer parallel outpatient primary health care services. Each scheme mainly reaches different population groups because of differences in availability, costs and gatekeeping. This study aimed to analyse how the probability of using health care organized by the three schemes differed by socioeconomic status in a working-age population. Individual-level register-based data on use of public, occupational and private outpatient primary health care during 2013 as well as data on sociodemographic covariates were linked for the total population aged 25-64 of the city of Oulu, Finland. Data were analysed with descriptive methods and multinomial logistic regression models. Those in the study population most often used only occupational care or only public care, or did not use any of the studied health care schemes at all. The lower the socioeconomic status, the higher was the probability of not using care or using only public care. The higher the socioeconomic status, the higher was the probability of using occupational care-either only occupational care or occupational care in combination with private care. Education, occupational class and income were all associated with care use also when adjusted for sociodemographic covariates and chronic disease, but income proved to be the strongest predictor of the three. The results reflect the design of the Finnish health care system, with a strong occupational health care scheme for the employed population contributing to inequality in use of health care and potentially to health inequality between socioeconomic groups.


Assuntos
Disparidades nos Níveis de Saúde , Classe Social , Adulto , Assistência Ambulatorial/estatística & dados numéricos , Emprego , Feminino , Finlândia/epidemiologia , Humanos , Renda/estatística & dados numéricos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Setor Privado/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Sistema de Registros , Fatores Socioeconômicos
4.
J Nurs Manag ; 28(1): 35-42, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31529751

RESUMO

AIM: To provide recommendations for nursing management based on the experiences of current and former nurses who were served by a peer health assistance program (PHAP). BACKGROUND: Providing help for nurses with impaired practice is critical to their health and well-being, assuring patient safety and public trust, as well as returning competent nurses to the healthcare workforce. METHODS: Nurses (n = 268) who were current clients or former clients of a PHAP were surveyed about their experiences. RESULTS: Nearly half of nurses were referred by the board of nursing with 69% reporting the referral was due to substance use, alcohol being the most common. Most (62%) did not believe that their substance use affected their practice yet relayed that recognition of their emotional or physical condition could have led to earlier identification. Key barriers to seeking assistance were fear and embarrassment, along with concerns about losing their nursing license. CONCLUSIONS: Nurses in management are in key roles to identify and intervene with nurses who are at risk for impaired practice. IMPLICATIONS FOR NURSING MANAGEMENT: Nurses in management and nurse colleagues would benefit from workplace education on the warning signs of impaired nursing practice and how to address it.


Assuntos
Serviços de Saúde do Trabalhador/métodos , Grupo Associado , Local de Trabalho/psicologia , Adulto , Idoso , Colorado , Disciplina no Trabalho/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/normas , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Inquéritos e Questionários
5.
Rev Epidemiol Sante Publique ; 68(1): 1-8, 2020 Feb.
Artigo em Francês | MEDLINE | ID: mdl-31843361

RESUMO

BACKGROUND: Work and related exposures may play a role in suicide and there has been evidence in the literature that some occupational factors may be associated with suicide. The identification of occupational risk factors of suicide mortality among employees affiliated to the French special agricultural social security scheme (MSA), an understudied population, appears important. The objective of this study was to identify the occupational factors associated with suicide mortality among French employees from the MSA working between 2007 and 2013. METHODS: The study population included all the employees affiliated to the MSA working between 1st January 2007 and 31st December 2013, i.e. 1,699,929 men and 1,201,017 women. The studied occupational factors included: economic activity, skill level, and work contract. Survival analyses (Cox models) stratified on gender were performed using age as time scale and region and year of contract as adjustment variables. RESULTS: Among men, the factors associated with an elevated suicide risk were: economic activities of forestry, agriculture and related activities, and manufacture of food products and beverages (e.g. meat, wine), low-skilled level and working in the regions of Brittany, Burgundy Franche-Comté, Pays de la Loire, Normandy, Grand Est and Centre-Val-de-Loire. No association was observed among women. CONCLUSION: These results suggest that economic activity and low-skilled level may be associated with suicide among men affiliated to the MSA and may contribute to the implementation of prevention interventions. Further studies are needed to confirm and better understand these associations.


Assuntos
Agricultura , Agricultura Florestal , Exposição Ocupacional/estatística & dados numéricos , Previdência Social , Suicídio/estatística & dados numéricos , Adulto , Agricultura/organização & administração , Agricultura/estatística & dados numéricos , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/mortalidade , Emprego/classificação , Emprego/organização & administração , Emprego/estatística & dados numéricos , Feminino , Agricultura Florestal/economia , Agricultura Florestal/organização & administração , Agricultura Florestal/estatística & dados numéricos , França/epidemiologia , Humanos , Renda/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/organização & administração , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Fatores de Risco , Previdência Social/organização & administração , Previdência Social/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Adulto Jovem
6.
Am J Public Health ; 109(12): 1739-1746, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31622155

RESUMO

Objectives. To determine whether (1) participating in HealthLinks, and (2) adding wellness committees to HealthLinks increases worksites' evidence-based intervention (EBI) implementation.Methods. We developed HealthLinks to disseminate EBIs to small, low-wage worksites. From 2014 to 2017, we conducted a site-randomized trial in King County, Washington, with 68 small worksites (20-200 employees). We assigned worksites to 1 of 3 arms: HealthLinks, HealthLinks plus wellness committee (HealthLinks+), or delayed control. At baseline, 15 months, and 24 months, we assessed worksites' EBI implementation on a 0% to 100% scale and employees' perceived support for their health behaviors.Results. Postintervention EBI scores in both intervention arms (HealthLinks and HealthLinks+) were significantly higher than in the control arm at 15 months (51%, 51%, and 23%, respectively) and at 24 months (33%, 37%, and 24%, respectively; P < .001). Employees in the intervention arms perceived greater support for their health at 15 and 24 months than did employees in control worksites.Conclusions. HealthLinks is an effective strategy for disseminating EBIs to small worksites in low-wage industries.Public Health Implications. Future research should focus on scaling up HealthLinks, improving EBI maintenance, and measuring impact of these on health behavior.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/organização & administração , Serviços de Saúde do Trabalhador/organização & administração , Empresa de Pequeno Porte/organização & administração , Local de Trabalho/organização & administração , Adolescente , Adulto , Idoso , Medicina Baseada em Evidências , Feminino , Promoção da Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Empresa de Pequeno Porte/estatística & dados numéricos , Washington , Local de Trabalho/estatística & dados numéricos , Adulto Jovem
8.
Occup Environ Med ; 76(10): 739-745, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31439689

RESUMO

OBJECTIVES: Healthcare workers, in the course of their professional activity, are potentially exposed to chemical, physical and above all biological risks. The aims of our study were to investigate the extent and distribution of needle-stick and sharp injuries (NSIs) in healthcare students, the behaviours and circumstances most frequently associated with NSIs, the frequency of NSI reporting and the adherence to the post-exposure protocols. METHODS: This study involved, through an interviewer-administered structured questionnaire, undergraduate and postgraduate students attending postgraduate medical schools and healthcare professional schools who underwent occupational health visits between January 2015 and July 2018. RESULTS: Of the 642 students that participated in the study, 95 (14.8%) sustained an NSI during the traineeship and, of these, 59 (62.1%) reported the NSI to the occupational health service. NSIs were significantly more frequent in older subjects (χ²=9.853, p=0.020) and, among medical residents, in surgical residents (χ²=31.260, p<0.0001); moreover, occurrence of NSIs increased with increasing duration of traineeship (t=-2.051, p=0.041). Reporting of NSIs significantly increased with increasing age (χ²=12.543, p=0.006), with medical residents significantly under-reporting NSIs compared with undergraduate healthcare professional students (χ²=10.718, p=0.001) and among medical residents, those attending critical care units had the highest under-reporting (χ²=7.323, p=0.026). CONCLUSIONS: The study showed remarkable under-reporting, as well as a lack of preparedness of students for NSI preventive and post-exposure effective measures. Our findings underline that healthcare student education should be reinforced to ensure that safe practices are carried out when needles and sharps are involved, as well as stressing the importance of NSI reporting and adherence to post-exposure prophylaxis protocols.


Assuntos
Internato e Residência/estatística & dados numéricos , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Estudantes de Ciências da Saúde/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Itália/epidemiologia , Masculino , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Exposição Ocupacional/prevenção & controle , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Profilaxia Pós-Exposição/estatística & dados numéricos , Inquéritos e Questionários
9.
J Occup Environ Med ; 61(10): 812-817, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31425323

RESUMO

OBJECTIVE: To examine the impact of an employer-sponsored behavioral health program on depression and anxiety by assessing dose effect of psychotherapy. METHODS: A retrospective data analysis of patients with baseline scores more than or equal to 10 on the Patient Health Questionnaire (PHQ9) or the Generalized Anxiety Disorder 7-item scale (GAD7). Survival analyses were conducted to assess whether those with a higher number of therapy sessions per episode (dose) achieved faster response (score reduction by 50% or below 10). RESULTS: Patients with medium (8 to 12 visits) or high (more than 12 visits) dose achieved faster response than those with low dose (less than eight visits; hazard ratios more than 1.5, P < 0.05). No significant difference was found between the medium and high dose. CONCLUSION: Higher dose of psychotherapy is correlated with improved behavioral health outcomes, although there appears to be no incremental benefit beyond a certain level.


Assuntos
Transtornos de Ansiedade/terapia , Transtorno Depressivo/terapia , Serviços de Saúde Mental/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Psicoterapia/estatística & dados numéricos , Adulto , Cuidado Periódico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Estudos Retrospectivos , Inquéritos e Questionários , Resultado do Tratamento
10.
Gac. sanit. (Barc., Ed. impr.) ; 33(3): 235-241, mayo-jun. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-183742

RESUMO

Objective: To document the prevalence of poor mental health by gender and social class, and to analyze if poor mental health is associated with the family roles or the employment status inside and outside the household. Method: A cross-sectional study based on a representative sample of the Spanish population was carried out (n = 14,247). Mental health was evaluated using GHQ-12. Employment status, marital status, family roles (main breadwinner and the person who mainly carries out the household work) and educational level were considered as explanatory variables. Multiple logistic regression models stratified by gender and social class were fitted and adjusted odds ratios (aOR) were obtained. Results: Gender and social class differences in the prevalence of poor mental health were observed. Unemployment was associated with higher prevalence. Among men the main breadwinner role was related to poor mental health mainly in those that belong to manual classes (aOR = 1.2). Among women, mainly among nonmanual classes, these problems were associated to marital status: widowed, separated or divorced (aOR = 1.9) and to dealing with the household work by themselves (aOR = 1.9). Conclusions: In Spain, gender and social class differences in mental health still exist. In addition, family roles and working situation, both inside and outside the household, could constitute a source of inequalities in mental health


Objetivo: Conocer la prevalencia de mala salud mental por sexo y clase social, y analizar si la salud mental se relaciona con los roles familiares y la situación laboral fuera y dentro del hogar. Método: Se realizó un diseño transversal basado en una muestra representativa de la población española (n = 14.247). La salud mental se evaluó mediante el GHQ-12. Se consideraron como variables explicativas la situación laboral, el estado civil, el rol familiar (sustentador principal y persona que realiza el trabajo doméstico) y el nivel de estudios. Se ajustaron modelos de regresión logística estratificados por sexo y se obtuvieron las odds ratio ajustadas (ORa). Resultados: Se observaron diferencias en la prevalencia de mala salud mental por sexo y clase social. El desempleo se asoció con mayor prevalencia. En hombres pertenecientes a clases menos favorecidas, el rol de sustentador principal se relacionó con mala salud mental (Ora = 1,2) En mujeres que pertenecían a clases más favorecidas, el estado civil viuda, separada o divorciada (ORa = 1,9) y realizar el trabajo doméstico solas (ORa = 1,9) se relacionaron con mala salud mental. Conclusiones: En España, en salud mental continúa habiendo diferencias de sexo y clase social. Además, el rol familiar y la situación laboral fuera y dentro del ámbito doméstico podrían constituir también una fuente de desigualdad en salud mental


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos Mentais/epidemiologia , Relações Trabalhistas , Descrição de Cargo , Competência Mental/classificação , Entrevista Psiquiátrica Padronizada/estatística & dados numéricos , Equilíbrio Trabalho-Vida/tendências , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Relações Familiares , Estudos Transversais , Distribuição por Sexo , Fatores Socioeconômicos , Disparidades nos Níveis de Saúde , Fatores de Risco , Inquéritos Epidemiológicos/estatística & dados numéricos , Espanha/epidemiologia
11.
BMC Public Health ; 19(1): 485, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-31046740

RESUMO

BACKGROUND: Although it is well known that employment conditions exert considerable effects on health and health equity, the association between employment conditions and the use of preventative health services has rarely been studied. We explored whether inequities in the use of preventative services were associated with employment conditions. We used gastric cancer screening as a surrogate for the use of preventative health services. METHODS: The study population was derived from the Korea National Health and Nutrition Survey IV (2007-2009), which included data on 5626 individuals over 40 years of age. Employment conditions were grouped by employment status, work hours, employment contract term, and salary source. Participants who had undergone gastroscopy or an upper gastrointestinal series within the past 2 years were considered to have used cancer screening services according to the National Cancer Screening Program guidelines. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multiple logistic regression analysis. As the survey procedure incorporated sample weights, we adjusted our calculations to consider the complex sample design. RESULTS: Self-employed workers were less likely to participate in regular cancer screening than were wage workers (OR = 0.79, 95% CI = 0.68-0.92), and part-time workers were less likely to participate than were full-time workers (OR = 0.81, 95% CI = 0.67-0.99). Among wage workers, temporary workers and daily workers exhibited lower participation rates than did regular workers (OR = 0.81, 95% CI = 0.63-1.05 and OR = 0.58, 95% CI = 0.44-0.76, respectively). Dispatched workers also exhibited lower participation rates (OR = 0.45, 95% CI = 0.25-0.80). CONCLUSIONS: We found obvious inequities in the use of preventative health services associated with various employment conditions. Self-employed, irregular, and dispatched workers were significantly less likely to participate in cancer screening than were other workers. Political efforts should be made to reduce employment insecurity and to improve participation in preventative screening services by vulnerable employees so as to resolve the evident health inequities.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Emprego/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Neoplasias Gástricas/diagnóstico , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , República da Coreia , Neoplasias Gástricas/epidemiologia , Inquéritos e Questionários , Local de Trabalho
12.
Am J Health Promot ; 33(5): 652-665, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31007038

RESUMO

PURPOSE: To provide a nationally representative snapshot of workplace health promotion (WHP) and protection practices among United States worksites. DESIGN: Cross-sectional, self-report Workplace Health in America (WHA) Survey between November 2016 and September 2017. SETTING: National. PARTICIPANTS: Random sample of US worksites with ≥10 employees, stratified by region, size, and North American Industrial Classification System sector. MEASURES: Workplace health promotion programs, program administration, evidence-based strategies, health screenings, disease management, incentives, work-life policies, implementation barriers, and occupational safety and health (OSH). ANALYSIS: Descriptive statistics, t tests, and logistic regression. RESULTS: Among eligible worksites, 10.1% (n = 3109) responded, 2843 retained in final sample, and 46.1% offered some type of WHP program. The proportion of comparable worksites with comprehensive programs (as defined in Healthy People 2010) rose from 6.9% in 2004 to 17.1% in 2017 ( P < .001). Occupational safety and health programs were more prevalent than WHP programs, and 83.5% of all worksites had an individual responsible for employee safety, while only 72.2% of those with a WHP program had an individual responsible for it. Smaller worksites were less likely than larger to offer most programs. CONCLUSION: The prevalence of WHP programs has increased but remains low across most health programs; few worksites have comprehensive programs. Smaller worksites have persistent deficits and require targeted approaches; integrated OSH and WHP efforts may help. Ongoing monitoring using the WHA Survey benchmarks OSH and WHP in US worksites, updates estimates from previous surveys, and identifies gaps in research and practice.


Assuntos
Promoção da Saúde/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Saúde do Trabalhador , Local de Trabalho/estatística & dados numéricos , Estudos Transversais , Gerenciamento Clínico , Promoção da Saúde/organização & administração , Humanos , Indústrias/estatística & dados numéricos , Modelos Logísticos , Programas de Rastreamento/estatística & dados numéricos , Serviços de Saúde do Trabalhador/organização & administração , Características de Residência , Estados Unidos , Local de Trabalho/organização & administração
13.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 828-835, abr.-maio 2019. il
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-987274

RESUMO

Objective: The study's purpose has been to further understand the health promotion strategies towards nursing professionals. Methods: It is an integrative literature review with a qualitative approach, which is composed of 23 articles that answer the following guiding question: What are the health promotion strategies developed for nursing professionals? Results: The findings were gathered into four strategy groups, as follows: Promoting the Work Planning, which are based on regulating the workload and salary relationship; Promoting Knowledge, which are focused on the professional update through the use of technologies; Promoting Physical Activity, aiming to guarantee the access to physical exercise, both intra and extra the work environment; and, Promoting Integrative and Complementary Practices, indicating music therapy, relaxation techniques and yoga, which together with the other ones might contribute to reduce work stress, musculoskeletal and cardiovascular problems. Conclusion: The work planning can be considered the main strategy of health promotion for nursing professionals, since it is associated with the development of the others


Objetivo: Conhecer as estratégias de promoção à saúde para os trabalhadores de enfermagem. Método: Revisão integrativa composta por 23 artigos que respondem a questão norteadora: Quais as estratégias de promoção à saúde, desenvolvidas para os trabalhadores de enfermagem? Aplicou-se uma abordagem qualitativa. Resultados: As estratégias para Promoção da Organização do Trabalho pautam-se na regulação da relação carga de trabalho e salário. As do Conhecimento, na atualização profissional com uso de tecnologias. Já as da Atividade Física, na garantia do acesso ao exercício físico, intra e extra, ambiente de trabalho. As de Promoção de Práticas Integrativas e Complementares indica a musicoterapia, as técnicas de relaxamento e yoga, que em conjunto com as demais, contribuem para reduzir o estresse laboral e problemas musculoesqueléticos e cardiovasculares. Conclusão: A organização do trabalho pode ser considerada a principal estratégia de promoção à saúde para trabalhadores de enfermagem, pois a ela associa-se o desenvolvimento das demais


Objetivo: Conecer las estrategias de promoción a la salud para los trabajadores de enfermería. Método: Revisión integrativa compuesta por 23 artículos que responden a la cuestión orientadora: ¿Cuáles son las estrategias de promoción a la salud, desarrolladas para los trabajadores de enfermería? Se aplicó un enfoque cualitativo. Resultados: Las estrategias para Promoción de la Organización del Trabajo se basan en la regulación de la relación carga de trabajo y salario. Las del Conocimiento, en la actualización profesional con uso de tecnologías. Las de la Actividad Física, en la garantía del acceso al ejercicio físico, intra y extra, ambiente de trabajo. Las de Promoción de Prácticas Integrativas y Complementarias indica la musicoterapia, las técnicas de relajación y yoga, que en conjunto con las demás, contribuyen para reducir el estrés laboral y problemas musculoesqueléticos y cardiovasculares. Conclusión: La organización del trabajo puede ser considerada la principal estrategia de promoción a la salud para trabajadores de enfermería, pues a ella se asocia el desarrollo de las demás


Assuntos
Humanos , Masculino , Feminino , Serviços de Saúde do Trabalhador/métodos , Serviços de Saúde do Trabalhador/tendências , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Terapias Complementares/estatística & dados numéricos , Saúde do Trabalhador , Promoção da Saúde
14.
Cancer Prev Res (Phila) ; 12(5): 335-342, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30872268

RESUMO

Despite known individual-level facilitators of cancer screening, the impact of work-related organizational-level characteristics on cancer screening is unknown particularly in the firefighter workforce who is experiencing a disproportionate burden of cancer. We examine the association between fire service organizational-level factors and implementation of cancer screening activities within Florida fire departments. We used a cross-sectional observational study design to survey fire department leaders attending the Florida Fire Chiefs' Association Health and Safety conference about cancer screening activities implemented by their fire departments. Measures assessing organizational-level characteristics include: fire department workforce size, total health and safety officers, fire department geographic location, employment type, leadership support and capacity. Among the 126 fire departments participating (response rate = 47.7%), approximately 44% reported some type of cancer screening activity in the 12 months prior to survey administration. The proportion of fire departments with two or more health and safety officers was significantly greater among those with cancer screening activities as compared with departments without cancer screening activities (46.3% vs. 24.2%; P = 0.016). There were no statistical differences noted for cancer screening activities among all other organizational-level characteristics including workforce size, fire department geographic location, employment type, leadership support, and individual capacity measures. Most organizational-level characteristics of a fire department evaluated in this study were not associated with cancer screening activities; however, having two or more dedicated health and safety officers supports the delivery of cancer screening activities. These officers may be a key to improving availability of cancer screening activities at work.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Bombeiros/estatística & dados numéricos , Programas de Rastreamento/organização & administração , Neoplasias/diagnóstico , Serviços de Saúde do Trabalhador/organização & administração , Estudos Transversais , Feminino , Florida , Promoção da Saúde/organização & administração , Promoção da Saúde/estatística & dados numéricos , Humanos , Masculino , Programas de Rastreamento/estatística & dados numéricos , Neoplasias/etiologia , Neoplasias/prevenção & controle , Exposição Ocupacional/efeitos adversos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Estados Unidos , Recursos Humanos/estatística & dados numéricos
15.
BMC Health Serv Res ; 19(1): 130, 2019 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-30791905

RESUMO

BACKGROUND: Health risk assessment (HRAs) are commonly used by occupational health services (OHS) to aid workplaces in keeping their employees healthy, but for unknown reasons, many employees choose not to participate in the HRAs. The aim of the study was to explore whether demographic, lifestyle and health-related factors in employees are associated with non-participation in initial and repeated HRAs. METHODS: In an OHS-based health project, 2022 municipal employees were asked to participate in three repeated HRAs. Multiple logistic regression analyses were used so as to determine associations between non-participating and demographic, lifestyle and health-related factors (e.g. biomarkers). RESULTS: Among the employees who were asked to participate in the health project, more than half did not participate in any HRA and among those who did, more than one third did not participate in repeated HRAs. Young age, male sex and being employed in the Technical department or Health and Social Care department in comparison with being employed in the department for Childcare and Education were factors significantly associated with non-participation in the initial HRA. These factors, together with being on sick leave and having unhealthy dietary habits, were factors associated with non-participation in repeated HRAs. CONCLUSIONS: Among the non-participators in initial HRAs and in repeated HRAs younger men and those already related to ill-health were overrepresented. This implicates that health care providers to a higher extent should focus on "those most needed" and that employers should be more engaged in results of repeated HRA's. Future studies should focus on modifiable variables that could make the HRAs more attractive and inclusive.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Indicadores Básicos de Saúde , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Medição de Risco/estatística & dados numéricos , Engajamento no Trabalho , Adulto , Idoso , Feminino , Pessoal de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
16.
Am J Prev Med ; 56(4): 548-562, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30772152

RESUMO

INTRODUCTION: Workplace tobacco control interventions reduce smoking and secondhand smoke exposure among U.S. workers. Data on smoke-free workplace policy coverage and cessation programs by industry and occupation are limited. This study assessed smoke-free workplace policies and employer-offered cessation programs among U.S. workers, by industry and occupation. METHODS: Data from the 2014-2015 Tobacco Use Supplement to the Current Population Survey, a random sample of the civilian, non-institutionalized population, were analyzed in 2018. Self-reported smoke-free policy coverage and employer-offered cessation programs were assessed among working adults aged ≥18 years, overall and by occupation and industry. Respondents were considered to have a 100% smoke-free policy if they indicated smoking was not permitted in any indoor areas of their workplace, and to have a cessation program if their employer offered any stop-smoking program within the past year. RESULTS: Overall, 80.3% of indoor workers reported having smoke-free policies at their workplace and 27.2% had cessation programs. Smoke-free policy coverage was highest among workers in the education services (90.6%) industry and lowest among workers in agriculture, forestry, fishing, and hunting industry (64.1%). Employer-offered cessation programs were significantly higher among workers reporting 100% smoke-free workplace policies (30.9%) than those with partial/no policies (23.3%) and were significantly higher among indoor workers (29.2%) than outdoor workers (15.0%). CONCLUSIONS: Among U.S. workers, 100% smoke-free policy and cessation program coverage varies by industry and occupation. Lower smoke-free policy coverage and higher tobacco use in certain industry and occupation groups suggests opportunities for workplace tobacco control interventions to reduce tobacco use and secondhand smoke exposure.


Assuntos
Cobertura do Seguro/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Política Antifumo/legislação & jurisprudência , Abandono do Hábito de Fumar/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Adolescente , Adulto , Idoso , Feminino , Humanos , Cobertura do Seguro/economia , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/economia , Prevalência , Autorrelato/estatística & dados numéricos , Política Antifumo/economia , Fumar/efeitos adversos , Fumar/epidemiologia , Fumar/terapia , Abandono do Hábito de Fumar/economia , Abandono do Hábito de Fumar/estatística & dados numéricos , Poluição por Fumaça de Tabaco/prevenção & controle , Estados Unidos/epidemiologia , Local de Trabalho/economia , Local de Trabalho/estatística & dados numéricos , Adulto Jovem
17.
BMJ Open ; 9(2): e024980, 2019 02 19.
Artigo em Inglês | MEDLINE | ID: mdl-30782922

RESUMO

OBJECTIVES: Frequent attenders (FAs) create a substantial portion of primary care workload but little is known about FAs' sickness absences. The aim of the study is to investigate how occasional and persistent frequent attendance is associated with sickness absences among the working population in occupational health (OH) primary care. SETTING AND PARTICIPANTS: This is a longitudinal study using medical record data (2014-2016) from an OH care provider in Finland. In total, 59 676 patients were included and categorised into occasional and persistent FAs or non-FAs. Sick-leave episodes and their lengths were collected along with associated diagnostic codes. Logistic regression was used to analyse associations between FA status and sick leaves of different lengths (1-3, 4-14 and ≥15 days). RESULTS: Both occasional and persistent FA had more and longer duration of sick leave than non-FA through the study years. Persistent FAs had consistently high absence rates. Occasional FAs had elevated absence rates even 2 years after their frequent attendance period. Persistent FAs (OR=11 95% CI 7.54 to 16.06 in 2016) and occasional FAs (OR=2.95 95% CI 2.50 to 3.49 in 2016) were associated with long (≥15 days) sickness absence when compared with non-FAs. Both groups of FAs had an increased risk of long-term sick leaves indicating a risk of disability pension. CONCLUSION: Both occasional and persistent FAs should be identified in primary care units caring for working-age patients. As frequent attendance is associated with long sickness absences and possibly disability pensions, rehabilitation should be directed at this group to prevent work disability.


Assuntos
Serviços de Saúde do Trabalhador/estatística & dados numéricos , Pensões/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Adolescente , Adulto , Idoso , Pessoas com Deficiência , Feminino , Finlândia , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Licença Médica/economia , Adulto Jovem
18.
Ethn Health ; 24(6): 607-622, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-28669226

RESUMO

Objectives: The aims of the study were, first, to describe and analyze healthcare services utilization patterns of older immigrants in Finland, and particularly to compare the availability and accessibility of health services between older Somalis and Finns. The second aim was to examine the preferences for mental healthcare within the group of Somalis. The third aim was to test the existence of a service usage gap expected to be characteristic of the Somali group, in which high levels of mental health problems occur alongside simultaneous low levels of mental health service usage. Design: The participants were 256 men and women between the ages of 50-85; half were Somali migrants and the other half Finnish matched pairs. The participants were surveyed regarding their usage of somatic, mental, and preventive health services, as well as symptoms of depression, general distress, and somatization. The Somali participants were also surveyed regarding their usage of traditional healing methods and preferences for mental healthcare. Results: The Somali group had significantly lower access to personal/family doctors at healthcare centers as well as a lower availability of private doctors and occupational health services than the Finns. Instead, they used more nursing services than Finnish patients. The Somali participants attended fewer age-salient preventive check-ups than the Finns. The majority of the Somalis preferred traditional care, most commonly religious healing, for mental health problems. The hypothesized service gap was not substantiated, as a high level of depressive symptoms was not associated with a low usage of health services among the Somalis, but it was found unexpectedly among the Finns. Conclusion: Our findings call for culturally appropriate general and mental health services for older immigrants, which requires awareness of clients' preferences, needs, and alternative healing practices. Somali participants encountered institutional barriers in accessing healthcare, and they preferred informal mental healthcare, especially religious healing instead of Western practices.


Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde Mental/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Serviços Preventivos de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Centros Comunitários de Saúde/estatística & dados numéricos , Depressão/etnologia , Depressão/terapia , Emigrantes e Imigrantes/psicologia , Medicina de Família e Comunidade/estatística & dados numéricos , Feminino , Finlândia , Humanos , Masculino , Medicina Tradicional Africana/estatística & dados numéricos , Pessoa de Meia-Idade , Serviços de Enfermagem/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Preferência do Paciente/etnologia , Angústia Psicológica , Somália/etnologia , Transtornos Somatoformes/etnologia , Transtornos Somatoformes/terapia , Inquéritos e Questionários
19.
Scand J Public Health ; 47(1): 28-36, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29806549

RESUMO

AIMS: This study characterizes frequent attenders in primary care provided by occupational health services (OHS) in Finland. METHODS: This is a nationwide cross-sectional study using medical record data from an OHS provider in 2015. Frequent attenders were defined as persons who were within the top decile of annual visits to healthcare professionals (frequent attender 10%, FA10) at any of the OHS's 37 stations. FA10s within this study consulted the OHS primary care unit eight or more times during 2015. We used logistic regression to analyse factors associated with frequent attendance in OHS primary care. The independent variables were age, gender, employer size and industry, health professionals visited and diagnoses given during visits to the OHS. The dependent variable was belonging to the FA10 group. RESULTS: Altogether 31,960 patients met the inclusion criteria and were included in the study. The FA10 group included 3617 patients, who conducted 36% of visits to healthcare professionals. The findings indicate that working within the manufacturing industry, health and social services, or public administration, and being employed in medium or large companies, are associated with frequent attendance. Frequent attendance was also associated with being female, diagnoses of the musculoskeletal system, or mental and behavioral disorders. In particular, depressive episodes and anxiety were associated with FA10s. CONCLUSIONS: This research characterized FA10 clients at a Finnish OHS. Illnesses of the musculoskeletal system and mental and behavioral disorders were accentuated among FA10s. The stability of the FA10 group, along with their sickness absences and work disabilities, should be investigated further.


Assuntos
Serviços de Saúde do Trabalhador/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adolescente , Adulto , Idoso , Estudos Transversais , Emprego/estatística & dados numéricos , Feminino , Finlândia , Humanos , Masculino , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/terapia , Fatores Sexuais , Adulto Jovem
20.
Clin Obes ; 9(1): e12284, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30248246

RESUMO

The aim of this study is to examine factors associated with long-term retention in a commercial weight-loss programme. We conducted a retrospective analysis of an employer-based, commercial programme from 2013 to 2016. Our dependent variable was 'long-term retention', defined as continuously enrolled participants who actively engaged through coach calls at 6 and 12 months. Independent variables included baseline demographics, programme engagement and weight change. We conducted multivariate logistic regression analyses assessing for differences in long-term retention by several factors, adjusted for employer clustering. Overall, 68.3% were retained at 6% and 45.9% at 12 months. Greater number of coach calls and website logins during the first 3 months significantly increased the odds of long-term retention, while having chronic conditions significantly decreased the odds. Weight-loss success (≥5% loss at 6 months) was significantly associated with increased odds of retention (12-month: odds ratio [OR] 2.80, P < 0.001), while early weight-loss failure (≥0% weight change at 1 month) significantly decreased odds of retention (12-month: OR 0.66, P = 0.008). In an employer-based, commercial weight loss programme, greater early programme engagement was associated with long-term retention. Given these programmes' popularity and potential reach, our results could be used to develop and test strategies designed to improve retention in commercial weight-loss programmes.


Assuntos
Serviços de Saúde do Trabalhador/estatística & dados numéricos , Retenção nos Cuidados/estatística & dados numéricos , Programas de Redução de Peso/estatística & dados numéricos , Adulto , Índice de Massa Corporal , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade , Razão de Chances , Estudos Retrospectivos , Fumar , Perda de Peso , Programas de Redução de Peso/métodos
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