Psychosocial and Individual Characteristics and Musculoskeletal Complaints Among Clinical Laboratory Workers

Musculoskeletal disorders (MSDs) are an important health problem among healthcare workers, including clinical laboratory ones. The aim of the present study was to investigate the prevalence of MSDs and individual and psychosocial risk factors among clinical laboratory workers. A cross-sectional study was carried out among 156 workers of 30 clinical laboratories in 3 towns of Iran. The Nordic questionnaire with individual and psychosocial risk factors was used to collect data. Multiple logistic regression analysis was performed. The prevalence of reported MSDs among the study population was 72.4% in the past 12 months. The most prevalent MSDs were pain in the lower back and neck; 42.7% and 33.3%, respectively. Significant relations were found between MSDs and age, gender, heavy work at home and job control (p < .05). MSDs among laboratory workers were high and associated with age, gender, heavy work at home and job control. More research into measuring these factors and workplace physical demands is suggested.     

Effects of physical exercise on musculoskeletal disorders,stress and quality of life in workers

Background. The effect of physical exercise in the workplace (PEW) on health promotion of workers is contradictory. Objective. To evaluate the effects of the PEW in musculoskeletal disorders (MSDs), perception of stress and quality of life in workers. Methods. The participants were divided into two groups: control group (n?=?46) including non-participant workers of the PEW program, and PEW group (n?=?50) including workers who regularly participate in the exercise program. All workers answered the Nordic general questionnaire, the perceived stress scale and the quality-of-life questionnaire. Results. The PEW group reported a lower prevalence of MSDs for the trunk in the last 7 days and 12 months (p?=?0.021 and p?=?0.001, respectively), and for the upper limbs in the last 12 months (p?=?0.001) compared with the control group. The results for the perception of stress and quality of life showed no significant differences between the groups. Conclusion. PEW is a potential method to reduce MSDs in workers, but it was not efficient in reducing stress levels or improving the quality of life of the workers.     

Driving violations and health promotion behaviors among undergraduate students: Self-report of on-road behavior

Introduction: The purposes of this study are to characterize Israeli undergraduate students' driving violations in the terms of problem behavior theory and to identify whether there is any relationship between driving violations and health risk behaviors, daring behaviors, excitement seeking, and health promotion behaviors.

Methods: This study is based on a structured self-reported anonymous questionnaire distributed to undergraduate students in an academic institution. The sample included 533 undergraduate students (374 females and 159 males). The mean age was 23.4 (SD = 1.4, range = 5).

Results: A higher prevalence of self-reported driving violations was found among males in comparison to females. All substance use measures were positively related to driving violations; for example, use of cigarettes (OR = 4.287, P <.001) and water pipes (odds ratio [OR] = 3.000, P <.001) as well as binge drinking (OR = 5.707, P <.001) and regular cannabis smoking (OR = 5.667, P <.001) raise the probability of committing rare driving violations. The strongest predictive factors for the frequent driving violations group were alcohol consumption–related variables: binge drinking (OR = 2.560, P <.01) and drunkenness (OR = 2.284, P <.05). Strong odd ratios were also found between the frequent driving violations group and selling or dealing drugs (12.143, P <.001), and stealing something valuable (13.680, P <.001). The strongest predicted variable for the rare driving violations group was physical confrontation due to verbal disagreement (3.439, P <.05) and the concept that selling or dealing drugs is socially acceptable (2.521, P <.05). The probability of executing rare driving violations was higher for subjects who reported intense physical workout regimens (OR = 1.638, P <.05).

Conclusions: Problem behavior theory succeeded in explaining health risk behavior and driving violations. This study shows that bachelors tend to be more involved in risk behaviors, such as substance use, excitement-seeking behaviors, and daring behaviors and are active physically and thus constitute a risk group for driving violations. As such, intervention resources should be directed toward this group.     

Multiple dimensions of work-related risk factors and their relationship to work ability among industrial workers in Iran

Objectives. The present study was designed to investigate the simultaneous effects of physical, psychosocial and other work-related risk factors on the work ability index (WAI) score among industrial workers. Methods. This study used a cross-sectional design with a questionnaire survey. A total of 280 workers were included in the study. Data were collected using three questionnaires including the Persian version of the WAI, the Persian version of the job content questionnaire and an author-developed measure (to assess work-related factors, health-related factors and socio-demographic characteristics). Results. The majority of the participants were young, but they had poor WAI scores (mean 37.3?±?6.4) and 44.3% of them had poor or moderate work ability. Occupational accidents and injuries were found to be the strongest predictors of WAI scores. Additionally, there was a strong association between WAI scores and supervisor support, skill discretion, occupational training, sleep quality, work nature and educational level. Conclusions. Intervention programs should focus on improving supervisor support, sleep quality, job skills and knowledge and on decreasing physical and mental work demands. Additionally, implementing a comprehensive occupational health and ergonomics program for controlling and reducing hazardous working environments and occupational injury rates should be considered.     

The Relationship Between Shift Work Schedules and Spillover in a Sample of Nurses

The aim of the present study was to estimate spillover effects between the work and the family sphere in a sample of nurses (N = 2058). Hierarchical regression analyses investigated whether shift work schedules were associated with negative or positive spillover, both from family to work and vice versa, controlling for demographic factors, job demands and decision latitude. With daytime work as a reference group, all types of shift work (day and evening shift, night shift only and rotating 3 shift) were associated with higher negative work-to-family spillover. Night work was associated with significantly less negative family-to-work spillover. None of the different shift work schedules were related to any type of positive spillover. The results indicate that working outside of daytime hours is less compatible with workers’ family lives, compared to working ordinary day shifts. On the other hand, working night shifts only was associated with reduced negative family-to-work spillover.     

Postural Loading Assessment in Assembly Workers of an Iranian Telecommunication Manufacturing Company

Background. Changes in industries and work practices have coincided with work-related musculoskeletal disorders (MSDs). This study was conducted to determine the prevalence of MSDs and to assess postural loading in assembly workers of an Iranian telecommunication manufacturing company. Methods. Data were collected from 193 randomly selected workers in 4 units of the company. The Nordic musculoskeletal disorders questionnaire and the UBC ergonomic checklist were used as data collection tools. Loading on the upper body assessment (LUBA) was used to assess postural loading. Results. Lower back symptoms were the most prevalent problems among the workers (67.9%). LUBA showed that most assembly workers (94.3%) had experienced considerable and high postural loading (postural load index, PLI > 5). Regression analyses revealed that lighting, rotation, contact stress, repetition, gender and age were factors associated with symptoms. Conclusion. Work-related MSDs occurred at a high rate among workers. Postural loading requires consideration. Any ergonomic intervention should focus on eliminating ergonomic factors associated with symptoms.     

Occupationally Oriented Medical Rehabilitation and Hairdressers’ Work Techniques–A one-and-a-half-year follow-up

This study examined changes in work techniques and musculoskeletal symptoms after occupationally oriented medical rehabilitation arranged for 21 hairdressers who were experiencing neck-shoulder or back pain but were still able to work. OWAS (Ovako Working Posture Analysing System) analyses of working postures and questionnaire data were obtained at the beginning of the courses and one and a half years later. The participants worked with their back bent and twisted or their arms at or over shoulder level more seldom (p < .0001) at the end of the follow-up than at the beginning of the rehabilitation. Subjective work-related physical and mental strain had decreased by 45.4% (p < .001) and 27.1% (p < .05), respectively, and subjective neck and back pain by 40.0% (p < .0 1 ) and 45.3% (p < .01). respectively. This’study suggests that occupationally oriented medical rehabilitation can have significant and long-lasting effects on the rehabilitee’s work techniques and subjective well-being.     

Application of mindfulness-based stress reduction to a stress management intervention in a study of a mining sector company

Purpose. The aim of this article was to check whether mindfulness-based stress reduction (MBSR) is an effective intervention in reducing work-related stress in the case of workers in a copper mine. Methods. Sixty six employees were randomized to the experimental group (32 participants) or to the control group (34 participants). Work-related stress was measured using the job content questionnaire (JCQ) and mental health was measured using the general health questionnaire (GHQ-28) Experimental manipulation was 40-h MBSR training. Results. Multivariate repeated-measures analysis of variance revealed a significant increase of JCQ decision latitude (F?=?17.36, p?<?0.001) and social support (supervisor F?=?9.00, p?<?0.004; coworker F?=?5.61, p?<?0.020), and a significant decrease in GHQ-28 anxiety (F?=?5.28, p?<?0.079) and depression (F?=?3.95, p?<?0.048) due to the intervention. Conclusions. The study confirms that MBSR can be effective in reducing stress resulting from the external risk (and/or imagined fear) of losing one’s health or life. The use of MBSR could be recommended in health and safety activities in difficult and dangerous work conditions, such as mining, to promote workers’ well-being.     

Occupational noise exposure and hearing defects among sawmill workers in the south of Thailand

The aim of this study was to investigate occupational noise exposure and hearing defects among sawmill workers in the south of Thailand. Seven hundred sawmill workers participated, of which 335 (47.9%) were male. The mean age of the sawmill workers was 33.5 years (SD 10.2), and more than 60% were <35 years old; 75.1% of the workers had less than 5 years of work experience. Only about one in four workers (25%) had been trained in use of personal protective equipment (PPE), and half of the participants never or rarely wore PPE while working. The prevalence rate of noise-induced hearing loss (NIHL) was 22.8% (N?=?42). Male workers had significantly higher risk than female workers (odds ratio [OR]?=?2.21). Workers aged older than 25 years had significantly higher risks for NIHL (OR?=?3.51–12.42) than workers younger than 25 years. Sawing workers had higher risk for NIHL than office workers (OR?=?3.07).     

Associations Between Worker Characteristics,Workplace Factors,and Work-Related Musculoskeletal Disorders: A Cross-Sectional Study of Male Construction Workers in Nigeria

Objective. This study assessed the association between worker characteristics, workplace factors, and work-related musculoskeletal disorders (WMSDs) in Nigeria’s construction industry. Methods. A cross-sectional site-by-site survey was conducted in 5 existing construction companies in Uyo, Nigeria. The subjects (n = 1200 males), aged 18-55 years, filled in the semistructured Nordic musculoskeletal questionnaire and the job content questionnaire on demographics, work and lifestyle characteristics, and workplace risk factors for WMSDs. Results. The overall prevalence of WMSDs was 39.25%. Differences in age, race, weight, body mass index (BMI), education status, and employment status were significantly associated with the prevalence of WMSDs. Prevalence according to trade was as follows: ironworkers highest at 49% and administrative staff lowest at 31%. Ironworkers (55.7%), administrative staff (53.3%), and security staff (38.7%) scored higher on physical, psychosocial, and individual risk factors, respectively. Workplace factors with increased odds for WMSDs were psychological demands and mental workload, age, BMI, low work experience, low education status, awkward movement of head and arms, working against force or vibration, fast work pace, and race. Conclusion. The recorded high prevalence was multifactorial in etiology; hence, multi-intervention strategies are required.     

Hand-arm vibration disorder among grass-cutter workers in Malaysia

Introduction. Prolonged exposure to hand-transmitted vibration from grass-cutting machines has been associated with increasing occurrences of symptoms and signs of occupational diseases related to hand–arm vibration syndrome (HAVS). Methods. A cross-sectional study was carried out using an adopted HAVS questionnaire on hand–arm vibration exposure and symptoms distributed to 168 male workers from the grass and turf maintenance industry who use hand-held grass-cutting machines as part of their work. The prevalence ratio and symptom correlation to HAVS between high and low–moderate exposure risk groups were evaluated. Results. There were positive HAVS symptoms relationships between the low–moderate exposure group and the high exposure group among hand-held grass-cutting workers. The prevalence ratio was considered high because there were indicators that fingers turned white and felt numb, 3.63, 95% CI [1.41, 9.39] and 4.24, 95% CI [2.18, 8.27], respectively. Less than 14.3% of workers stated that they were aware of the occupational hand–arm vibration, and it seemed to be related to the finger blanching and numbness. Conclusion. The results suggest that HAVS is under-diagnosed in Malaysia, especially in the agricultural sectors. More information related to safety and health awareness programmes for HAVS exposure is required among hand-held grass-cutting workers.     

Validation of a questionnaire about the perception of occupational biohazard in Spanish companies

Objectives. The aim of this work was to develop, validate and test a new questionnaire to assess the biological risk in workers with intentional or unintentional exposure to biological agents. Methods. A questionnaire including 34 questions was developed to study the perception of workers against occupational biohazard. Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated for the analysis of content validity. A pilot study was carried out with 60 workers from 17 companies performing analysis of Cronbach's α to assess the internal consistency or reliability. Results. A total of 518 workers from 51 Spanish companies in which there is exposure to biological agents participated in the study yielding a response rate of 90%. The final questionnaire obtained a Cronbach's α > 0.759 with a stable test–retest result. The questionnaire validation demonstrates that it could be used to evaluate the biological risks and help the prevention of occupational accidents and diseases. Discussion. This study has validated the need to evaluate worker's perception against occupational risks, as well as the application of prevention methods and protective equipment. It is a first step towards developing an occupational biohazards assessment method including all the requirements set by the European Health and Safety Strategy 2013–2020.     

Effects of customized foot orthoses on manufacturing workers in the metal industry

This 8-week study evaluates the effects of customized foot orthoses on work-related musculoskeletal disorders (WMSDs) of metal industry workers. These WMSDs were evaluated applying the Nordic musculoskeletal questionnaire (NMQ) at three different times (start, 4th week and 8th week) and additional questions were also formulated to obtain information about adaptation, fatigue, comfort and possible improvements. According to the NMQ results, statistical significance was found in the improvements after 4?weeks (p?<?0.05 in two areas, p?<?0.01 in three areas, p?<?0.001 in two areas and no significance in the other two) and after 8?weeks (p?<?0.01 in three areas, p?<?0.001 in four areas and no significance in the other two). The additional questions indicated fatigue reduction (both in general and in lower extremity), comfort level increase (after the adaptation period) and good acceptance, according to workers’ answers, suggesting customized orthoses can be effective in reducing and preventing WMSDs in several body regions.     

Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia

Background

All employees in health care settings handling needles or other sharps are at risk for needle stick and sharps injuries (NSSIs). Health care workers in under developed countries are at greater risk of infection from blood borne pathogens because of the lack of safety devices and the high prevalence of these pathogens.

Objectives

The aim of this study was to assess the prevalence of NSSIs and associated factors among health care workers in government health institutions in Gondar city, Ethiopia.

Methods

Institution based cross sectional study was conducted from May-December, 2010. The study included 344 health care workers who were selected from the source population using simple random sampling technique. Data were collected through interviews using structured and pre-tested questionnaire and the collected data were entered and analyzed using SPSS version 16.0.

Results

The prevalence of NSSIs among health care workers in the preceding 12 months was 106 (30.8%), of which 58 (54.7%) was reported by females. Lack of training on occupational health and safety, working more than 48 h/week, dissatisfaction with work environment and work culture, greater than 10 years of work experience and having low and moderate perception of risk were found to be significantly associated with NSSIs.

Conclusion

The study found high prevalence of NSSIs among health care workers. Effective training, ongoing awareness on the risk of hazards, preventive measures such as engineering control, and post-exposure prophylaxis following NSSIs are essential to reduce the risk of such injuries.     

Exposure to Methyl Methacrylate and Its Subjective Symptoms Among Dental Technicians,Tehran, Iran

Exposure to methyl methacrylate (MMA), total dust and health symptoms were investigated in 20 dental laboratories located in Tehran, Iran. Time-weighted average (TWA) of MMA and peak concentrations were determined, using XAD-2 tubes followed by GC-ID analysis. Total dusts were evaluated gravimetrically. Health symptoms were asked using a questionnaire. TWA for technicians with direct and indirect exposure to MMA were 327.28 ± 79.42 and 282.9 ± 41.84 mg/m³ , respectively. Peak concentration of MMA for those technicians were 337.0 ± 36.81 and 328.88 ± 45.40 mg/m³, respectively.

There were no significant differences between TWA of MMA and peak concentration in different weekly workdays; however, within-day variations were observed (P < .05).

TWA of MMA and peak concentration correlation with the laboratory volume were 0.61-0.65. Dust exposure of technicians was 2.35 ± 2.70 mg/m³. Cough and skin dryness were the common health symptoms. Smoking and asbestos exposure history were factors influencing cough prevalence (p < .05).

It is concluded that the current Short-Term Exposure Limit (STEL) is not low enough to protect technicians against the adverse effects caused by MMA.     

Respiratory Impairment in Cotton-Ginning Workers Exposed to Cotton Dust

Dust generated during the handling and processing of cotton causes ill health of ginning workers. The purpose of this study was to determine the prevalence of respiratory symptoms among cotton-ginning workers. This study involved 188 workers of 10 cotton-ginning factories. Forced vital capacity (FVC), peak expiratory flow rate (PEFR), and forced expiratory volume in 1 s (FEV1) declined significantly with increasing duration of exposure (p < .001) of the cotton-ginning workers. Results of a standard respirator medical evaluation questionnaire indicated that, depending on duration of exposure, 51%–71% of cotton-ginning workers suffered from chest tightness, 55%–62% experienced chest pain, while 33%–42% of the workers reported frequent cough. Blood tests of the workers showed higher values of erythrocyte sedimentation rate, eosinophils, and white blood cells when exposure was longer. Byssinosis symptoms were observed among the workers. We recommend regular periodical medical check-ups, compulsory use of personal protective equipment, and proper ventilation at the workplace.     

Expert system application for prioritizing preventive actions for shift work: shift expert

Introduction. Shift patterns, work hours, work arrangements and worker motivations have increasingly become key factors for job performance. The main objective of this article is to design an expert system that identifies the negative effects of shift work and prioritizes mitigation efforts according to their importance in preventing these negative effects. The proposed expert system will be referred to as the shift expert. Methods. A thorough literature review is conducted to determine the effects of shift work on workers. Our work indicates that shift work is linked to demographic variables, sleepiness and fatigue, health and well-being, and social and domestic conditions. These parameters constitute the sections of a questionnaire designed to focus on 26 important issues related to shift work. The shift expert is then constructed to provide prevention advice at the individual and organizational levels, and it prioritizes this advice using a fuzzy analytic hierarchy process model, which considers comparison matrices provided by users during the prioritization process. An empirical study of 61 workers working on three rotating shifts is performed. After administering the questionnaires, the collected data are analyzed statistically, and then the shift expert produces individual and organizational recommendations for these workers.     

Pulmonary Functions of Welders in Gas Transmission Pipelines in Iran

This study evaluated the influence of welding on pulmonary functions in welders. Spirometry tests were performed before and after work shift in 91 welders and 25 clerks (control group). We examined forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC ratio and forced expiratory flow 25%-75% (FEF 25–75). Significant differences were found for FVC and FEV1/FVC between welders and the control group in pre- and post-shift measurements (p < .001). In welders, smoking and nonsmoking habit had no significant effects on any pulmonary indices before or after shift. Work experience and fume concentrations also had no significant effects on the majority of spirometric indices (p > .05). Most welders had at least 1 of the respiratory symptoms. Significant differences were found between pre- and post-shift indices (as percentage of predicted values calculated with spirometer) and between the welders engaged in some welding tasks and the control group before work shift. This study documented work-related changes in pulmonary functions in the welders and marked drops in these functions without symptoms in some welders.     

Factors related to presenteeism among employees of the private sector

The objective was to explore the relationship between person-based variables and work-related variables of presenteeism in four different private sector workplaces. Employees (N=413) filled in a questionnaire related to demographic and socio-economic characteristics, social networks, work-related factors, lifestyle factors and state of health. Presenteeism was assessed using the Stanford Presenteeism Scale 6 (SPS-6). The majority of respondents were male (77.2%), and mean age was 34.7±8.1 years. The prevalence of chronic conditions was 15.9%. The mean score for the SPS-6 was 19.9 (SD, 3.3). The female score was higher than the male score on the SPS-6 in this study. Total score was higher among workers who reported working at high speed. SPS-6 score was higher among individuals with a chronic health problem. Understanding of the workplace and personal factors related to presenteeism may support the health and well-being of workers.     

Validity and reliability of a job factors questionnaire related to the work tasks of physical therapists

Physical therapists engage in work tasks that expose them to occupational risk factors related to musculoskeletal disorders. Due to the gap in the literature on instruments focused on those workers, this study adapted a job factors questionnaire to physical therapists, and assessed its psychometric properties. The questionnaire was adapted and its content validity was established. The psychometric properties were evaluated among 142 physical therapists. Reliability was verified using the temporal-stability design and internal consistency. Construct validity was assessed with the known-groups technique. Test-retest results demonstrated intraclass correlation coefficients between .82 and .90 (p < .001). Cronbach's α of .91 verified the reliability of the questionnaire. The known-groups technique demonstrated a statistically significant difference on the scores of the items when physical therapists were compared to office workers. The results indicated that the adapted questionnaire had acceptable psychometric properties for assessing problematic job factors among physical therapists working in hospitals.