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Boets I, Luyten S, Vandenbroeck S, Godderis L. Success rate and predictors of return to work after implementation of a formal return-to-work trajectory: A retrospective cohort study. Work 2024:WOR230412. [PMID: 38759085 DOI: 10.3233/wor-230412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2024] Open
Abstract
BACKGROUND Long term sick leave (SL) is increasing in Europe, several countries have legislative initiatives to reduce long-term absenteeism. OBJECTIVE We evaluated the impact of a legally defined return-to-work (RTW) trajectory on the RTW of employees on sick leave in Belgium. METHODS This was a retrospective register-based cohort study of employees (n = 1416) who followed an RTW trajectory in 2017. We linked workers' data from a prevention service with social security data. By multinomial logistic regression, we analysed which characteristics predicted the RTW with the same or another employer. RESULTS One year after their RTW trajectory, 69.2% of the 1416 employees did not RTW; 10.7% returned to work with the same employer and 20.1% with a new employer. Duration of SL was an important predictor for the RTW with both the same employer and another employer. The odds of RTW were lower when the SL duration was > 6 months compared to < 6 months. Marital status, organization-size, and the occupational physician decision had a significant impact on the RTW with the same employer. Age and who initiated the RTW-trajectory were important predictors on the RTW with another employer. CONCLUSIONS Overall, 30.8% of employees returned to work after their RTW trajectory. A one-size-fits-all approach is not recommended. A stepped approach with an early, informal start of the RTW process is advised. When employees or employers fail to initiate the RTW on their own, a legally defined RTW trajectory could be useful. In particular, RTW with another employer seemed a positive effect of the RTW-trajectory.
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Affiliation(s)
- Isabelle Boets
- Centre for Environment and Health, KU Leuven, University of Leuven, Leuven, Belgium
- Group IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium
| | - Steven Luyten
- Student at Department of Public Health and Primary Care, KU Leuven, University of Leuven, Leuven, Belgium
| | - Sofie Vandenbroeck
- Centre for Environment and Health, KU Leuven, University of Leuven, Leuven, Belgium
- Group IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium
| | - Lode Godderis
- Centre for Environment and Health, KU Leuven, University of Leuven, Leuven, Belgium
- Group IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium
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Maniscalco L, Schouteden M, Boon J, Vandenbroeck S, Mehlum IS, Godderis L, Matranga D. The long-term effect of job mobility on workers' mental health: a propensity score analysis. BMC Public Health 2022; 22:1145. [PMID: 35676646 PMCID: PMC9175471 DOI: 10.1186/s12889-022-13558-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 05/25/2022] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVES The main purpose of this longitudinal study was to elucidate the impact of external job mobility, due to a change of employer, on mental health. METHODS A cohort of Belgian employees from the IDEWE occupational medicine registry was followed-up for twenty-seven years, from 1993 to 2019. The use of drugs for neuropsychological diseases was considered as an objective indicator of mental health. The covariates were related to demographic, physical, behavioural characteristics, occupational and work-related risks. Propensity scores were calculated with a Cox regression model with time-varying covariates. The PS matching was used to eliminate the systematic differences in subjects' characteristics and to balance the covariates' distribution at every time point. RESULTS The unmatched sample included 11,246 subjects, with 368 (3.3%) that changed their job during the baseline year and 922 (8.2%) workers that left their employer during the follow-up. More than half of the matched sample were males, were aged less than 38 years old, did not smoke, were physically active, and normal weighted, were not exposed to shift-work, noise, job strain or physical load. A strong association between job mobility and neuropsychological treatment was found in the matched analysis (HR = 2.065, 95%CI = 1.397-3.052, P-value < 0.001) and confirmed in the sensitivity analysis (HR of 2.012, 95%CI = 1.359-2.979, P-value < 0.001). Furthermore, it was found a protective role of physical activity and a harmful role of job strain on neuropsychological treatment. CONCLUSIONS Our study found that workers with external job mobility have a doubled risk of treatment with neuropsychological medication, compared to workers without job mobility.
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Affiliation(s)
- Laura Maniscalco
- Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Via del Vespro, 129 90127, Palermo, Italy.
| | - Martijn Schouteden
- IDEWE, External Service for Prevention and Protection at Work, Interleuvenlaan 58, 3001, Heverlee, Belgium
| | - Jan Boon
- IDEWE, External Service for Prevention and Protection at Work, Interleuvenlaan 58, 3001, Heverlee, Belgium
| | - Sofie Vandenbroeck
- IDEWE, External Service for Prevention and Protection at Work, Interleuvenlaan 58, 3001, Heverlee, Belgium.,Katholieke Universiteit Leuven, Centre for Environment and Health, 3000, Louvain, Belgium
| | - Ingrid Sivesind Mehlum
- Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health (STAMI), Oslo, Norway.,Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Lode Godderis
- IDEWE, External Service for Prevention and Protection at Work, Interleuvenlaan 58, 3001, Heverlee, Belgium.,Katholieke Universiteit Leuven, Centre for Environment and Health, 3000, Louvain, Belgium
| | - Domenica Matranga
- Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Via del Vespro, 133, 90127, Palermo, Italy
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PROBE Study: A Sentinel Surveillance System to Monitor Exposure of Belgian Employees to Hazardous Chemicals: A Feasibility Study. J Occup Environ Med 2020; 62:e748-e753. [PMID: 33065730 DOI: 10.1097/jom.0000000000002055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To test the feasibility of collecting reliable and representative data on exposure of Belgian employees to a selection of hazardous chemicals by using a sentinel surveillance method. METHOD In PROBE (Hazardous chemical Products Register for Occupational use in Belgium), 47 occupational physicians were recruited as a sentinel network. Employees answered a web-based survey assessing their past week exposure to 22 chemicals. RESULTS 47% employees were exposed to at least one chemical. The most frequently reported exposures was to diesel exhaust (14%). The exposed employees were mostly older men, with most exposed during production and manufacturing, and working in smaller companies. For diesel exhaust, wood dust, and crystalline silica, 54%, 32%, and 20% of the exposed employees, did not use collective/personal protective equipment. CONCLUSION Sentinel surveillance is a feasible method for obtaining high-quality data on the exposure of Belgian employees to hazardous chemicals.
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Maniscalco L, Schouteden M, Boon J, Matranga D, Godderis L. The Impact of a Change in Employment on Three Work-Related Diseases: A Retrospective Longitudinal Study of 10,530 Belgian Employees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7477. [PMID: 33066624 PMCID: PMC7602491 DOI: 10.3390/ijerph17207477] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/07/2020] [Accepted: 10/13/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND The literature that has investigated to what extent a change in employment contributes to good health is contradictory or shows inconsistent results. The aim of this study was to investigate whether an association exists between a change in employment and cardiovascular, musculoskeletal and neuropsychological diseases in a sample of 10,530 Belgian workers in a seven-year follow-up study period. METHODS The following factors were analysed: Demographic variables, a change in employment and the work-related risks. Individuals being on medication for cardiovascular, musculoskeletal, and neuropsychological diseases were used as proxies for the three health issues. Logistic regression models for autocorrelated data with repeated measures were used to examine each medication type. RESULTS A change in employment and psychosocial load can have an important effect on the health of cardiovascular employees. Demographic variables, such as BMI and age, are risk factors for all three medications. Repetitive, manual tasks, handling static, exposure to noise levels of 87 dB, mechanical and/or manual handling with loads, and shift work were found to be positively associated with medications taken for musculoskeletal diseases. Exposure to noise 80 dB(A), managing physical loads and night work were found to be associated with being on medication for neuropsychological diseases. Physical activity and skill levels were considered to be protective factors for being on medication for neuropsychological diseases. CONCLUSIONS Change in employment and psychosocial load were found as two important risk factors for being on medication for cardiovascular (CVD). Dealing with loads, doing shift work and being daily exposed to the noise of 87 dB correlated with being on medication for musculoskeletal (MSD). Dealing with physical loads, doing night work and being exposed to the noise of 80 dB were risk factors for being on medication for neuropsychological (NPD). While doing physical activity and reporting higher skill levels were found to be protective factors for NPD.
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Affiliation(s)
- Laura Maniscalco
- Department of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, 90127 Palermo, Italy
| | - Martijn Schouteden
- IDEWE, External Service for Prevention and Protection at Work, 3001 Heverlee, Belgium; (M.S.); (J.B.); (L.G.)
| | - Jan Boon
- IDEWE, External Service for Prevention and Protection at Work, 3001 Heverlee, Belgium; (M.S.); (J.B.); (L.G.)
| | - Domenica Matranga
- Department of Health Promotion, Maternal-Child Health, Internal and Specialized Medicine of excellence “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy;
| | - Lode Godderis
- IDEWE, External Service for Prevention and Protection at Work, 3001 Heverlee, Belgium; (M.S.); (J.B.); (L.G.)
- KU Leuven, Centre for Environment and Health, 3000 Leuven, Belgium
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Costa C, Freitas Â, Stefanik I, Krafft T, Pilot E, Morrison J, Santana P. Evaluation of data availability on population health indicators at the regional level across the European Union. Popul Health Metr 2019; 17:11. [PMID: 31391120 PMCID: PMC6686464 DOI: 10.1186/s12963-019-0188-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Accepted: 07/22/2019] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The ability to measure regional health inequalities across Europe and to build adequate population health indices depends significantly on the availability of reliable and comparable data at the regional level. Within the scope of the EU-funded project EURO-HEALTHY, a Population Health Index (PHI) was built. This model aggregates 39 indicators considered relevant by experts and stakeholders to evaluate and monitor population health on the regional level within the European Union (269 regions). The aim of this research was to assess the data availability for those indicators. As a subsequent aim, an adequate protocol to overcome issues arising from missing data will be presented, as well as key messages for both national and European statistical authorities meant to improve data collection on population health. METHODS The methodology for the study includes three consecutive phases: (i) assessing the data availability for the respective indicators at the regional level for the last year available (ii) applying a protocol for missing data and completing the database and (iii) developing a scoring system ranging from 0 (no data available; worst) to 1 (all data available; best) to evaluate the availability of data by indicator and EU region. RESULTS Although the missing data on the set of the PHI indicators was significant, the mean availability score for the EURO-HEALTHY PHI indicators is 0.8 and the regional availability score is 0.7, which reveal the strength of the indicators as well as the data completeness protocol for missing data. CONCLUSIONS This study provides a comprehensive data availability assessment for population health indicators from multiple areas of concern, at the EU regional level. The results highlight that the data completeness protocol and availability scores are suitable tools to apply on any indicator's data source mapping. It also raises awareness to the urgent need for sub-national data in several domains and for closing the data gaps between and within countries. This will require policies clearly focused on improving equity between regions and a coordinated effort from the producers of data (the EU28 national statistics offices and EUROSTAT) and the stakeholders who design policies at EU, regional and local level.
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Affiliation(s)
- Claudia Costa
- Centre of Studies in Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, 3004-530 Coimbra, Portugal
| | - Ângela Freitas
- Centre of Studies in Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, 3004-530 Coimbra, Portugal
| | - Iwa Stefanik
- Centre of Studies in Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, 3004-530 Coimbra, Portugal
| | - Thomas Krafft
- Faculty of Health, Medicine and Life Sciences (FHML), Care and Public Health Research Institute (CAPHRI), Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands
| | - Eva Pilot
- Faculty of Health, Medicine and Life Sciences (FHML), Care and Public Health Research Institute (CAPHRI), Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands
| | - Joana Morrison
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Paula Santana
- Centre of Studies in Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, 3004-530 Coimbra, Portugal
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Prevalence of high cardiovascular risk by economic sector. Int Arch Occup Environ Health 2019; 93:133-142. [PMID: 31309280 PMCID: PMC6989576 DOI: 10.1007/s00420-019-01458-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 07/07/2019] [Indexed: 01/05/2023]
Abstract
Purpose The aim of this study was to assess the prevalence of high cardiovascular risk and the trend of cardiovascular risk factors in a large sample of Belgian workers. Methods A cross-sectional study was performed on the data of workers under medical surveillance by the non-profit occupational health service IDEWE in 2018. The prevalence of poor health for smoking, physical activity, body mass index (BMI), and blood pressure according to the American Heart Association (AHA) definition was investigated. The presence of three or more poor cardiovascular health metrics was considered high cardiovascular risk. A log-binomial regression model was used to compare the prevalence of high cardiovascular risk between economic sectors taking into account age and gender and to calculate predicted probabilities of high cardiovascular risk. Results Data about 212,792 workers were available. In 2018, overall, 7% of workers had high cardiovascular risk. Transport and construction had the highest prevalence of high cardiovascular risk, 14% and 12%, respectively. The lowest prevalence, 3%, was observed in education. Differences between sectors remained statistically significant after adjustment for age and gender. In men, workers in transport and storage and in construction had the highest predicted probability of high cardiovascular risk that increased with age. In women, highest predicted probability was observed in transport and storage. Conclusions When implementing health promotion initiatives, priority should be given to sectors and professions where risk factors are most prevalent or are increasing rapidly. Measures should be tailored to the special needs of the occupational groups at high risk. Electronic supplementary material The online version of this article (10.1007/s00420-019-01458-9) contains supplementary material, which is available to authorized users.
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Tobback E, Mariman A, Clauwaert L, Godderis L, Heytens S, Ruppol P, Spooren D, Tytgat R, De Muynck M, Vogelaers D. Opinion paper: the role of work in the management of medically unexplained physical symptoms. Acta Clin Belg 2019; 74:151-156. [PMID: 29726743 DOI: 10.1080/17843286.2018.1462754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVES Patients with medically unexplained physical symptoms suffer from chronic fatigue and/or pain in combination with a variety of other symptoms. A flexible, biopsychosocial approach is needed for diagnostic screening and global management. It is crucial to involve the direct patient environment, including family, friends, colleagues as well as health providers, evaluation, and reintegration sector. The aim of this paper is to review the importance of work in the management of medically unexplained physical symptoms. METHODS In this paper, different actors involved explain their views and handling concerning work in the management of MUPS. RESULTS Symptom severity and lack of understanding from the environment can negatively impact on earning an independent income from labor for years. Work, whether or not paid, is however, an important life domain with positive effects on physical, psychological, and social well-being. Therefore, health actors are pivotal in starting the professional reintegration process as soon as possible and should discuss this item from the early stage onward. Support services can be consulted in mutual interaction as required. A case manager, acting as a central intermediator within this multidisciplinary approach, may promote effective communication and coordination between the patients and their surrounding actors. CONCLUSION The professional reintegration process should start as soon as possible within the management of medically unexplained physical symptoms. As such, the care sector, the evaluation sector, and the professional integration sector should collaborate and effectively communicate with each other.
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Affiliation(s)
- Els Tobback
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
| | - An Mariman
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
| | - Lies Clauwaert
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Lode Godderis
- Department of Occupational, Environmental and Insurance Medicine, Catholic University Louvain, Louvain, Belgium
| | - Stefan Heytens
- Department of General Practice and Primary Health Care, Ghent University, Gent, Belgium
| | - Patrick Ruppol
- Service for Specialized Guidance for Persons with Special Needs GTB, Ghent, Belgium
| | - Daniel Spooren
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
| | - Rita Tytgat
- Medical Department of the Christian Sickness Fund, Christian Sickness Fund, Brussels, Belgium
| | - Martine De Muynck
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Dirk Vogelaers
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
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Moreira S, Vasconcelos L, Silva Santos C. Occupational health indicators: Exploring the social and decent work dimensions of green jobs in Portugal. Work 2018; 61:189-209. [DOI: 10.3233/wor-182792] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Sandra Moreira
- Faculty of Sciences and Technology – NOVA University, Lisbon, Portugal
- Directorate-General of Health – Ministry of Health, Portugal
| | - Lia Vasconcelos
- Faculty of Sciences and Technology – NOVA University, Lisbon, Portugal
| | - Carlos Silva Santos
- Directorate-General of Health – Ministry of Health, Portugal
- National School of Public Health – NOVA University, Lisbon, Portugal
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Moreira S, Vasconcelos L, Silva Santos C. Sustainability of green jobs in Portugal: a methodological approach using occupational health indicators. J Occup Health 2017; 59:374-384. [PMID: 28794392 PMCID: PMC5635146 DOI: 10.1539/joh.17-0045-ra] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2017] [Accepted: 06/20/2017] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE This study aimed to develop a methodological tool to analyze and monitor the green jobs in the context of Occupational Health and Safety. METHODS A literature review in combination with an investigation of Occupational Health Indicators was performed. The resulting tool of Occupational Health Indicators was based on the existing information of "Single Report" and was validated by national's experts. RESULTS The tool brings together 40 Occupational Health Indicators in four key fields established by World Health Organization in their conceptual framework "Health indicators of sustainable jobs." The tool proposed allows for assessing if the green jobs enabled to follow the principles and requirements of Occupational Health Indicators and if these jobs are as good for the environment as for the workers' health, so if they can be considered quality jobs. CONCLUSIONS This shows that Occupational Health Indicators are indispensable for the assessment of the sustainability of green jobs and should be taken into account in the definition and evaluation of policies and strategies of the sustainable development.
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Affiliation(s)
- Sandra Moreira
- Faculty of Sciences and Technology, NOVA University
- Directorate-General of Health, Ministry of Health
| | | | - Carlos Silva Santos
- Directorate-General of Health, Ministry of Health
- National School of Public Health, NOVA University
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Delaunay M, Van der Westhuizen H, Godard V, Agius R, Le Barbier M, Godderis L, Bonneterre V. Use of GIS in visualization of work-related health problems. Occup Med (Lond) 2016; 65:682-92. [PMID: 26503981 PMCID: PMC4661781 DOI: 10.1093/occmed/kqv152] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background Occupational health and safety (OHS) information is often complex, diverse and unstructured and suffers from a lack of integration which usually precludes any systemic insight of the situation. Aims To analyse to what extent the use of geographical information systems (GISs) can help to integrate, analyse and present OHS data in a comprehensive and communicable way relevant for surveillance purposes. Methods We first developed a ‘macro-approach’ (from national to local level), mapping data related to economic activity (denominator of active workers displayed by activity sectors), as well as work-related ill-health (numerators of workers suffering from work-related ill-health). The latter data are composed of compensated occupational diseases on the one hand and work-related diseases investigated by specialized clinics on the other hand. Then, a ‘micro-approach’ was worked out, integrating at a plant level, using computer-aided drawing, occupational risks data and OHS surveillance data (e.g. use of medication and sickness absence data). Results At the macro-level, microelectronics companies and workers were mapped at different scales. For the first time, we were able to compare, up to the enterprise level, complementary data showing different pictures of work-related ill-health, allowing a better understanding of OH issues in this sector. At the micro-level, new information arose from the integration of risk assessment data and medical data. Conclusions This work illustrates to what extent GIS is a promising tool in the OHS field, and discusses related challenges (technical, ethical, biases and interpretation) and research perspectives.
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Affiliation(s)
- M Delaunay
- Univ. Grenoble Alpes/CNRS/TIMC-IMAG UMR 5525 (EPSP team: Environnement et Prédiction de la Santé des Populations), Grenoble F-38000, France, Univ. Paris 8/CNRS/Ladyss Laboratory UMR 7533 (Laboratoire Dynamiques sociales et recomposition des espaces), Saint-Denis F-93526, France, Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/)
| | - H Van der Westhuizen
- Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/), Cape Peninsula University of Technology/Faculty of Applied Sciences/Department of Environmental and Occupational Studies, Cape Town 8000, South Africa, Katholieke Universiteit Leuven, Centre for Environment and Health, 3000 Leuven, Belgium
| | - V Godard
- Univ. Paris 8/CNRS/Ladyss Laboratory UMR 7533 (Laboratoire Dynamiques sociales et recomposition des espaces), Saint-Denis F-93526, France
| | - R Agius
- Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/), The University of Manchester/Faculty of Medical and Human Sciences/Institute of Population Health/Centre for Epidemiology/Centre for Occupational and Environmental Health (COEH), Manchester M13 9PL, UK
| | - M Le Barbier
- Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/), ANSES (French Agency for Health Safety in Food, Environment and Work)/RNV3P, Maisons Alfort Cedex, F-94701, France
| | - L Godderis
- Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/), Katholieke Universiteit Leuven, Centre for Environment and Health, 3000 Leuven, Belgium, Idewe, External Service for Prevention and Protection at Work, 3001 Heverlee, Belgium
| | - V Bonneterre
- Univ. Grenoble Alpes/CNRS/TIMC-IMAG UMR 5525 (EPSP team: Environnement et Prédiction de la Santé des Populations), Grenoble F-38000, France, Modernet Network (Monitoring Occupational Diseases and new Emerging Risks in a NETwork, http://www.costmodernet.org/), CHU Grenoble (Grenoble Teaching Hospital)/Centre de Ressources de Maladies Professionnelles (Grenoble's Occupational Diseases Consultations Centre), Grenoble F-38000, France.
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Désiron HAM, Crutzen R, Godderis L, Van Hoof E, de Rijk A. Bridging Health Care and the Workplace: Formulation of a Return-to-Work Intervention for Breast Cancer Patients Using an Intervention Mapping Approach. JOURNAL OF OCCUPATIONAL REHABILITATION 2016; 26:350-365. [PMID: 26728492 DOI: 10.1007/s10926-015-9620-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Purpose An increasing number of breast cancer (BC) survivors of working age require return to work (RTW) support. Objective of this paper is to describe the development of a RTW intervention to be embedded in the care process bridging the gap between hospital and workplace. Method The Intervention Mapping (IM) approach was used and combined formative research results regarding RTW in BC patients with published insights on occupational therapy (OT) and RTW. Four development steps were taken, starting from needs assessment to the development of intervention components and materials. Results A five-phased RTW intervention guided by a hospital-based occupational therapist is proposed: (1) assessing the worker, the usual work and contextual factors which impacts on (re-)employment; (2) exploration of match/differences between the worker and the usual work; (3) establishing long term goals, broken down into short term goals; (4) setting up tailored actions by carefully implementing results of preceding phases; (5) step by step, the program as described in phase 4 will be executed. The occupational therapist monitors, measures and reviews goals and program-steps in the intervention to secure the tailor-made approach of each program-step of the intervention. Conclusion The use of IM resulted in a RTW oriented OT intervention. This unique intervention succeeds in matching individual BC patient needs, the input of stakeholders at the hospital and the workplace.
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Affiliation(s)
- Huguette A M Désiron
- Centre Environment and Health, Katholieke Universiteit Leuven, Kapucijnenvoer 35, 3000, Louvain, Belgium.
- Occupational Therapy Education, Department of Health Care, University College of Hasselt PXL, Hasselt, Belgium.
| | - Rik Crutzen
- Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands
| | - Lode Godderis
- Centre Environment and Health, Katholieke Universiteit Leuven, Kapucijnenvoer 35, 3000, Louvain, Belgium
- IDEWE, External Service for Prevention and Protection at Work, Interleuvenlaan 58, 3001, Heverlee, Belgium
| | - Elke Van Hoof
- Department of Experimental and Applied Psychology (EXTO), Faculty of Psychological and Educational Science, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium
| | - Angelique de Rijk
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands
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The Approach Taken to Substance Abuse by Occupational Physicians: A Qualitative Study on Influencing Factors. J Occup Environ Med 2016; 57:1228-35. [PMID: 26539772 DOI: 10.1097/jom.0000000000000549] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Aiming to enhance occupational physicians' (OPs) practice when dealing with employee substance abuse, this study analyzes the experiences of OPs to gain insight into the factors influencing their behavior. METHODS Semi-structured interviews were conducted and analyzed using Interpretative Phenomenological Analysis. RESULTS OPs act differently depending on the type of drug. Their approach was mainly determined by contextual factors and by their attitudes and skills. Many OPs want to invest in health promotion. Barriers such as lack of time and focus on periodic examinations often hamper both adequate prevention and the management of workers with substance abuse. CONCLUSIONS The approach to substance abuse by OPs could be supported by initiatives both at the individual and the collective level. A facilitating work context seems to be particularly important in their commitment to alcohol- and drug-related issues at work.
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Godderis L, Mylle G, Coene M, Verbeek C, Viaene B, Bulterys S, Schouteden M. Data warehouse for detection of occupational diseases in OHS data. Occup Med (Lond) 2015; 65:651-8. [DOI: 10.1093/occmed/kqv074] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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