SJWEH - Online-first articles List of Online-first articles on the SJWEH website http://www.sjweh.fi/list_onlinefirst_rss.php en-US SJWEH 1 lodo@ttl.fi (Lisa O\'Donoghue-Lindy) risto@toivonen.biz (Risto Toivonen) Occupational heat stress and the role of wearable cooling interventions: A systematic review and meta-analysis of physiological and perceptual outcomes http://www.sjweh.fi/show_abstract.php?abstract_id=4294 http://www.sjweh.fi/show_abstract.php?abstract_id=4294 Thu, 30 Apr 2026 01:52:12 +0200 Review 2=43.91%], gastrointestinal temperature (MD -0.26°C; -0.52– -0.001; I2=98.13%), skin temperature (MD -1.14°C; -1.85– -0.42; I2=96.56%), and heart rate (MD -7.69 bpm; -11.22– -4.15; I2=73.19%). Egger’s tests suggested possible small-study effects for skin temperature and heart rate but not for core temperatures. Subgroup analyses indicated more consistent benefits with water/ice and PCM garments. Overall certainty ranged from low to very low due to risk of bias, inconsistency, and imprecision. Conclusions Wearable cooling attenuates physiological heat strain and improves thermal comfort, particularly via water/ice and PCM systems. Given high heterogeneity and low certainty, adequately powered, standardized, head-to-head trials are needed. by Sheth A, Viramgami A, Thakor M, Modi B, Bagepally B, Kar A, Ram E, Dave A, Balachandar R. doi:10.5271/sjweh.4302]]> Onset of workplace bullying and violence and changes in health-related behaviors: a multi-cohort study http://www.sjweh.fi/show_abstract.php?abstract_id=4302 http://www.sjweh.fi/show_abstract.php?abstract_id=4302 Thu, 30 Apr 2026 01:22:23 +0200 Original article X and TX+1 (concurrent analysis). To clarify temporality, changes in health-related behaviors were further calculated at time TX+1 to TX+2 (longitudinal analysis). We applied logistic regression with generalized estimating equations. Subgroup differences by sex were examined. Results Among 125 854 participant-observations across 2–3 study phases of the 78 624 participants, 6–8% experienced onset of workplace bullying and 9–14% reported onset of workplace violence over 1–2 years. The strongest association was observed between onset of violence and becoming obese, with an odds ratio (OR) of 1.13 [95% confidence interval (CI) 1.00–1.27] in the concurrent and 1.31 (95% CI 1.05–1.64) in the longitudinal analysis. In addition, onset of bullying (OR 1.23, 95% CI 1.06–1.44) and violence (OR 1.11, 95% CI 0.99–1.24) were concurrently associated with initiation of excessive alcohol use, with weaker associations in the longitudinal analysis. Exposure–response relationships were observed for all aforementioned associations and findings were consistent across cohorts. Men were more likely to initiate excessive alcohol use than women after experiencing violence (P=0.008). Conclusion Exposure to workplace bullying and violence was associated with adverse changes in health-related behaviors. by Xu T, Nielsen MB, Clark AJ, Rugulies R, Pentti J, Sørensen JK, Nordentoft M, Westerlund H, Stenholm S, Vahtera J, Madsen IEH, Hansen ÅM, Virtanen M, Knardahl S, Oksanen T, Kivimäki M, Magnusson Hanson LL, Rod NH. doi:10.5271/sjweh.4303]]> The consequences of changes in exercise habits on work engagement and presenteeism: Evidence from an event-study analysis using Japanese longitudinal data http://www.sjweh.fi/show_abstract.php?abstract_id=4303 http://www.sjweh.fi/show_abstract.php?abstract_id=4303 Thu, 30 Apr 2026 00:07:54 +0200 Original article by Kashima R, Takada T, Matsuo T, So R. doi:10.5271/sjweh.4297]]> Workplace mistreatment and problem drinking among physicians in Sweden: a longitudinal study http://www.sjweh.fi/show_abstract.php?abstract_id=4297 http://www.sjweh.fi/show_abstract.php?abstract_id=4297 Mon, 20 Apr 2026 17:46:58 +0200 Original article by Peláez Zuberbuhler J, Strömberg A, Thern E, Landstad BJ, Sjöström M, Brulin E. doi:10.5271/sjweh.4299]]> The demands–control–support work stress model and risk of ischemic heart disease: causal inference based on observational epidemiology http://www.sjweh.fi/show_abstract.php?abstract_id=4299 http://www.sjweh.fi/show_abstract.php?abstract_id=4299 Fri, 17 Apr 2026 16:49:24 +0200 Review by Bonde JP, Skaaby S, Flachs EM, Dollard M, Keyes K, Rosengren A, Mehlum IS, Mikkelsen S. doi:10.5271/sjweh.4291]]> Permanent night work and risk of injuries: A register-based cohort study using payroll data http://www.sjweh.fi/show_abstract.php?abstract_id=4291 http://www.sjweh.fi/show_abstract.php?abstract_id=4291 Wed, 15 Apr 2026 15:49:12 +0200 Original article by Nabe-Nielsen K, Aagaard A, Larsen AD, Nielsen HB, Hansen J, Hansen ÅM, Kolstad HA, Vestergaard JM, Garde AH. doi:10.5271/sjweh.4295]]> Adaptation across consecutive night shifts at 71°N under Arctic summer daylight and winter darkness: Effects on alertness, sleepiness, and fatigue http://www.sjweh.fi/show_abstract.php?abstract_id=4295 http://www.sjweh.fi/show_abstract.php?abstract_id=4295 Fri, 10 Apr 2026 00:23:00 +0200 Original article by Holme AN, Moen LV, Sallinen M, Nilsen KB, Boccara CN, Phillips AJK, Haugen F, Matre D. doi:10.5271/sjweh.4290]]> Night shift work and risk of total and site-specific cancer: results from a prospective cohort study among Chinese men http://www.sjweh.fi/show_abstract.php?abstract_id=4290 http://www.sjweh.fi/show_abstract.php?abstract_id=4290 Thu, 09 Apr 2026 23:35:32 +0200 Original article by Shen Q-M, Li Z-Y, Tan Y-T, Gao L-F, Liu D-K, Li H-L, Yang W-S, Xiang Y-B. doi:10.5271/sjweh.4300]]> Health and working careers of informal carers – what we know and do not yet (but should) know http://www.sjweh.fi/show_abstract.php?abstract_id=4300 http://www.sjweh.fi/show_abstract.php?abstract_id=4300 Wed, 08 Apr 2026 11:52:17 +0200 Editorial References 1. Health at a Glance 2025: OECD Indicators. Paris: OECD; 2025. 2. Cattaneo A, Vitali A, Regazzoni D, Rizzi C. The burden of informal family caregiving in Europe, 2000-2050: a microsimulation modelling study. Lancet Reg Health - Eur. 2025;53:101295. https://doi.org/10.1016/j.lanepe.2025.101295 3. Mikkola TM, Kautiainen H, Mänty M, von Bonsdorff MB, Koponen H, Kröger T, Eriksson JG. Use of antidepressants among Finnish family caregivers: a nationwide register-based study. Soc Psychiatry Psychiatr Epidemiol. 2021;56(12):2209-16. https://doi.org/10.1007/s00127-021-02049-1 4. Koyanagi A, DeVylder JE, Stubbs B, Carvalho AF, Veronese N, Haro JM, Santini ZI. Depression, sleep problems, and perceived stress among informal caregivers in 58 low-, middle-, and high-income countries: A cross-sectional analysis of community-based surveys. J Psych Res. 2018;96:115-23. https://doi.org/10.1016/j.jpsychires.2017.10.001 5. Kaschowitz J, Brandt M. Health effects of informal caregiving across Europe: A longitudinal approach. Soc Sci Med. 2017;173:72-80. https://doi.org/10.1016/j.socscimed.2016.11.036 6. Mikkola TM, Mänty M, Kautiainen H, von Bonsdorff MB, Haanpää M, Koponen H, et al. Work incapacity among family caregivers: a record linkage study. J Epidemiol Community Health. 2022;76(6):580-5. https://doi.org/10.1136/jech-2021-217901 7. Lacey RE, Xue B, Di Gessa G, Lu W, McMunn A. Mental and physical health changes around transitions into unpaid caregiving in the UK: a longitudinal, propensity score analysis. Lancet Pub Health. 2024;9(1):e16-e25. https://doi.org/10.1016/S2468-2667(23)00206-2 8. Lee S, Colditz GA, Berkman LF, Kawachi I. Caregiving and risk of coronary heart disease in U.S. women: a prospective study. Am J Prev Med. 2003;24(2):113-9. https://doi.org/10.1016/S0749-3797(02)00582-2 9. Park SS. Caregivers’ Mental Health and Somatic Symptoms During COVID-19. J Gerontol B Psychol Sci Soc Sci. 2021;76(4):e235-e40. https://doi.org/10.1093/geronb/gbaa121 10. Tseliou F, Rosato M, Maguire A, Wright D, O’Reilly D. Variation of Caregiver Health and Mortality Risks by Age: A Census-Based Record Linkage Study. Am J Epidemiol. 2018;187(7):1401-10. https://doi.org/10.1093/aje/kwx384 11. Mikkola TM, Kautiainen H, Mänty M, von Bonsdorff MB, Kröger T, Eriksson JG. Age-dependency in mortality of family caregivers: a nationwide register-based study. Aging Clin Exp Res. 2021;33(7):1971-80. https://doi.org/10.1007/s40520-020-01728-4 12. Buyck JF, Ankri J, Dugravot A, Bonnaud S, Nabi H, Kivimäki M, Singh-Manoux A. Informal caregiving and the risk for coronary heart disease: the Whitehall II study. J Gerontol A Biol Sci Med Sci. 2013;68(10):1316-23. https://doi.org/10.1093/gerona/glt025 13. Mortensen J, Clark AJ, Lange T, Andersen GS, Goldberg M, Ramlau-Hansen CH, et al. Informal caregiving as a risk factor for type 2 diabetes in individuals with favourable and unfavourable psychosocial work environments: A longitudinal multi-cohort study. Diabetes Metab. 2018;44(1):38-44. https://doi.org/10.1016/j.diabet.2017.04.001 14. Josten EJC, Verbakel E, De Boer AH. A longitudinal study on the consequences of the take-up of informal care on work hours, labour market exit and workplace absenteeism due to illness. Ageing Soc. 2024;44(3):495-518. https://doi.org/10.1017/S0144686X22000204 15. Ciccarelli N, Van Soest A. Informal Caregiving, Employment Status and Work Hours of the 50+ Population in Europe. Economist (Leiden). 2018;166(3):363-96. https://doi.org/10.1007/s10645-018-9323-1 16. Vos EE, van der Beek AJ, de Bruin SR, Proper KI. Effects of a workplace participatory approach to support working caregivers in balancing work, private life and informal care: a randomized controlled trial. Scand J Work Environ Health. 2025(3):181-90. https://doi.org/10.5271/sjweh.4208 17. Virtanen M, Myllyntausta S, Ervasti J, Oksanen T, Salo P, Pentti J, et al. Shift work, work time control, and informal caregiving as risk factors for sleep disturbances in an ageing municipal workforce. Scand J Work Environ Health. 2021(3):181-90. https://doi.org/10.5271/sjweh.3937 18. Bijnsdorp FM, van der Beek AJ, Broese van Groenou MI, Proper KI, van den Heuvel SG, Boot CR. Associations of combining paid work and family care with gender-specific differences in depressive symptoms among older workers and the role of work characteristics. Scand J Work Environ Health. 2022;48(3):190-9. https://doi.org/10.5271/sjweh.4014 19. Mortensen J, Dich N, Lange T, Alexanderson K, Goldberg M, Head J, et al. Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study. Scand J Work Environ Health. 2017;43(1):5-14. https://doi.org/10.5271/sjweh.3587 20. European Commission: Directorate-General for Employment, Social Affairs and Inclusion and London School of Economics and Political Science (LSE), Informal care in Europe – Exploring formalisation, availability and quality, Publications Office, 2018. https://data.europa.eu/doi/10.2767/78836 21. Is the Last Mile the Longest? Economic Gains from Gender Equality in Nordic Countries, Gender Equality at Work. Paris: OECD; 2018. 22. Rostgaard T, Jacobsen F, Kröger T, Peterson E. Revisiting the Nordic long-term care model for older people-still equal? Eur J Ageing. 2022;19(2):201-10. https://doi.org/10.1007/s10433-022-00703-4 23. Virtanen M, Oksanen T, Pentti J, Ervasti J, Head J, Stenholm S, et al. Occupational class and working beyond the retirement age: a cohort study. Scand J Work Environ Health. 2017;43(5):426-35. https://doi.org/10.5271/sjweh.3645 by Ervasti J, Mikkola TM. doi:10.5271/sjweh.4292]]> From secondary special needs education to the labor market: latent trajectories and inequalities in employment participation http://www.sjweh.fi/show_abstract.php?abstract_id=4292 http://www.sjweh.fi/show_abstract.php?abstract_id=4292 Mon, 06 Apr 2026 16:25:03 +0200 Original article by Ciliacus R, Porru F, Burdorf A, Schuring M. doi:10.5271/sjweh.4285]]> Evaluating a new voluntary occupational health and safety management system program in the context of a pandemic http://www.sjweh.fi/show_abstract.php?abstract_id=4285 http://www.sjweh.fi/show_abstract.php?abstract_id=4285 Thu, 02 Apr 2026 15:22:20 +0200 Original article by Sivaraj LB, Macpherson RA, McLeod CB. doi:10.5271/sjweh.4282]]> Adverse occupational outcome among workers with occupational asthma: A systematic review and meta-analysis of influencing factors http://www.sjweh.fi/show_abstract.php?abstract_id=4282 http://www.sjweh.fi/show_abstract.php?abstract_id=4282 Thu, 02 Apr 2026 12:27:16 +0200 Review 2=86.0%; 95% PI 10.2–73.4). Prevalence of AOO varied by: (i) data sources (registry/compensation: 50.1% versus clinic: 32.0%; P=0.015); (ii) study size (>80 participants: 43.4% versus ≤80: 27.9%; P=0.033); (iii) baseline forced expiratory volume in 1 second (FEV1) (≤85% predicted: 38.2% versus >85% predicted: 13.8%; P=0.008); and (iv) exposure duration before symptom onset (>7.1 years: 35.7% versus ≤7.1 years: 15.7%; P=0.015). Heterogeneity across studies was substantial and several subgroups included fewer than five studies. Conclusions More than one-third of workers with OA experience an AOO. The findings highlight the need for harmonized outcome definitions and for interventions integrating early referral, exposure control, and structured return-to-work programs to avoid AOO. by Damerau LS, Helm MW, Pieter J, Velasco Garrido M, Harth V, Hoven H, Preisser AM. doi:10.5271/sjweh.4280]]> Occupational exposure limits for psychosocial hazards: A promising concept or a premature leap? http://www.sjweh.fi/show_abstract.php?abstract_id=4280 http://www.sjweh.fi/show_abstract.php?abstract_id=4280 Mon, 02 Mar 2026 13:24:50 +0200 Commentary by Guseva Canu I, van der Molen HF]]>