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) http://www.sjweh.fi/show_abstract.php?abstract_id=4336 http://www.sjweh.fi/show_abstract.php?abstract_id=4336 Fri, 09 Oct 2026 18:45:39 +0200 Original article eff-FS-TWA), adjusted for clothing factors, was calculated to provide an estimate of heat stress exposure over a full work shift. Multiple linear regression determined the effects of heat stress exposure on the average number of sugarcane stalks harvested per hour adjusting for available confounders. Results Recorded WBGT_eff-FS-TWA values averaged 31.3°C [standard deviation (SD) 2.8, range 22.9–35.4°C]. The mean number of stalks harvested per hour was 387, SD 185, with higher rates observed when harvesting burnt sugarcane and working solo. For every 1°C rise in WBGT_eff-FS-TWA above the lowest observed baseline of 22.9°C, the average number of sugarcane stalks harvested decreased by 9 stalks per hour (β -8.59, 95% confidence interval -16.19– -0.99). Conclusion Increased heat stress exposure decreases overall productivity. As global temperatures rise, heat stress increases, significantly impacting agricultural output alongside worker health. by Tantipanjaporn T, Povey A, Shiels HA, Gittins M, van Tongeren M. doi:10.5271/sjweh.4335]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4335 http://www.sjweh.fi/show_abstract.php?abstract_id=4335 Fri, 02 Oct 2026 14:04:16 +0200 Original article by Leskinen T, Tuominen M, Suorsa K, Pasanen J, Pasanen S, Iisalo V, Ruohomäki V, Pahkala K, Heinonen OJ, Stenholm S. doi:10.5271/sjweh.4331]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4331 http://www.sjweh.fi/show_abstract.php?abstract_id=4331 Thu, 01 Oct 2026 00:28:03 +0200 Original article th Revision (ICD-10) sub-code distributions. Segmented regression with two intervention points used Newey–West heteroscedasticity- and autocorrelation-consistent (HAC) standard errors. Results The proportion of recognized OD among women rose from 0.9% (2007) to 25.5% (2024) but with marked asymmetry: respiratory OD remained 96% male while nervous-system OD shifted from 24% female (2018) to 75% female (2024), driven by ICD-10 G62.2 toxic polyneuropathy (26 of 40 female cases in 2024). Female musculoskeletal OD rose from 20% to 34% with dominant upper-extremity repetitive-motion sub-codes; no female silicosis was recorded 2018–2024. Annual OI rose 9.1-fold (80 602 to 733 646); recognized OD declined (1208 to 888). The 2012 OHS Law produced an OI level change of +584 per 100 000 (P<0.001) but no statistically significant OD level change (P=0.32); the OI/OD ratio rose from 67 to 826. Conclusions The convergence of women’s share of OD toward 25% masks marked diagnostic asymmetries: women are visible primarily through feminized service-sector and chemical-exposure categories and scarcely in pneumoconioses. Reform priorities include diagnosis-stage notification, active screening of female workers in mixed-exposure environments, and gender-sensitive occupational history-taking. by Ekimci Deniz F, Töreyin ZN, Akgün M. doi:10.5271/sjweh.4330]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4330 http://www.sjweh.fi/show_abstract.php?abstract_id=4330 Thu, 24 Sep 2026 14:03:24 +0200 Original article by Ulstein J, Undem K, Sundstrup E, Nielsen MB, Hasting RL. doi:10.5271/sjweh.4329]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4329 http://www.sjweh.fi/show_abstract.php?abstract_id=4329 Wed, 23 Sep 2026 16:29:18 +0200 Original article 90% night shifts (OR 1.26, 95% CI 1.01–1.58), rotating shifts (OR 1.42, 95% CI 1.22–1.65) and with longer night work history (OR_{≥16 years} 1.28, 95% CI 1.08–1.52). These variables and longer weekly working hours [OR _{6.10h increase} 1.13, 95% CI 1.04–1.22) were associated with short sleep. Conclusions Data-driven analyses of work schedules may provide a more comprehensive evaluation of the impact of real-world shift work patterns on sleep. by Santonja I, Dros C, Haider S, Winzer E, Wakolbinger M, Scionti K, Schoissengeier V, Wrzesińska MA, Binder-Olibrowska KW, Rakoczy J, Aufschnaiter AL, Höfler C, Wallner M, Cuparencu C, Wagner K-H, Boshuizen HC, Vingerhoeds MH, Lammers-van der Holst H, Papantoniou K. doi:10.5271/sjweh.4334]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4334 http://www.sjweh.fi/show_abstract.php?abstract_id=4334 Tue, 22 Sep 2026 14:45:24 +0200 Amendments and corrections by Magnusson Hanson LL, Madsen IEH, Blomqvist S, Holmgren R, Sørensen K, Rugulies R. doi:10.5271/sjweh.4321]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4321 http://www.sjweh.fi/show_abstract.php?abstract_id=4321 Mon, 14 Sep 2026 17:42:18 +0200 Review by McKenzie AR, Croak B, Brokjøb LG, Stevelink SAM, Madan I, Brinchmann B, Nilsen W, Walker-Bone K, Aars NA, Mykletun A. doi:10.5271/sjweh.4328]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4328 http://www.sjweh.fi/show_abstract.php?abstract_id=4328 Mon, 14 Sep 2026 14:20:52 +0200 Discussion paper by Albin M, Turner MC, Svensson S, Njoroge M, Viegas S, Mathieu C, Pearce N, Burdorf A, Straif K, Broberg K, Kogevinas M. doi:10.5271/sjweh.4327]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4327 http://www.sjweh.fi/show_abstract.php?abstract_id=4327 Tue, 08 Sep 2026 23:08:18 +0200 Original article 21 times (HR 1.11, 95% CI 1.03–1.20) compared with those with none. Lastly, among non-night workers, decreased hazards were observed for quick returns from afternoon shifts (<11 hours) compared with those with no quick returns. Conclusion Exclusive night work is associated with increased risks of multiple PAD compared to day work, implying an increase in risk of mental disorders among nurses and nurse assistants. by Addo S, Nilsson T, Gustavsson P, Bodin T, Bigert C, Lashari A, Härmä M, Brulin E. doi:10.5271/sjweh.4325]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4325 http://www.sjweh.fi/show_abstract.php?abstract_id=4325 Mon, 07 Sep 2026 14:04:48 +0200 Original article 23 years. We estimated Cox models within each cohort; the main model was adjusted for sex, age, education, and occupational class. Additional analyses examined JS categories (low JS, active, passive, high JS), subgroups by sex and occupational classes, and person-time < and ≥65 years. Results were pooled using random-effects meta-analysis. Relevant published studies were identified for synthesis with our results. Results Over 444 767 person-years, 842 CVD deaths occurred. High JS was associated with CVD mortality [hazard ratio (HR) 1.14, 95% confidence interval (CI) 1.01–1.27], with no evidence of heterogeneity. Results were consistent across JS categories, by sex (men: HR 1.15, 95% CI 1.07–1.23; women: HR 1.11, 95% CI 0.88–1.39), and across person-time <65 years (HR 1.24, 95% CI 0.91–1.67) and ≥65 years (HR 1.10, 95% CI 0.80–1.50). The association was stronger among manual workers (HR 1.25, 95% CI 0.84–1.86). Job demands appeared to contribute more than job control. Four published studies with comparable follow-up but heterogeneous study designs reported estimates consistent with our findings. Conclusions High JS is a long-term predictor of CVD mortality, consistently across sexes and during both working age and after retirement. Workplace redesign to reduce job demands, particularly among manual workers, is warranted within a comprehensive prevention strategy. by Giusti EM, Li X, Veronesi G, Linkohr B, Peters A, Waldenberger M, Borchini R, Cesana G, Li J, Rückert-Eheberg I-M, Ferrario MM. doi:10.5271/sjweh.4322]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4322 http://www.sjweh.fi/show_abstract.php?abstract_id=4322 Wed, 19 Aug 2026 20:47:28 +0200 Original article 52 hours per week. Dental caries was identified from clinical oral examinations performed by licensed dentists. Associations were estimated using generalized estimating equations adjusted for age, gender, and educational level. Subgroup and sensitivity analyses were also performed. Results Long working hours were significantly associated with dental caries (odds ratio 1.024, 95% confidence interval 1.007–1.041). In the subgroup analyses, compared with their respective counterparts, the association between long working hours and dental caries was significantly stronger among women, individuals with a college-level education or higher, and those with proactive oral health behaviors such as dental visits and toothbrushing before sleep. Conclusions Long working hours were independently associated with the risk of dental caries; women and highly educated workers exhibited a stronger association with dental caries. These findings suggest the potential value of integrating oral health strategies into occupational health policies, particularly among more vulnerable subgroups. by Park MY, Ahn J. doi:10.5271/sjweh.4319]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4319 http://www.sjweh.fi/show_abstract.php?abstract_id=4319 Tue, 18 Aug 2026 16:22:32 +0200 Original article adj) 1.18, 95% confidence interval (CI) 1.14–1.22] to PE (RR_adj 1.39, 95% CI 1.31–1.47). Among the dimensions of PE, low income was the strongest contributor (RR 1.44, 95% CI 1.39–1.50), while unstable employment had a modest effect (RR 1.16, 95% CI 1.12–1.20). Conclusion PE is associated with elevated risk of COPD in the Swedish workforce. These findings emphasize the role of employment conditions as a social determinant of respiratory health. by Lundh F, Gunn V, Kreshpaj B, Kvart S, Bodin T, Albin M, Selander J, Ekström S, Wiebert P, Matilla-Santander N. doi:10.5271/sjweh.4318]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4318 http://www.sjweh.fi/show_abstract.php?abstract_id=4318 Tue, 04 Aug 2026 22:33:33 +0200 Original article 3 months) after a SARS-CoV-2 infection. Poisson regression analysis was performed to evaluate the independent and joint effects of night shift work and sleep disturbances including chronic insomnia with risk of long-COVID. Analyses were stratified by sex, body mass index and chronotype. Results During the two-year follow-up, 284 of the 1899 newly infected participants reported long-COVID symptoms. Compared to day workers, night shift workers had 88% higher risk of developing long-COVID [95% confidence interval (CI) 1.29–2.72], after adjusting for potential confounders. The risk further increased among night workers with obesity. Chronic insomnia in the general population was associated with 42% increased risk of long-COVID (95% CI 1.12–1.78). Night workers with chronic insomnia had a 2.7 fold higher long-COVID risk (95% CI 1.60–4.51) compared to day workers without chronic insomnia. Associations persisted in various sensitivity analyses. Conclusions Our findings from a large prospective cohort indicate that night shift work and poor sleep are independently and jointly associated with a higher risk of long-COVID. by Papantoniou K, Espinosa A, Karachaliou M, Lassale C, Castaño-Vinyals G, Harding BN, De Matteis S, Straif K, Alonso-Nogués E, Dobaño C, Moncunill G, Blay N, Iraola-Guzmán S, de Cid R, Garcia-Aymerich J, Kogevinas M. doi:10.5271/sjweh.4317]]> http://www.sjweh.fi/show_abstract.php?abstract_id=4317 http://www.sjweh.fi/show_abstract.php?abstract_id=4317 Thu, 02 Jul 2026 16:47:52 +0200 Original article by Kim K, Kang J, Lim DM, Jang S, Lee Y, Lee YH, Yoon HJ, Yang S, Kim SH, Lee D, Jang WI, Sung H, Kim M-J, Son E, Kim H-S, Lee D, Park HR, Seo S, Kim YH. doi:10.5271/sjweh.4294]]> 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]]>