著者

Naoto Ito Ayana Ogasawara Mika Kawasumi Koji Mori Tomohisa Nagata Yoshihisa Fujino

出版者

Japan Society for Occupational Health

雑誌

Journal of Occupational Health (ISSN:13419145)

巻号頁・発行日

vol.62, no.1, pp.e12147, 2020 (Released:2020-11-25)

参考文献数

25

被引用文献数

1

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Objectives: To elucidate the factors that influence occupational physicians’ decision to issue an employer warning.Methods: The interview was conducted with 10 Japan Society for Occupational Health certified occupational physicians (COPs) and certified senior occupational physicians (CSOPs) to create nine fictive scenarios in which an occupational physician may need to consider issuing a warning. Sixteen CSOPs assessed the seriousness of the problem in each of nine scenarios where they may need to consider issuing an employer warning. Next, using a survey questionnaire, 597 COPs and CSOPs were asked to rate how likely they were to issue a warning in each of the nine scenarios, and answer items on their characteristics and number of previously issued warnings. A multilevel logistic regression analysis nested for various scenarios was used to assess the odds ratio (OR) of being likely to issue a warning.Results: Valid questionnaires were obtained from 117 participants (19.6%). The ORs and 95% confidence intervals (CIs) were as follows: mean score of seriousness of the problem, 5.90 (4.50-7.75); years of experience as occupational physician, 1.04 (1.02-1.06); women, 1.75 (1.20-2.54); being a part-time occupational physician without in-house experience, 2.08 (1.31-3.29); and having previously issued two or more times warnings, 1.99 (1.29-3.06), compared with those who had never issued a warning.Conclusions: Occupational physicians’ likelihood to issue a warning was associated with the seriousness of the problem as assessed in various scenarios, years of experience as occupational physician, gender, employment type, experience as in-house occupational physician, and number of past warnings.

著者

Koki Kimura Tomohisa Nagata Makoto Ohtani Masako Nagata Shigeyuki Kajiki Yoshihisa Fujino Koji Mori

出版者

Japan Society for Occupational Health

雑誌

Journal of Occupational Health (ISSN:13419145)

巻号頁・発行日

vol.62, no.1, pp.e12167, 2020 (Released:2020-11-25)

参考文献数

31

被引用文献数

5

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Objectives: The objective of this study was to estimate a risk of cardiovascular and cerebrovascular diseases for each worker and to determine whether this risk is associated with the incidence and costs of presenteeism, absenteeism, and medical/drug treatments.Methods: Established risk equations were used to estimate the 10-year probability of developing coronary artery disease and ischemic stroke in male workers aged 40-65 years who were recruited from four pharmaceutical companies in Japan. The incidence of presenteeism was defined as existence of presenteeism for the past a month, and the incidence of absenteeism was defined as existence of sick-leave for the past three months by a self-administered questionnaire. Each cost was calculated based on the human capital method. Data on medical/drug treatments were collected from health insurance claims.Results: The risks were calculated for 6047 workers. Individuals at moderate and high risk of coronary artery disease had a significantly higher rate of presenteeism and absenteeism than workers at low risk. Workers at moderate and high risk of ischemic stroke also had a significantly higher rate of presenteeism and absenteeism than workers at low risk. Mean costs for absenteeism and medical/drug treatments increased with the risk of developing coronary artery disease or ischemic stroke, while costs for presenteeism did not.Conclusions: To prevent the costs of presenteeism, workers not only at high risk but also at low and moderate risk of developing cardiovascular and cerebrovascular diseases should receive health care services.

著者

Tomohisa Nagata Kiminori Odagami Masako Nagata Koji Mori

出版者

Japan Society for Occupational Health

雑誌

Journal of Occupational Health (ISSN:13419145)

巻号頁・発行日

vol.64, no.1, pp.e12373, 2022 (Released:2023-01-25)

参考文献数

30

被引用文献数

1

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Objectives: The present study examined the relationship between health culture evaluated by the Health and Productivity Survey Sheets and the implementation status of infection control measures against COVID-19 in the workplace.Methods: This was a cross-sectional study using the corporate data (2518 companies) collected for the purpose of selecting the excellent company of health and productivity management by the Japanese government. The explanatory variable was the overall evaluation score, and the outcome was whether or not infection control measures against COVID-19 in the workplace. We used logistic regression analysis and calculated the odds ratio adjusted for the industry sector, the corporation size, and the operating profit ratio by the overall evaluation score category.Results: The odds ratio of all infection control measurements in the workplace increased as the evaluation score increased.Conclusions: This study revealed a new finding that the presence of a healthy culture in the workplace will lead to the appropriate implementation of infection control measures during a pandemic. The company's ordinary commitment to employee health will be effective even in times of health crisis, such as during the outbreak of the pandemic.

著者

Hiromichi Ueno Tomohiro Ishimaru Ryutaro Matsugaki Hajime Ando Kosuke Mafune Tomohisa Nagata Seiichiro Tateishi Mayumi Tsuji Yoshihisa Fujino for the CORoNaWork Project

出版者

Tohoku University Medical Press

雑誌

The Tohoku Journal of Experimental Medicine (ISSN:00408727)

巻号頁・発行日

pp.2022.J107, (Released:2022-12-08)

著者

Kosuke Sakai Tomohisa Nagata Masako Nagata Yoshihisa Fujino Koji Mori

出版者

Japan Society for Occupational Health

雑誌

Environmental and Occupational Health Practice (ISSN:24344931)

巻号頁・発行日

pp.2021-0021-GP, (Released:2022-03-11)

参考文献数

9

被引用文献数

1

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Objectives: Presenteeism refers to the condition of working while having health problems and can be one of the perspectives to assess the incompatibility between workers and their jobs. The purpose of this survey was to find out what kind of occupational health issues can be detected by occupational physicians' interviews focusing on presenteeism. Methods: We conducted interviews with workers suffering from presenteeism in a food manufacturing company. The Work Functioning impairment scale (WFun) was used as the indicator of presenteeism. We discussed the occupational health issues and the necessity of additional interventions. Results: Thirty-nine workers with WFun score of 21 or higher were interviewed, and we have found nine cases in need of support. The workplace issues were structured into four categories: (i) health problems that are difficult to identify through health checkups, (ii) health problems missed by the stress check program, (iii) health problems caused by workload that cannot be identified by workplace patrols, and (iv) health problems that are not considered because they do not require support. Conclusions: We discovered new workplace issues by interviewing workers suffering from presenteeism.

著者

Juri Matsuoka Rina Minohara Yuko Furuya Kota Fukai Haruna Hirosato Naoto Ito Kiminori Odagami Tomohisa Nagata Masako Nagata Yuichi Kobayashi Koji Mori

出版者

Japan Society for Occupational Health

雑誌

Environmental and Occupational Health Practice (ISSN:24344931)

巻号頁・発行日

vol.3, no.1, pp.2021-0001-FS, 2021 (Released:2021-09-25)

参考文献数

10

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Objectives: To identify what types of information were useful and/or difficult to obtain for occupational physicians during the COVID-19 epidemic, and how information should be provided to help occupational physicians in the event of future outbreaks of emerging infectious diseases. Methods: The list was developed by categorizing information about COVID-19 delivered by researchers to a group of occupational physicians after the COVID-19 outbreak. We created a survey and asked the group about the usefulness and ease of obtaining each type of information. Results: In total, 79.1–100% of the occupational physicians said that each type of information was “Useful”. Information on the nature of the virus; clinical course, testing, and treatment; infection prevention measures; regulations in Japan; immigration restrictions in Japan; and guidelines were all considered useful by more than 95%, as was information about the introduction of information aggregation websites by public institutions, academic societies, experts, and others, and sharing of case studies by information distribution group members. These last two items also had a high percentage of respondents who said that they “only obtained the information because it was distributed this way”. Conclusions: Constructing a system for automatic distribution of information that is useful to occupational physicians and difficult to obtain elsewhere may make it easier for occupational physicians to respond more smoothly to emerging infectious disease outbreaks within a company.

著者

Hirosuke Takahashi Masako Nagata Tomohisa Nagata Koji Mori

出版者

Japan Society for Occupational Health

雑誌

Journal of Occupational Health (ISSN:13419145)

巻号頁・発行日

vol.63, no.1, pp.e12205, 2021 (Released:2021-03-25)

参考文献数

33

被引用文献数

5

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Objectives: The working-age population is rapidly declining in Japan, so the government has adopted “health and productivity management” (HPM). This policy initiative aims to encourage corporations to view health promotion activities as an investment in their employees’ health. The objective of this study was to examine the association between organizational factors and knowledge of the organization's effectiveness and program participation levels, and to understand the factors that affect effectiveness of corporations’ activities.Methods: We used data from all corporations that completed the HPM Survey Sheets in 2018 (n = 1800). The explanatory variables were organizational factors: written company-wide policy, agenda item at management-level meetings, regular education for managers, and full-time occupational health staff. The outcome variables were knowledge of the corporation's status on the effectiveness indicators (employees’ exercise habits, risk for high blood pressure, visiting hospital after a health examination, and long-term sickness absences) and rates of participation in four areas (health education, exercise program, dietary program, and influenza vaccination). The associations between organizational factors and knowledge on effectiveness indicators and rates of program participation were analyzed using multiple logistic regression analysis.Results: All the organizational factors were related to knowledge of effectiveness indicators, but only some were associated with the program participation indicators in the model, including all explanatory variables.Conclusion: Enhancing organizational factors may lead to improvement of HPM programs and higher program participation among employees in corporations.