著者

Claudia RC MORENO Elaine C MARQUEZE Charli SARGENT Kenneth P WRIGHT Jr. Sally A FERGUSON Philip TUCKER

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.SW-1, (Released:2019-01-31)

被引用文献数

113

---

Potential effects of shift work on health are probably related to the misalignment between the light-dark cycle and the human activity-rest cycle. Light exposure at night mediates these effects, including social misalignment and leads to an inversion of activity and rest, which, in turn, is linked to changes in behaviours. This article reviews the epidemiological evidence on the association between shift work and health, and possible mechanisms underlying this association. First, evidence from findings of the meta-analyses and systematic reviews published in the last 10 years is presented. In addition, it reports the larger single-occupation studies and recent large population-based studies of the general workforce. Koch’s postulates were used to evaluate the evidence related to the development of disease as a result of exposure to shift work. Finally, we discussed limitations of the multiple pathways that link shift work with specific disorders and the methodological challenges facing shift work research. We concluded that the clearest indications of shift work being the cause of a disease are given when there is a substantial body of evidence from high quality field studies showing an association and there is good evidence from laboratory studies supporting a causal explanation of the link.

著者

Anna ANUND Jonas IHLSTRÖM Carina FORS Göran KECKLUND Ashleigh FILTNESS

出版者

独立行政法人 労働安全衛生総合研究所

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2015-0217, (Released:2016-04-19)

被引用文献数

35

---

Driver fatigue has received increased attention during recent years and is now considered to be a major contributor to approximately 15–30% of all crashes. However, little is known about fatigue in city bus drivers. It is hypothesized that city bus drivers suffer from sleepiness, which is due to a combination of working conditions, lack of health and reduced sleep quantity and quality. The overall aim with the current study is to investigate if severe driver sleepiness, as indicated by subjective reports of having to fight sleep while driving, is a problem for city based bus drivers in Sweden and if so, to identify the determinants related to working conditions, health and sleep which contribute towards this. The results indicate that driver sleepiness is a problem for city bus drivers, with 19% having to fight to stay awake while driving the bus 2–3 times each week or more and nearly half experiencing this at least 2–4 times per month. In conclusion, severe sleepiness, as indicated by having to fight sleep during driving, was common among the city bus drivers. Severe sleepiness correlated with fatigue related safety risks, such as near crashes.

著者

Georgia A. TUCKWELL Grace E. VINCENT Charlotte C. GUPTA Sally A. FERGUSON

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2021-0174, (Released:2022-01-28)

被引用文献数

5

---

Sedentary behavior at work contributes to detrimental cognitive outcomes (e.g., decreases in attention). The length of time that cognitive performance benefits are sustained following bouts of breaking up sitting (e.g., using sit-stand desks or walking) is not known. A narrative review of the literature was conducted using a systematic search strategy, with keywords related to breaking up sitting interventions in office-based environments and cognitive performance outcomes in the period immediately post the cessation of the breaking up sitting intervention. Three types of office-based breaking up sitting interventions were identified; 1) sit-stand desks, 2) walking desks and 3) cycling desks. From the eight studies which met the criteria, the impacts of these interventions on cognitive performance outcomes were mixed, with significant benefits in some studies and others reporting no benefit. Of the cognitive domains assessed, working memory, attention, and psychomotor function showed significant sustained improvement for up to 30 minutes post intervention. While there are benefits to a key set of cognitive performance domains following breaking up sitting interventions in office-based settings, no studies have evaluated whether benefits to cognitive performance persist for longer than 30 minutes after the breaking up sitting intervention. Furthermore, specific applications of these cognitive benefits to tasks outside of work (e.g., driving home from work) are unknown.

著者

Alex AGOSTINI Stephanie CENTOFANTI Antonietta COLELLA Lisa DEVINE Caroline DINGLE Helen GALINDO Sophie PANTELIOS Gorjana BRKIC Siobhan BANKS Jill DORRIAN

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2021-0091, (Released:2021-11-16)

被引用文献数

1

---

Shiftworkers are more likely to suffer from gastrointestinal disease and Type 2 Diabetes than the general population, likely due to their altered dietary intakes. Previous research has suggested that coping strategies and health behaviours may be linked, however, questions remain regarding these relationships in shiftworking populations. The Standard Shiftwork Index and Food Frequency Questionnaire were completed by nurses/midwives working forward rotating shifts (N=27, female=24, age=38.4 ± 13.1 y). Greater engaged coping strategy usage was associated with lower total energy, fat, carbohydrate and sugar intake (ρs>−0.1). Greater disengaged coping strategy usage was associated with greater intake of these nutrients (ρs>0.1). Results suggest that engaged coping strategies may contribute to healthier dietary choices. A greater focus on coping styles, particularly during nursing education, may improve shiftworkers’ health.

著者

Kyouko KUROSAKA Hiroyuki DAIDA Takashi MUTO Yoshiro WATANABE Sachio KAWAI Hiroshi YAMAGUCHI

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.38, no.1, pp.15-23, 2000 (Released:2007-03-29)

参考文献数

52

被引用文献数

23 37

---

Several epidemiological studies have shown that the prevalence of ischemic heart disease is higher in occupational drivers than in people with other occupations. Although occupation categories can be surrogate measures for coronary risk factors, the relationships between taxi driving and severity of coronary heart disease (CHD) has not been investigated. Even more important, the contribution of risk factors to the severity of CHD in taxi drivers remains unclear. Our study tested the hypothesis that taxi driving could be associated with the severity of CHD. We also examined the relation between this occupation and risk factors and social lifestyle. We analyzed the coronary angiograms of 57 consecutive male taxi driver patients and compared them with those of 215 ageadjusted male non-taxi-driver patients. The number of diseased vessels and risk factors were compared between two groups. The prevalence of myocardial infarction and multi-vessel disease was higher in the taxi-driver patients than in the non-taxi-driver patients. The taxi-driver patients had higher prevalence of body mass index (BMI), diabetes, and smoking, higher levels of low-density lipoprotein cholesterol (LDL-C), and lower levels of apolipoprotein AI (ApoAI). Multiple logistic regression analysis showed that multi-vessel disease was associated with BMI and diabetes mellitus in taxi-driver patients. The taxi-driver patients were characterized by more extensive coronary atherosclerosis associated with higher prevalence of diabetes mellitus and obesity. These characteristics may be explained by in part their working environment.

著者

Wolf KIRSTEN

出版者

独立行政法人 労働安全衛生総合研究所

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.48, no.3, pp.251-255, 2010 (Released:2010-06-16)

参考文献数

23

被引用文献数

15 50

---

This paper discusses the relationship between health and productivity at the workplace by providing a global perspective of the current status of the fields of workplace health promotion and health management. The prevailing chronic disease trends coupled with economic pressures have proven a significant challenge for employers and employees alike. While a global growth trend in workplace health promotion can be observed the number of companies which take a proactive and integrated approach to workplace health remains small. Workplace health promotion programs in the United States typically focus on the individual health risks of employees while their European counterparts target work-related hazards, physical and, more recently, psychosocial. A number of specific tools and programs for integrated health management are described, such as self-report instruments to meausre presenteeism. The analysis suggests that exisiting occupational health services strategies are insufficient to address the current challenges. Improved employee health can only be achieved in a sustainable manner when integrating all health-related services within an enterprise and addressing psychosocial and organizational factors as well as individual health issues.

著者

Igor RADUN Inkeri PARKKARI Jenni RADUN Helinä HÄKKÄNEN-NYHOLM

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2020-0115, (Released:2020-11-18)

被引用文献数

1

---

Professional heavy vehicle drivers can experience a traumatic event at work when suicidal drivers deliberately crash into their vehicles or a pedestrian jumps in front of them. This study adopts a qualitative approach, aiming to gain an understanding about the psychological and other consequences that these crashes have for this occupational group. We organized a semi-structured focus group meeting with six drivers who reported experiencing a deliberate crash into their vehicle. The meeting was moderated by two psychologists. The participants reported that avoiding the crash was difficult. These events can have long-lasting effects on drivers’ well-being although individual differences in the response to the event and coping strategies do exist. Participation in our meeting was regarded as a positive experience. This encourages us to believe that organizing similar meetings that allow drivers under the supervision of professionals to share their own experiences with those who experienced similar events, could perhaps be one way of providing support to such drivers who experienced a traumatic event at work.

著者

Leonidas G. IOANNOU Lydia TSOUTSOUBI Konstantinos MANTZIOS Andreas D. FLOURIS

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.57, no.6, pp.711-720, 2019 (Released:2019-11-29)

参考文献数

33

被引用文献数

1 22

---

Our primary objective in this study was to design and implement the FAME Lab PHS Calculator software (PHSFL) (www.famelab.gr/research/downloads), a free tool to calculate the predicted heat strain of an individual based on ISO 7933:2018. Our secondary objective was to optimize the practicality of the PHSFL by incorporating knowledge from other ISO standards and published literature. The third objective of this study was to assess: (i) the criterion-related validity of the PHSFL by comparing its results against those obtained using the original ISO 7933:2018 code; and (ii) the construct validity of the PHSFL by comparing its results against those obtained via field experiments performed in human participants during work in the heat. Our analysis for criterion validity demonstrates that PHSFL provides valid results within the required computational accuracy, according to Annex F of ISO 7933:2018. The construct validity showed that root mean square errors (RMSE) and 95% limits of agreement (LOA) were minimal between measured and predicted core temperature (RMSE: 0.3°C; LOA: 0.06 ± 0.58°C) and small between measured and predicted mean skin temperature (RMSE: 1.1°C; LOA: 0.59 ± 1.83°C). In conclusion, the PHSFL software demonstrated strong criterion-related and construct-related validity.

著者

Meagan E. CROWTHER Amy C. REYNOLDS Sally A. FERGUSON Robert ADAMS

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.58, no.1, pp.54-62, 2020 (Released:2020-02-04)

参考文献数

42

被引用文献数

2

---

Non-standard working hours are associated with negative health outcomes. However, little is known about the early years of exposure to non-standard work hours, or whether workers new to these work schedules perceive their work as impacting their health. This limits our ability to develop meaningful intervention strategies for transitioning into non-standard work hour schedules. This exploratory study investigated whether recent Australian graduates in various non-standard workhour schedules perceive that their work schedule negatively impacts their health. The responses of 120 graduates within four years of completing their tertiary qualification collected from an online survey were analysed. Graduates were asked whether they perceived their work arrangements as impacting their health. Significantly more of those who were engaged in non-standard work schedules or worked beyond contracted hours perceived their working arrangements as having an impact on their health. This study highlights the importance of studying workers’ perceptions of the impact of work hours on health, particularly when workers may be experiencing good global health but be at risk for negative health outcomes in future.

著者

Arne LOWDEN Gülcin ÖZTÜRK Amy REYNOLDS Bjørn BJORVATN

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.SW-9, (Released:2019-01-31)

被引用文献数

1 24

---

Interventions and strategies to improve health through the management of circadian (re)adaptation have been explored in the field, and in both human and animal laboratory manipulations of shiftwork. As part of an initiative by the Working Time Society (WTS) and International Committee on Occupational Health (ICOH), this review summarises the literature on the management of circadian (re)adaption using bright light treatment. Recommendations to maximise circadian adaptation are summarised for practitioners based on a variety of shiftwork schedules. In slowly rotating night shift schedules bright light appears most suitable when used in connection with the first three night shifts. These interventions are improved when combined with orange glasses (to block blue-green light exposure) for the commute home. Non-shifting strategies involve a lower dosage of light at night and promoting natural daylight exposure during the day (also recommended for day shifts) in acordance with the phase and amplitude response curves to light in humans.

著者

Janine CHAPMAN Anjum NAWEED Carlene WILSON Jillian DORRIAN

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2018-0194, (Released:2019-03-05)

被引用文献数

11

---

Cardiovascular disease (CVD) risk in train drivers is associated with health conditions that can result in sudden incapacity. Drivers are at high risk on several CVD risk factors with research suggesting that sleep may predict CVD risk, however this relationship has not yet been explored. This study investigated the link between sleep and CVD risk, in relation to hours of work day and days off sleep. N=309 Australian drivers completed cross-sectional survey. A CVD risk score was calculated by summing scores from behavioural and biomedical risk factors. Sleep was most frequently cited as the main reason for decline in perceived health status. Main analyses showed that shorter work day sleep (M=5.79 h) was a significant predictor of increased CVD risk (p=0.013). This relationship was moderated by days off sleep, such that when days off sleep (M=8.17 h) was higher, the effect of work day sleep on CVD risk was weaker (p=0.047). Findings indicate the amount of sleep a driver obtains on non-work days may compensate for adverse health outcomes. Successful management of fatigue in safety critical occupations appears essential not only for the prevention of safety hazards, but also for the long-term health of shift workers. Further investigation is warranted.

著者

Crystal L. GRANT Jillian DORRIAN Alison M. COATES Maja PAJCIN David J. KENNAWAY Gary A. WITTERT Leonie K HEILBRONN Chris DELLA VEDOVA Charlotte C. GUPTA Siobhan BANKS

出版者

独立行政法人 労働安全衛生総合研究所

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2017-0047, (Released:2017-07-25)

被引用文献数

25

---

This study examined the impact of eating during simulated night shift on performance and subjective complaints. Subjects were randomized to eating at night (n=5; 23.2±5.5y) or not eating at night (n=5; 26.2±6.4y). All participants were given one sleep opportunity of 8h (22:00h-06:00h) before transitioning to the night shift protocol. During the four days of simulated night shift participants were awake from 16:00h-10:00h with a daytime sleep of 6h (10:00h-16:00h). In the simulated night shift protocol, meals were provided at ≈0700h, 1900h and 0130h (eating at night); or ≈0700h, 0930h, 1410h and 1900h (not eating at night). Subjects completed sleepiness, hunger and gastric complaint scales, a Digit Symbol Substitution Task and a 10-minute Psychomotor Vigilance Task. Increased sleepiness and performance impairment was evident in both conditions at 0400h (p<0.05). Performance impairment at 0400h was exacerbated when eating at night. Not eating at night was associated with elevated hunger and a small but significant elevation in stomach upset across the night (p<0.026). Eating at night was associated with elevated bloating on night one, which decreased across the protocol. Restricting food intake may limit performance impairments at night. Dietary recommendations to improve night-shift performance must also consider worker comfort.

著者

Masao TSUCHIYA Masaya TAKAHASHI Keiichi MIKI Tomohide KUBO Shuhei IZAWA

出版者

独立行政法人 労働安全衛生総合研究所

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.55, no.2, pp.173-179, 2017-03-31 (Released:2017-04-07)

参考文献数

16

被引用文献数

15

---

A daily rest period (DRP; rest taken from daily work during a 24 h period), is essential to work recovery. This study examined DRPs' distribution and association with health outcomes among information technology workers recruited from an internet panel (N=1,811). Participants completed a web questionnaire examining psychological distress as a primary outcome, along with non-restorative sleep, fatigue (stress reaction), and work performance. Logistic regression analysis showed elevated psychological distress when DRP was <12 h (OR: 2.54; 95% CI: 1.47–4.42) and <11 h (OR: 2.48, 95% CI: 1.17–5.26), although the 95% CI included 1 after adjusting for age, sex, and working and commuting hours. After the above adjustment, similar associations were found with non-restorative sleep and fatigue, but not work performance, when DRP was <12 h. These findings constitute the first analysis of a dose-response relationship between DRP and subjective health outcomes among white-collar workers.

著者

Shiho TANIGUCHI Masato NIITSUYA Yoko INOUE Hiroshi KATAGIRI Takehiro KADOWAKI Yoshiharu AIZAWA

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.37, no.1, pp.88-94, 1999 (Released:2007-03-29)

参考文献数

25

被引用文献数

8 8

---

No method has yet been established to evaluate the exposure to tobacco smoke in passive smoking (PS). We therefore conducted a study on the possibility that the levels of urinary trans, trans-muconic acid (MA) and the exhaled carbon monoxide (CO) could be indices of the passive exposure to tobacco smoke. The moderate correlation was observed between urinary MA levels and the number of consumed cigarettes per day in smokers. The mean urinary MA level of the PS (+) group was significantly higher than that with the PS (-) group. Among the PS (+) group, the mean MA level in the urine obtained in the afternoon was higher than that obtained in the morning. A high correlation was observed between the exhaled CO levels and the number of consumed cigarettes per day in smokers. Like the urinary MA level, the mean exhaled CO level in the PS (+) group, too, gave a significantly higher level than in the PS (-) group. Because the biological half life of MA (7.5 ±0.85h) was longer than that of CO (3.0±0.36h), the measurement of urinary MA level is recommended for evaluating the exposure of passive smoking. The measurement of exhaled CO levels is useful only for chain smokers and nonsmokers with PS just before measurement.

著者

Kazuhito YOKOYAMA Akinori NAKATA Yuto KANNARI Frank NICKEL DECI Nicole Andreas KRAUSE Jan DETTMERS

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2022-0063, (Released:2022-05-25)

被引用文献数

5

---

The study aim was to examine whether flexible working time was associated with burnout and poor perceived health in relation to the work-related psychological/behavioral factors of self-endangering work behavior (SEWB), workaholism, work engagement, and job stressors. We analyzed data obtained from an Internet survey of 600 full-time Japanese employees. We also proposed a causal model using path analysis to investigate the overall relationships of burnout and perceived health to psychological/behavioral factors. The results indicated that flexible working time was associated with adverse work-related consequences and factors such as increased burnout, working hours, SEWB, workaholism, and job demands, and with positive factors such as improvement of work engagement. The path analysis suggested that burnout was caused by workaholism both directly and via SEWB, and by low job decision latitude, and was reduced by work engagement. Similarly, it was observed that poor health was caused by workaholism via SEWB, and reduced by work engagement. Thus, SEWB is driven by workaholism and plays a key role in the adverse health consequences of flexible working time. For workers to benefit from flexible working time, it is important to improve workaholism, SEWB, and low job decision latitude, and to develop work engagement in the workplace.

著者

Claudio BIANCHI Tommaso BIANCHI

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.45, no.3, pp.379-387, 2007 (Released:2007-07-13)

参考文献数

89

被引用文献数

133 175

---

Mesothelioma incidence varies markedly from one country to another. The highest annual crude incidence rates (about 30 cases per million) are observed in Australia, Belgium, and Great Britain. A lot of data indicate a relationship between mesothelioma and asbestos. The hot areas for mesothelioma exactly correspond to the sites of industries with high asbestos use, such as shipbuilding and asbestos-cement industry. However, in many countries with high asbestos consumption, mesothelioma incidence is low. The reasons for this fact are not clear. The latency periods elapsing between first exposure to asbestos and development of mesothelioma are mostly longer than 40 yr. An inverse relationship exists between intensity of asbestos exposure and length of the latency period. Mesothelioma generally develops after long-time exposures to asbestos. Some recent studies show that the risk increases with the duration of exposure. Possible co-factors in the pathogenesis of asbestos-related mesothelioma include genetic predisposition, diets poor in fruit and vegetables, viruses, immune impairment, recurrent serosal inflammation. The study of co-morbidity in mesothelioma could give an insight into the pathogenesis of the tumor. While a levelling-off in mesothelioma incidence has been registered in some countries, a worsening of the epidemic is predictable in large parts of the world.

著者

Sadia HAFEEZ Charlotte GUPTA Madeline SPRAJCER

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2021-0217, (Released:2022-03-04)

被引用文献数

4

---

Gig work is a type of contingent work which has increased markedly in recent times, and is characterised by uncertainty, unpredictability, and instability of both schedules and income earned. Gig workers are also likely to work for multiple platforms and/or employers. These work characteristics mean that performing gig work is associated with higher rates of stress than the general population1). However, it is not currently known which strategies gig workers use to cope with this stress – including which strategies are likely to be effective. The aim of this study was to understand the relationship between coping strategies, number of employers and stress in gig workers. An online survey was completed by 49 gig workers. Validated questionnaires were administered to measure coping strategies (Brief COPE) and stress (Perceived Stress Scale-14). Approach coping strategies (active, planning, and social support) were associated with reduced stress (p<0.05), whereas the avoidant coping strategy of self-blame was associated with increased stress (p<0.05). No differences in stress were seen between gig workers with one employer and those with multiple employers. Findings suggest that some coping strategies may lower stress in gig workers, though long-term outcomes should be considered in future research.

著者

Alice MCENTEE Ann ROCHE Susan KIM

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2021-0159, (Released:2022-02-15)

---

Australian’s cocaine use is at record levels. Large increases occurred between 2016–2019, with significant increases predominately found among employed Australians. Patterns, and prevalence of workers’ cocaine use were examined using the 2016 and 2019 National Drug Strategy Household Survey data via frequency analyses. Logistic regression modelling identified predictors of employed Australian’s: cocaine use (2019); and increased use over time (2016–2019). Workers’ cocaine use increased 63% between 2016–2019 (3.8%–6.2%). Predictors of use, and increased use, were age, marital status, state, remoteness, smoking status, alcohol use, and cocaine approval level. Income and psychological distress predicted cocaine use in 2019 only. Highest prevalence in 2019 occurred among workers who approved of regular cocaine use (47.9%), currently smoked (14.9%), were very highly distressed (14.0%), risky alcohol consumers (13.7%), and aged 18–24 years (13.9%). Numerous individual-level characteristics influence workers’ cocaine use. Workplace cultural norms and substance use climates may facilitate increased cocaine use. The workplace is a powerful setting for cocaine prevention and intervention efforts. Potential strategies include targeting social norms, shifting positive drug use workplace cultures, and providing health and safety training focussing on the risk of use to self and co-workers whilst also examining demographic subgroups’ motivations for use.

著者

JungWon KIM Chulho OAK TaeWon JANG MaanHong JUNG BongKwon CHUN Eun-Kee PARK Ken TAKAHASHI

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.51, no.2, pp.228-231, 2013 (Released:2013-08-31)

参考文献数

10

被引用文献数

2 3

---

Industrial talc has been widely circulated in the world for a long time. The pure talc has little effects on humans, but inhalation of talc contaminated with asbestos can causes severe asbestos-related diseases such as lung cancer and malignant mesothelioma. Herein, we represent a case of lung cancer after occupational exposure to industrial talc in the rubber manufacturing industry.

著者

Takashi YAMAUCHI Toru YOSHIKAWA Masahiro TAKAMOTO Takeshi SASAKI Shun MATSUMOTO Kotaro KAYASHIMA Tadashi TAKESHIMA Masaya TAKAHASHI

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

vol.55, no.3, pp.293-302, 2017-05-31 (Released:2017-06-08)

参考文献数

18

被引用文献数

21 69

---

Overwork-related disorders, such as cerebrovascular/cardiovascular diseases (CCVD) and mental disorders due to overwork, are a major occupational and public health issue worldwide, particularly in East Asian countries. This report discusses the recent trend of overwork-related disorders in Japan from the perspective of workers' compensated occupational diseases, as well as the development of a national policy for preventive measures against overwork-related disorders in Japan. Recently, the number of claimed and compensated cases of occupational mental disorders has increased substantially, particularly among young workers, as compared to those of occupational CCVD. In response to these situations and action from society, the Japanese Government passed the "Act on Promotion of Preventive Measures against Karoshi and Other Overwork-Related Health Disorders" in June 2014 to develop a national initiative towards the prevention of overwork-related disorders. Changes in the trend of overwork-related disorders in Japan under a legal foundation and an initiative by the central government should be closely monitored so that other countries can benefit from the experiences.