改变工作和自我报告的症状:一项全国性的长度研究在日本
Hiroshi Ito1, Shuichi Okaya, Yutaro Ono
1From the Division of Hospital Medicine, Department of Internal Medicine, Tsukuba University Hospital, Tsukuba, Ibaraki, Japan (H.I., S.O., Y.O., Y.Z., D.M., N.S.); and Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan (T.T.).
Journal of occupational and environmental medicine
|September 15, 2025
概括
换工作,特别是第一次换工作,与新的身体和心理症状有关,如头痛,昏迷和失眠. 这凸显了与职业转型相关的潜在工作场所健康风险.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病体医学是一种精神病体医学.
- 公共卫生 公共卫生
背景情况:
- 换工作是一个重要的生命事件,可以影响一个人的福祉.
- 了解职业转换对健康的影响对于公共卫生倡议至关重要.
- 之前的研究已经探讨了失业的影响,但自愿改变工作的影响需要进一步调查.
研究的目的:
- 检查工作变化 (第一次和重复) 与新出现的身体和心理症状之间的关联.
- 在一般人群中识别与工作过渡相关的特定症状.
- 探索首次和重复换工作者之间的症状患病率的潜在差异.
主要方法:
- 分析了2022年和2023年调查的19281名日本成年人的纵向数据.
- 在过去的一年内自我报告的工作变化.
- 在2023年使用加权后勤回归评估新发症状 (头痛,昏迷,失眠).
主要成果:
- 换工作的人 (6.1%) 患新发头痛 (aOR,1.57) 和昏迷 (aOR,1.63) 的几率更高.
- 首次换工作的人 (2.0%) 表现出更强烈的关联,包括失眠 (aOR,2.93).
- 首次换工作的人还报告了更不利的工作场所条件,如过度的工作负担和骚扰.
结论:
- 换工作,特别是对于第一次换工作的人来说,与出现新的身体和心理症状的风险增加有关.
- 不利的工作场所条件可能会调解首次换工作和症状发展之间的关系.
- 这些发现强调了支持个人在工作过渡过程中进行调整的重要性,以减轻潜在的负面健康结果.
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