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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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                <text>Current Status of Processes and Hazardous Chemicals of Lithium-ion&#13;
Battery Industries in the Republic of Korea</text>
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                <text>LIB industry value chain&#13;
Lithium-ion battery (LIB)&#13;
NCM</text>
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                <text>With global trends of carbon neutrality and ecofriendliness, the demand for lithium-ion&#13;
batteries (LIBs) has been rapidly increasing. However, occupational health research within this sector&#13;
is significantly lacking. Thus, this study aimed to understand the industrial value chain, processes, and&#13;
current status of hazardous chemicals associated with LIBs.&#13;
Methods: Through a literature review and a survey of business sites, the LIB industry was categorized into&#13;
10 industrial groups. We visited 32 workplaces in the Republic of Korea, and conducted on-site surveys.&#13;
Results: Primary mineral raw materials used in LIBs include lithium (Li), nickel (Ni), cobalt (Co), manganese (Mn), and aluminum (Al) often in compound forms, alongside graphite, posing significant challenges in management due to their micrometer-sized particles. Furthermore, metals used in a salt form&#13;
(such as LiOH or sulfate salts) can irritate the skin or respiratory system, particularly Ni and Co known to&#13;
be toxic substances designated as human carcinogens by the International Agency for Research on&#13;
Cancer. Acids, bases, and various solvents are also used to improve batteries’ electrical properties.&#13;
Dichloromethane classified as carcinogenic 2A by the International Agency for Research on Cancer is&#13;
widely used in the separator industry. Carbonate-based solvents are widely used in electrolytes with&#13;
potential for exposure in battery cell manufacturers and recycling industries. However, they are not&#13;
classified as regulated substances, leading to inadequate management practices.&#13;
Conclusion: This study identified processes of each industry and chemical substances utilized in the LIB&#13;
industry in the Republic of Korea. Based on this study, it is necessary to implement appropriate management measures tailored to industrial processes and types of harmful factors.&#13;
� 2024 Occupational Safety and Health Research Institute. Published by Else</text>
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                <text>Miyeon Jang 1,2&#13;
, Gwangyong Yi 1&#13;
, Hyeonjin Jeon 1&#13;
, Chungsik Yoon 2,*</text>
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                <text>1Occupational Safety and Health Research Institute (OSHRI), Korea Occupational Safety and Health Agency (KOSHA), Republic of Korea&#13;
2Department of Environmental Health Sciences, Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Republic&#13;
of Korea</text>
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                <text>FAJAR BAGUS W</text>
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                <text>Diseases&#13;
Machine learning&#13;
Multi-level modeling&#13;
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Waste collectors</text>
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                <text>Waste collectors face multi-faceted health risks including exposure to musculoskeletal&#13;
disorders, respiratory diseases, and workplace injuries because of their hazardous work environment.&#13;
The purpose of this study was to determine the risk factors that affect health of the waste collectors&#13;
across Bangladesh.&#13;
Methods: Data on a cross-sectional survey obtained information from 481 waste collectors about their&#13;
demographics, housing conditions, hygiene practices, security measures, and disease prevalence.&#13;
Descriptive analyses and multi-level models are used.&#13;
Results: As per univariate analysis, 81.3% did not have access to clean water, 58.4% did not have access to&#13;
sanitation, and 65.9% of people lived in unhealthy housing. According to bivariate analysis, there is an&#13;
association between unhealthy working conditions i.e., respiratory illnesses (19.1% asthma, 29.7% cough),&#13;
gastrointestinal issues (59.3% discomfort, 24.1% diarrhea), musculoskeletal disorders, and dermatological&#13;
diseases, and unsafe working conditions (i.e., 60% no masks, 71% no gloves, and 75% no boots).&#13;
Considering geographic clustering, multi-level modeling examined how different factors affected&#13;
particular illnesses. The following were significant protective factors: better housing (80% lower odds of&#13;
acute irritation), security measures (50% lower odds of gastrointestinal diseases), good hygiene (62%&#13;
lower odds of dermatological diseases), and younger age (2% higher odds of respiratory diseases per&#13;
year).&#13;
Conclusion: In summary, unsafe living and working conditions greatly push the risks of illness for waste&#13;
collectors. These risks to occupational health can be reduced with targeted interventions that enhance&#13;
housing, hygiene, security protocols, and working conditions</text>
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                <text>Safayet Hossain 1&#13;
, Md Farhad Hossain 1,2,*, Bowen Liu 2&#13;
, Anjuman Ara 1&#13;
, Haneen Alsaoud 2&#13;
,&#13;
Md Abdul Majed Patwary</text>
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                <text>Department of Statistics, Comilla University, Cumilla 3506, Bangladesh&#13;
2Department of Mathematics and Statistics, Division of Computing, Analytics and Mathematics, Science and Engineering, University of Missouri, KansasCity, 64110, USA&#13;
3Department of Chemistry, Comilla University, Cumilla 3506, Bangladesh</text>
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                <text>Assessing the Psychometric Properties of the French-Canadian Version&#13;
of the Psychological Safety Climate Questionnaire (PSC-12)</text>
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                <text>Job satisfaction&#13;
Psychological distress&#13;
Psychological health&#13;
Psychometric properties&#13;
Psychosocial safety climate</text>
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                <text>Psychosocial safety climate (PSC) refers to the collective belief among workers regarding the&#13;
protection and support of their psychological health and safety by senior management. Despite the&#13;
recognized importance of PSC in mitigating exposure to detrimental psychosocial risk factors at work, a&#13;
validated instrument in French is lacking. This study aimed to evaluate the psychometric properties of&#13;
the French-Canadian version of the PSC-12 and its associations with job satisfaction and psychological&#13;
distress.&#13;
Method: A cross-sectional validation study was conducted to evaluate the psychometric properties of the&#13;
PSC-12. Using cross-sectional data from an online survey of adults in a French-Canadian university&#13;
(n ¼ 1,784), the psychometric properties of the PSC-12, a 12-item questionnaire, were assessed. Internal&#13;
consistency, validity, and factor structure were examined through exploratory factor analysis conducted&#13;
using SAS v.9.4 software.&#13;
Results: Confirming the original four-factor structure, the French-Canadian version of the PSC-12&#13;
demonstrated satisfactory internal consistency (Cronbach’s a of 0.95) and validity indices. Its convergent and divergent validity was evidenced by a positive association with job satisfaction (r ¼ 0.34,&#13;
p &lt; 0.05) and the negative association with psychological distress (r ¼ -0.50, p &lt; 0.05).&#13;
Conclusions: The French-Canadian adaptation of the PSC-12 maintains cross-cultural validity, providing a&#13;
validated and concise tool for assessment within the French-Canadian community. Practical Applications:&#13;
By facilitating the prevention of mental health problems among workers, this questionnaire has the&#13;
potential to contribute to alleviating burdens for individuals, workplaces, and society</text>
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                <text>Manon Truchon 1,&#13;
**, Mahée Gilbert-Ouimet 2,3,4&#13;
, Azita Zahiriharsini 2,3,*, Alice Girouard 5&#13;
,&#13;
Jérome Thibeault 1&#13;
, Nathalie Parent 6&#13;
, Éléonore Lachapelle 1&#13;
, Caroline Biron 7</text>
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              <elementText elementTextId="126771">
                <text> School of Psychology, Laval University, Quebec City, Quebec, Canada&#13;
2 Health Sciences Department, Université du Québec à Rimouski Campus de Lévis, Lévis, Québec, Canada&#13;
3 CHU de Québec e Laval University Research Center, Population Health and Optimal Health Practices Axis, Québec, Québec, Canada 4 Canada Research Chair in Sex and Gender in Occupational Health, Université du Québec à Rimouski Campus de Lévis, Lévis, Québec, Canada&#13;
5 Psychology Department, Université de Montréal, Montreal, Quebec, Canada&#13;
6Department of Foundations and Practices in Education, Laval University, Quebec City, Quebec, Canada&#13;
7Department of Management, Laval University, Quebec City, Quebec, Canada&#13;
</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text> 9 November 2024</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="126773">
                <text>FAJAR BAGUS W</text>
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            <elementTextContainer>
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                <text>ENGLISH</text>
              </elementText>
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            <description>The nature or genre of the resource</description>
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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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            <description>A name given to the resource</description>
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                <text>Anti-masking Posts on Instagram: Content Analysis During the&#13;
COVID-19 Pandemic</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="126788">
                <text>COVID-19&#13;
Infodemic&#13;
Masks&#13;
Misinformation&#13;
Social media</text>
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                <text> The SARS-CoV-2 viral outbreak has been conflicts with the past-tense narrative elsewhere&#13;
in the abstract.; the infodemic. Misinformation about the virus and disease it causes (COVID-19) has been&#13;
linked with authority-questioning beliefs, co-branding with conspiracies, and other misinformation&#13;
across social media. Distrust in simple occupational and public health tools we have at our disposal (like&#13;
well-fitting face masks) has proliferated. Despite attempts to curb the spread of untrue or misleading&#13;
information on COVID-19, this messaging persists on social media.&#13;
Methods: Using a clean and cleared account, the 300 top posts under the hashtag #masksdontwork were&#13;
collected on Instagram for thematic analysis over three weeks in June 2022, with three separate data&#13;
collection dates. Themes contained in the posts were independently assessed by two coders and discrepancies were resolved by consensus.&#13;
Results: The most dominant theme among posts was mistrust, including “government lies” and “media&#13;
lies.” Anti-masking rhetoric was the second most frequent theme, where “freedom” and “disbelief in&#13;
data” were common sub-themes.&#13;
Conclusion: Science denial and propaganda shared among Instagram users may represent an onramp to&#13;
consumption of broader conspiracy theories and government distrust, in addition to having negative&#13;
health effects and social consequences for workers regardless of whether they wear masks. Social media&#13;
algorithms promote similar misinformation or authority-questioning beliefs to users who view related&#13;
content. Addressing the spread of health-related misinformation can assist in deconstructing myths and&#13;
increasing trust in public health authorities and prevent the spread of communicable diseases among&#13;
workers and the public.</text>
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                <text>Emma K. Quinn 1,2,&#13;
*, Robert T. Duffy 1,2&#13;
, Kristian Larsen 3,4&#13;
, Maria Dalton 5&#13;
,&#13;
Cheryl E. Peters</text>
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                <text>School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada&#13;
2Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada&#13;
3Department of Geography and Planning, University of Toronto, Toronto, ON, Canada&#13;
4Department of Geography and Environmental Studies, Toronto Metropolitan University, Toronto, ON, Canada&#13;
5Department of Community Health Science, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada&#13;
6 British Columbia Centre for Disease Control, Vancouver, BC, Canada&#13;
7 BC Cancer, Vancouver, BC, Canada</text>
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                <text>14 November 2024&#13;
</text>
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            <elementTextContainer>
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                <text>FAJAR BAGUS W</text>
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              <name>Title</name>
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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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                <text>Enhancing Workplace Well-being: Unveiling the Dynamics of Leadere&#13;
Member Exchange and Worker Safety Behavior Through Psychological&#13;
Safety and Job Satisfaction</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>Job satisfaction&#13;
Leader-member exchange&#13;
Moderated mediation&#13;
Psychological safety&#13;
Safety behavior</text>
              </elementText>
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                <text>In healthcare, ensuring safety is crucial for quality care and patient outcomes. While&#13;
research links leaderemember exchange (LMX) quality to safety behavior, this remains understudied in&#13;
healthcare. Our study explores LMX’s long-term impact on safety behavior, proposing a model that includes the moderated mediating role of psychological safety and job satisfaction in the relationship&#13;
between LMX and safety behaviors, regarding compliance (SCB) and participation (SPB). By identifying&#13;
the mechanisms through which LMX influences safety behavior, this study can provide insights into the&#13;
development of interventions that promote workplace safety and enhance the well-being of healthcare&#13;
workers.&#13;
Methods: We collected data from 325 Algerian healthcare workers across three public hospitals at three&#13;
points. Through SmartPLS analysis, we used advanced features of Partial Least Squares Structural&#13;
Equation Modeling (PLS-SEM) alongside PROCESS analysis to evaluate the relationships within our&#13;
proposed model.&#13;
Results: Our analysis found a significant association between higher LMX and increased job satisfaction&#13;
that positively correlated with enhanced SCB adherence and mediated the LMXeSCB relationship. This&#13;
relationship was strengthened with high psychological safety.&#13;
Conclusion: Our study emphasizes the crucial role of LMX quality in shaping safety behavior among&#13;
Algerian healthcare workers, providing insights for cultivating a safety culture in healthcare settings,&#13;
highlighting the significance of prioritizing LMX, JS, and PS to improve workplace safety and support&#13;
healthcare worker well-being</text>
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                <text>Aida Bennouna 1,*, Assia Boughaba 1&#13;
, Salim Djabou 2&#13;
, Mohamed Mouda 1</text>
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                <text> Health and Safety Industrial Institute, University of Batna 2, Laboratory of Research in Industrial Prevention (LRPI), Fesdis, Batna, 05078, Algeria 2 Faculty of Economic Commerce and Management Sciences, Finance and Accounting, 12002, Tebessa, Algeria&#13;
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                <text>FAJAR BAGUS W</text>
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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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                <text>Development of the Quality of Life Scale for Shift-working Nurses</text>
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                <text>Nurse&#13;
Psychometry&#13;
Quality of life&#13;
Scale development&#13;
Shift work</text>
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                <text>Background and aim: Shift work is known to have a significant impact on the health and well-being of&#13;
nurses, and there is a need for practical tools to assess this impact. This study introduces the “Quality of&#13;
Life Scale for Shift-Working Nurses” (QoLS-SWN), which was developed to provide a reliable and valid&#13;
tool for assessing the effects of shift work on nurses’ health and well-being.&#13;
Methods: This study employed a methodological research design to develop and validate a new scale for&#13;
assessing the quality of life of shift-working nurses. Data were collected from two samples of nurses&#13;
working in various hospitals. The first sample (n ¼ 202) was used for exploratory factor analysis (EFA) to&#13;
identify the scale’s underlying factor structure. The second sample (n ¼ 246) was used for confirmatory&#13;
factor analysis (CFA) to validate the identified structure. The development process included an extensive&#13;
literature review, expert consultations, and pilot testing. Factor analysis and reliability tests were conducted to ensure that the scale is highly reliable.&#13;
Results: The QoLS-SWN demonstrated excellent reliability, with a Cronbach’s alpha of 0.95, and factor&#13;
loadings ranging from 0.56 to 0.90. The scale comprises three dimensions: physical and mental&#13;
exhaustion, health risks and job safety, and social and psychological interactions, explaining 71.89% of the&#13;
total variance. CFA affirmed the structural validity of the scale, with fit indices indicating a good model fit&#13;
(CMIN/df ¼ 2.33, GFI ¼ 0.86, IFI ¼ 0.95, TLI ¼ 0.94, CFI ¼ 0.95, RMSEA ¼ 0.07).&#13;
Conclusion: The QoLS-SWN is a reliable and valid tool for measuring the impact of shift work on nurses’&#13;
quality of life. By providing insights into the multifaceted consequences of shift work, the scale may&#13;
guide the development of targeted interventions to enhance nurses’ quality of life. This scale can inform&#13;
nursing practice and policy, ultimately improving nurse well-being and patient care outcomes.</text>
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                <text>Faculty of Health Sciences, Gaziantep University, Turkey&#13;
2 Vocational School of Health Services, S¸ ırnak University, Turkey 3 S¸ avs¸ at Vocational School, Artvin Çoruh University, Turkey</text>
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                <text> 13 November 2024</text>
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                <text>FAJAR BAGUS W</text>
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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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                <text>Development of a Korean Safety Ladder With Ensured Overturning&#13;
Stability</text>
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                <text>K-ladder&#13;
Outrigger&#13;
Overturning&#13;
Portable ladder&#13;
Stability</text>
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                <text> We have developed the Korean safety ladder as part of development of new safety technologies that can be accepted in industrial sites and would like to introduce the testing process to secure&#13;
safety.&#13;
Methods: The test load and horizontal force prescribed by ANSI A14.7 and EN131-7 standards for only the&#13;
overturning stability test were applied to calculate the weight required for securing overturning stability&#13;
according to standards and installation of outrigger with the variables of the height of platform, the angle&#13;
of inclination of the worker, and the size of the platform.&#13;
Results: The weight of a Korean safety ladder required for securing overturning stability according to the&#13;
height is as follows: as mentioned by the ANSI A14.7, it is stable regardless of the weight when an&#13;
outrigger. By the EN131-7 standard, a 5-step ladder is stable regardless of the weight, but 54 kg or more&#13;
of weight is required for an 8-step ladder when an outrigger is installed. When there is no outrigger,&#13;
122 kg and 251 kg are required for 5-step and 8-step ladders, respectively.&#13;
Conclusion: It is necessary to restrict inclined working on the platform at less than 66� of inclination&#13;
angle by the EN131-7 standards and secure 43 kg or more of weight in the minimum width of a platform&#13;
of 400 mm or expand the ladder width or open length of the outrigger.</text>
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              <elementText elementTextId="127074">
                <text>Giyeol Lee 1&#13;
, Jeongjae Park 2&#13;
, Ilnam Lee 3&#13;
, Jongmoon Hwang 2,</text>
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                <text>Department of Landscape Architecture, College of Agriculture and Life Sciences, Chonnam National University, Gwangju, Republic of Korea&#13;
2Occupational Safety and Health Research Institute, Republic of Korea Occupational Safety and Health Agency, Ulsan, Republic of Korea&#13;
3Gyeonggi Regional Office, Republic of Korea Occupational Safety and Health Agency, Gyeonggi, Republic of Korea</text>
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                <text>Management and Collection of Occupational Data for Health (ODH) in&#13;
National Public Health Statistics: Evaluation and Recommendations&#13;
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                <text>Job exposure matrix (JEM)&#13;
Occupation-related data and information&#13;
for health&#13;
Potential occupational illness and injuries&#13;
Standard Occupational Classification (KSCO)</text>
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                <text>The aims of this study are to examine how occupation-related data and information for&#13;
health (ODH) are collected and managed from census-based surveys and potential occupational illness&#13;
and injuries (POIS) statistics, and to propose a national strategy for the systematic collection, analysis,&#13;
and management of ODH by building on the Korean Standard Classification of Occupation (KSCO) and&#13;
using a job exposure matrix (JEM).&#13;
Methods: The status of the collection and management of ODH registered as national statistics, drawn&#13;
not only from the census-based general population and workforce, but also from POIS statistics was&#13;
reviewed and evaluated.&#13;
Results: ODH from the Republic of Korea’s Census of Population and Labor Force are collected and&#13;
classified according to the KSCO. In contrast, national statistics on POIS are not systematically collected&#13;
for KSCO coding, reflecting the lack of an KSCO and related guidelines on how to collect ODH. Key&#13;
frameworks for the construction of both an KSCO and a reference JEM for public health surveillance are&#13;
proposed.&#13;
Conclusions: Further research is needed to develop a national system for collecting and managing ODH,&#13;
which will ultimately contribute to the use of a national KSCO and the construction of JEM for public&#13;
health surveillance</text>
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                <text>Dong-Uk Park 1,*, Kyung Ehi Zoh 2,3&#13;
, Yun-Keun Lee 4&#13;
, Hoekyeong Seo 5&#13;
, Sangjun Choi 6&#13;
,&#13;
Dong-Hee Koh 7&#13;
, Jin-Ha Yoon 8&#13;
, Kanwoo Youn 9&#13;
, Mo-Yeol Kang 10, Eun Suk Choi 11,&#13;
Jungwon Kim 12, Yangho Kim 13, Domyung Paek</text>
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              <elementText elementTextId="127097">
                <text>The aims of this study are to examine how occupation-related data and information for&#13;
health (ODH) are collected and managed from census-based surveys and potential occupational illness&#13;
and injuries (POIS) statistics, and to propose a national strategy for the systematic collection, analysis,&#13;
and management of ODH by building on the Korean Standard Classification of Occupation (KSCO) and&#13;
using a job exposure matrix (JEM).&#13;
Methods: The status of the collection and management of ODH registered as national statistics, drawn&#13;
not only from the census-based general population and workforce, but also from POIS statistics was&#13;
reviewed and evaluated.&#13;
Results: ODH from the Republic of Korea’s Census of Population and Labor Force are collected and&#13;
classified according to the KSCO. In contrast, national statistics on POIS are not systematically collected&#13;
for KSCO coding, reflecting the lack of an KSCO and related guidelines on how to collect ODH. Key&#13;
frameworks for the construction of both an KSCO and a reference JEM for public health surveillance are&#13;
proposed.&#13;
Conclusions: Further research is needed to develop a national system for collecting and managing ODH,&#13;
which will ultimately contribute to the use of a national KSCO and the construction of JEM for public&#13;
health surveillance</text>
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                <text> 17 November 2024</text>
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                <text>FAJAR BAGUS W</text>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Safety and Health at Work Vol. 16 Issue 1 2025</text>
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                <text>Relationship Between Quality of Life and Occupational Health Literacy&#13;
Among Informal Wood Furniture Workers in Thailandq</text>
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              <elementText elementTextId="127104">
                <text>Health literacy&#13;
Informal wood furniture workers&#13;
Quality of life&#13;
Thailand</text>
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                <text>Informal wood furniture workers face various occupational health and safety risks that may&#13;
impact their health and quality of life (QOL). Improving health literacy (HL) could help mitigate these&#13;
risks. This study aims to assess HL levels and their relationship to QOL among this group in Thailand.&#13;
Methods: This cross-sectional study was conducted in 2023 and involved 175 informal wood furniture&#13;
workers employed in Ban Ma, Lamphun province, Thailand. Data collection instruments comprised the&#13;
Occupational Health Literacy Questionnaire (TOHLS-IF) and a questionnaire assessing informal workers’&#13;
QOL. Analysis encompassed descriptive statistics alongside partial correlation analysis (p &lt; 0.05).&#13;
Results: Respondents demonstrated high overall health literacy (2.34 � 0.45). Considering eight dimensions of QOL in the sample, some variables, such as insufficient income, debt, and underlying disease,&#13;
were prevalent at high percentages and seemed to diminish workers’ QOL. After adjustment for gender,&#13;
age, level of education, and work experience, most QOL dimensions correlated positively with workers’&#13;
HL levels (p &lt; 0.05); significant variables included career goal setting (rs ¼ 0.27, p &lt; 0.001), conflicts in&#13;
workplace (rs ¼ 0.20, p ¼ 0.009), environmental satisfaction (rs ¼ 0.41, p &lt; 0.001), readiness to use&#13;
internet (rs ¼ 0.28, p &lt; 0.001) and applications (rs ¼ 0.29, p &lt; 0.001), coworker’s respect (rs ¼ 0.15,&#13;
p ¼ 0.003), and goal setting to advance career (rs ¼ 0.28, p &lt; 0.001). No significant relationship was&#13;
observed between prevalent QOL-diminishing factors and health literacy.&#13;
Conclusion: The observed link between HL levels and multiple dimensions of QOL among informal wood&#13;
furniture workers underscores the need for targeted interventions. Policymakers and social initiatives&#13;
should focus on promoting health literacy and relevant skills to enhance QOL within this populatio</text>
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              <elementText elementTextId="127106">
                <text>Patcharin Chaisurin *, Weeraporn Suthakorn , Kunlayanee Tantranon ,&#13;
Anon Wisutthananon</text>
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Heavy goods vehicle drivers&#13;
Nutrition&#13;
Obesity&#13;
Occupational health</text>
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                <text> The working environment of truck drivers promotes unhealthy lifestyle behaviours&#13;
including physical inactivity and poor dietary choices. This leads to high levels of chronic diseases and a&#13;
reduced life expectancy compared to other occupational groups. However, little is known about how&#13;
drivers in the UK perceive their working environment and how this affects their food choices. This study&#13;
aimed to gain a better understanding of long-haul (8e10-hour shifts) truck drivers’ needs regarding&#13;
healthy food choices whilst on the road to better inform future health promotion programmes and policy&#13;
needs.&#13;
Methods: Individual semi-structured interviews were conducted, allowing an in-depth exploration of&#13;
truck drivers’ experiences. The interview guide was grounded within the COM-B model and theoretical&#13;
domains framework. Audio recordings were anonymised and transcribed verbatim and data analysed&#13;
using thematic analysis.&#13;
Results: Ten drivers (8 male) were interviewed with a mean age of 49 years (SD 9.7). Frequently&#13;
mentioned barriers to healthy eating were limited availability of affordable healthy food options at truck&#13;
stops, food storage limitations, and limited time for food preparation. Commonly reported facilitators to&#13;
improve drivers’ diet were flexible break times, shorter shifts, secure parking places and/or betterequipped vehicles.&#13;
Conclusions: Limited availability of healthy food options, high costs, poor facilities within rest areas, long&#13;
working hours/shifts, and lack of food storage and preparation time, negatively impacts UK truck drivers’&#13;
eating behaviours. This study highlights that multi-component interventions targeting the individual,&#13;
environment and policy, are ultimately needed to improve truck drivers’ working conditions and healt</text>
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*, Elizabeth Stamp 1&#13;
, James A. King 1,2&#13;
, Stacy A. Clemes 1,2</text>
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                <text>1 School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom&#13;
2NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust and the University of Leicester, United Kingdom</text>
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