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                  <text>Safety and Health at Work Vol. 16 Issue 2 2025</text>
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                <text>Geographical Fast-food Restaurant Density, Workplace Eating&#13;
Behaviors, and Obesity Among Firefighters</text>
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                <text>Eating behaviors&#13;
Firefighters&#13;
Geographical fast-food restaurant density&#13;
Local food environment&#13;
Workplace obesity</text>
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                <text>Obesity rates in the general population are influenced by the local food environment.&#13;
However, no epidemiological studies have examined how the food environment near the workplace may&#13;
influence obesity outcomes, especially for occupational groups like firefighters who have high obesity&#13;
prevalence. This article investigates the direct and indirect pathways between geographical fast-food&#13;
restaurant density (GFFRD) and obesity among 227 professional firefighters.&#13;
Methods: We used three clinically assessed obesity measures (body mass index, waist circumference, and&#13;
body fat percent) as outcome variables and self-reported eating habits as mediating variables collected&#13;
with a firefighter-specific questionnaire. We employed structural equation modeling (SEM) to explore&#13;
both direct and indirect pathways, acknowledging the exploratory nature of this analysis given the&#13;
limited foundational research in occupational fast-food density.&#13;
Results: We found a statistically significant but small indirect association between GFFRD and obesity&#13;
measures, mediated by organizational and individual-level eating behaviors, with potential implications&#13;
for occupational health at a population level.&#13;
Conclusions: The study findings contribute to the evidence on how the food environment near the&#13;
workplace influences obesity risk through eating behaviors. These insights may inform interventions&#13;
targeting dietary habits in firefighters and other shift workers to mitigate workplace-related obesity&#13;
risks.</text>
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                <text>Javier Garcia Rivas 1,2,3,*,#, Margaret Whitley 2,4,#, BongKyoo Choi 2,3,5,#</text>
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                <text>1 Center for Transdisciplinary Research in Psychology, Autonomous University of the State of Morelos, Mexico&#13;
2 School of Population &amp; Public Health, University of California, Irvine, Irvine, CA, USA&#13;
3 Center for Occupational and Environmental Health, University of California, Irvine, Irvine, CA, USA&#13;
4 Behavioral and Policy Sciences, Research and Development Corporation (RAND), Santa Monica, CA, USA&#13;
5 Center for Work and Health Research, Irvine, CA, USA</text>
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                <text>Fajar Bagus Wijanarko</text>
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                <text>Moderating Effect of Psychosocial Safety Climate on the Association of&#13;
Job Demands and Job Resources With Psychological Distress Among&#13;
Japanese Employees: A Cross-sectional Study</text>
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                <text>Amplifying effect&#13;
Buffering effect&#13;
Job demands-resources model&#13;
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Psychosocial risks&#13;
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                <text>We examined the moderating (buffering or amplifying) effect of psychosocial safety climate&#13;
(PSC) on the association of job demands (psychological demands) and job resources (job control, supervisor support, coworker support, and extrinsic reward) with psychological distress among Japanese&#13;
employees.&#13;
Methods: A self-report web-based questionnaire was administered to 2,200 employees (1,100 men and&#13;
1,100 women) registered with a Japanese private online survey company. The questionnaire included&#13;
scales on job demands and job resources (the Job Content Questionnaire and the short-form Effort&#13;
eReward Imbalance Questionnaire), PSC (the 12-item PSC scale), and psychological distress (the K6&#13;
scale) and items on participants’ demographic and occupational characteristics (age, gender, education,&#13;
occupation, work form, and working hours per week). Hierarchical multiple regression analyses were&#13;
performed using psychological distress as a dependent variable. Interaction terms of job demands and&#13;
job resources with PSC were included.&#13;
Results: There was a significant interaction effect of psychological demands with PSC on psychological&#13;
distress (b ¼ 0.053, p ¼ 0.008), adjusted for demographic and occupational characteristics. Post hoc&#13;
simple slope analysis showed that the simple slope of psychological demands was lesser at higher levels&#13;
of PSC (1 standard deviation above the mean) (b ¼ 0.101, p &lt; 0.001) than at lower levels (1 standard&#13;
deviation below the mean) (b ¼ 0.199, p &lt; 0.001). No significant interactions were observed between job&#13;
resources and PSC.&#13;
Conclusion: Our findings suggest that PSC buffers the positive association of psychological demands with&#13;
psychological distress</text>
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                <text>Akiomi Inoue 1,*, Hisashi Eguchi 2&#13;
, Yuko Kachi 3&#13;
, Akizumi Tsutsumi 3</text>
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                <text>1 Institutional Research Center, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan&#13;
2Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan 3Department of Public Health, Kitasato University School of Medicine, Sagamihara, Japan</text>
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                <text>Artisanal Gold Mining in Mongolia: Silica Exposure and Silicosis Risk&#13;
Factors-Field Survey</text>
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                <text>Artisanal mining&#13;
Crystalline silica&#13;
Mongolia&#13;
Occupational health&#13;
Silicosis</text>
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                <text>Silicosis remains a critical occupational health challenge, particularly among artisanal and&#13;
small-scale gold miners (ASGM). This study investigates the prevalence of silicosis and its associated risk&#13;
factors, while assessing the levels of respirable dust and crystalline silica exposure in Mongolian artisanal&#13;
miners.&#13;
Methods: A cross-sectional survey was conducted with 124 employees of the Tsagaan Tsakhir artisanal&#13;
gold miners in Bayankhongor Province, Mongolia. Participants completed questionnaires and underwent&#13;
medical exams, including spirometry and X-rays. Dust samples (n ¼ 10) were collected during a working&#13;
day, and the workplace was divided into underground exploration and outdoor grinding areas. Multivariate analysis evaluated risk factors for silicosis.&#13;
Results: Underground quarrying (dry) showed the highest exposures (dust geometric mean (GM): 8.107&#13;
mg/m3&#13;
; silica GM: 2.156 mg/m3&#13;
), followed by grinding (dust GM: 1.374 mg/m3&#13;
; silica GM: 0.555 mg/m3&#13;
).&#13;
Wet quarrying and packaging tasks had significantly lower levels. A total of 124 male participants (mean&#13;
age 35.9, mean work years 5.7) were included. Twenty four participants (19.4%) had silicosis, with 58%&#13;
having profusion 2 or higher. Multivariate analysis showed increased odds of silicosis with longer work&#13;
years (OR ¼ 2.6) and specific work positions (e.g., underground drilling: OR ¼ 6.23).&#13;
Conclusion: Artisanal gold miners in Mongolia face significant health risks due to high silica exposure&#13;
and inadequate protective measures. Urgent interventions, including improved dust control and routine&#13;
medical surveillance, are needed to mitigate silicosis risks in this vulnerable population</text>
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                <text>Densenbal Dansran 1&#13;
, Ichinnorov Dashtseren 1,**, Garamjav Khishigdavaa 2&#13;
,&#13;
Solongo Bandi 1&#13;
, Byambadolgor Dagviikhorol 1&#13;
, Naransukh Damiran 3&#13;
,&#13;
Bayanmunkh Tseden 4&#13;
, Bat-Erdene Moyor 4&#13;
, Jun-Pyo Myong 5,</text>
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                <text>https://pdf.sciencedirectassets.com/287282/1-s2.0-S2093791125X00032/1-s2.0-S2093791125000290/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEGsaCXVzLWVhc3QtMSJHMEUCIQDaS679GTrPCrcZbUBVZ1aV9Pvkp%2Bie2zq9YHgYeU%2BFjwIgGFelsyYtiixPzLP0OZdCeTN7FKHo8udkvc3ck5%2BEbNwqsgUIMxAFGgwwNTkwMDM1NDY4NjUiDMRTYI92RMlIQQ2AuSqPBTfk9xkM1uVaX0VkTineJUY0dy%2FDY1vMWxITFS8m964Nsg8iy0Jx98LEC6c%2FuTSiMGsrrGk7Yuy%2FhMDN8Z4pPaDL4AWzAu08Gjq9eB6TgjHS18yRjVnA7YNd5071o5xhNUMEkEPx%2BVXF5UJPr333PSBrrzeY3M3AbnmA%2FAlKjck3X02HR3SecNNXbe%2BXOqATNPfHFu4wrkuv%2FZsHx1gDE2RCactis81%2BrJkBZholucIEI1TkAcqAx2PptI0SKd8N3Kc8CG2nMKZLPgjmx2kk4QKmkjnM%2BloJOv5m%2BiizTio8HsMvHdBkGXMtg9zao6k9CEw%2FeAOfqPRfa6kKBwj985sT64nGRCn9MdAj5Eh%2F9KNa8XQCDV2kUvsJieMB2PYcXs%2BhFPohFiXRQzeYZMdMS9cJ21gvTLitgL0KZMWQ7cMg%2B2kZLI42vrhqyHRmf%2FCkonZy5%2F7XMeRpEc1PhLBA%2BQq1IE0RWGUKOVvD8wKe9Nh%2FzKFg8RlPUzM7EyGFufZHVUAIeVfmQVp1vVym1jqWx%2FAxQlkId30ejd2SHEQ8nYYPlm3%2FdpY7sZDpZZSDiojAVFErX97jyZRIUT4NAd9rUsffK994EO1T2Yu2gc4UTRkNOmERcxXMwktHSqefJrr4geCNGUwQ12NJJvUd1uuv%2BOoK5XO6CIxEHKLk74WGP71zHCBELoQbz8xwwe5vso7TpA8%2B3q8pPCus%2F7S0k%2F2cX%2FoA8usaLl00kRFYFNjaer674msUmU2%2FU1FwFA1FjzOjfvWlTeMhvtZCdoBCi5eNT2aF21ILz2x3gYkYMUupbOz%2BbFSnAaSvMD6xZuhy%2BSFUF%2BwhoDJiabdudCyX2AnjUyJhnW3FijccTsNa75g2fc4w9%2FuDzQY6sQGjSZdbr5evtQ%2BgJkn5bzbSuX8IbScSeswvzg0WDykT9MZr3ZZ0zixWjGn5fpuxF%2BdIqcSySc6LPe1YFXrK%2FD%2FqDqedjCpUP4exhrb4WIdFoqQYbWWfZoSFVZGW2XYilBeVu6FZzSNbHj1kMdLKCyt84HyABsXoq8tCvqXBLSyZBB7WcctqHRxp1sj33gSeYHuPaEryeqhuxjju2%2FGU%2Bu%2BuBBfxdd4UdcOJQdexAdxZ3m4%3D&amp;X-Amz-Algorithm=AWS4-HMAC-SHA256&amp;X-Amz-Date=20260227T031415Z&amp;X-Amz-SignedHeaders=host&amp;X-Amz-Expires=300&amp;X-Amz-Credential=ASIAQ3PHCVTY5MGIAXUW%2F20260227%2Fus-east-1%2Fs3%2Faws4_request&amp;X-Amz-Signature=ce2219a2fe11d50fd268ce607869bc2e395f6938f54fabd66cccdcdcdcd722b5&amp;hash=da4499835cb6903cf5358de4b48147f6e13122229ad047b6f802ae2bf5b519f2&amp;host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&amp;pii=S2093791125000290&amp;tid=spdf-defc32ee-208d-405e-892b-ebb6febc3b9e&amp;sid=a74f698f1272c64207292458fba4f3c693a7gxrqb&amp;type=client&amp;tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&amp;rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&amp;ua=0b015e065356595503&amp;rr=9d4482ccfee014a6&amp;cc=id</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="127333">
                <text>1Department of Pulmonology and Allergology, School of Medicine, Mongolian National University of Medical Science, Mongolia&#13;
2Digital Center of the Diagnostic Radiology, Ulaanbaatar, Mongolia&#13;
3Occupational Safety and Health Center, Ulaanbaatar, Mongolia&#13;
4Department of Infectious Disease, Bayankhongor General hospital, Mongolia&#13;
5Department of Occupational and Environmental Medicine, Seoul St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Republic of Korea</text>
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            <name>Date</name>
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                <text> 19 April 2025</text>
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            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="127335">
                <text>Fajar Bagus Wijanarko</text>
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            </elementTextContainer>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
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                  <text>Safety and Health at Work Vol. 16 Issue 2 2025</text>
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            <description>A name given to the resource</description>
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                <text>Relationship Between Socioeconomic Status and Job Accommodation&#13;
for Workers with Health Problems in Japan during the COVID-19&#13;
Pandemic</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127318">
                <text>Covid-19&#13;
Japan&#13;
Socioeconomic status&#13;
Job accommodation&#13;
Worker</text>
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                <text> During the COVID-19 pandemic, many health-impaired workers of vulnerable socioeconomic status (SES) suffered employment and health problems. This study investigated the relationship&#13;
between workers with health problems in vulnerable SES and job accommodation.&#13;
Methods: This cross-sectional internet monitoring study was conducted among 33,302 Japanese workers&#13;
from December 22 to 26, 2020. Of the total survey participants, 6,309 who reported that they needed&#13;
accommodations from their companies were included in the analysis. Using a multilevel logistic&#13;
regression model, we examined the relationship between their SES and the lack of job accommodations&#13;
from their companies, and age-sex-adjusted and multivariate-adjusted odds ratios (ORs) were estimated.&#13;
Results: Multivariate analysis revealed that the OR for the lack of accommodations from companies was&#13;
significantly higher for non-desk jobs than desk jobs (OR¼1.15, 95% CI: 1.04e1.28, p¼0.01). The ORs also&#13;
differed based on household incomes and number of employees. ORs were significantly higher for those&#13;
with an equivalent household income of less than 2.9 million yen compared with 9 million yen or more&#13;
(OR¼1.66, 95% CI: 1.39e1.97, p&lt;0.01). Comparing with firms with 1,000 or more employees, the ORs&#13;
were significantly higher for those with fewer than 30 employees (OR¼1.21, 95% CI: 1.05e1.40, p&lt;0.01).&#13;
Conclusions: We found a relationship between SES and the lack of job accommodation for workers with&#13;
health problems. The lack of job accommodation may further worsen SES and health conditions, reinforcing the importance of accommodating the needs of vulnerable SES workers</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127320">
                <text>Yu Igarashi 1&#13;
, Seiichiro Tateishi 1,*, Arisa Harada 2&#13;
, Kosuke Mafune 3&#13;
, Mayumi Tsuji 4&#13;
,&#13;
Akira Ogami 5&#13;
, Tomohisa Nagata 6&#13;
, Ryutaro Matsugaki 7&#13;
, Yoshihisa Fujino 8&#13;
, for the&#13;
CORoNaWork project</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>https://pdf.sciencedirectassets.com/287282/1-s2.0-S2093791125X00032/1-s2.0-S2093791125000265/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEGsaCXVzLWVhc3QtMSJHMEUCIQD7IOipOxtCprRHSSVfeZmZmvME1BM4W1mh79vALcE7pgIgIylfRfPrt614wqbYZhYT4AQ77jAqErgQaHRgGIkIelQqswUIMxAFGgwwNTkwMDM1NDY4NjUiDJ%2Bim9Zl0xOfGTGKiCqQBXjlbI1rwyK%2FOwGJo62CMwVmWzYLp3mQJja3gFLsxEZgdWLvvpj8l3GHudEKiSqHcqKF5eaW%2FrdeSHO4dJkaGp4fLgN3JHfXsoMvtjT4XDiv220S%2FMthiWMpMdHxR6qj2BYi6mUYuMIXUx7ljt3Yzmxn5gXfJZ2CaE1odowbFsXIM3qxyqJlO49ZvSy7H0FhioR56wKVDEvwEX%2BXmRyy2x%2BRqB%2FLQim1jkk0uZMruq%2F8jngNOJp1%2B4sOcN%2BINZmTgaqV4yQmKKChxwZ%2BqYR6ssZgZd6UGxQ2bHUpHztlI%2BQm1WKcF5fLQzw1wOyVlwGhXazirsBd%2BR0T9PtAh4ioM8zHFAv1XzjwGuCgIf7r3cV2iVtUlOi9kGL4brykMtKRsTU9sg3UAOiABzJNAuTWq%2Bv%2FsU%2BQhY34Dxzxmzn7ID%2BWvD6mFDCQSd7IamHgfTywu%2FROgfAsXt%2B73%2BQQql61O1fzkHPQqry59BHB34kcixlR6Ibx%2F3vnDqpV7ATrdmW68z7LtgVQCUSPMLx7WbwEzy298mLdTH3jKz9AteXGh0dH4ArPIPteOjdPGVtmwG9TwNAmviQcByMneFxYq%2BuZpxSy38sf5pBQW9DSdAiFO97Uf2aIr5DZKyMNaHozon7pDuXGvS4UpfFhYvmmqUN6MkQl8tMWI3I%2F9%2BhhCFUvEhQ4xIG1IrQGT12snVDt2zSrxQc7TMX10qnkOe%2BtcDc99dMlpYNFe%2BPIGTK%2FIIb61SyvTsmw3jcrUwF3EXE3%2Fss9TBt%2FXJRsP91ZmY0BMfIrWUKveikKDUE5aXOd%2BI4NWtyNOxh3Vgp4hZ7Og%2BFt%2BU%2BlBgub0Gg9ecP3DSQno%2BHT2ikLFNKldrDvHuUXNxfWlUy%2BML%2F%2Fg80GOrEBEBgdHAFerXnPxmFEHnGSC3djFCaksZdiHSQop%2BrQ8BW9XvM2xPWh0N4i9N5fvYvPKRxzgg4FqJgkuIOTLxne4iJI1nxSt1DEEb8BxI12l%2BYdlCc9n46tr0k8I2pPzzLmOsz%2BhLUl8EbqT%2FRL%2BhmV0UASzBIaokJRa0whIegS2%2Bi6Y3kTPlgkAKue%2FwOkPa2odWLX9kSXI08%2FOnxu3qB8IKJArlz6RieFKywR5tjSpuLQ&amp;X-Amz-Algorithm=AWS4-HMAC-SHA256&amp;X-Amz-Date=20260227T031126Z&amp;X-Amz-SignedHeaders=host&amp;X-Amz-Expires=300&amp;X-Amz-Credential=ASIAQ3PHCVTYQEQSRS7Y%2F20260227%2Fus-east-1%2Fs3%2Faws4_request&amp;X-Amz-Signature=22e82f1fea4f5dd82d7a7de0d6c2cad5203ac0e454107bb408c9f050e3419f8c&amp;hash=2dee131c95898a2d8b39a2ccff0afae7c696b0b5e8f912fc15f2a69e5b77d98f&amp;host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&amp;pii=S2093791125000265&amp;tid=spdf-bf7222e7-ab80-492f-a6d9-3072252dbc26&amp;sid=a74f698f1272c64207292458fba4f3c693a7gxrqb&amp;type=client&amp;tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&amp;rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&amp;ua=0b015e065356560201&amp;rr=9d447eac98a414a6&amp;cc=id</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="127322">
                <text>Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan&#13;
2Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan&#13;
3Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan&#13;
4Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Japan&#13;
5Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan&#13;
6Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental&#13;
Health, Japan&#13;
7Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan&#13;
8Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
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                <text> 10 April 2025</text>
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          <element elementId="37">
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127324">
                <text>fajar bagus w</text>
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127326">
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              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="127261">
                  <text>Safety and Health at Work Vol. 16 Issue 2 2025</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
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                <text>What Activity is the Most Dangerous to Work in? Estimation of the&#13;
Risk Level of Economic Activities in Ecuador</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127307">
                <text>Classification&#13;
Cluster analysis&#13;
Economic activities&#13;
Occupational risk</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127308">
                <text>Classifying economic activities into risk levels is an occupational health and safety practice&#13;
that several countries worldwide observe. It allows government agencies to formulate public policies&#13;
with occupational risk prevention requirements tailored to each activity’s needs. Further, this level of risk&#13;
directly influences companies’ contributions to occupational risk insurers, whether public or private,&#13;
according to the dangerousness of their activity. In Ecuador, the classification of economic activities into&#13;
risk levels was carried out by a Committee of Experts based on administrative data. However, this&#13;
classification has been questioned for its lack of objectivity and for using administrative records, where&#13;
underreporting cases limit the accuracy and comprehensiveness of the data.&#13;
Methods: This cross-sectional, descriptive, and comparative study uses data from the National Survey of&#13;
Employment, Unemployment, and Underemployment (ENEMDU). Estimates of the incidence rates of&#13;
injuries and illnesses by economic activity were grouped into three clusters (high, medium, and low)&#13;
according to the level of risk.&#13;
Results: An alternative risk classification of economic activities was obtained and compared with the&#13;
existing classification.&#13;
Conclusions: Our results help mitigate the uncertainty in the current risk classification of economic&#13;
activities’ lack of methodological rigor and evaluate the relevance of using data from the ENEMDU&#13;
survey. They also allow a comparison of two risk classifications developed from different methodologies&#13;
and data sources. From a practical perspective, the results will help decision-makers clarify current&#13;
regulations in Occupational Safety and Health (OSH) policies.</text>
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, Alywin H. Chang-León 1,2&#13;
,&#13;
José A. García-Arroyo 1,2</text>
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                <text>Universidad Espíritu Santo UEES, Samborondon, Ecuador&#13;
2Observatorio Ecuatoriano de Seguridad y Salud en el Trabajo (OESST), Samborondón, Ecuador&#13;
3Universidad de Las Américas, Quito, Ecuador&#13;
4Universidad Internacional de la Rioja UNIR, La Rioja, Spain</text>
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                <text>Balancing and Conflict Between Work and Family Life of Sandwiched&#13;
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                <text>Sandwiched caregiver&#13;
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                <text>The aim of this scoping review was to advance our understanding of the balancing and conflict between&#13;
work and family life experienced by sandwiched caregivers. Five online databases (CINAHL, MEDLINE,&#13;
PubMed, SCOPUS, and Cochrane Library) were systematically searched between 20 Apr 2024 and 11 July&#13;
2024 for articles written in English and published between 1999 and July 2024, focused on the impact&#13;
factors on workefamily life balance and/or conflict of sandwiched caregivers. These database searches&#13;
identified 58 citations, which resulted in 46 unique articles following the removal of duplicates. Title and&#13;
abstract screening were identified for full-text review, twenty of these were excluded at full-text review,&#13;
and leaving 13 articles for inclusion. We identified and categorized them into three key themes: (1)&#13;
conflicts between work and family life and (2) impact of conflicts between work and family life on&#13;
psychological well-being and (3) coping with conflicts between work and family life. The literature reviews suggested that the balance and conflict between work and family life were associated with work&#13;
hours, flexibilities in work and workplace, and partner support in the sandwiched caregivers. Especially,&#13;
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balancing work and family life. In an aging society, building a truly supportive and flexible workplace&#13;
culture, along with increasing and utilizing formal care services for child-rearing and aged care, is more&#13;
effective in promoting the well-being of sandwiched caregivers.</text>
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                <text>Ayumi Honda 1,2&#13;
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, Takahiro Nishida 2&#13;
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              <elementText elementTextId="127300">
                <text>1Department of Nursing, St. Mary’s College, Kurume, Fukuoka, Japan 2Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan</text>
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                <text>FAJAR BAGUS W</text>
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                  <text>Safety and Health at Work Vol. 16 Issue 2 2025</text>
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                <text>Work Exposome and Related Disorders of Firefighters: An Overview of&#13;
Systematized Reviews</text>
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                <text>cancer&#13;
firefighter&#13;
occupational&#13;
public health&#13;
systematic</text>
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                <text> Firefighters experience many exposures associated with negative health outcomes. Because&#13;
of this, there are many studies on the subject. Our objective here was to conduct an umbrella review of&#13;
systematized reviews to identify firefighting activities and related exposures associated with negative&#13;
health outcomes.&#13;
Methods: A comprehensive search of the PubMed, Web of Science, and Scopus (Health) was conducted&#13;
using all firefighter systematized reviews. We extracted the country and date of the review, type of&#13;
firefighter, types of exposure, and related health outcomes. Risk of bias was based on AMSTAR-2&#13;
checklist.&#13;
Results: In 1130 studies, 47 systematized reviews were included, mostly in the last 5 years and from&#13;
North America and Australia. The topics were diverse, ranging from general aspects to specific exposures,&#13;
such as polycyclic aromatic hydrocarbons, wildland fires, organizational, traumatic, or psychological&#13;
stress exposure, and from prevention or surveillance to specific health effects (e.g., cancer, mental health,&#13;
musculoskeletal disorders, cardiovascular, and pulmonary health, etc.). The risk of bias assessment using&#13;
the selection grid shows a significant heterogeneity, though some studies were of very high quality.&#13;
Discussion: This umbrella review provides a comprehensive description of systematized reviews&#13;
describing populations of firefighters, including information on exposure, health outcomes, and illness/&#13;
injury prevention</text>
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                <text>Alexis Descatha 1,2,*,q, Hugues Dousseau 1,q, Sabrina Pitet 1&#13;
, Francis Magnolini 3&#13;
,&#13;
Neil McMillan 4&#13;
, Neil Mangelsdorf 5&#13;
, Rick Swan 6&#13;
, Jean-Marie Steve 7&#13;
, Didier Pourret 3&#13;
,&#13;
Marc Fadel</text>
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