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- Aikomus, L., et al.
(författare)
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Työn fyysisen kuormittavuuden yhteys fyysiseen toimintakykyyn alle 40-vuotiailla kunta-alan työntekijöillä [Associations between physically demanding work and physical functioning among municipal employees under 40 years of age]
- 2021
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Ingår i: SOSIAALILÄÄKETIETEELLINEN AIKAKAUSLEHTI. - 0355-5097. ; 58, s. 445-456
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Tidskriftsartikel (refereegranskat)abstract
- Physically demanding work in middle-aged and ageing employees is associated with poor physical functioning. Also younger employees have limitations in their daily functioning, but there is no research on the associations between physically demanding work and physical functioning during early careers. This study investigated whether physically demanding work is associated with physical functioning in employees aged 18–39 years. The data were collected in autumn 2017 from the City of Helsinki employees born in or after 1978 (n=11,459). Out of them, 5,111 responded online or via a mailed paper survey. We included those 4,585 (40% of all those invited) who had responded to all necessary questions for the present study. Physical functioning was assessed by the SF-36 questionnaire, and poor physical functioning was defined as the lowest quarter of the physical functioning score (PCS ≤48.80, total scale 1-100). Physical workload was determined with a multi-part question about factors related to work and the work environment, and the degree of perceived harm caused by them. The physical workload scores were divided into thirds. Logistic regression analysis was used to examine the associations between physically demanding work and physical functioning, while adjusting for health behaviours, sleep problems, body mass index, education and marital status. Poor physical functioning was associated with physically moderately (OR 1.70, 95%CI 1.43-2.00) and highly (OR 3.56 [2.70-4.70]) demanding work. In addition, frequent sleep problems (OR 1.90 [1.67-2.22]), obesity (OR 1.89 [1.56-2.30]) and low education (OR 1.37 [1.10-1.71]) were associated with poor physical functioning. Tackling physically demanding work may play a role in maintaining physical functioning (and subsequently) working capacity.Keywords: physical functioning, work load, young workers, health behaviour
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- Haravuori, Henna, et al.
(författare)
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Jokelan ja Kauhajoen ampumissurmille altistuneiden oppilaiden ja opiskelijoiden selviytyminen, tuki ja hoito. : Kahden vuoden seurantatutkimusten loppuraportti
- 2012
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The study explores how the students exposed to the school shootings at Jokela School Centre and the Kauhajoki unit of the Seinäjoki Joint Municipal Authority for Education (Vocational Education Centre Sedu and Seinäjoki University of Applied Sciences) have coped with their experiences and how they have received support and care over a follow-up period of two years. The key research questions involve how those who experienced the trauma have recovered, what mental symptoms they have, what mental disorders they have developed and how their functional capacity has been affected. Background factors, the trauma exposure and the support provided are also studied, including their relationship to a good recovery on the one hand and prolonged symptoms on the other. Implementation of the study: Survey forms for the study were circulated at both institutions and in comparison institutions on three occasions: four months after the events, one year after the first survey, and two years after the first survey. Also, more than 200 students were interviewed at Jokela and Kauhajoki. The study was conducted in co-operation with the personnel at the institutions and integrated into the aftercare. Research materials and methods: The study compares data obtained from students at Jokela School Centre to those obtained from students at Pirkkala Upper-Level Comprehensive School and Upper Secondary School, and data obtained from students at the Kauhajoki unit of the Seinäjoki Joint Municipal Authority for Education to those obtained from comparison student group in Kerava. The research materials were also pooled for analyses. The data were collected using assessment forms including questions on background information, academic performance, a posttraumatic symptom survey (the Impact of Event Scale, IES), a general symptom questionnaire (GHQ-12), and questions on substance use, social support, the need for support and care, actual support and care received and whether the latter were adequate. Respondents were also asked about the impact of the media and how stressful they felt the survey to be. Interviews were performed with semistructured instruments to identify possible psychiatric disorders. Findings: The most likely outcome for students exposed to the school shootings was recovering from the shocking events. For the majority, the support from family and friends was significant. Also, immediate crisis help and psychosocial support at the acute stage had reached a significant percentage of the students. These forms of support were adequate to most of those with milder exposure. Those at highest risk of developing symptoms had been provided with acute crisis help indicating that their recognition is possible at an early stage. Most respondents felt that the support they received over the follow-up period had been sufficient. Additional resources for aftercare were phased out during this period, and responsibility for support and care was transferred to primary healthcare and social services. Some ten percent of the students polled continued to exhibit trauma-induced symptoms at the end of the follow-up period. They may need further treatment, particularly psychotherapy and other psychiatric care, for years to come. Being interviewed by reporters was associated with higher risk of trauma-induced symptoms. Also, extensive monitoring of news coverage seemed to correlate with mental symptoms in respondents who had been in the proximity of the events. Respondents did not consider participation in this study to have been unduly stressful; indeed, many felt that it was beneficial for them. The study allowed identification of needs for referral to treatment in some cases, and the students can therefore be considered to have benefited from participating in the study. The summary of findings includes the research team's recommendations on how to provide support and care for those experiencing traumatic events.
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- Haravuori, Henna, et al.
(författare)
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Kauhajoen ampumissurmille altistuneiden opiskelijoiden selviytyminen, tuki ja hoito - Kahden vuoden prospektiivisen seurantatutkimuksen väliraportti.
- 2009
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- OBJECTIVES: This follow-up study analyzes the recovery of students traumatized in a school shooting in Kauhajoki, Finland, September 23rd, 2008, and further studies the support and care they have received. The educational institution in Kauhajoki where the shooting occurred is a combination of a Vocational Education Centre Sedu (a multidisciplinary VET institution, branches: Catering and Home Economics, Health and Social Sciences) and Seinäjoki University of Applied Sciences (The Business School branch of Hospitality Management). Students from Kerava were recruited to form a control group. The main study objectives are how the exposed students recover, what kind of psychological symptoms and psychiatric disorders they have, and how they function. Associations between psychological outcomes and background factors are analyzed and the findings are compared to the control students. IMPLEMENTATION: The data were collected using a questionnaire in January 2009, four months after the event. The follow-up phase will continue for two years. The study is carried out in the National Institute for Health and Welfare in co-operation with personnel of the educational institutions. Study is coordinated with aftercare in Kauhajoki. Students will be referred to necessary treatment if their answers in the questionnaire raise a concern. SUBJECTS AND METHODS: All the students who had been enrolled in the Kauhajoki educational institutions were invited to participate in the study. The questionnaire included background information and academic performance. Further, students were asked about their exposure to the shooting and about the immediate support and possible trauma-related psychosocial support or care they received. The Impact of Event Scale (IES) was used to assess posttraumatic distress following critical events and 12-item General Health Questionnaire (GHQ-12) to assess recent changes in a range of psychological and psychosocial symptoms. Items on perceived social support, need and availability of support and care, effects of ideology, effects of media, substance use, dissociation, posttraumatic growth and distress caused by the questionnaire itself were also included. RESULTS: Half of the students in Kauhajoki had been significantly exposed to the events. About one third had general psychological symptoms and two thirds were asymptomatic after four months. The risk for posttraumatic stress disorder was elevated in almost half of the students, which was a significantly higher proportion than observed in control students. The more severe the exposure, the greater amount of posttraumatic distress and general psychological symptoms were observed. Immediate crisis support was offered to a majority of the students. Two thirds of those who accepted the support reported it had helped them. Crisis work within one week of the incident reached two thirds of the students and over two thirds reported it had been helpful. Support was offered more often to the severely exposed. Journalists approached about one half of the students to ask about the events. Three out of four of the approached refused to be interviewed. One third of the students reported feeling worse after being interviewed. Less than one fifth reported the questionnaire as distressing and two thirds were willing to take part in the follow-up. Control students reported questionnaire more often as distressing and willingness to take part in the follow-up was lower. FOLLOW-UP: The questionnaire will be re-administered 12 and 24 months after the first monitoring. Semistructured diagnostical interviews will be utilized also during the follow-up phase
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