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- Aikomus, L., et al.
(author)
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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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In: SOSIAALILÄÄKETIETEELLINEN AIKAKAUSLEHTI. - 0355-5097. ; 58, s. 445-456
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Journal article (peer-reviewed)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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| 6. |
- Rantala, Pauliina, et al.
(author)
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Päihde- ja riippuvuushuollon kipupisteet: Ammattilaisten ja asiantuntijoiden tilannearviointi muuttuvasta kentästä : [Sore spots in addiction service provision: professionals' and experts' views on a changing field]
- 2023
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In: Sosiaalilääketieteellinen aikakauslehti. - : Sosiaalilääketieteen yhdistys. - 0355-5097. ; 60:4
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Journal article (peer-reviewed)abstract
- The Finnish substance use and addiction service field is in a state of transition. In this study, we map how professionals in this field evaluate its current state. The results point to two sore spots in the realization of the service system’s responsibilities. These pertain to: (i) the internal systemic division of roles and tasks and adherent conflicts, and (ii) the accessibility of services and the preparedness of the system. The participants saw that it is especially important to ensure the functioning of the system through multi-professionalism, to secure a suitable role division between actors and sectors, to balance corrective and preventive services with an emphasis on prevention, and to be aware of and take into account the risk of service fragmentation. In the concluding discussion, we summarize our views on how the principles of welfare state accountability underpin the participants’ reasoning concerning the value of welfare pluralism and the readiness of the system to deal with tensions between universalism and particularism. By emphasizing fairness and possible competition between social and health perspectives, the participants identified a role for the substance use and addiction service field in terms of shifting the responsibility from the individual to the service structures.
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