Medicina del Lavoro

We Need to Develop, Not Forget, Our Toxicological Knowledge
Apostoli P
Factor Structure, Psychometric Properties, and Measurement Invariance of the Pandemic Experiences and Perceptions Scale Among Italian Hospital Workers
Portoghese I, Galletta M, Leiter MP, Piras I, Lecca LI, Puligheddu M and Campagna M
The COVID-19 pandemic represented substantial risks to hospital workers' physical and mental health. The availability of validated measures on the impact of the pandemic on workplaces is crucial for developing data-driven interventions. The primary purpose of our study was to translate it into Italian and assess factor structure, psychometric properties, and measurement invariance of the Pandemic Experiences and Perceptions Scale (PEPS).
Occupational Safety and Health of Riders Working for Digital Food Delivery Platforms in the City of Milan, Italy
Boniardi L, Campo L, Prudenzi S, Fasano L, Natale P, Consonni D, Carugno M, Pesatori AC and Fustinoni S
The rapid growth of the digital economy has transformed various labor markets, including the food sector. The transient nature and the peculiar work environments of food delivery workers raise concerns about occupational safety and health (OSH). This study aims to better understand these issues by conducting a comprehensive exploratory survey on OSH among food delivery riders in Milan, Italy.
The Challenge of New Forms of Work, Innovative Technologies, and Aging on Decent Work: Opportunities for Occupational Safety and Health
Schulte P, Fischer FM, Iavicoli I, De Anchieta Messias I, Fisher DL, Popkin SM, Martinez MC, Cotrim T and Oakman J
Occupational Safety and Health (OSH) can be relevant in achieving the United Nation's Sustainable Development Goal of decent work by 2030. However, further OSH actions are needed. This paper identifies the role of OSH in addressing two of many determinants of decent work: new forms of work/innovative technologies and worker aging. The authors conducted a discursive analysis of the two determinants and provided examples for consideration. New forms of work/innovative technologies can not only promote but also undermine the future of decent work, and unhealthy aging impedes longer working lives. With a focus on the OSH aspects of new forms of work/innovative technologies and aging, decent work is more likely to be achieved.
Occupational Exposure to Benzene and Risk of Breast Cancer: Systematic Review and Meta-Analysis
Seyyedsalehi MS, Destefano V, Shah D, Shah V, Bonetti M and Boffetta P
Benzene is a recognized carcinogen; however, its association with breast cancer is not well established. Hence, a meta-analysis of cohort and case-control studies was performed to determine the association between occupational benzene exposure and the risk of breast cancer.
Psychometric Evaluation of a Measure of Evidence-Based Practice in Occupational Health
Ruotsalainen J, Päätalo K, Martimo KP and Oksanen T
Occupational Health Services (OHS) are obliged to follow the principles of evidence-based medicine. However, there needs to be tools to measure this. Therefore, we developed and validated a questionnaire for evaluating OHS practitioners' attitudes, competence, and organisational support to perform evidence-based practice (EBP-OHS) following the JBI Model of Evidence-Based Healthcare.
Nightshift Rotation Schedule and Fatigue in U.K. and Italian Nurses
Lecca R, Westwell A, Casaglia E, Figorilli M, Murphy E, Puligheddu M, Van Tongeren M and Cocco P
Whether hours on shift might impact adaptation to night shift work is still controversial.
Depression and Anxiety in Voluntarily Unemployed People: A Systematic Review
Borrelli I, Santoro PE, Melcore G, Perrotta A, Rossi MF, Gualano MR and Moscato U
Unemployment impacts people's physical and psychological well-being, and gender and age affect mental health among the unemployed. Despite the correlation between unemployment and negative mental health outcomes being largely investigated in scientific literature, research on voluntarily unemployed individuals is scarce. A systematic review was performed on studies evaluating mental health outcomes in voluntarily unemployed adults.
Critical Issues in Assessing Occupational Exposure to Diesel Dust Exhaust
Folesani G, Gherardi M, Galetti M, Petronini PG, De Pasquale F, Cavallo D and Corradi M
The Italian Interministerial Decree of February 11, 2021, introduces the diesel engine exhaust (DDE) among the carcinogenic occupational compounds, also establishing an occupational exposure limit. Elemental carbon (EC), improperly called black carbon, has been proposed as a tracer of DDE exposure; EC is the carbon that is quantified in the ambient matrixes after all the organic carbon has been removed; traditionally, EC is measured with a thermo-optical analytical technique. EC determination and relative interpretation are challenging for the following reasons: (i) the scarce availability of equipped laboratories hampers EC analysis, (ii) EC interpretation is not easy due to the lack of reference values. Finally, (iii) the limit value of 0.050 mg/m3 of EC in the workplace appears too high compared to recently published exposure data. All these aspects stimulate a reflection on the significance of EC data in the context of both occupational hygiene and occupational medicine.
Trends in Asbestos Exposure and Malignant Mesothelioma Incidence in Emilia-Romagna Italy: A Retrospective Study 1996-2023
Giacomino F, Marinelli F, Bisceglia I, Cacchi M, Storchi C, Pinto C, Mangone L, Romanelli A and Morabito F
Malignant mesothelioma (MM) is a rare but lethal cancer strongly associated with asbestos exposure. This retrospective study examines trends in asbestos exposure in Emilia-Romagna, Northern Italy. Between 1996 and 2023, 3,513 cases of MM were recorded, predominantly in males (72%) and in older than 65 years (79%). Occupational exposure accounted for 82% of cases, with a significant increase observed over time from 71% to 88% in the most recent period. A greater definition of professional exposure indicates that certain exposure has gone from 49% in the first period to 62% and 58% in the last two periods; probable exposure showed a decrease from 21% to 16% while possible exposure decreased from 16% to 13%. Familiar exposure remained relatively constant at around 8%, environmental exposure showed a slight decrease from 4% to 2%, while non-occupational exposure remained stable at 2%. Among patients with exclusively occupational exposure (1,826 cases), 87% were male and aged between 65 and 75 years (36%) and 75+ (41%). The exposure rates for the province of residence see the province of Reggio Emilia with the highest occupational exposure rate (2.5 x 100,000 residents), followed by Ravenna (2.3 x 100,000 residents) and Parma and Piacenza which have similar exposure rates with 2.2 x 100,000 residents. Professional sectors such as construction, railway maintenance and metalworking are identified as high-risk industries. Despite efforts to mitigate exposure, non-occupational and environmental exposures persist. The study highlights the importance of continuous surveillance and exposure monitoring to guide effective interventions and legal recognition of MM.
Two Decades of Fatal Workplace Accidents in Milan and Monza, Italy: Trends, Work Sectors, and Causes From Autoptic Data
Antonangeli LM, Sbrissa LPE, Casali MB and Bonzini M
Work-related fatalities represent an important global public health threat, accounting for over 300,000 deaths annually. Despite preventive strategies, fatalities persist, necessitating comprehensive investigations. Autoptic investigations, when ordered, offer comprehensive data on fatal accidents, in particular with detailed information about the type of accident, lesions, and type of work, enabling a thorough analysis of various factors contributing to workplace deaths. This study investigates work-related fatalities in Milan and Monza Brianza, Lombardy, analyzing patterns, industries, and factors leading to death among workers.
Validation of the Work-Related Quality of Life Scale in Rehabilitation Health Workers: A Cross-Sectional Study
Ruotolo I, Sellitto G, Berardi A, Panuccio F, Simeon R, D'Agostino F and Galeoto G
Work-related quality of life (WRQoL) is a multidimensional concept related to life satisfaction. Evaluating WRQoL is essential in healthcare settings since employee satisfaction affects patient service quality. Only a few studies have focused on the quality of life of rehabilitation health workers. We aimed to validate the Italian version of the WRQoL scale on a population of rehabilitation health professionals; the secondary objective was to investigate the work-related quality of life of professionals concerning the work settings in which they operate.
Levels of Nursing Students' Exposure to Colleague Violence and Affecting Factors: A Multicenter Cross-Sectional Study
Güngör S and Kose Tosunoz I
Colleague violence experiences of students negatively affect their vocational education in the short term and their desire to stay in the profession in the long term. This study aims to determine the levels of colleague violence experienced by nursing students and the affecting factors in Türkiye.
Return to Work After Release From Prison
Candura SM, Madeo D, Negri C and Scafa F
Work preservation is crucial for the reintegration of ex-prisoners and the prevention of recidivism. We describe the application of an interdisciplinary diagnostic protocol (occupational health visit, psychiatric interview, psychological counselling and testing) in the case of a dairy industry worker (female, 45-year-old), released on half-freedom after approximately a year of detention in prison for attempted murder. This crime can seriously hamper job resumption. The evaluation revealed a slightly depressed mood (consistent with recent life events), in the absence of major psychiatric disorders or other disturbances that could compromise working abilities or represent a danger for the coworkers. The patient was, therefore, judged able to resume her job. At six months follow-up, she had fully served her sentence and had returned to her previous job, with good relations with her colleagues. However, she encountered hostility from her employer, which induced her to find a new job as a secretary. Her mental health status was improved. The interdisciplinary approach described here may allow ex-prisoners to return to work by helping the company physician to formulate the judgement of job fitness, offering at the same time suggestions for a rational occupational reintegration.
Examining the Effect of Sleep Hygiene Education Given to Nursing Students on Sleep Quality
Haylı ÇM, Chung S, Avcı MZ and Demir Kösem D
The study aimed to ascertain the effect of sleep hygiene training on nursing students' sleep quality.
Occupational Physicians' Management of Workers With Multiple Sclerosis in Italy: Results From a Survey
Rondinone BM, Buresti G, Iavicoli S, Durando P, Battaglia MA, Dini G, Montecucco A, Rahmani A, Debarbieri N, Bandiera P, Ponzio M, Manacorda T, Pignattelli E, Inglese M and Persechino B
This study, conducted on a sample of Italian occupational physicians (OPs), aimed to gather data regarding professional activity and their needs in managing workers with multiple sclerosis.
Job Retention by People With Disabilities: A Qualitative Study of the Perspectives of People With Multiple Sclerosis
Ponzio M, Pignattelli E, Verri A, Grange E, Persechino B, Vitturi BK, Bandiera P, Manacorda T, Inglese M, Durando P and Battaglia MA
Multiple sclerosis (MS), because of its early age at onset, greatly impacts the working lives of those affected by it in ways linked to different factors, both professional and personal. It has been observed that only a small percentage (20-40%) of workers with MS retain their jobs after the diagnosis. When identifying factors determining job retention or loss in this setting, it is essential to consider the direct perspectives of people with MS (PwMS).
Managing Allergic Nickel Dermatitis in Occupational Settings: A Case Report
Mendes Ribeiro RA, Teófilo V, Moreira S, Pinho P, Norton P and Pereira T
Contact dermatitis is a common cutaneous inflammatory condition, triggered by exposure to irritant substances or allergens. Nickel is the most prevalent allergen, a metal widely used in accessories, furniture, office materials, food and in industry, with multiple exposure pathways, making it difficult to assess which exposure is causing allergic dermatitis. Here, we report a case of an administrative worker with chronic hand eczema, limited to the radial metacarpophalangeal region of the left hand, caused by occupational exposure to nickel, confirmed by nickel deposition test on the hand and a positive test with a metallic stapler used at her workplace.
Benzene Exposure in Workers From a Waste Oil Regeneration Plant During Ordinary Activities by Air and Biological Monitoring
Campo L, Boniardi L, Olgiati L, Polledri E, Mercadante R and Fustinoni S
In the regeneration of waste oil, a strategical technological process for the European Union circular economy action plan, exhausted oils are regenerated to produce high performing oil bases. Aim of this work was to assess the exposure to benzene in plant workers during ordinary activities.
Risk of Gynecological and Breast Cancers in Workers Exposed to Diesel Exhaust: A Systematic Review and Meta-Analysis Of Cohort Studies
D'Agostini M, Collatuzzo G, Teglia F and Boffetta P
This study aimed to explore the association between occupational exposure to diesel exhaust (DE) and gynaecological and breast cancers.
Comparing Exposure to Psychosocial Risks: Face-to-Face Work vs. Telework
Gomez-Dominguez A, Ferrer-Rosende P, Esteve-Matali L, Llorens-Serrano C, Salas-Nicás S and Navarro-Giné A
In recent years, substantial changes have occurred in the work organization and arrangements. One of the main ones has been the popularization of teleworking among non-manual workers. This paper aims to assess the exposure of psychosocial risks among non-manual Spanish wage-earners, depending on the working modality (mainly telework, combining teleworking with onsite work, or onsite work).