Occupational Context Research Articles

Effects of graded exercise therapy and medical care on chronic fatigue syndrome

Purpose: Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis (ME) is a complex condition with debilitating symptoms that significantly impact individuals, particularly those in the working population. This study aims to investigate the effectiveness of Graded Exercise Therapy (GET) and Cognitive Behavioral Therapy (CBT) along with additional methods such as Graded Exercise Self-help (GES), Adaptive Pacing Therapy (APT), and Specialist Medical Care (SMC), in managing Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis (ME) among the working population. Methods: A systematic analysis of five randomized controlled trials conducted between 2013 and 2023, encompassing GET, CBT, APT, SMC, and GES was performed using PubMed. Results: The selected studies consistently demonstrate that GET positively impacts physical functioning and reduces fatigue levels in working individuals with CFS. Additionally, CBT proves valuable, emphasizing the importance of addressing the mental aspects of CFS in occupational contexts. Conclusion: This review underscores the need for further research, advocating for direct assessment methods like biomarkers to enhance our understanding of CFS and improve treatment outcomes. These insights are crucial for healthcare practitioners, researchers, and policymakers navigating the complexities of CFS within the workplace. Emphasizing the integration of psychological interventions with physical therapies is essential for a comprehensive approach to managing CFS among the working population.

Biomonitoring for workplace exposure to copper and its compounds is currently not interpretable

This paper sets out to explore the requirements needed to recommend a useable and reliable biomonitoring system for occupational exposure to copper and its inorganic compounds. Whilst workplace environmental monitoring of copper is used to measure ambient air concentrations for comparison against occupational exposure limits, biological monitoring could provide complementary information about the internal dose of workers, taking into account intra-individual variability and exposure from all routes. For biomonitoring to be of reliable use for copper, a biomarker and the analytical ability to measure it with sufficient sensitivity must be identified and this is discussed in a range of matrices. In addition, there needs to be a clear understanding of the dose-response relationship of the biomarker with any health-effect (clinical or sub-clinical) or, between the level of external exposure (by any route) and the level of the copper biomarker in the biological matrix being sampled, together with a knowledge of the half-life in the body to determine accurate sampling times. For many biologically non-essential metals the requirements for reliable biomarkers can be met, however, for ‘essential’ metals such as copper that are under homeostatic control, the relationship between exposure (short- or long-term) and the level of any copper biomarker in the blood or urine is complex, which may limit the use and interpretation of measured levels. There are a number of types of biomarker guidance values currently in use which are discussed in this paper, but no values have yet been determined for copper (or its inorganic compounds) due to the complexity of its essential nature; the US The American Conference of Governmental Industrial Hygienists (ACGIH) has however indicated that it is considering the development of a biological exposure index for copper and its compounds. In light of this, we present a review of the reliability of current copper biomarkers and their potential use in the occupational context to evaluate whether there is value in carrying out human biomonitoring for copper exposure. Based on the available evidence we have concluded that the reliable use of biomonitoring of occupational exposure to copper and its application in risk assessment is not possible at the present time.

Baseline data and associations between urinary biomarkers of polycyclic aromatic hydrocarbons, blood pressure, hemogram, and lifestyle among wildland firefighters.

Available literature has found an association between firefighting and pathologic pathways leading to cardiorespiratory diseases, which have been linked with exposure to polycyclic aromatic hydrocarbons (PAHs). PAHs are highlighted as priority pollutants by the European Human Biomonitoring Initiative in occupational and non-occupational contexts. This cross-sectional study is the first to simultaneously characterize six creatinine-adjusted PAHs metabolites (OHPAHs) in urine, blood pressure, cardiac frequency, and hemogram parameters among wildland firefighters without occupational exposure to fire emissions (> 7 days), while exploring several variables retrieved via questionnaires. Overall, baseline levels for total OHPAHs levels were 2 to 23-times superior to the general population, whereas individual metabolites remained below the general population median range (except for 1-hydroxynaphthalene+1-hydroxyacenaphtene). Exposure to gaseous pollutants and/or particulate matter during work-shift was associated with a 3.5-fold increase in total OHPAHs levels. Firefighters who smoke presented 3-times higher total concentration of OHPAHs than non-smokers (p < 0.001); non-smoker females presented 2-fold lower total OHPAHs (p = 0.049) than males. 1-hydroxypyrene was below the recommended occupational biological exposure value (2.5 μg/L), and the metabolite of carcinogenic PAH (benzo(a)pyrene) was not detected. Blood pressure was above 120/80 mmHg in 71% of subjects. Firefighters from the permanent intervention team presented significantly increased systolic pressure than those who performed other functions (p = 0.034). Tobacco consumption was significantly associated with higher basophils (p = 0.01-0.02) and hematocrit (p = 0.03). No association between OHPAHs and blood pressure was found. OHPAHs concentrations were positively correlated with monocyte, basophils, large immune cells, atypical lymphocytes, and mean corpuscular volume, which were stronger among smokers. Nevertheless, inverse associations were observed between fluorene and pyrene metabolites with neutrophils and eosinophils, respectively, in non-smokers. Hemogram was negatively affected by overworking and lower physical activity. This study suggests possible associations between urinary PAHs metabolites and health parameters in firefighters, that should be further assessed in larger groups.

Does one size fit all? The role of job characteristics in cultivating work passion across knowledge, blue‐collar, nonprofit, and managerial work

AbstractWe integrate the job characteristics and dual work passion models to explore the indirect (via work meaningfulness) effects of job characteristics (i.e., job autonomy, task identity, skill variety, task significance, feedback from the job and feedback from others) on two types of work passion, harmonious passion (HP) and obsessive passion (OP). We first advance occupation‐specific predictions for job characteristics‐to‐work passion relationships and then explore differences in those relationships between HP and OP across four occupational sectors: knowledge work (n = 201), blue‐collar work (n = 148), nonprofit work (n = 141), and managerial work (n = 133). Our findings demonstrate that job characteristics are important drivers of work passion. However, our key discovery is that the motivational impact of the job characteristics is not universally applicable but rather depends on the specific occupational context and whether passion is harmonious or obsessive. We therefore conclude that when it comes to translating job characteristics into work passion, the one‐size‐fits‐all approach is not appropriate.

Algorithmic gender bias: investigating perceptions of discrimination in automated decision-making

ABSTRACT With the widespread use of artificial intelligence and automated decision-making (ADM), concerns are increasing about automated decisions biased against certain social groups, such as women and racial minorities. The public's skepticism and the danger of algorithmic discrimination are widely acknowledged, yet the role of key factors constituting the context of discriminatory situations is underexplored. This study examined people’s perceptions of gender bias in ADM, focusing on three factors influencing the responses to discriminatory automated decisions: the target of discrimination (subject vs. other), the gender identity of the subject, and situational contexts that engender biases. Based on a randomised experiment (N = 602), we found stronger negative reactions to automated decisions that discriminate against the gender group of the subject than those discriminating against other gender groups, evidenced by lower perceived fairness and trust in ADM, and greater negative emotion and tendency to question the outcome. The negative reactions were more pronounced among participants in underserved gender groups than men. Also, participants were more sensitive to biases in economic and occupational contexts than in other situations. These findings suggest that perceptions of algorithmic biases should be understood in relation to the public's lived experience of inequality and injustice in society.

Chronology and paleoclimatic context of hominin occupations in the Fenhe River Basin of northern China during the middle to Late Pleistocene

The relationship between climate change and hominin evolution over the Pleistocene in East Asia is still poorly understood, in particular due to the limited number of archaeological finds and fossils with reliable chronologies. Paleolithic sites preserved in loess-paleosol sequences in eastern Chinese Loess Plateau provide prospective evidence for understanding hominin evolution and dispersion across the Middle to Late Pleistocene in northern China. The Fenhe River Basin has been known as a key area for paleolithic sites and fossil hominins. Here, quartz Optically stimulated luminescence (OSL) and K-feldspar post-infrared infrared stimulated luminescence (pIRIR) dating was employed on 61 samples from 13 paleolithic sites in the Fenhe River Basin. The reliability of the ages are checked by analysis of luminescence characteristics and comparison between quartz OSL and K-feldspar pIRIR ages. Paleoclimatic records were established using alternating loess-paleosol sequences, and multi-proxy indices of grain size, magnetic susceptibility, CaCO3 and color from the dated sites. These results provide the reliable chronology for hominin presence in the Fenhe River Basin spanning the past three glacial-interglacial cycles. Our results show that this region experienced predominantly dusty, dry and cold conditions during glacials and comparatively moist and warm interglacial conditions, that are sensitive to variations in East Asian Summer and Winter Monsoon (EASM and EAWM respectively) intensities over glacial-interglacial timescales. The Fenhe River Basin is a key geographic refuge for hominins during glacial-interglacial climatic changes in northern China. It was occupied over glacial and interglacial periods spanning at least the last 370 ky, and the evidence for hominin presence is especially clear from ∼250 to 60 ka and since ∼35 ka. The frequency of hominin activity, as indicated by the number of archaeological sites and density of stone artifacts, increased during warm and humid periods of MIS 7 and MIS 5, in contrast to the cold, windy, and dry period of MIS 6. Site numbers increased in MIS 3 and the Last Glacial Maximum, in association with microblade technology. The dating results indicate that hominins with ‘modern’ features may have occurred in the Fenhe River Basin ∼140 ka ago, however, the exact timing of modern human occupation in the region needs a more combined approach consisting of morphological, ancient DNA and geochronological studies.

Geoarchaeology of open-air sites of the Foz do Chapecó area in the upper Uruguay river, southern Brazil

This paper presents the results of the investigations that defined the formation of the sedimentary deposits and the chronological sequence of the Foz do Chapecó archaeological area in the Volta Grande of the Upper Uruguay River, Southern Brazil. This research was undertaken to contribute to the definition of the diachronic, sedimentary and stratigraphic context of the archaeological occupations. To achieve these goals a geoarchaeological prospection by land and water was conducted, focusing on the valley bottoms, in the whole Volta Grande area. It comprehended the characterization of surface sedimentary deposits, the exposure and analysis of stratigraphic profiles, and sedimentological analysis. Four superficially exposed deposits were identified: i.e., fluvial conglomerates, fine sediments with sandy texture, clay colluviums and current and recent alluvial deposits. Six interesting points for the opening of stratigraphic profiles were identified, and subsequently resulted in the identification of sedimentary facies associated with river-bed, colluvial and colluvial-alluvial deposits. Three of these points presented a clear sequence of archaeological levels in the stratigraphic context. The results indicated that the local sediments are predominantly composed of a variable mixture of silt and clay, with sands occurring predominantly in an interdigitated form. The stratigraphic structure of the identified layers led to the establishment of 7 sedimentary facies, associated with colluvium (Cm), colluvium-alluvium (Sm) and alluvium and fluvial channels (Sm, Fl, Gms, Gt, Gp, Gh). The radiocarbon dating gives an age between 12.0 and 0.3 cal kBP, indicating that the filling of the local valley occurred during the end of the Pleistocene and throughout the Holocene by means of both fluvial and colluvial systems. Nine distinct archaeological levels, with a clear stratigraphic, chronological, and technological characterization were identified. The pre-ceramic archaeological sequence shows the following chronology: the oldest occupation occurred between 12.0 and 11.0 cal kBP (Cm facies); this was followed by an occupation between 10.5 and 9.5 cal kBP (Cm, Gt, Gp and Gh facies in three archaeological sites with eleven 14C data), then an occupation between 8.7 and 8.5 cal kBP (Cm facies), another between 5.7 and 5.5 cal kBP, one more between 4.8 and 4.6 cal kBP (Cm facies), and the last between 3.4 and 3.3 cal kBP (Cm and Sm facies). The ceramic phase seems to form a single dense component with the anthropogenic soil formation, and was dated between 0.5 and 0.3 cal kBP (Sm facies). These data present a previously unpublished chronostratigraphic sequence that is unique for the context of open-air sites in inner southern Brazil.

Type 2 diabetes severity in the workforce: An occupational sector analysis using German claims data.

Individuals of working age spend a significant amount of time at the workplace making it an important context for disease prevention and management. The temporal development and prevalence of T2D have been shown to differ in the working population based on gender, age group and occupational sector regardless of socioeconomic status. Given potential differences in risk factors associated with different work environments, this study aims to define vulnerable occupational groups by examining T2D severity and its trends in working men and women with T2D of two age groups and among nine occupational sectors. The study is based on claims data of the statutory health insurance provider AOKN. The study population consisted of all insured working individuals with T2D. T2D severity was measured using the adapted diabetes complications severity index-complication count (DCSI-CC). Mean DCSI-CC scores were calculated over four time periods between 2012 and 2019 for men and women of the age groups 18-45 and 46+ years and among nine occupational sectors. Trends of DCSI-CC were investigated using ordinal logistic regression analyses to examine the effect of time-period on the odds of having higher DCSI scores. Overall, there was a significant rise in T2D severity over time in working men and women of the older age group. Moreover, the study displayed occupational sector differences in T2D severity and its trends. Over all, working men of all sectors had higher DCSI-CC scores compared to working women. Individuals working in the sector "Transport, logistics, protection and security" and "Construction, architecture, measuring and building technology" had higher T2D severity, while those working in the "Health sector, social work, teaching & education" had relatively lower T2D severity. There was a gender-specific significant increase over time in T2D severity in the above-mentioned occupational sectors. The study displayed gender, age group and occupational sector differences in T2D severity and its trends. Working individuals could thus benefit from personalized prevention interventions that consider occupational contexts. As a next step, examining T2D trends and severity in specific occupations within the vulnerable occupational sectors is needed.

Fatores de risco psicossociais relacionados ao trabalho: uma análise contemporânea

Abstract Introduction: work-related psychosocial factors have stood out in debates concerning health protection and promotion in occupational contexts. Objective: this essay demonstrates how the lack of thematic exploration regarding the antagonism and structural conflict between capital and labor, as well as its co-optation by neoliberal managerial logic, impoverishes the debate and weakens initiatives aimed at transforming the work environment. Method: a literature review was conducted using historical materialism as a theoretical framework. Results: policies, instruments, and measures formulated to protect workers’ health developed under the ideological framework of capitalist accumulation and neoliberal governmentality become understandings and interventions that, far from transforming actual work situations, mask the role played by work in occupational health. They consecrate actions focused on individuals, dampen social struggles, and increase pressure on workers. Conclusion: addressing psychosocial risks should not be limited to mitigating them; rather, it should find its purposes and foundations in a theoretical-practical horizon that unveils the need to overcome the capitalist economy itself.

Hot at the top: The influence of self-rated attractiveness on self-perceived status

Beautism reflects the phenomenon of a widespread positivity bias that physically attractive people enjoy. This bias results in more attractive people receiving more positive social judgments, interactions, and economic outcomes. However, the literature has largely focused on third-party judgments of physical attractiveness, neglecting examinations of how self-rated attractiveness may predict self-evaluations. We sought to address this gap by examining how self-rated attractiveness predicts self-inferred social status, which is related to a myriad of psychosocial outcomes. Across one pilot test, one cross-sectional study, and a between-subjects experiment, we find converging evidence for the notion that self-rated physical attractiveness positively predicts higher self-inferred status. We discuss how this finding may have implications for status-navigating strategies in light of the malleability of self-rated attractiveness in a variety of social and occupational contexts.

Health actions and occupational vocal conservation: how are they being implemented?

The actions in Occupational Speech Therapy are becoming more evident with the emergence of new experiences and interventions that aim to intercept the disease process, emphasizing the prevention and protection of vocal health in the occupational context. This work aims to analyze how health and occupational vocal conservation actions are being implemented. This is an integrative literature review, whose survey was carried out from June to October 2020, in the Capes Periódicos platform, using the descriptors "worker's health" and voice. After applying the defined exclusion and inclusion criteria and subtraction of repeated publications, a total of 16 articles were selected. The teacher's voice has been a priority object in Brazilian speech therapy research in recent years. The results presented show the importance of health promotion actions that aim at the well-being of workers as a whole, in an integral and multidisciplinary way. Occupational vocal health and conservation actions encompass activities related to vocal health surveillance and risk conditions for the development of voice disorders, vocal health education, direct vocal interventions, voice assessment, laryngological assessment, referrals and assessment of workers' perception of the proposed actions.

Evaluation of ethical standards in a large sample of Italian white-collar workers: A pilot study

Introduction: In recent years many tools have been developed for the objective assessment of the impact of ethics in the occupational world; in the Italian context, many different methods have been used to assess ethical values in the occupational context, which presents difficulties for the occupational physician in the interpretation of the results. To standardize the evaluation of ethical standards in the workplace, the short version of a questionnaire based on the Corporate Ethical Virtues Model, which was recently validated in Italian, was used to evaluate ethical climate in a population of office workers.Methods: The questionnaire was administered to a large population of Italian office workers. Descriptive statistical analysis, as well as a logistic regression model, were performed to evaluate variables acting as predictors of ethical standards. P values < 0.05 were considered statistically significant.Results: 3706 workers were included in the study; 1710 were males (46.14%). The total score obtained on the questionnaire by the workers participating in the study ranged from 31 to 96 points, with a mean of 72.16 (SD ±11.01) points (higher values indicate better ethical standards). Job role and length of service were highlighted as statistically significant (P < 0.01) predictors of ethical standards.Conclusions: Role and Length of service are predictors of ethical standards. The questionnaire may be used to evaluate ethical climate in the workplace, allowing the harmonization of the evaluation of ethical standards performed by the occupational physician. Further studies are needed to evaluate the impact of ethical climate on workers’ wellbeing.

The Moderation Analysis of Coping Strategies in the Relationship between Anxiety and Aggression among Security Personnel

The intricate interplay between emotions and behavior among security personnel is a critical yet underexplored area, particularly given the challenges posed by recent violent incidents in the Philippines. This study delves into the relationships among anxiety, coping strategies, and aggression within this occupational context. Despite the pivotal role played by security professionals, their mental well-being often remains overlooked. This study aims to fill a research gap by investigating how coping strategies moderate the relationship between anxiety and aggression. Data were gathered from a sample of 387 security personnel using self-report measures. Correlation analyses were conducted to assess the connections between anxiety, coping strategies, and aggression. Furthermore, hierarchical multiple regression was employed to examine how coping strategies moderate the link between anxiety and aggression. Results indicate that although anxiety alone may not strongly predict aggression, the interaction with coping strategies notably impacts aggressive behavior. Particularly, problem-focused coping is linked to reduced levels of anxiety and aggression, indicating its protective function in this context. Conversely, avoidant coping exacerbates the anxiety-aggression relationship. Emotion-focused coping yields mixed results. These findings underscore the necessity of tailored interventions to support the psychological well-being of security personnel. Understanding these dynamics is imperative for enhancing the resilience and performance of security teams, ultimately contributing to safer communities. This research advocates for targeted interventions addressing anxiety and promoting effective coping strategies within security organizations.

BLACK MALES IN NON-STEM AND STEM OCCUPATIONS

While many labor market studies have examined wage inequality by race, gender, and class, the research has seldom directly considered labor market outcomes of STEM college graduates within the context of non-STEM and STEM occupations. The current study investigates the determinants of wages among Black males in STEM and non-STEM occupations compared to their White male peers. Through this investigation, it explores the feasibility of broadening Black males' participation in STEM occupations but also how they might earn higher wages and thereby close the wage gap with White male peers. The Public Use Microdata Sample (PUMS) files for the 2018 American Community Survey (ACS) were the primary data source for the current study. Following the convention in labor economics, the author used Mincer's single-equation model to explain variations in earnings as a function of select wage determinants derived from the data. Three main insights emerged from the current study. The findings suggested that opportunities do exist for employers to hire qualified Black males seeking gainful employment in STEM occupations. The findings also indicated that within the Black male group, working in a STEM occupation with a college degree in a STEM field was the best route to attain maximum wages. The third insight from the current study cannot be avoided: the noticeable gaps in wages between White and Black males. Implications of the findings for employers seeking to diversify their STEM workforce and for Black males considering employment or employed in a STEM occupation are discussed.

Community Adaptation to Heat stress − Social Network Analysis

Rising climate disasters underscore the overlooked impact of heat stress on health and productivity in densely populated Southeast Asia, particularly vulnerable coastal areas like India's. This study in the Indian Sundarbans employs surveys and social network analysis to explore heat stress effects, community adaptation, and support networks. Recognizing community significance, it views resilience as a blend of agency, wisdom, and networks. The research unveils rural adaptive behaviours, co-occurring stress responses, and network use for health solutions. These insights aim to enhance health advisories and crisis responses, fostering resilience in communities facing escalating climate challenges. The research covered 747 households from nine village segments, examining heat stress adaptation and social support networks. Social Network Analysis revealed internal and external sources of support for heat stress-induced health issues. The study employed matrices and network analysis tools to represent co-occurrence patterns of adaptation strategies and support networks. Findings highlighted collective adaptive behaviour and the role of social connections in combating climatic stress. The study outlines dual interventions to mitigate heat stress impacts: enhancing endogenous community adaptability and optimizing social-institutional networks for external support. Occupational profiling, socio-economic context, and health access can identify vulnerable groups. Perceived impacts can serve as early health crisis indicators, though not always linked to adaptive actions. Diverse adaptive activities co-occur, reflecting collective behaviour, but less central actions require attention. Medical care usage for heat stress remains minimal. Social networks lack local health providers needing community-level provisions. A comprehensive mitigation plan for identified vulnerable communities aims to bridge knowledge gaps, promote equitable healthcare access, and strengthen adaptive capacity through informed interventions.

Occupational hazards and risks among the women in fisher communities in Cox's Bazar and Chattogram, Bangladesh.

Women in the fisher communities in coastal regions of Bangladesh are engaged in a wide range of fishery activities. However, there is limited evidence available on the occupational hazards and risks experienced by them. The study was conducted among fishing colonies in Cox's Bazar and Chattogram districts in Bangladesh. This was a cross-sectional study blending qualitative and quantitative approaches. The qualitative component comprised five focus group discussions to understand the occupational context, hazards, and risks faced by the fisherwomen, informing the questionnaire design for the subsequent survey. The quantitative survey involved a sample of 207 women from fisher communities, gathering socio-demographic information, occupational hazards, risks, and health and safety practices. The study found a high occurrence of occupational hazards, health risks and limited availability of preventive measures among the women in fisher communities. Occupational hazards include physical safety hazards such as slippery surfaces and fish cutting instruments, and physical hazards like prolonged sun exposure and noise. Chemical hazards like pesticides and saltwater, ergonomic hazards such as prolonged uncomfortable posture and heavy lifting, and biological hazards including inadequate sanitation facilities were prevalent. The study also identified the potential occupational risks, and the outcomes resulting from the hazards, including injuries (87.44%), musculoskeletal conditions (69.08%), skin diseases/conditions (56.52%), eye complaints (33.82%), severe respiratory distress (24.15%) and high incidence of self-reported communicable diseases. Most women (78.26%) did not use personal protective equipment, and the majority (93.72%) lacked a workplace first aid kit. The study revealed a high prevalence of occupational hazards and health risks, including injuries and diseases, among Bangladeshi women in fisher communities with insufficient safety measures. Collaboration among government, NGOs, development partners, fisheries stakeholders, and the community is imperative for targeted training, innovative procedures, ergonomic solutions, provision of protective equipment, and advocacy to enhance the well-being of these women.

Taking the Glass Escalator Theory to School

White men have realized persistent advantages in high-status leadership positions in the workplace. Theories of gender inequality in leadership, including the “glass escalator” theory, consider only how this issue functions within occupational contexts and have yet to assess whether or how such patterns of inequality occur across institutions and may persist throughout the education-to-occupation pipeline. Using nationally representative data on U.S. high school students, the authors test for early evidence of racialized glass escalator effects by examining leadership disparities within the feminine-coded field of performing arts activities, which serve as an upstream approximation of feminized occupations. The authors find that although boys are less likely to participate in performing arts than girls, conditional on participating, they are significantly more likely to be leaders. White boys, in particular, have a strong leadership advantage compared with all other schoolmates, and especially to girls of color. The significant disadvantage girls of color face relative to White boys in attaining leadership within feminized domains in high school parallels established patterns in the occupational sphere. To the extent that early leadership experience begets future skills, opportunities, and pursuit of leadership positions, such early disadvantages may be expected to compound over the life course, influencing gendered and racialized role expectations and sorting.

Gender and cross‐boundary mobility preferences: the moderating effects of organisational and occupational contexts

The role of gender in career mobility is a major practical and scholarly concern. Drawing on boundaryless career literature and social role theory, we examined whether gender influences employees' psychological mobility, whether this influence varies depending on the nature of career boundaries (the boundaries of job, organisation and industry) and whether it is contingent on organisational or occupational characteristics. We conducted cross‐classified multilevel analyses on 3,527 Australian employees nested within 725 organisations and 43 occupations. The results suggest that females show higher mobility preferences than males when it comes to crossing industries but not changing organisations or jobs. However, their preference for crossing career boundaries is significantly reduced when their organisation has a strong presence of female leadership. We also find that in female‐dominated occupations, females show a higher cross‐organisational mobility preference than males, while in male‐dominated occupations, females show a lower cross‐organisational mobility preference.

The views, opinions and decision-making of UK-based paramedics on the use of pre-hospital 12-lead electrocardiograms in acute stroke patients: a qualitative interview study.

A qualitative exploration into the views, opinions and decision-making of paramedics involved in undertaking pre-hospital 12-lead electrocardiograms (PHECGs) for stroke patients was undertaken, in order to gain a deeper understanding of the clinical and occupational context that the paramedics work within, the acceptability of the paramedics in using PHECGs for stroke patients and the consequences and influences of their decision-making. Data were collected via semi-structured interviews and analysed using the framework method, with the underpinning theoretical framework of cognitive continuum theory. A purposive sample of 14 paramedics was recruited and interviewed. Five themes were generated from the analysis of the interviews: (1) 'time is brain': minimising delays and rapid transport to definitive care; (2) barriers and facilitators to undertaking PHECGs for stroke patients; (3) recognising and gaining cues; (4) maintaining patient dignity, self-protection and fully informed consent; and (5) education, experience and engagement with evidence. The study showed mixed views on the usefulness of PHECGs, but all participants agreed that PHECGs should not cause additional delays. Paramedic decision-making on recording PHECGs relies on intuitive and quasi-rational cognitive modes, and requires a number of clinical, logistical and ethical considerations. The findings suggest careful consideration is needed of the benefits and potential drawbacks of incorporating PHECGs into pre-hospital stroke care.

Work-related Alcohol Use

Abstract Drinking alcohol with co-workers is a common practice in many countries. However, because consumption of alcohol is socially unaccepted in several religious groups, the use of alcohol in an occupational context may be discriminatory and have negative side-effects. In annual surveys of part- and fulltime employees in Norway conducted between 2015 and 2022, we found that employees affiliated with religious minorities more often experienced social exclusion due to work-related alcohol use than non-religious employees and the religious majority. Experiencing alcohol-related social exclusion was related to more negative perceptions of the social work environment and more absence from work. Restrictive alcohol practices and policies at the workplace were associated with less social exclusion and appeared to be protective for religious minorities, without impairing the social work environment of other employees. Social exclusion of religious minorities can be reduced if employers limit or avoid serving alcohol to employees.