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Lögdal, N., Svensson, S., Jackson, J., Mathiassen, S. E., Bergström, G. & Hallman, D. (2025). Do job demands and resources differ between permanent and temporary eldercare workers in Sweden?. Annals of Work Exposures and Health, 69(1), 71-80
Open this publication in new window or tab >>Do job demands and resources differ between permanent and temporary eldercare workers in Sweden?
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2025 (English)In: Annals of Work Exposures and Health, ISSN 2398-7308 , E-ISSN 2398-7316 , Vol. 69, no 1, p. 71-80Article in journal (Refereed) Published
Abstract [en]

Introduction. Eldercare organizations face high sickness absence rates and staff turnover and rely heavily on temporary workers to fill staffing gaps. Temporary workers may experience differences in job demands and resources compared to permanent workers, but this has been largely understudied.

Aim. To compare perceived job demands and resources between permanent and temporary Swedish eldercare workers.

Methods. Permanent and temporary eldercare workers in a Swedish municipality were invited to answer a digital survey on work environment conditions. Differences between permanent and temporary workers in job demands and resources were analyzed using multivariate analysis of variance adjusted for age, sex, place of birth, and percent of full-time work and univariate analyses were conducted to consider differences in specific factors.

Results. 1076 permanent and 675 temporary workers received the survey and the final study sample included 451 permanent and 151 temporary workers. Multivariate analyses revealed that temporary workers reported statistically significant lower job demands compared to permanent workers, but no statistically significant differences in resources were found between the groups. Univariate analyses showed that temporary workers reported lower quantitative demands, perceived exertion, and time spent bending forward, than permanent workers. These data suggest comparable support across groups, but a higher workload among permanent workers.

Conclusion. Our findings indicate that temporary workers experienced lower job demands than permanent workers, but that no notable difference was found in resources. Interventions aimed at distributing job demands more evenly among eldercare workers with different employment forms may be necessary.

Place, publisher, year, edition, pages
Oxford Academic, 2025
Keywords
Work environment conditions, Physical, Psychosocial, Workload, Support, Influence, Employment form, Zero-Hours contract
National Category
Health Sciences
Research subject
Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-45623 (URN)10.1093/annweh/wxae077 (DOI)001335629200001 ()39425749 (PubMedID)2-s2.0-85214494658 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01257
Available from: 2024-09-16 Created: 2024-09-16 Last updated: 2025-01-20Bibliographically approved
Lewis, C., Jackson, J., Stjernbrandt, A., Andersson, G., Mukka, S., Wahlström, J. & Liv, P. (2025). Occupational risk factors for thumb carpometacarpal joint osteoarthritis: a register-based study of construction workers. Occupational and Environmental Medicine, 82(1), 14-20
Open this publication in new window or tab >>Occupational risk factors for thumb carpometacarpal joint osteoarthritis: a register-based study of construction workers
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2025 (English)In: Occupational and Environmental Medicine, ISSN 1351-0711, E-ISSN 1470-7926, Vol. 82, no 1, p. 14-20Article in journal (Refereed) Published
Abstract [en]

Objectives The study investigated the association between occupational biomechanical risk factors and the occurrence of thumb carpometacarpal joint osteoarthritis (CMC1 OA) in construction workers.

Methods Male construction workers (n=237 525), participating in a Swedish occupational surveillance programme between 1971 and 1993, were followed between 1997 and 2019. CMC1 OA diagnoses were identified through linkage with national medical registries. Job title, smoking status, height, weight and age were collected from the surveillance programme. A job exposure matrix (JEM) was developed with exposure estimates on biomechanical risk factors for each occupational group. Relative risk (RR) of CMC1 OA diagnosis was calculated using a Poisson regression model.

Results There was an increased risk of CMC1 OA for all biomechanical risk factors (RR range 1.3–1.5). Exposure-response patterns were seen for repetitive wrist flexion and extension (low: RR 1.30 (95% CI 1.07 to 1.59), moderate: 1.32 (95% CI 1.07 to 1.62), high: 1.45 (95% CI 1.19 to 1.75)), wrist extension (low: 1.31 (95% CI 1.09 to 1.59), moderate: 1.41 (95% CI 1.17 to 1.70) and heavy lifting (low: 1.13 (95% CI 0.92 to 1.38), moderate: 1.45 (95% CI 1.18 to 1.77), high: 1.50 (95% CI 1.24 to 1.82). Electricians (1.29 (95% CI 1.03 to 1.89)), concrete workers (1.31 (95% CI 1.02 to 1.67)), plumbers (1.37 (95% CI 1.07 to 1.76)), sheet-metal workers (1.58 (95% CI 1.18 to 2.10)), wood workers (1.66 (95% CI 1.36 to 2.03)), repairers (1.75 (95% CI 1.06 to 2.90)) and glass workers (2.21 (95% CI 1.42 to 3.44) had an increased risk of CMC1 OA compared with the reference group.

Conclusion Wrist movements and hand loading were associated with CMC1 OA.

Place, publisher, year, edition, pages
BMJ, 2025
Keywords
Occupational Health, Vibration, Ergonomics, Osteoarthritis, Workload
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-46499 (URN)10.1136/oemed-2024-109949 (DOI)001413259000001 ()39904624 (PubMedID)2-s2.0-85217691992 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-01016
Available from: 2025-02-07 Created: 2025-02-07 Last updated: 2025-03-05Bibliographically approved
Januario, L., Mathiassen, S. E., Bergström, G. & Jackson, J. (2024). Did the COVID-19 pandemic influence inequality in self-reported work environment conditions based on gender and place of birth? A study of a Swedish commercial laundromat. Applied Ergonomics, 114, Article ID 104113.
Open this publication in new window or tab >>Did the COVID-19 pandemic influence inequality in self-reported work environment conditions based on gender and place of birth? A study of a Swedish commercial laundromat
2024 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 114, article id 104113Article in journal (Refereed) Published
Abstract [en]

We evaluated differences in work environment conditions and health by gender and place of birth in a commercial laundromat prior to (baseline) and at the end of the first wave of the COVID-19 pandemic (follow-up). Using survey data, including dimensions from the Copenhagen Psychosocial Questionnaire, from forty-one workers, we assessed work environment conditions and health at baseline, follow-up and in change scores between baseline and follow-up. At baseline, men and women reported similar scores, while foreign-born (FB) workers reported better work environment conditions than Swedish-born (SB) workers. During the pandemic, conditions generally declined for all workers, but FB reported smaller declines than SB. A consistent inequality hierarchy across the 4 groups was not clear at baseline, follow-up or in change scores between time points. The study suggests potential cultural differences may exist in how work environment conditions are experienced. This should be considered in future studies and when managing future crises

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
hospital laundry service; SARS-CoV-2; psychosocial factors
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-41113 (URN)10.1016/j.apergo.2023.104113 (DOI)001060029800001 ()37611535 (PubMedID)2-s2.0-85168417633 (Scopus ID)
Funder
AFA Insurance, 200243
Available from: 2023-02-22 Created: 2023-02-22 Last updated: 2024-05-08Bibliographically approved
Gerger, H., Macri, E. M., Jackson, J., Elbers, R. G., van Rijn, R. M., Søgaard, K., . . . Chiarotto, A. (2024). Physical and psychosocial work-related exposures and the incidence of carpal tunnel syndrome: A systematic review of prospective studies. Scandinavian Journal of Work, Environment and Health, 117, Article ID 104211.
Open this publication in new window or tab >>Physical and psychosocial work-related exposures and the incidence of carpal tunnel syndrome: A systematic review of prospective studies
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2024 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 117, article id 104211Article, review/survey (Refereed) Published
Abstract [en]

This systematic review summarizes the evidence on associations between physical and psychosocial work-related exposures and the development of carpal tunnel syndrome (CTS). Relevant databases were searched up to January 2020 for cohort studies reporting associations between work-related physical or psychosocial risk factors and the incidence of CTS. Two independent reviewers selected eligible studies, extracted relevant data, and assessed risk of bias (RoB). We identified fourteen articles for inclusion which reported data from nine cohort studies. Eight reported associations between physical exposure and the incidence of CTS and five reported associations between psychosocial exposures and the incidence of CTS. Quality items were generally rated as unclear or low RoB. Work-related physical exposure factors including high levels of repetition, velocity, and a combination of multiple physical exposures were associated with an increased risk of developing CTS. No other consistent associations were observed for physical or psychosocial exposures at work and CTS incidence.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Occupational medicine, Cohort studies, CTS
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40596 (URN)10.1016/j.apergo.2023.104211 (DOI)001155094500001 ()38199092 (PubMedID)2-s2.0-85181771386 (Scopus ID)
Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2024-02-22Bibliographically approved
Versloot, A., Jackson, J., van Rijn, R. M., Elbers, R. G., Søgaard, K., Macri, E. M., . . . Gerger, H. (2024). Physical and psychosocial work-related exposures and the occurrence of disorders of the shoulder: A systematic review update. Applied Ergonomics, 118, Article ID 104277.
Open this publication in new window or tab >>Physical and psychosocial work-related exposures and the occurrence of disorders of the shoulder: A systematic review update
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2024 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 118, article id 104277Article, review/survey (Refereed) Published
Abstract [en]

This review is an update of a previous systematic review and assesses the evidence for the association of work-related physical and psychosocial risk factors and specific disorders of the shoulders. Medline, Embase, Web of Science Core Collection, Cochrane Central and PsycINFO were searched and study eligibility and risk of bias assessment was performed by two independent reviewers. A total of 14 new articles were added with the majority focusing on rotator cuff syndrome (RCS) with seven studies. Nine articles reported psychosocial exposures in addition to physical exposures. The strongest evidence was found for the association between elevation, repetition, force and vibration and the occurrence of SIS and tendinosis/tendonitis. Evidence also suggests that psychosocial exposures are associated with the occurrence of RCS and tendinosis/tendonitis. Other findings were inconsistent which prevents drawing strong conclusions.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Shoulder disordersWork-related risk factorsPsychosocial risk-factors
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-42804 (URN)10.1016/j.apergo.2024.104277 (DOI)001224717300001 ()38579494 (PubMedID)2-s2.0-85189516934 (Scopus ID)
Available from: 2023-08-08 Created: 2023-08-08 Last updated: 2024-06-03Bibliographically approved
Jackson, J., Mathiassen, S. E., Rydström, K. & Johansson, K. (2024). Protocol for an observational study of working conditions and musculoskeletal health in Swedish online retail warehousing from the perspective of sex/gender and place of birth. PLOS ONE, 19(2), Article ID e0297569.
Open this publication in new window or tab >>Protocol for an observational study of working conditions and musculoskeletal health in Swedish online retail warehousing from the perspective of sex/gender and place of birth
2024 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 19, no 2, article id e0297569Article in journal (Refereed) Published
Abstract [en]

European and International sustainable development agendas aim to reduce inequalities in working conditions and work-related health, yet disparate occupational health outcomes are evident between both men and women and domestic- and foreign-born workers. In Sweden, major growth in online retail warehousing has increased occupational opportunities for foreign-born workers. The rapid change has left research lagging on working conditions, i.e., employment conditions, facility design, work organisation, physical and psychosocial work environment conditions, and their effects on worker health. Further, no known studies have considered patterns of inequality related to these factors. The overall aim of this study is to describe working conditions and musculoskeletal health in online retail warehousing, determine the extent to which differences exist related to sex/gender and place of birth (as a proxy for race/ethnicity), and examine factors at the organisational and individual levels to understand why any differences exist.

Three online retail warehouses, each employing 50-150 operations workers performing receiving, order picking, order packing and dispatching tasks will be recruited. Warehouses will, to the extent possible, differ in their extent of digital technology use. Employment conditions, facility design (including digital tool use), work organisation, physical and psychosocial work environment conditions and worker health will be assessed by survey, interview and technical measurements. Analysis of quantitative data stratified by sex and place of birth will consider the extent to which inequalities exist. Focus group interviews with operations employees and in-depth interviews with managers, union and health and safety representatives will be conducted to assess how employee working conditions and musculoskeletal health are related to inequality regimes of sex/gender and/or race/ethnicity in organisational processes and practices in online retail warehousing. The study is pre-registered with the Open Science Framework.

This study will describe working conditions and health in online retail warehouse workers and consider the extent to which patterns of inequality exist based on sex/gender and place of birth.

Place, publisher, year, edition, pages
PLOS, 2024
Keywords
inequality, heart rate variability, posture, physical activity profiles, race, ethnicity, work task, psychosocial, COPSOQ, intersectionality
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-41047 (URN)10.1371/journal.pone.0297569 (DOI)001174439300142 ()38394162 (PubMedID)2-s2.0-85185862397 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01051
Available from: 2023-02-08 Created: 2023-02-08 Last updated: 2024-05-08Bibliographically approved
Rydström, K., Jackson, J., Johansson, K. & Mathiassen, S. E. (2023). A systematic review of work organization, work environment and employment conditions in warehousing in relation to gender and race/ethnicity. Annals of Work Exposures and Health, 67(4), 430-447
Open this publication in new window or tab >>A systematic review of work organization, work environment and employment conditions in warehousing in relation to gender and race/ethnicity
2023 (English)In: Annals of Work Exposures and Health, ISSN 2398-7308 , E-ISSN 2398-7316 , Vol. 67, no 4, p. 430-447Article, review/survey (Refereed) Published
Abstract [en]

Objectives. Studies in the goods supply chain in areas outside of warehousing show evidence of gender and racial/ethnic inequalities in working conditions (i.e., in work organization, work environment and employment conditions). This review aimed to identify, summarize, and discuss research focused on inequality in warehousing and its effects on warehouse working conditions. In the review, racial/ethnic inequality includes inequality related to country of birth and (im)migration status.

Methods. We performed a systematic search in the Scopus and Web of Science databases to identify warehouse studies that addressed working conditions and (in)equality at a workplace level. Screening of records was performed using the Rayyan systematic review tool. Risk of bias was assessed according to established methods and checklists. 

Results. Database searches yielded 4910 articles. After title-abstract-keyword and full-text screenings, 21articles were included. Results showed inequality based on gender and race/ethnicity in both work organization (different tasks were performed by different groups of employees), work environment conditions (physical and psychosocial aspects differed) and employment conditions (disparate employment types and incomes between groups of employees). Health differences, as a possible result of unequal working conditions, were evident between different racial/ethnic groups of employees. A hierarchy that included both gender and race/ethnicity was found, with (im)migrant and racialized women positioned at the bottom.

Conclusions. We found evidence that gender and race/ethnicity influenced work organization, work environment conditions, and employment conditions. Evidence was found for an intersection between gender and race/ethnicity. To improve working conditions, and subsequently occupational health, we encourage researchers to simultaneously consider gender and race/ethnicity factors at work, and to consider both why inequality is present and how it impacts working conditions in future studies of warehousing, particularly in online retailing.

Place, publisher, year, edition, pages
Oxford Academic, 2023
Keywords
Distribution center; fulfillment center; occupational health; inequality regimes; working conditions
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work; Intelligent Industry
Identifiers
urn:nbn:se:hig:diva-38233 (URN)10.1093/annweh/wxac098 (DOI)000919276800001 ()36715660 (PubMedID)2-s2.0-85160681304 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01051
Available from: 2022-03-23 Created: 2022-03-23 Last updated: 2023-06-12Bibliographically approved
Jackson, J., Sund, M., Barlari Lobos, G., Melin, L. & Mathiassen, S. E. (2023). Assessing the efficacy of a job rotation for improving occupational physical and psychosocial work environment, musculoskeletal health, social equality, production quality, and resilience at a commercial laundromat: Protocol for a longitudinal case study. BMJ Open, 13(5), Article ID e067633.
Open this publication in new window or tab >>Assessing the efficacy of a job rotation for improving occupational physical and psychosocial work environment, musculoskeletal health, social equality, production quality, and resilience at a commercial laundromat: Protocol for a longitudinal case study
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 5, article id e067633Article in journal (Refereed) Published
Abstract [en]

Introduction: Job rotation is a work organization strategy used to reduce work‐related exposures and musculoskeletal complaints, yet evidence for the efficacy of the approach is weak. Mismatch between job rotation and company needs, lack of full implementation, lack of exposure variation in included tasks, and failure to assess variation may underlie inconclusive research findings to date. The study aims to develop a job rotation with company stakeholders, perform a process evaluation of the implementation, and determine the extent to which the intervention improves the physical and psychosocial work environment, indicators of health, gender and social equality among workers, and production quality and resilience.

Methods and analysis: Approximately 60 production workers at a Swedish commercial laundromat will be recruited. Physical and psychosocial work environment conditions, health, productivity and gender and social equality will be assessed pre‐ and post‐ intervention using surveys, accelerometers, heart rate, electromyography and focus groups. A task‐based exposure matrix will be constructed, and exposure variation estimated at the level of the individual worker pre‐ and post‐ intervention. An implementation process evaluation will be conducted. Job rotation efficacy will be assessed in terms of improvement in work environment conditions, health, gender and social inequality, and production quality and resilience. This study will provide novel information on the effects of the job rotation on physical and psychosocial work environment conditions, production quality and rate, health, and gender and social inequality among blue‐collar workers in a highly multicultural workplace.

Ethics and dissemination: The study received approval from the Swedish Ethical Review Authority. Results of the project will be shared directly with the employees, managers and union representatives from the participating company, other relevant labour market stakeholders, and with researchers at national and international conferences and via scientific publication.

Trial registration: The study is pre‐registered with the Open Science Framework (https://osf.io/zmdc8/).

Place, publisher, year, edition, pages
BMJ, 2023
Keywords
repetitive work, variation, work task organization, work rotation, job rotation, musculoskeletal health, intervention, implementation, co‐creation, co‐created program logic, process and outcome evaluation
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work; Intelligent Industry
Identifiers
urn:nbn:se:hig:diva-38429 (URN)10.1136/bmjopen-2022-067633 (DOI)001001500800007 ()37173106 (PubMedID)2-s2.0-85159738922 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-01761
Available from: 2022-04-20 Created: 2022-04-20 Last updated: 2023-08-28Bibliographically approved
Gerger, H., Søgaard, K., Macri, E., Jackson, J., Elbers, R. G., vanRijn, R., . . . Burdorf, A. (2023). Exposure to hand-arm vibrations in the workplace and the occurrence of hand-arm vibration syndrome, Dupuytren’s disease, and hypothenar hammer syndrome. A systematic review and meta-analysis. Journal of Occupational and Environmental Hygiene, 20(7), 257-267
Open this publication in new window or tab >>Exposure to hand-arm vibrations in the workplace and the occurrence of hand-arm vibration syndrome, Dupuytren’s disease, and hypothenar hammer syndrome. A systematic review and meta-analysis
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2023 (English)In: Journal of Occupational and Environmental Hygiene, ISSN 1545-9624, E-ISSN 1545-9632, Vol. 20, no 7, p. 257-267Article, review/survey (Refereed) Published
Abstract [en]

This study provides an overview on the relationships between exposure to work-related, hand-arm vibration and the occurrence of pre-defined disorders of the hands. We searched Medline, Embase, Web of Science, Cochrane Central, and PsycINFO for cross-sectional and longitudinal studies on the association between work-related vibration exposure and the occurrence of hand-arm vibration syndrome (including vibration-induced white finger), Dupuytren’s contracture, or hypothenar hammer syndrome. We used a 16-item checklist for assessing risk of bias. We present results narratively, and we conducted random effects meta-analyses if possible. We included 10 studies with more than 24,381 participants. Our results showed statistically significant associations between the exposure to hand-arm vibrations and the occurrence of the selected disorders, with pooled odds ratios ranging between 1.35 (95% CI: 1.28 to 2.80) and 3.43 (95% CI: 2.10 to 5.59). Considerable between-study hetereogeneity was observed. Our analyses show that exposure to vibrating tools at work is associated with an increased risk for the occurrence of selected disorders of the hands. Due to the majority of studies being cross-sectional, no firm conclusion is possible regarding causal relationships between vibration exposure and disorder occurrence. Future research should specifically address whether reducing the exposure to hand-held vibrating tools at work reduces the incidence of the disorders of the hands investigated in this systematic review.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Hand-arm vibration, Meta-analysis, Musculoskeletal disorders, Systematic medicine
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-38432 (URN)10.1080/15459624.2023.2197634 (DOI)000985320300001 ()37000463 (PubMedID)2-s2.0-85159055442 (Scopus ID)
Available from: 2022-04-20 Created: 2022-04-20 Last updated: 2023-08-16Bibliographically approved
Rydström, K., Johansson, K., Sardello, T., Jackson, J. & Mathiassen, S. E. (2023). Force of Nature or Force of the Market? On precarity in online retail warehousing. Work, Employment and Society
Open this publication in new window or tab >>Force of Nature or Force of the Market? On precarity in online retail warehousing
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2023 (English)In: Work, Employment and Society, ISSN 0950-0170, E-ISSN 1469-8722Article in journal (Refereed) Submitted
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-43502 (URN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01051
Available from: 2023-12-29 Created: 2023-12-29 Last updated: 2024-05-08Bibliographically approved
Projects
Effekter av en extern kris på arbetsmiljö, hälsa och jämlikhet bland svensk och utlandsfödd arbetskraft: en fallstudie på ett tvätteri [200243]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2939-0236

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