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  • 1. Carel, RH
    et al.
    Boffetta, P-A
    Kauppinen, TN
    Teschke, K
    Andersen, A
    Jäppinen, P
    Pearce, N
    Andreassen Rix, B
    Bergeret, A
    Coggon, D
    Persson, Bodil
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Occupational and Environmental Medicine. Östergötlands Läns Landsting, Pain and Occupational Centre, Occupational and Environmental Medicine Centre.
    Szadkowska-Stanczyk, I
    Kielkowski, D
    Henneberger, P
    Kishi, R
    Facchini, LA
    Sala, M
    Colin, D
    Krogevinas, M
    Exposure to asbestos and lung and pleural cancer mortality among pulp and paper industry workers2002In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 44, no 6, p. 579-584Article in journal (Refereed)
    Abstract [en]

    We studied the mortality from lung and pleural cancers in a cohort of 62, 937 male workers employed for at least 1 year in the pulp and paper industry in 13 countries during 1945 to 1996. Mill departments were classified according to probability and level of exposure to asbestos on the basis of available dust measurements and mill-specific information on exposure circumstances. Thirty-six percent of workers were classified as ever exposed to asbestos. Standardized mortality ratios of lung cancer were 0.99 (95 % confidence interval [CI], 0.90 to 1.08) among unexposed and 1.00 (95 % CI, 0.90 to 1.11) among ever exposed workers. The number of pleural cancer deaths among unexposed workers was 10, that among exposed workers was 14, most of which occurred among maintenance workers. In internal analyses, a trend in mortality from either neoplasm was suggested for estimated cumulative exposure to asbestos, weighted for the individual probability of exposure within the department and for duration of exposure (relative risk for lung cancer for 0.78+ f/cc-years, as compared with = 0.01 f/cc-years: 1.44, 95 % CI, 0.85 to 2.45, corresponding relative risk for pleural cancer: 2.43, 95% CI, 0.43 to 13.63). Despite a possible nondifferential misclassification of exposure and outcome, this study suggests that the carcinogenic effect of asbestos can be detected among workers employed in industries such as the pulp and paper industry, in which it is not considered to be a major hazard.

  • 2.
    Holmgren, Kristina
    et al.
    Sahlgrenska Academy, University of Gothenburg, Sweden.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hensing, Gunnel
    Sahlgrenska Academy, University of Gothenburg, Sweden.
    Dellve, Lotta
    KTH, Royal Institute of Technology, Stockholm, Sweden .
    The Combination of Work Organizational Climate and Individual Work Commitment Predicts Return to Work in Women But Not in Men2013In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 55, no 2, p. 121-127Article in journal (Refereed)
    Abstract [en]

    Objective: To analyze if the combination of organizational climate and work commitment can predict return to work (RTW). Methods: This prospective Swedish study was based on 2285 participants, 19 to 64 years old, consecutively selected from the employed population, newly sick-listed for more than 14 days. Data were collected in 2008 through postal questionnaire and from register data. Results: Among women, the combination of good organizational climate and fair work commitment predicted an early RTW with an adjusted relative risk of 2.05 (1.32 to 3.18). Among men, none of the adjusted variables or combinations of variables was found significantly to predict RTW. Conclusions: This study demonstrated the importance of integrative effects of organizational climate and individual work commitment on RTW among women. These factors did not predict RTW in men. More research is needed to understand the RTW process among men.

  • 3.
    Hultin, Hanna
    et al.
    Karolinska Institute.
    Moller, Jette
    Karolinska Institute.
    Alexanderson, Kristina
    Karolinska Institute.
    Johansson, Gun
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Lindholm, Christina
    Karolinska Institute.
    Lundberg, Ingvar
    Uppsala University.
    Hallqvist, Johan
    Karolinska Institute.
    Low Workload as a Trigger of Sick Leave Results From a Swedish Case-Crossover Study2012In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 54, no 2, p. 202-209Article in journal (Refereed)
    Abstract [en]

    Objectives: To investigate if exposure to an unusually low workload when ill can trigger taking sick leave. Methods: A case-crossover design was applied to 546 sick-leave spells obtained from a cohort of 1430 employees within six Swedish workplaces. New sick-leave spells were reported from the workplaces during 3 to 12 months follow-up. Exposure was assessed in structured participant interviews at sick leave. Case and control periods from the same individual were sampled according to the matched-pair and usual-frequency approaches. Results are presented as odds ratios with surrounding 95% confidence intervals. Results: The odds ratio of sick leave on a day with an unusually low workload was 2.57 (confidence interval, 1.07-6.16). Conclusions: Becoming ill on a day with a lower workload than usual can trigger the decision to take sick leave.

  • 4.
    Lundqvist, Daniel
    et al.
    Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Reineholm, Cathrine
    Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Gustavsson, Maria
    Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Investigating Work Conditions and Burnout at Three Hierarchical Levels2013In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 55, no 10, p. 1157-1163Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the differences in work conditions and symptoms of burnout, and the association between work conditions and symptoms of burnout at the three hierarchical levels: subordinates, first-line managers and middle managers.

    Methods: Analyses were based on questionnaire data from 4096 employees in nine organizations, containing three hierarchical levels: subordinates (n=3659), first-line managers (n=345), and middle managers (n=92).

    Results: Work conditions were found to differ between the three hierarchical levels, mostly between subordinates and managers. Managers experienced fewer symptoms of burnout than subordinates. Furthermore, the association between work conditions and burnout differed for subordinates, first-line managers and middle managers.

    Conclusions: Occupational health research needs to focus more on differences between hierarchical levels regarding work conditions and burnout.

  • 5.
    Morales-Suarez-Varela, M.M.
    et al.
    Morales-Suárez-Varela, M.M., Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Spain, Unit of Clinical Epidemiology, Dr Peset University Hospital, Valencia, Spain, Molecular and Nutritional Epidemiology Unit, CSPO, Scientific Institute of Tuscany, Florence, Italy, Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Avda. Vicente Andres Estelles s/n, 46100 Burjasot, Valencia, Spain.
    Olsen, J.
    Danish Epidemiology Science Centre, University of Aarhus, Denmark.
    Johansen, P.
    Institute of Pathology, Aalborg Hospital, Reberbansgade, Aalborg, Denmark.
    Kaerlev, L.
    Kaerlev, L..
    Guenel, P.
    Guénel, P., INSERM Unité 170, Villejuif, France.
    Arveux, P.
    Registre des Cancers du Doubs, France.
    Wingren, Gun
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine .
    Hardell, L.
    Department of Oncology, University Hospital, Orebro, Sweden.
    Ahrens, W.
    Bremen Institute for Prevention Research and Social Medicine, Division of Biometry and Data Processing, Bremen, Germany.
    Stang, A.
    Bremen Institute for Prevention Research and Social Medicine, Division of Biometry and Data Processing, Bremen, Germany.
    Llopis, A.
    Llopis, A..
    Merletti, F.
    Institute for Medical Informatics, Biometry and Epidemiology University Clinic Essen, Germany.
    Guillen-Grima, F.
    Unit of Cancer Epidemiology, CERMS Centre for Oncologic Prevention, University of Turin, Italy.
    Masala, G.
    Department of Health Sciences, Public University of Navarre, Spain.
    Occupational sun exposure and mycosis fungoides: A european multicenter caseg-control study2006In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 48, no 4, p. 390-393Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: We sought to study the association between occupational sun exposure and mycosis fungoides (MF), a peripheral T-cell lymphoma. SUBJECTS and METHODS: A European multicenter case-control study including seven rare cases (one being MF) was conducted between 1995 and 1997. From the 118 accepted cases, 104 were interviewed, of which 76 were definite cases. Population controls were selected randomly from the regions of case ascertainment. Information based on occupational experiences was coded according to industry types. A job exposure matrix was created according to the expected exposure to sunlight. RESULTS: Once exposures to aromatic halogenated hydrocarbons were eliminated (odds ratio = 2.3, 95% confidence interval = 0.9-6.2), a high MF risk was associated with exposures to solar radiation. CONCLUSION: It would appear that workers exposed to sunlight have a higher risk of MF. However, this factor is not the only one involved. Copyright © 2006 by American College of Occupational and Environmental Medicine.

  • 6. Morales-Suárez-Varela, Maria M
    et al.
    Olsen, Jorn
    Johansen, Preben
    Kaerlev, Linda
    Guénel, Pascal
    Arveux, Patrick
    Wingren, Gun
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Occupational and Environmental Medicine.
    Hardell, Lennart
    Örebro.
    Ahrens, Wolfgang
    Stang, Andreas
    Llopis, Agustin
    Merletti, Franco
    Aurrekoetxea, Juan Jose
    Masala, Giovanna
    Occupational risk factors for mycosis fungoides: A European multicenter case-control study.2004In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 46, p. 205-211Article in journal (Refereed)
  • 7.
    Morales-Suárez-Varela, Maria
    et al.
    University of Valencia, Spain.
    Olsen, Jorn
    University of Southern Denmark, Odense.
    Villeneuve, Sara
    Inserm, CESP Center for research in Epidemiology and Population Health, Villejuif, France.
    Johansen, Preben
    Aalborg Hospital, Denmark.
    Kaerlev, Linda
    University of Southern Denmark, Odense.
    Llopis-González, Agustin
    University of Valencia, Spain.
    Wingren, Gun
    Linköping University, Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine. Linköping University, Faculty of Health Sciences.
    Hardell, Lennart
    University Hospital, Örebro, Sweden.
    Ahrens, Wolfgang
    Bremen Institute for Prevention Research and Social Medicine, Germany.
    Stang, Andreas
    Institute for Medical Informatics, University Clinic Essen, Germany.
    Merletti, Franco
    University of Turin, Italy.
    Gorini, Giuseppe
    Cancer Prevention & Research Institute, Florence, Italy.
    Aurrekoetxea, Juan José
    University of the Basque Country, Spain.
    Févotte, Joëlle
    University Claude Bernard Lyon 1, France.
    Cyr, Diane
    Inserm, CESP Center for research in Epidemiology and Population Health, Villejuif, France; University Versailles–Saint-Quentin en Yvelines, France.
    Guénel, Pascal
    Inserm, CESP Center for research in Epidemiology and Population Health, Villejuif, France.
    Occupational exposure to chlorinated and petroleum solvents and Mycosis Fungoides2013In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 55, no 8, p. 924-931Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the potential association between occupational exposure to chlorinated and petroleum solvents and mycosis fungoides (MF).

    Methods: A questionnaire on lifetime job history was administered to 100 patients diagnosed with MF and 2846 controls. Odds ratios (ORs) were calculated as the measure of the association between exposure to each specific solvent and MF.

    Results: In the total sample and in men, cases and controls did not differ in relation to exposure to any of the solvents studied. In women, an association with MF was seen for the highest level of estimated exposure to perchloroethylene (OR = 11.38; 95% confidence interval: 1.04 to 124.85) and for exposure less than the median to kerosene/fuel/gasoil (OR = 8.53; 95% confidence interval: 1.11 to 65.62).

    Conclusions: These results do not provide conclusive evidence that exposure to solvents may increase risk of MF because they were not found in men.

  • 8.
    Nyqvist, Fredrik
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center.
    Helmfrid, Ingela
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center.
    Augustsson, Anna
    Linneaus University, Sweden.
    Wingren, Gun
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Increased Cancer Incidence in the Local Population Around Metal-Contaminated Glassworks Sites2017In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, no 5, p. E84-E90Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to examine mortality causes and cancer incidence in a population cohort that have resided in close proximity to highly metal-contaminated sources, characterized by contamination of, in particular, arsenic (As), cadmium (Cd), and lead (Pb). Methods: Data from Swedish registers were used to calculate standardized mortality and cancer incidence ratios. An attempt to relate cancer incidence to metal contamination levels was made. Results: Significantly elevated cancer incidences were observed for overall malignant cancers in both genders, cancer in the digestive system, including colon, rectum, and pancreas, and cancers in prostate among men. Dose-response relationships between Cd and Pb levels in soil and cancer risks were found. Conclusions: Cancer observations made, together with previous studies of metal uptake in local vegetables, may imply that exposure to local residents have occurred primarily via oral intake of locally produced foodstuffs.

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