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Arnetz, B., Arnetz, J., Harkema, J. R., Morishita, M., Slonager, K., Sudan, S. & Jamil, H. (2020). Neighborhood air pollution and household environmental health as it relates to respiratory health and healthcare utilization among elderly persons with asthma. Journal of Asthma, 57(1), 28-39
Åpne denne publikasjonen i ny fane eller vindu >>Neighborhood air pollution and household environmental health as it relates to respiratory health and healthcare utilization among elderly persons with asthma
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2020 (engelsk)Inngår i: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303, Vol. 57, nr 1, s. 28-39Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: The study investigated the associations between fine particulate matter (PM2.5; <2.5 mu m in diameter), indoor environment, pulmonary function, and healthcare utilization in a vulnerable group of elderly persons with asthma. We hypothesized that environmental conditions were associated with adverse pulmonary health outcomes.

Methods: The study involved elderly (n = 76; mean age 64.6 years; 48 women) vulnerable persons in Detroit, Michigan, USA, with physician-diagnosed asthma. Exposure variables included measured outdoor PM2.5, self-rated outdoor and household environmental pollutants. Outcome variables were self-rated and measured pulmonary function, and asthma-related healthcare utilization.

Results: Mean ambient PM2.5 concentrations during the study was 14.14 +/- (S.D. 6.36) mu g/m(3) during the summer and 14.20 (6.33) during the winter (p = 0.95). In multiple regression analyses, adjusting for age and gender, mean 6-month concentration of PM2.5 was related to shortness of breath (SHOB; standardized beta = 0.26, p = 0.02) and inversely with self-rated respiratory health (SRRH; beta = 0.28, p = 0.02). However, PM2.5 did not predict lung function (FEV1% predicted and FEV1/FVC). However, PM2.5 was related to use of asthma controller drugs (beta = 0.38, p = 0.001). Participants' air pollution ratings predicted total healthcare utilization (beta = 0.33, p = 0.01).

Conclusions: In elderly persons with asthma, living near heavy industry and busy highways, objective and perceived environmental pollution relate to participants' respiratory health and healthcare utilization. Importantly, air pollution might increase use of asthma controller drugs containing corticosteroids with implication for elderly persons' risk to develop osteoporosis and cardiovascular disease.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2020
Emneord
Environmental exposures, pulmonary function, asthma exacerbation, asthma drug use
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-167354 (URN)10.1080/02770903.2018.1545856 (DOI)000505124800004 ()30810414 (PubMedID)
Tilgjengelig fra: 2020-01-22 Laget: 2020-01-22 Sist oppdatert: 2020-01-22bibliografisk kontrollert
Ramji, R., Nilsson, M., Arnetz, B., Wiklund, Y. & Arnetz, J. (2019). Taking a Stand: An Untapped Strategy to Reduce Waterpipe Smoking in Adolescents. Substance Use & Misuse, 54(3), 514-524
Åpne denne publikasjonen i ny fane eller vindu >>Taking a Stand: An Untapped Strategy to Reduce Waterpipe Smoking in Adolescents
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2019 (engelsk)Inngår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 54, nr 3, s. 514-524Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Waterpipe use amongst adolescents is on the rise globally. Thus, there is a need to understand adolescents 'attitudes towards and perceptions of waterpipe use in order to develop specific interventions against this form of tobacco use.

METHODS: Focus group interviews were conducted among 37 Swedish adolescents (14 boys and 23 girls) from grades 10 to 12. Waterpipe users and nonusers were interviewed separately, with two groups each for users and nonusers. Interviews were audiotaped, transcribed, and thematically analyzed using content analysis.

RESULTS: Six themes emerged including taking a stand, weighing the risks, Lack of knowledge, Social context, Waterpipe new and unknown, and Family influence. Taking a stand was about being able to stand up for one's owns views rather than giving in to peer pressure to smoke waterpipe. Participants feared harming others via secondhand smoke and expressed criticism of the tobacco industry. Participants considered the health consequences and feared addiction. Lack of knowledge concerning health effects of waterpipe smoking due to the unavailability of credible information was also reported. Waterpipe smoking was considered a social event carried out in the company of friends. Perceived as novel and fun, waterpipe was smoked out of curiosity. Parents' and siblings' smoking behaviors influenced adolescent waterpipe use.

CONCLUSION: Adolescents reported lacking information about the possible health effects of waterpipe smoking and that gaining such knowledge would make it easier for them to take a stand and refuse smoking waterpipe. Prevention strategies should focus on providing adolescents with factual information about the dangers of waterpipe use.

sted, utgiver, år, opplag, sider
Taylor & Francis Group, 2019
Emneord
Hookah/shisha, addiction, adolescents, attitudes, qualitative study, tobacco
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-155914 (URN)10.1080/10826084.2018.1521429 (DOI)000462920000015 ()30688142 (PubMedID)
Forskningsfinansiär
Public Health Agency of Sweden , 1059/2014-6.2
Tilgjengelig fra: 2019-01-31 Laget: 2019-01-31 Sist oppdatert: 2019-12-13bibliografisk kontrollert
Hostage, J. C., Arnetz, J., Cartin, A., Schulkin, J. & Wax, J. R. (2019). Workplace Violence in Obstetrics and Gynecology Results of a National Survey. Journal of reproductive medicine, 64(3-4), 95-103
Åpne denne publikasjonen i ny fane eller vindu >>Workplace Violence in Obstetrics and Gynecology Results of a National Survey
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2019 (engelsk)Inngår i: Journal of reproductive medicine, ISSN 0024-7758, E-ISSN 1943-3565, Vol. 64, nr 3-4, s. 95-103Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To evaluate the forms, frequency, and impact of workplace violence (WPV) affecting obstetrician-gynecologists.

STUDY DESIGN: Random sampling stratified by geographic district of the American College of Obstetricians and Gynecologists identified 5,000 members who were asked to complete a survey regarding WPV during the preceding 12 months.

RESULTS: A total of 760 (15.2%) questionnaires were returned. Physical assault was reported by 35 (4.7%) respondents, and verbal aggression was report ed by 292 (39.9%) respondents. Females were significantly more likely to experience verbal aggression than were males (OR 2.51; 95% CI 1.77-3.57). The most common reaction to experiencing workplace violence was anger (57.2%), followed by feeling anxious (38.2%), fearful (20.4%), or helpless (17.4%). One hundred seventy-three (57.3%) respondents described enjoying work less (29.1%), considering changing practices (21.5%), less motivation (16.9%), and questioning one's professional abilities or competence (13.6%). A negative impact on patient care was reported by 39.2% of those experiencing WPV. While 72% of respondents acknowledged the WPV reporting systems, 69.9% never reported the incidents.

CONCLUSION: Many obstetrician-gynecologists experience WPV that negatively impacts provider well being and patient care. Most incidents are unreported, despite the existence of reporting systems. Education on violence prevention and clarity on legal and ethical ramifications of WPV is needed.

sted, utgiver, år, opplag, sider
St. Louis: Science Printers and Publishers, 2019
Emneord
female, gynecology, health facilities, health personnel, humans, male, obstetrics, occupational health/standards, occupational injuries, prevalence, safety management/standards, workplace, workplace violence
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-162499 (URN)000462002600004 ()
Tilgjengelig fra: 2019-08-21 Laget: 2019-08-21 Sist oppdatert: 2020-05-20bibliografisk kontrollert
Ramji, R., Arnetz, B., Nilsson, M., Wiklund, Y., Jamil, H., Maziak, W. & Arnetz, J. (2018). Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours. Scandinavian Journal of Public Health, 46(8), 867-876
Åpne denne publikasjonen i ny fane eller vindu >>Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours
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2018 (engelsk)Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, nr 8, s. 867-876Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIMS: There is a lack of studies examining the association between waterpipe smoking and mental well-being among adolescents. This study sought to determine whether waterpipe smoking is associated with mental well-being and other risk and health behaviours in adolescents.

METHODS: A questionnaire was distributed to 1006 adolescents in grades 9-12 (with a response rate of >95%), containing questions on measures of stress, mental energy and sleep. In addition, the questionnaire assessed risk and health behaviours, including use of a waterpipe, cigarettes, e-cigarettes, snus, alcohol, narcotics, gambling and exercise. Logistic regression was used to assess factors associated with waterpipe use.

RESULTS: Thirty-seven per cent ( n=371) of the participants had used a waterpipe at some point. Waterpipe use was associated with lower mental energy (odds ratio [OR] = 0.90, 95% confidence interval [CI] 0.81-0.99), higher stress (OR = 1.10, 95% CI 1.02-1.20) and use of cigarettes (OR = 3.82, 95% CI 2.33-6.03), e-cigarettes (OR = 3.26, 95% CI 2.12-4.99), snus (OR = 2.29, 95% CI 2.12-4.99), alcohol (OR = 1.92, 95% CI 1.07-3.44) and narcotics (OR = 3.64, 95% CI 1.75-7.58). Waterpipe use was not significantly associated with gambling, exercise or sleep quality.

CONCLUSIONS: Waterpipe use in adolescents is associated with worse mental well-being, as well as use of other nicotine products, alcohol and narcotics. Prospective studies are needed to delineate causal and temporal relationships further between waterpipe use and mental well-being and its relationship to other risky behaviours in order to design effective prevention programs.

sted, utgiver, år, opplag, sider
Sage Publications, 2018
Emneord
Hookah/shisha, e-cigarette, high-school students, risk behaviour, snus
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-143799 (URN)10.1177/1403494817746534 (DOI)000452310700011 ()29226800 (PubMedID)2-s2.0-85042093073 (Scopus ID)
Tilgjengelig fra: 2018-01-10 Laget: 2018-01-10 Sist oppdatert: 2019-12-13bibliografisk kontrollert
Hengstebeck, E., Roskos, S., Breejen, K., Arnetz, B. & Arnetz, J. (2017). Chronic pain disrupts ability to work by interfering with social function: a cross-sectional study. Scandinavian Journal of Pain, 17, 397-402
Åpne denne publikasjonen i ny fane eller vindu >>Chronic pain disrupts ability to work by interfering with social function: a cross-sectional study
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2017 (engelsk)Inngår i: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 17, s. 397-402Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background and aims: Some 100 million adults in the United States suffer from chronic pain. While research to date has focused primarily on pain interference with physical and psychological function and its effects on employment, few studies have examined the impact of pain interference on social functioning and its effects on employment. The aims of our study were to (1) evaluate the association between pain interference with ability to work and actual employment status among working age adults with chronic pain; and (2) evaluate pain interference with four types of functioning – cognitive, physical, psychological, and social – as possible mediators of pain interference with the ability to work.

Methods: Data were collected via a self-selected sample of individuals visiting the American Chronic Pain Association (ACPA) website. The final dataset included 966 respondents. We examined the association between pain interference with the ability to work and employment in a population with chronic pain. We then analyzed pain interference with four types of functioning, physical, psychological, cognitive, and social, for their impact on the ability to work.

Results: Pain interference with ability to work was significantly inversely associated with employment status, i.e., the less that pain interfered with one's ability to work, the greater the likelihood of being employed. Moreover, pain interference with ability to work was a stronger predictor of employment status than an individual's rating of their pain intensity. Pain interference with social functioning partially mediated the effects of pain interference with cognitive and physical functioning and fully mediated the effects of pain intensity and pain interference with psychological functioning on pain interference with the ability to work. Results suggest that pain interference with social function may be a significant contributor to pain interference with ability to work in working age adults with chronic pain.

Conclusions: In the development of effective solutions to address the economic and societal burden of chronic pain, this paper highlights the role of social function as an important, yet frequently overlooked, contributor to chronic pain's effect on the ability to work. Our findings underscore the importance of an integrated biopsychosocial approach to managing chronic pain, especially when addressing ability to work. From a clinical standpoint, assessing and managing pain intensity is necessary but not sufficient in addressing the far-reaching negative consequences of chronic pain.

Implications: The development of interventions that improve social function may improve the ability to work in adults with chronic pain. Likewise, sick leave should be prescribed restrictively in the management of chronic pain since it may further interfere with social functioning.

Perspective: This study highlights the importance of the assessment of pain interference with social function as a part of a comprehensive biopsychosocial approach to the evaluation and management of patients with chronic pain. Interventions that improve social function may improve the ability to work in this population. In addition, sick leave should be prescribed restrictively in the management of chronic pain since it by itself interferes with social functioning.

sted, utgiver, år, opplag, sider
Elsevier, 2017
Emneord
chronic pain, pain interference, social function, work, employment
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-144429 (URN)10.1016/j.sjpain.2017.09.021 (DOI)000419851500067 ()29107616 (PubMedID)
Tilgjengelig fra: 2018-02-05 Laget: 2018-02-05 Sist oppdatert: 2019-12-13bibliografisk kontrollert
Arnetz, B. B., Lewalski, P., Arnetz, J., Breejen, K. & Przyklenk, K. (2017). Examining self-reported and biological stress and near misses among Emergency Medicine residents: a single-centre cross-sectional assessment in the USA. BMJ Open, 7(8), Article ID e016479.
Åpne denne publikasjonen i ny fane eller vindu >>Examining self-reported and biological stress and near misses among Emergency Medicine residents: a single-centre cross-sectional assessment in the USA
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2017 (engelsk)Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, nr 8, artikkel-id e016479Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: To examine the relationship between perceived and biological stress and near misses among Emergency Medicine residents.

Design: Self-rated stress and stress biomarkers were assessed in residents in Emergency Medicine before and after a day shift. The supervising physicians and residents reported numbers of near misses.

Setting: The study took place in the Emergency Department of a large trauma 1 centre, located in Detroit, USA. Participants Residents in Emergency Medicine volunteered to participate. The sample consisted of 32 residents, with complete data on 28 subjects. Residents' supervising physicians assessed the clinical performance of each resident.

Primary and secondary outcome measures: Participants' preshift and postshift stress, biological stress (salivary cortisol, plasma interleukin-6, tumour necrosis factor-alpha (TNF-alpha) and high-sensitivity C-reactive protein), residents' and supervisors' reports of near misses, number of critically ill and patients with trauma seen during the shift.

Results: Residents' self-reported stress increased from an average preshift level of 2.79 of 10 (SD 1.81) to a postshift level of 5.82 (2.13) (p<0.001). Residents cared for an average of 2.32 (1.52) critically ill patients and 0.68 (1.06) patients with trauma. Residents reported a total of 7 near misses, compared with 11 reported by the supervising physicians. After controlling for baseline work-related exhaustion, residents that cared for more patients with trauma and had higher levels of TNF-a reported a higher frequency of near misses (R-2=0.72; p=0.001). Residents' preshift ratings of how stressful they expected the shift to be were related to the supervising physicians' ratings of residents' near misses during the shift.

Conclusion: Residents' own ratings of near misses were associated with residents' TNF-alpha, a biomarker of systemic inflammation and the number of patients with trauma seen during the shift. In contrast, supervisor reports on residents' near misses were related only to the residents' preshift expectations of how stressful the shift would be.

sted, utgiver, år, opplag, sider
BMJ Publishing Group Ltd, 2017
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-141492 (URN)10.1136/bmjopen-2017-016479 (DOI)000411802700163 ()28814584 (PubMedID)
Tilgjengelig fra: 2017-11-15 Laget: 2017-11-15 Sist oppdatert: 2019-12-13bibliografisk kontrollert
Hamblin, L. E., Essenmacher, L., Luborsky, M., Russell, J., Janisse, J., Upfal, M. & Arnetz, J. (2017). Worksite Walkthrough Intervention Data-driven Prevention of Workplace Violence on Hospital Units. Journal of Occupational and Environmental Medicine, 59(9), 875-884
Åpne denne publikasjonen i ny fane eller vindu >>Worksite Walkthrough Intervention Data-driven Prevention of Workplace Violence on Hospital Units
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2017 (engelsk)Inngår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 9, s. 875-884Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: The aim of this study was to describe the implementation of a data-driven, unit-based walkthrough intervention shown to be effective in reducing the risk of workplace violence in hospitals. Methods: A structured worksite walkthrough was conducted on 21 hospital units. Unit-level workplace violence data were reviewed and a checklist of possible prevention strategies and an Action Plan form guided development of unit-specific intervention. Unit supervisor perceptions of the walkthrough and implemented prevention strategies were reported via questionnaires. Prevention strategies were categorized as environmental, behavioral, or administrative. Results: A majority of units implemented strategies within 12 months' postintervention. Participants found the walkthrough useful, practical, and worthy of continued use. Conclusions: Structured worksite walkthroughs provide a feasible method for workplace violence reduction in hospitals. Core elements are standardized yet flexible, promoting fidelity and transferability of this intervention.

sted, utgiver, år, opplag, sider
LIPPINCOTT WILLIAMS & WILKINS, 2017
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-142871 (URN)10.1097/JOM.0000000000001081 (DOI)000412537000008 ()28692010 (PubMedID)
Tilgjengelig fra: 2017-12-13 Laget: 2017-12-13 Sist oppdatert: 2019-05-16bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-0471-8701