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Background: This study aimed to investigate the effects of shift work on abdominal obesity among young and middle-aged female nurses during a 5-year retrospective study. Methods: This retrospective study included female nurses (20–39 years old) who worked at a university hospital in Korea and had available health screening results from 2010–2015. Among 2,611 employees, 934 healthy 20–39-year-old female nurses were identified, and data regarding their demographic information (age and date of employment), waist circumferences (WC), and lifestyle factors (alcohol and exercise) were obtained. Abdominal obesity was defined as a WC of ≥80 cm, based on the World Health Organization’s Asia-West Pacific standard in 2000. The mean WC change from baseline was analyzed using the paired t test, and the association between shift work and abdominal obesity was analyzed using the generalized estimating equation. Results: Compared to all day workers (both age groups), the 20–29-year-old nurses did not exhibit significant changes in WC at each follow-up. However, among the 30–39-year-old nurses, shift workers exhibited a significant change in WC (vs. baseline) during years 4 and 5, compared to day workers. After adjusting for effective confounders and stratifying the participants according to age, the 20–29-year-old nurses exhibited an odds ratio of 3.21 (95 % confidence interval: 1.29–7.98) for shift work-associated obesity, although the odds ratio for the 30–39-year-old nurses was not statistically significant. Conclusion: In the study population, shift work was associated with a significant change in mean WC among 30–39-year-old nurses, and the shift work-associated risk of abdominal obesity was significant among 20–29-year-old nurses. These results indicate that shift work may influence abdominal obesity differently in 20–29-year-old and 30–39-year-old female nurses. [ABSTRACT FROM AUTHOR]

Background: Benzene, toluene, ethylbenzene and xylene (BTEX) are emitted in the combustion or volatilization of hazardous wastes and fossil fuels. Paint, varnishing agents, and cigarette smoke are also sources of BTEX in living environments. Few studies have examined indoor exposure to BTEX using biomarkers, especially in residential settings. In this study, we evaluated the relationship between residence factors and BTEX exposure using biomarkers among Korean homemakers. Method: We obtained data on 893 non-smoking homemakers older than 19 years from the Korean National Environmental Health Survey (2009-2011). The concentrations of urinary BTEX metabolites (t,t-muconic acid, hippuric acid, mandelic acid, phenylglyoxylic acid and total methylhippuric acid) were adjusted using the urinary creatinine. Analysis of covariance (ANCOVA) and logistic regression analysis were used to evaluate the associations between residence parameters and urinary BTEX metabolites. Results: The geometric mean concentrations of t,t-muconic acid and methylhippuric acid were significantly higher in the group that had remodeled within the previous 6 months (p<0.05) compared with the no-remodeling group. In logistic regression analyses, the odds ratio for exceeding the median urinary concentration of t,t-muconic acid was significantly higher in the group that had remodeled compared with the no-remodeling group (OR=1. 591, 95% CI=1.063-2.382). Urinary methylhippuric acid was significantly associated with residing in a home located within 100 m of a major road (OR=1.399, 95% CI=1.071-1.826). Conclusion: Our study found some significant associations between urinary BTEX metabolites and residence parameters. To find clear associations, additional and more detailed studies are needed. Trial registration: Not applicable (this study does not include healthcare intervention on human participants). [ABSTRACT FROM AUTHOR]

Background: Occupational physicians (OPs) have complex relationships with employees, employers, and the general public. OPs may have simultaneous obligations towards third parties, which can lead to variable conflicts of interests. Among the various studies of ethical issues related to OPs, few have focused on the Korean OPs. The aim of the present survey was to investigate the ethical contexts, the practical resolutions, and the ethical principles for the Korean OPs. Methods: An email with a self-administered questionnaire was sent to members of the Korean Society of Occupational and Environmental Medicine, comprising 150 specialists and 130 residents. The questionnaire was also distributed to 52 specialists and 46 residents who attended the annual meeting of the Korean Association of Occupational and Environmental Clinics in October 2015, and to 240 specialists by uploading the questionnaire to the online community 'oem-doctors' in February 2016. The responses to each question (perception of general ethical conflicts, recognition of various ethical codes for OPs, core professional values in ethics of occupational medicine, and a mock case study) were compared between specialists and residents by the chi-squared test and Fisher's exact test. Results: Responses were received from 80 specialists and 71 residents. Most participants had experienced ethical conflicts at work and felt the need for systematic education and training. OPs suffered the most ethical conflicts in decisions regarding occupational health examination and evaluation for work relatedness. Over 60% of total participants were unaware of the ethical codes of other countries. Participants thought 'consideration of worker's health and safety' (26.0%) and 'neutrality' (24.7%) as the prominent ethical values in professionality ofoccupational medicine. In mock cases, participants chose beneficence and justice for fitness for work and confidential information acquired while on duty, and beneficence and respect for autonomy in pre-placement examinations. Conclusions: This study evaluated the current perception of and attitude toward ethical issues among the Korean OPs. These findings will facilitate the development of a code of ethics and the ethical decision-making program forthe Korean OPs. [ABSTRACT FROM AUTHOR]