Methodical approaches to personified assessment of health risks caused by work intensity and its specific components

View or download the full article: 
PDF icon health-risk-analysis-2023-3-10.pdf
UDC: 
613.6
DOI: 
10.21668/health.risk/2023.3.10.eng
Authors: 

N.V. Zaitseva1, P.Z. Shur1, D.N. Lir1,2, V.B. Alekseev1, А.О. Barg1,3, I.V. Vindokurov1,4 Е.V. Khrushcheva1

Organization: 

1Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya St., Perm, 614045, Russian Federation
2Academician E.A. Wagner’s Perm State Medical University, 26 Petropavlosvskaya St., Perm, 614000, Russian Federation
3Perm State University, 15 Bukireva St., Perm, 614068, Russian Federation
4Perm National Research Polytechnic University, 29 Komsomolskiy Av., Perm, 614990, Russian Federation

Abstract: 

High work intensity (HWI) can occur in various occupational groups and induce health disorders, which means occu-pational health risk (OHR) assessment is necessary.

This article describes methodical approaches to assessing OHR caused by HWI with a possibility to examine contributions made by its specific components and transition to personified risk assessment.

The suggested approaches to assessing OHR caused by HWI include subjective assessment of the factor and health self-assessment. They allow identifying additional likelihood of health disorders and performing further risk assessment when exposure to HWI grows by one unit as per separate HWI indicators describing its specific components. Personified risk assessment involves using a template created for specific HWI components (intellectual, sensory, or emotional loads; work monotony; work regime).
The approaches were tested on workers with mostly mental work (n = 137, respondents’ mean age was 43.9 ± 8.01 years; mean work records were 14.5 ± 3.7 years). Calculated data of personified levels of the integral health risk were used to rank likely health outcomes as per their priority. Mental disorders and diseases involving elevated blood pressure were established to correspond to ‘high’ health risk. Myopia, strained headache, atherosclerosis of peripheral vessels, and chronic laryngitis corresponded to ‘medium’ risk. Certain disorders involving the immune mechanism, tinnitus, ischemic heart disease, and atherosclerosis of coronary vessels as well as stomach and duodenum ulcer corresponded to ‘moderate’ risk.

Detailed HWI assessment made it possible to identify its leading components; the shares of sensory and emotional loads in the integral health risk reached 29.0 ± 2.4 and 25.9 ± 3.9 % accordingly (р = 0.37). It is advisable to use these findings for creating personified activities aimed at OHR mitigation.

Keywords: 
risk assessment, health risk, occupational risk, work-related factors, work intensity, health disorder, personified assessment, methodical approaches
Zaitseva N.V., Shur P.Z., Lir D.N., Alekseev V.B., Barg А.О., Vindokurov I.V., Khrushcheva Е.V. Methodical approaches to personified assessment of health risks caused by work intensity and its specific components. Health Risk Analysis, 2023, no. 3, pp. 88–97. DOI: 10.21668/health.risk/2023.3.10.eng
References: 
  1. Denisov E.I., Prokopenko L.V., Eryomin A.L., Kourierov N.N., Bodiakin V.I., Stepanian I.V. Information as a physical factor: problems of measurements, hygienic evaluation and IT-automation. Meditsina truda i promyshlennaya ekologiya, 2014, no. 1, pp. 36–43 (in Russian).
  2. Zibarev E.V., Bukhtiyarov I.V., Kravchenko O.K., Astanin P.A. Development of a new concept for assessing work intensity of civil aviation pilots. Health Risk Analysis, 2022, no. 2, pp. 73–87. DOI: 10.21668/health.risk/2022.2.07.eng
  3. Dontsov S.A., Gabriel P.O., Burak V.E. Intensity of the work process: reasons for inefficiency of factor evaluation. Bezopasnost' truda v promyshlennosti, 2023, no. 3, pp. 48–56. DOI: 10.24000/0409-2961-2023-3-48-56 (in Russian).
  4. Garipova R.V., Berkheeva Z.M., Strizhakov L.A. Questions of special assessment of working conditions of medical workers. Meditsina truda i promyshlennaya ekologiya, 2020, vol. 60, no. 10, pp. 645–649. DOI: 10.31089/1026-9428-2020-60-10-645-649 (in Russian).
  5. Ustiantsev S.L. Evaluating individual occupational risk. Meditsina truda i promyshlennaya ekologiya, 2006, no. 5, pp. 22–28 (in Russian).
  6. Krasnoshchekova V.N., Ilyukhin N.E. Labor intensity as a risk factor for the formation of cardiovascular disease of energy facility operators. Meditsina truda i promyshlennaya ekologiya, 2019, vol. 59, no. 9, pp. 662. DOI: 10.31089/1026-9428-2019-59-9-662-663 (in Russian).
  7. Shahidi F.V., Gignac M.A.M., Oudyk J., Smith P.M. Assessing the psychosocial work environment in relation to mental health: A comprehensive approach. Ann. Work Expo. Health, 2021 vol. 65, no. 4, pp. 418–431. DOI: 10.1093/annweh/wxaa130
  8. Novikova A.V., Shirokov V.A., Egorova A.M. Work Intensity as a Risk Factor for Burnout, Anxiety and Depressive Disorders in Various Occupational Cohorts: A Literature Review. ZNiSO, 2022, no. 10, pp. 67–74. DOI: 10.35627/2219-5238/2022-30-10-67-74 (in Russian).
  9. Onishchenko G.G., Zaitseva N.V., May I.V., Shur P.Z., Popova A.Yu., Alekseev V.B., Dolgikh O.V., Zemlyanova M.A. [et al.]. Analiz riska zdorov'yu v strategii gosudarstvennogo sotsial'no-ekonomicheskogo razvitiya [Health risk analysis in the strategy of state social and economic development: monograph]. In: G.G. Onishchenko, N.V. Zaitseva eds. Moscow, Perm, Perm National Research Polytechnic University Publ., 2014, 738 p. (in Russian).
  10. Alekseev V.B., Shur P.Z., Lir D.N., Fokin V.A. Methodological approaches for quantitative assessment of health risk associated with the labour process strength. Gigiena i sanitariya, 2021, vol. 100, no. 10, pp. 1171–1178. DOI: 10.47470/0016-9900-2021-100-10-1171-1178 (in Russian).
  11. WHO methods and data sources for global burden of disease estimates 2000–2019. WHO, 2020. Available at: https://
    cdn.who.int/media/docs/default-source/gho-documents/global-health-estimates/ghe2019_daly-methods.pdf?sfvrsn=31b25009_7 (March 16, 2023).
  12. Global Burden of Disease Study 2019 (GBD 2019) Disability Weights. Seattle, USA, Institute for Health Metrics and Evaluation (IHME), 2020. Available at: https://ghdx.healthdata.org/record/ihme-data/gbd-2019-disability-weights (March 16, 2023).
  13. Zaitseva N.V., Shur P.Z., Alekseev V.B., Savochkina A.A., Savochkin A.I., Khrushcheva E.V. Methodical approaches to assessing categories of occupational risk predetermined by various health disorders among workers related to occupational and labor process factors. Health Risk Analysis, 2020, no. 4, pp. 23–30. DOI: 10.21668/health.risk/2020.4.03.eng
  14. Rukovodstvo po fiziologii truda [Manual for Occupational Physiology]. In: Z.M. Zolina, N.F. Izmerov eds. Moscow, Meditsina, 1983, 528 p. (in Russian).
  15. Bakirova R.E. Znachimost' psikhoemotsional'nogo stressa v razvitii serdechno-sosudistoi patologii u rabotnikov up-ravlencheskikh professii [The significance of psycho-emotional stress in the development of cardiovascular pathology among workers in management occupations]. Al'manakh sovremennoi nauki i obrazovaniya, 2008, no. 11, pp. 7–8 (in Russian).
  16. Bokeriya L.A., Kiseleva M.G. Psikhologicheskie faktory v vozniknovenii i techenii serdechno-sosudistykh zabolevanii [Psychological factors in the occurrence and course of cardiovascular diseases]. Byulleten' NTsSSKh im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya, 2011, vol. 12, no. 6, pp. 24–31 (in Russian).
  17. Vasilenko V.S., Bondarev S.A. Coronary heart disease risk factors in people working under constant professional psychoemotional strain. Uchenye zapiski SPbGMU im. akad. I.P. Pavlova, 2012, vol. 19, no. 1, pp. 54–58 (in Russian).
  18. Gimaeva Z.F., Karimova L.K., Bakirov A.B., Kaptsov V.A., Kalimullina D.Kh. Risks of cardiovascular diseases evolvement and occupational stress. Health Risk Analysis, 2017, no. 1, pp. 106–115. DOI: 10.21668/health.risk/2017.1.12.eng
  19. Pihlaja M., Tuominen P.P.A., Peräkylä J., Hartikainen K.M. Occupational Burnout Is Linked with Inefficient Executive Functioning, Elevated Average Heart Rate, and Decreased Physical Activity in Daily Life – Initial Evidence from Teaching Professionals. Brain Sci., 2022, vol. 12, no. 12, pp. 1723. DOI: 10.3390/brainsci12121723
  20. Kim H., Ji J., Kao D. Burnout and physical health among social workers: A three-year longitudinal study. Soc. Work, 2011, vol. 56, no. 3, pp. 258–268. DOI: 10.1093/sw/56.3.258
Received: 
10.06.2023
Approved: 
11.09.2023
Accepted for publication: 
22.09.2023

You are here

Home