Diabetes and work: The need of a close collaboration between diabetologist and occupational physician

Iavicoli, Ivo; Gambelunghe, Angela; Magrini, Andrea; Mosconi, Giovanni; Soleo, Leonardo; Vigna, Luisella; Trevisan, Roberto; Bruno, Alfonso Sánchez; Chiambretti, Anna; Scarpitta, A. M.; Sciacca, Laura; Valentini, Umberto

doi:10.1016/j.numecd.2018.10.012

Cited by 10 publications

(7 citation statements)

References 30 publications

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“…Shift and/or night work, for example, nurses and factory workers (Balfe et al, 2014; Heins et al, 1994; Hinder & Greenhalgh, 2012; Iavicoli et al, 2019; Loerbroks et al, 2018; Young et al, 2013); and…”

Section: Methodsmentioning

confidence: 99%

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Conflicting Logics in a Changing Action Space: Challenges Related to Type 1 Diabetes in Work Life

2021

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Well-being at work is important to quality of life. However, reconciling work and diabetes management is often challenging; failing to do so threatens the well-being of people with type 1 diabetes (T1D). We explored the mechanisms underlying diabetes-specific challenges at work using theories of logics, involvement, and action space. Thematic analyses of two data sets, consisting of interviews with adults with T1D ( n = 22) showed that people with T1D experience a conflict between two logics linked to diabetes and work, owing to the contradictory demands of work life and diabetes management. Individuals’ ability to lower the priority of work tasks—shifting them from their main to a side involvement so as to properly manage T1D—helps resolve the conflict, as does being able to create an enabling action space for diabetes management at work. These insights can inform interventions targeting the well-being of workers with T1D.

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Section: Methodsmentioning

confidence: 99%

“…Psychically demanding work, for example, constructive workers and auto mechanics (Bose, 2013; Iavicoli et al, 2019; Loerbroks et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Conflicting Logics in a Changing Action Space: Challenges Related to Type 1 Diabetes in Work Life

2021

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“…According to data collected from the health professionals in this same study, employees with diabetes needed a work environment that supported diabetes self-management; no workplace discrimination as a result of their diagnosis; health care professionals who took workplace demands into account when planning treatment and counseling patients; and family support that encouraged a normal lifestyle (Detaille et al, 2006). Although many adults with diabetes do not need special accommodations in the workplace, an in-depth assessment of their needs (e.g., maintaining glycemic control or other diabetes complications) may facilitate a safe work environment where the person with diabetes may work at optimal levels (Iavicoli et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Managing Diabetes in the Workplace

McCarthy

Vorderstrasse

Yan

et al. 2020

Workplace Health Saf

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Background: Although many adults with diabetes are productive members of the workforce, loss of work productivity has been associated with diabetes. The purpose of this study was to explore the interrelationship between work-related factors and current work ability in adults with type 1 diabetes (T1D) and type 2 diabetes (T2D). Methods: This study used a convergent mixed-method design. We assessed the relationship between work-related factors and work ability using bivariate statistics and logistic regression. Work ability was measured using the Work Ability Index and Karasek’s Job Content Questionnaire (JCQ) was employed to measure job demands. Qualitative interviews ( n = 30) explored the relationship between diabetes and work. Findings: The sample ( n =101) was mostly female (65%) and White (74%). Most worked full-time (65%), had T2D (87%), an elevated glycated hemoglobin A1c ≥ 7% (56%), and were overweight (22%) or obese (68%). Only 33% of subjects self-reported their work ability as excellent. Four of the JCQ subscales (skill discretion, psychological demands, supervisor support, and coworker support), and work–life balance were significantly associated with work ability (all p < .05). In adjusted models, better coworker support (OR = 1.4; 95% CI = [1.04, 1.9]) and better work–life balance (OR = 1.3; 95% CI = [1.1, 1.5]) were associated with excellent work ability. Many stated their diabetes impacted them at work and spoke of the effects of stress. Few engaged in workplace wellness programs. Conclusion/Application to Practice: Social support and work–life balance were associated with excellent work ability. Engaging workers with diabetes in workplace educational programs may take strategic efforts by occupational health staff.

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confidence: 99%

“…Furthermore, in recent years, more and more scientific evidence has been accumulating to support the fact that some of these work-related factors (e.g., shiftwork, long working hour, sedentary work, workloads) can contribute to the onset or worsening of several disorders, pathologies, and syndromes, such as obesity, diabetes, cardiovascular diseases, cognitive, and sleep disorders. [13][14][15][16][17][18][19][20][21] Consequently, there is a clear need to identify an evaluation model that takes into account both occupational and/or work-related risk factors and personal health conditions and/or lifestyle factors and that is able to analyze the possible interactions and reciprocal influences between all these elements. In this regard, the Total Worker Health ® program proposed by the US National Institute for Occupational Safety and Health (NIOSH) is consistent with this perspective since its main aim is to protect workers on and off the job by defining policies, programs, and practices that not only protect them from accidents at work and occupational diseases but at the same time can implement effective health promotion programs that improve their overall wellbeing.…”

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confidence: 99%

Validation of the NIOSH Worker Well-Being Questionnaire in Italian Language

Fontana

Dolce

Santocono

et al. 2023

J Occup Environ Med

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Objective: This study aimed to validate in Italian the Worker Well-Being Questionnaire developed by US National Institute for Occupational Safety and Health. Methods: The questionnaire was independently translated into Italian by two authors. Translations were compared with obtain a synthesis that was back-translated. Back translations were submitted to an expert committee to produce a final version of the questionnaire. The Italian version, after being pretested, was administered guaranteeing anonymity to a total sample of 206 health care workers. Results: Findings obtained are satisfactory, indicating excellent fit (CFI and TLI values ranged from 0.96 to 0.99, RMSEAvalues ranged from 0.03 to 0.07), sound internal consistency of scales (Cronbach's α values exceeded 0.7) and factor structures consistent with theory. Conclusions: Italian version of the questionnaire is faithful to the original and allows for efficient and robust measurement of workers' well-being.

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Diabetes and work: The need of a close collaboration between diabetologist and occupational physician

Cited by 10 publications

References 30 publications

Conflicting Logics in a Changing Action Space: Challenges Related to Type 1 Diabetes in Work Life

Conflicting Logics in a Changing Action Space: Challenges Related to Type 1 Diabetes in Work Life

Managing Diabetes in the Workplace

Validation of the NIOSH Worker Well-Being Questionnaire in Italian Language

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