國家衛生研究院 NHRI:Item 3990099045/10382
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/10382


    Title: The impact of the introduction of new recognition criteria for overwork-related cardiovascular and cerebrovascular diseases: A cross-country comparison
    Authors: Lin, RT;Lin, CK;Christiani, DC;Kawachi, I;Cheng, Y;Verguet, S;Jong, S
    Contributors: National Institute of Environmental Health Sciences
    Abstract: Cardiovascular and cerebrovascular diseases (CVDs) related to overwork are common in Asia, as is death from overwork, known as karoshi. Japan was the first country in the world to introduce criteria for recognizing overwork-related CVDs in 1961. Taiwan followed Japan in putting in place new policies and then updating these in 2010. We aimed to investigate the effect of introducing the new criteria for recognizing overwork-related CVDs in both countries. We defined the baseline period as the 5 years before launch of the new criteria, then collected data to 5 years after the new criteria. We applied a Poisson regression model to analyze the longitudinal change in rates of overwork-related CVDs before and after, adjusting for indicators of working conditions. Implementation of the new criteria was associated with a 2.58-fold increase in the rate of overwork-related CVDs (p-value < 0.05). However, the examined policy framework in Taiwan still appears to miss a substantial number of cases compared to that are captured by a similar policy framework used to capture overwork-related CVD rates in Japan by a factor of 0.42 (p-value < 0.05). Accordingly, we make a case for enhancements of Taiwan's system for reporting and recognizing overwork-related diseases and deaths.
    Date: 2017-03
    Relation: Scientific Reports. 2017 Mar;7:Article number 167.
    Link to: http://dx.doi.org/10.1038/s41598-017-00198-5
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=2045-2322&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000396869100015
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85039070678
    Appears in Collections:[Others] Periodical Articles

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