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International Journal of Environmental Research and Public Health

116 training papers 2019-06-25 – 2026-03-07

Top medRxiv preprints most likely to be published in this journal, ranked by match strength.

1
Cohort profile: Description of the GIG-OSH longitudinal cohort on occupational safety and health of digital platforms workers in Europe
2026-03-06 occupational and environmental health 10.64898/2026.03.05.26347679
#1 (18.4%)
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Purpose: The GIG-OSH cohort was established to investigate the impact of digital platform work on occupational safety and health (OSH), working and employment conditions, and health in seven countries in Europe. Participants: The cohort comprises 3,945 digital platform workers from seven European countries. The sample includes both web-based workers (e.g., micro-tasking, freelance design) and on-location workers (e.g., delivery, transport). Participants were recruited using non-probabilistic sam...

2
Shining a Light on Athletes Sleep: Development of a Screening Nomogram to Flag Athletes at Risk of Poor Sleep Quality
2026-03-05 sports medicine 10.64898/2026.03.04.26347647
Top 0.3% (12.3%)
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BackgroundEmerging research indicates that light exposure may influence sleep quality. Identifying key light-exposure behaviours associated with poor sleep quality in athletes may allow practitioners to efficiently screen for sleep difficulties and prioritise athletes for further assessment. Translating these findings into a practical screening tool could enhance willingness of high-performance professionals to monitor sleep and light exposure in athletes. HypothesisKey predictor variables iden...

3
The Effect of Occupational Integration on Musculoskeletal Injury in Female Marines in the Fleet: An Epidemiological Cohort Study
2026-02-23 occupational and environmental health 10.64898/2026.02.19.26346637
Top 0.5% (10.2%)
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IntroductionMusculoskeletal injuries (MSKIs) are ubiquitous in the U.S. military, especially among high-performing service members such as Marines. Given that female service members only started to be assigned to ground combat roles since December 2015, evaluation of sex on MSKI risk in ground combat occupations has not been possible until there was an ample population to study. The purpose of this population-level epidemiological study was to assess (1) if female sex was a salient risk factor f...

4
Comparing the effects of a short nap and non-sleep deep rest on perceptual, cognitive, and physical performance in active adults
2026-03-04 sports medicine 10.64898/2026.03.03.26347495
Top 0.7% (9.0%)
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This study compared the effects of a 25-min nap opportunity and a 10-min non-sleep deep rest (NSDR) condition on perceptual, cognitive, and physical performance in physically active young adults. Sixty participants (26 female, 34 male; 22 {+/-} 4 years) were randomly assigned to one of three groups (nap, NSDR, control; n = 20 each). All groups completed identical assessments immediately, 20 min, and 40 min post-intervention. Mixed-effects models, adjusted for sex, prior-night sleep, and weekly p...

5
Association between extreme temperature events and dengue risks in Dhaka City, Bangladesh
2026-03-04 occupational and environmental health 10.64898/2026.03.02.26347403
Top 0.9% (8.4%)
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BackgroundDengue outbreaks have become a severe threat to Bangladesh as the infections and mortality numbers are skyrocketing in recent years. Favorable environmental and anthropogenic conditions have established the capital of Bangladesh, Dhaka city as the epicenter of dengue outbreak. Studies have showed that climate change induced extreme weather events are exacerbating Aedes mosquito breeding and dengue virus transmission conditions. Methodology/Principal FindingsIn this study, short-term (...

6
Internal and External Protective Factors Associated with the Secondary Traumatic Stress Component of Compassion Fatigue in Feral Cat Caregivers
2026-03-06 occupational and environmental health 10.64898/2026.03.05.26347725
Top 0.9% (8.3%)
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Compassion fatigue is a well-documented hazard among healthcare and veterinary professionals, yet the psychological toll on informal caregivers of feral cat colonies, likely numbering several tens of thousands in Portugal, remains largely unexplored. This cross-sectional study examines internal and external factors associated with the secondary traumatic stress component of compassion fatigue among 172 informal caregivers in Portugal. Secondary traumatic stress refers to work-related secondary e...

7
Quantitative Assessment of Climate Change Effects on Global FoodPrices: Evidence from the North Atlantic Oscillation Index
2026-02-28 occupational and environmental health 10.64898/2026.02.26.26347157
Top 0.9% (8.1%)
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Food costs are more significantly impacted by climate change as countries grow. It is well known that climate change has an impact on the productivity of most agricultural goods, but it is unclear how specifically it will affect food costs. The present research explores how the North Atlantic Oscillation (NAO) index, a widely used climate indicator, affects food prices around the world. This is achieved by applying a robust bivariate Hurst exponent (robust bHe). The research creates a color map ...

8
Work-related stress and consumption of psychoactive substances and medications among early childhood professionals in Orleans Metropole, CCTVL, and Fleury-les-Aubrais (TraPsyCOL): Study protocol for a cross-sectional study
2026-02-27 epidemiology 10.64898/2026.02.25.26347115
Top 1% (7.5%)
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Work-related stress is a major public health issue affecting workers across various sectors. Individuals experiencing work-related stress are more likely to consume psychoactive substances, primarily alcohol, tobacco, and cannabis, as well as psychoactive medications, which may be used as coping mechanisms. Work-related stress is also associated with adverse outcomes such as burnout, depression, anxiety, and sleep disorders. In France, early childhood professionals, including "ATSEMs", "animate...

9
Effects of atmospheric factors on daily intensive care unit cases in Germany: A Time Series Regression Study
2026-03-04 epidemiology 10.64898/2026.02.27.26347246
Top 1% (7.5%)
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IntroductionAtmospheric conditions under climate change increase pressure on healthcare systems. Especially, the intensive care units (ICU) are vulnerable due to low buffer capacity and high utilization rates. MethodsDaily ICU cases from 2009 to 2023 were derived from the German statutory health insurance data of eleven regional AOK insurances. Cases were stratified by age and sex. Generalized additive models were used to investigate the associations between daily ICU cases and lagged atmospher...

10
Occupational and Environmental Challenges and Effects of COVID-19 Testing Implementation Experienced by HIV Viral Load Laboratory Staff within a Public Health Sector Laboratory in South Africa
2026-02-22 occupational and environmental health 10.64898/2026.02.16.26346134
Top 1% (7.3%)
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BackgroundThe COVID-19 pandemic required South African public sector HIV viral load (VL) laboratories to scale up Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) testing while maintaining essential HIV services. This placed additional pressure on diagnostic services. This dual mandate introduced significant occupational and environmental challenges (OEC) for staff that remain underexplored. ObjectiveThis study aimed to investigate the OEC and effects that staff experienced during t...

11
Evaluating the effectiveness of vestibular and ocular motor function assessments in detecting driver sleepiness: A Protocol Paper
2026-02-23 occupational and environmental health 10.64898/2026.02.18.26346511
Top 1% (7.2%)
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BackgroundProlonged wakefulness, restricted sleep, and circadian factors can impact driving performance and road safety. Currently, there are no effective objective roadside tests to detect the state of drivers sleepiness during or prior to driving, or predict future driving impairment risk. This paper reports on an extended wakefulness protocol used to determine if a portable virtual reality device to administer vestibular-ocular motor function (VOM) tests can effectively detect 1) drivers stat...

12
Development of a Tool to Assess Cities Mass Casualty Emergency Response and Action
2026-02-11 public and global health 10.64898/2026.02.09.26345930
Top 1% (7.2%)
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BackgroundThe accelerating pace of urbanization worldwide has highlighted the improvement of disaster response in cities as a global priority. Yet, there remains a poor understanding of the emergency response to mass casualty incidents (MCI) in these environments. This study aimed to develop a conceptual framework for cities responses and potential policy levers. MethodsWe conducted a scoping review followed by in-depth interviews (IDIs), focus group discussions (FGDs), and a modified Delphi pr...

13
Sleep Quality and Psychological Distress in Chinese Nursing Interns: The Moderating Effect of Social Support in the Association with Anxiety and Depression
Top 1% (7.2%)
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Background: Nursing interns are at high risk of psychological distress due to academic and clinical stressors. While poor sleep quality is linked to anxiety and depression, the buffering role of social support remains underexplored in this population. Aims: To explore the role of social support in regulating the relationship between sleep and mental health among nursing interns. Methods: A total of 396 nursing interns completed self-administered questionnaires including the Pittsburgh Sleep Qual...

14
The Role of Biomarkers in Early Detection of Chronic Disease Risk and Smoking Cessation Efforts among Students, Indonesia
2026-02-22 public and global health 10.64898/2026.02.19.26346603
Top 1% (7.0%)
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ObjectiveThe study aimed to analyze factors associated with cotinine levels as an early risk indicator for chronic diseases and students readiness to quit smoking in Praya Barat District. MethodsThis study used a cross-sectional design involving 563 high school students in Praya Barat District. Data analysis was performed using the Chi-square test and multiple logistic regression to identify determinants of high cotinine levels. ResultsA total of 67% of subjects had high cotinine levels, indic...

15
Perturbation-based balance training using trips and slips can reduce fall injuries in older adults: The SafeTrip randomised controlled trial
2026-02-23 sports medicine 10.64898/2026.02.20.26346756
Top 2% (6.8%)
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BACKGROUNDFall injuries in older adults are devastating and often caused by impaired reactive balance to unexpected trips and slips, which conventional exercise programs do not target. This study examined whether a low-dose perturbation balance training (PBT) program among older adults can improve balance recovery following trips and slips and reduce falls and fall injuries. METHODS111 older adults (65+ years) were randomised into an intervention or control group. The intervention group underto...

16
Association between fluoridated toothpaste use and dental caries in Nigeria: A systematic review and meta-analysis
2026-02-28 dentistry and oral medicine 10.64898/2026.02.27.26346208
Top 2% (6.5%)
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BackgroundThe use of fluoride-containing dentifrices can reduce the risk of dental caries. The systematic review was conducted to address two research questions: (i) the prevalence and frequency of fluoridated toothpaste use among Nigerian children and adolescents across geographic and demographic settings, and (ii) its association with dental caries prevalence, stratified by location and baseline caries risk. MethodsThis systematic review, registered with PROSPERO (CRD42022362116), followed th...

17
Probability of causation in individual workers: Lung cancer due to occupational exposure to asbestos
2026-02-09 occupational and environmental health 10.64898/2026.02.06.26345596
Top 2% (6.4%)
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BackgroundLung cancer compensation systems for occupational exposure to asbestos commonly apply Helsinki criteria, which assume 4% excess lung cancer risk per fibre-year of asbestos exposure. The Probability of Causation (PoC) is [≥]50% at 25 fibre-years (risk doubling threshold). Large case-control studies have suggested steeper exposure-response relations at lower exposures. We aimed to estimate PoC of asbestos-related lung cancer to evaluate exposure thresholds for compensation of lung ca...

18
Youth in crisis: comparative geographies of suicide between Argentina, Chile, Spain and Uruguay
2026-02-12 public and global health 10.64898/2026.02.06.26345682
Top 2% (6.3%)
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IntroductionNational trends in youth suicide risk may mask significant regional variations within a country. This article attempts to account for spatio-temporal trends through a comparative analysis across South America and Europe. This paper analyzes the spatiotemporal patterns in suicide mortality among young people (10-29 years) in Argentina, Chile, Spain, and Uruguay during the period 1997-2021. MethodsOfficial data from vital statistics and population censuses of the four countries were a...

19
OK-AIR study protocol: a longitudinal cluster-randomised 2x2 factorial trial of portable air purification and upper-room UVGI on sick-related absences, indoor air quality, environmental pathogens and social-emotional development in early care and education classrooms (birth-5 years)
2026-03-06 occupational and environmental health 10.64898/2026.03.05.26347562
Top 2% (6.2%)
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Abstract This protocol is reported in accordance with the SPIRIT 2025 guidelines for clinical trial protocols. Introduction: Young children, from birth to age 5 y are particularly vulnerable to indoor air pollutants and respiratory pathogens. Portable air purifiers (or filtration) and upper-room ultraviolet germicidal irradiation (UVGI) are two widely used interventions with the potential to improve indoor air quality (IAQ) and reduce sick-related absences. However, a review of the literature re...

20
Spatiotemporal Trends in Suicide: Sociodemographic, Economic, and Environmental Factors
2026-03-05 epidemiology 10.64898/2026.03.04.26347568
Top 2% (6.2%)
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Suicide is one of the worlds leading public health problems, with more than 720,000 deaths annually. Suicide has traditionally been studied from an individual perspective. However, research has increasingly highlighted the influence of community-level factors on suicide risk. This study aimed to (1) analyse the spatial distribution of suicide mortality at the provincial level in Spain (2018-2022); (2) perform stratified analyses by sex and age group; and (3) compare suicide risk across differen...