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Objectives: Automatic job coding tools were developed to reduce the laborious task of manually assigning job codes based on free-text job descriptions in census and survey data sources, including large occupational health studies. The objective of this study is to provide a case study of comparative performance of job coding and JEM (Job-Exposure Matrix)-assigned exposures agreement using existing coding tools.
Methods: We compared three automatic job coding tools [AUTONOC, CASCOT (Computer-Assisted Structured Coding Tool), and LabourR], which were selected based on availability, coding of English free-text into coding systems closely related to the 1988 version of the International Standard Classification of Occupations (ISCO-88), and capability to perform batch coding. We used manually coded job histories from the AsiaLymph case-control study that were translated into English prior to auto-coding to assess their performance. We applied two general population JEMs to assess agreement at exposure level. Percent agreement and PABAK (Prevalence-Adjusted Bias-Adjusted Kappa) were used to compare the agreement of results from manual coders and automatic coding tools.
Results: The coding per cent agreement among the three tools ranged from 17.7 to 26.0% for exact matches at the most detailed 4-digit ISCO-88 level. The agreement was better at a more general level of job coding (e.g. 43.8-58.1% in 1-digit ISCO-88), and in exposure assignments (median values of PABAK coefficient ranging 0.69-0.78 across 12 JEM-assigned exposures). Based on our testing data, CASCOT was found to outperform others in terms of better agreement in both job coding (26% 4-digit agreement) and exposure assignment (median kappa 0.61).
Conclusions: In this study, we observed that agreement on job coding was generally low for the three tools but noted a higher degree of agreement in assigned exposures. The results indicate the need for study-specific evaluations prior to their automatic use in general population studies, as well as improvements in the evaluated automatic coding tools.
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http://dx.doi.org/10.1093/annweh/wxad002 | DOI Listing |
Fam Pract
August 2025
Warren Alpert Medical School, Brown University, Providence, RI 02903, United States.
Background: Family physicians (FPs) endorse the value of spiritual care (SC) as part of comprehensive, patient-centered care. However, a mismatch exists between patients' desire to have spiritual needs addressed and physicians' SC provision. Studies explore physician barriers, but few examine workplace barriers/facilitators.
View Article and Find Full Text PDFBMC Emerg Med
September 2025
IQ Health Science Department, Radboud University Medical Center, Nijmegen, Netherlands.
Background: Adequate staffing and manageable workloads are crucial for high-quality emergency care. However, high perceived workloads in the emergency department (ED) threaten both. Increased demand and staff shortages intensify these issues and cause crowding.
View Article and Find Full Text PDFPhysiotherapy
May 2025
Musculoskeletal Research Workstream, Centre for Applied Clinical, Health and Care Research, University of Hertfordshire, Hatfield, United Kingdom; Department of Allied Health Professions, Midwifery and Social Work, University of Hertfordshire, Hatfield, United Kingdom.
Objectives: To explore and understand the replies to the quantitative findings (Part 1) from the work related well-being e-survey, provide greater depth information about the topic and identify new issues/areas from respondents in Part 2 of this two part paper.
Design: Cross-sectional, convenience, voluntary, open e-survey.
Setting: Online.
Background And Objectives: Quiet quitting, or doing only the minimum work necessary for one's job, is a phenomenon in the work environment that has been discussed widely in popular media but only recently referenced in academic literature and not formally examined in the context of residency education. This study examined the concept of quiet quitting in residency education, gathering perspectives from leaders in family medicine residency programs.
Methods: Quiet quitting and similar concepts were presented at a workshop at the 2024 Residency Leadership Summit hosted by the American Academy of Family Physicians.
J Occup Health
August 2025
Department of General Medicine, Nagoya University Hospital, Japan.
Objectives To evaluate lifestyle and weight changes in new male employees of Japanese companies and clarify the effects of environmental and lifestyle changes on weight changes in early years after joining the company. Methods Design: mixed research We analyzed health checkup results and lifestyle questionnaires of 160 male graduates hired by a particular company between fiscal years 2009 and 2012. The data obtained included health examinations from the time of the job offer to the fourth year at the company.
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