Faculty of Medicine

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Author: search.filters.author.Bislimovska, DraganaHas files: No

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    O-267 RESOURCES PREDICT HIGHER LEVELS OF JOB ENGAGEMENT AND JOB SATISFACTION: CROSS-SECTIONAL SURVEY AS A FIRST PHASE OF PROSPECTIVE LONGITUDINAL STUDY
    (Oxford University Press (OUP), 2024-07-01)
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    Atanasovska, Aneta
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    Bislimovska, Dragana
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    Marinova, Tina
    Introduction The aim of this study was to analyze job resources as predictors of the levels of job engagement and job satisfaction in a random population of workers towards development of occupational health and safety strategy. Methods This cross-sectional survey was conducted during winter 2022/2023 as a first phase of prospective longitudinal study. We used series of questionnaires to evaluate demographics, job characteristics, job resources (teamwork, remuneration, relationship with supervisor, job crafting, and engaging leadership), job engagement, and job satisfaction. The average age of participants (N=1.014, 52.1% females) was 42.7±11.1 years while the mean tenure was 16.5±10.9 years. They have worked on average 41.5±6.4 hours/week. Aiming to evaluate the role of job resources, controlling for age, gender, tenure, and working hours/week, hierarchical multiple regression models were tested for vigor, dedication, and job satisfaction. Control variables were entered in the first step, while different job resources were entered in three subsequent steps. Results Bivariate analyses showed significant positive correlations of vigor, dedication, and job satisfaction with analyzed job resources. Teamwork (β=.12), task crafting (β=.09), cognitive crafting (β=.24), and empowering leadership (β=.20) (R2=.31) predicted higher levels of vigor. Higher dedication was predicted by teamwork (β=.11), task crafting (β=.08), cognitive crafting (β=.26), relational crafting (β=.09) and inspiring leadership (β=.16) (R2=.32). Teamwork (β=.19), remuneration (β=.22), supervisor support (β=.11), cognitive crafting (β=.09), and empowering leadership (β=.14) (R2=.50) predicted higher levels of job satisfaction. Discussion -Conclusion Occupational health and safety strategy should take into account job crafting and engaging leadership components as significant predictors of higher job engagement and job satisfaction.
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    COPD prevalence and characteristics in a random sample of workers
    (European Respiratory Society, 2024-09-14)
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    Atanasovska, Aneta
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    Bislimovska, Dragana
    COPD is a global public health problem, causing a very high rates of morbidity, mortality, and work disability in the last decades worldwide. Objective. To determine the prevalence and characteristics COPD in a random sample of workers form the city of Skopje, and its relation to occupational exposures. Methods: A cross-sectional study was conducted including 1.867 workers (959 males and 908 females) from the city of Skopje. Afterwards, the study subjects were divided into exposed (1.287/68.9%) and unexposed (580/31.1%) groups based on their current job exposure to noxious particles and gases. All study participants completed a questionnaire and underwent pre- and post-bronchodilator spirometry. Results: COPD prevalence was 3.9% among all workers. COPD prevalence in exposed workers was significantly higher compared to unexposed (4.7% vs. 2.4%). Significant difference was found in exposed workers with exposure duration longer than 20 years as compared to those with shorter duration of exposure (6.0 vs. 3.2%). COPD prevalence in workers who smoked was significantly higher than in non-smoking workers in both exposed (6.0% vs. 3.9%, (P = 0.037)) and unexposed (3.9% vs. 1.8%, (P = 0.000)) groups. The difference between workers with COPD in terms of use of solid and liquid bio fossil fuels at home and central heating/electricity is not significant (5.0% vs. 3.6%), both in exposed (5.4% vs. 4.3%), as well as non-exposed workers (3.8% vs. 1.9%). Conclusions: Our findings confirmed the role of occupational exposures in COPD development indicating a need of more effective preventive activities in order to reduce the overall disease burden.
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    Lung Function Impairment in Construction Workers – Influence of Smoking and Exposure Duration
    (Scientific Foundation SPIROSKI, 2021-05-08)
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    Bislimovska, Dragana
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    Atanasovska, Aneta
    AIM: The objective of the study was to assess the influence of exposure duration and smoking on ventilatory impairment among construction workers. METHODS: A cross-sectional study was performed, including 83 construction workers aged 18–64 years, compared to equivalent number of office controls matched by age, workplace exposure duration, and smoking status. Data on chronic respiratory symptoms, work history, and smoking status were collected by standardized questionnaire, while lung functional testing of the examined subjects was performed by spirometry. RESULTS: Mean values of spirometric parameters were lower in construction workers compared to controls with statistical significance registered for maximal expiratory flow (MEF25), MEF50, and MEF75. Lung functions of construction workers have been found to decrease in relation to exposure duration but reached significance only for small airways changes. There was a significant difference in detected ventilatory impairment between exposed workers and controls for any type of ventilatory impairment, as well as obstructive and combined ventilatory pattern and obstructive ventilatory pattern in small airways. Obstructive ventilatory impairment was significantly associated with life-time smoking in construction workers, while obstructive ventilatory pattern in small airways was significantly associated with life-time smoking. The combined effect of daily smoking, life-time smoking, and number of cigarettes smoked daily was shown to have a significant influence in their development. The risk for obstructive ventilatory pattern in small airways among exposed subjects was about 4 fold higher in those exposed more than 20 years (odds ratio [OR] = 3.68 [1.01–14.59] confidence interval [CI] 95%), and about 2.5 fold higher in smokers (OR = 2.57 [0.92-7.25] CI 95%). Exposure duration, smoking and age had independent effect only on small airways changes and force expiratory volume in the 1st s/force vital capacity %. CONCLUSION: Our data suggest the importance of the joint effect of job exposure in construction and daily smoking on the development of lung function impairment and airflow limitation, being dominant, especially on small airways.