Evidence map›Paper›PMID 30816617›Full record

ReviewJournal of occupational health2019

Policy changes for preventing and recognizing overwork-related cardiovascular diseases in Taiwan: An overview.

Heng-Hao Chang, Ro-Ting Lin

Open access · goldAbstract readReview
In one paragraph

Review in Journal of occupational health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Observational
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  6. Mortality of Suicide and Cerebro-Cardiovascular Diseases by Occupation in Korea, 1997-2020.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Heng-Hao ChangDepartment of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-4205-6091
Ro-Ting LinDepartment of Occupational Safety and Health, College of Public Health, China Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-2687-203X
China Medical University · TWNational Cheng Kung University Hospital · TW

Funding

China Medical University CMU107-N-12Ministry of Science and Technology of Taiwan 106-2314-B-039-048Ministry of Science and Technology of Taiwan 107-2314-B-039-062-MY3
6 · The paper itself

Abstract

objectiveOverwork-related cardiovascular and cerebrovascular disease (CVD) has a large impact on workers' rights and labor standards across East Asian countries. This article describes the background and impact of policies regarding overwork-related CVD in the past decades in Taiwan.

methodsWe reviewed government policies, guidelines, literature, and news addressing the problems and impact of policy changes to prevent and recognize overwork-related CVD since the 1990s, and collected data on overwork-related CVD cases in Taiwan from 2006 to 2017.

resultsIn 2017, overwork-related CVD accounted for 13% of all cases of occupational diseases, but 79% of all deaths due to occupational diseases. Guidelines for recognizing overwork-related CVD cases were established in 1991; however, under-recognition exists in Taiwan due to poor exposure data on working hours and psychological factors and because most medical expenses are covered by the national health insurance system. Amendments on the guidelines, and stricter policies on overwork prevention were enforced following calls from labor unions, nongovernmental organizations, and legislators, but health disparities were introduced when certain industries were exempted from restrictions.

conclusionsLong working hours and other work characteristics increase the risk of overwork-related CVD. By reviewing the changes in policy for preventing overwork and recognizing overwork-related disease, we identified the need for clearly defined guidance on evaluating overwork-related CVD, with specific criteria for working hours and other risk factors regarding work characteristics. National policies that lead to better working conditions and prevent overwork-related diseases must be developed.

Indexed as

Work Schedule ToleranceCardiovascular DiseasesHealth PolicyHumansOccupational DiseasesOccupational HealthTaiwancardiovascular diseaseshealth policykaroshi deathoccupational diseaserecognition of occupational diseaseworking hours

Identifiers

PMID30816617
PMCPMC6620751
OpenAlexW2920135320

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.