Organizational Risk Factors for Aircrew Health: A Systematic Review of Observational Studies

Elaine Cristina Marqueze (), Erika Alvim de Sá e Benevides, Ana Carolina Russo, Mariana Souza Gomes Fürst, Rodrigo Cauduro Roscani, Paulo Cesar Vaz Guimarães and Celso Amorim Salim
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Elaine Cristina Marqueze: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Erika Alvim de Sá e Benevides: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Ana Carolina Russo: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Mariana Souza Gomes Fürst: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Rodrigo Cauduro Roscani: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Paulo Cesar Vaz Guimarães: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil
Celso Amorim Salim: Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho—Fundacentro, São Paulo 30180-100, Brazil

IJERPH, 2023, vol. 20, issue 4, 1-29

Abstract: Addressing the field of health and safety at work, the primary objective of the present systematic review was to analyze the organizational risk factors for aircrew health according to professional category (flight attendants and pilots/co-pilots) and their consequences. The secondary objective was to identify the countries in which studies were carried out, focusing on the quality of content of the publications. The Medline/Pubmed, Cochrane, Web of Science, and Scopus databases were searched for eligible studies according to PRISMA statements. The risk of bias and the methodological quality of the studies were assessed using the Newcastle-Ottawa scale and Loney tools. Of the 3230 abstracts of articles screened, 36 studies met the inclusion criteria. Most of the research conducted on risk factors for the work organization of aircrew was carried out in the United States and the European Union and had moderate or low-quality methodology and evidence. However, the findings are homogeneous and allow the most prevalent organizational risk factors for the health of aircrew to be determined, namely, high work demand, long hours, and night work. Consequently, the most pervasive health problems were sleep disturbances, mental health disorders, musculoskeletal disorders, and fatigue. Thus, the regulation of the aircrew profession must prioritize measures that minimize these risk factors to promote better health and sleep for these professionals and, consequently, to provide excellent safety for workers and passengers.

Keywords: occupational exposure; public health; pilots; co-pilots; flight attendants (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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