The Airwave Health Monitoring Study (AHMS). An Occupational Cohort Study of the British Police Forces.

与其他工人相比，警察是健康状况不佳率较高的职业群体之一，他们面临着各种各样的化学、物理和心理社会风险因素，这些因素可能影响他们的健康和工作表现。这就提出了他们在工作中面临的风险因素如何影响他们的表现，最终影响他们的福祉和安全以及公众的安全的问题。最近的工作人员调查和文献表明，焦虑和抑郁等心理健康问题也是一个特别令人关切的问题。了解这些对警察健康的危害和风险，并制定有针对性的安全和健康促进措施，显然是一个解决办法。然而，缺乏关于所涉具体因素以及这些因素如何单独或共同影响健康的详细资料。健康结果也可能因工作场所因素（如地区、级别、工作时间）而异，但也因个人构成和社会人口特征而异。因此，了解和量化警官健康的风险因素可能会影响个人、同事和家人的健康和福祉，以及公众的健康。空气波健康监测研究（AHMS）的建立是为了评估与警察部队和其他紧急服务使用的数字通信系统相关的可能的健康风险。这是一项大型（超过50，000名参与者）长期研究，调查英国各地警察和工作人员的健康状况。目前，仅在英格兰采取了后续措施。我们的目标是将AHMS的后续行动扩展到苏格兰和威尔士，并为研究性别、生活方式和职业暴露如何与遗传和代谢因素相互作用提供资源，这些因素与身体和精神健康有关，在相对年轻的工作人口中，男性占很大比例。具体而言，我们计划：i）跟踪参加基线临床评估的苏格兰和威尔士AHMS参与者（N = 13，681）约7.5年后;（二）制定一种方法，通过定制的工作接触矩阵（JEM）结合群体层面的数据，和个人层面的数据，以完善和评估JEM的表现。iii）使用心理健康作为一个典型的案例研究，以检查与工作有关的风险因素和心理健康困难之间的关系，并确定个人和/或工作场所的“保护”因素，促进工作场所内的福祉。我们的建议在政府和雇主它代表了英国五所顶尖大学的学者之间的一种新颖的跨部门合作，并与英国各地的警察部队和警察联合会（代表普通警察）建立了伙伴关系。该应用程序得到了我们的利益相关者的广泛支持，他们从一开始就参与了该项目，以确保研究结果转化为对健康和福祉产生影响的干预措施。

Police officers are among one of the occupational groups presenting with higher rates of ill health compared to other workers and are exposed to a wide range of chemical, physical and psychosocial risk factors that can affect their health and performance at work. This raises questions about how the risk factors they face at work affects their performance and ultimately their wellbeing and safety, as well as the safety of the public. Recent staff surveys and literature have indicated that mental health issues, such as anxiety and depression, are also a particular concern. Understanding these hazards and risks to police officer health and putting tailored safety and health promotion measures in place is an obvious solution. However, there is a lack of detailed information on the specific factors involved and the how these, individually or in combination, affect health. It is also likely that health outcomes vary according to workplace factors (e.g. region, rank, hours worked) but also vary according to individual make-up and sociodemographic characteristics. Therefore, understanding and quantifying risk factors to police officer health may impact on the health and wellbeing of the individual, their colleagues and families as well as on the health of the public. The Airwave Health Monitoring Study (AHMS) was established to evaluate possible health risks associated with the use of the digital communication system used by the police forces and other emergency services. It is a large (over 50,000 participants) long-term study investigating the health of police officers and staff across Great Britain. Currently, follow-up measures are being undertaken in England only. Our objectives are both to extend the follow-up of the AHMS to Scotland and Wales, and to provide a resource for studying how gender, lifestyle, and occupational exposures interact with genetic and metabolic factors in relation to physical and mental health, in a comparatively young working population with a high representation of men.Specifically we plan to: i) follow-up the Scottish and Welsh AHMS participants who attended a baseline clinical assessment (N = 13,681) approximately 7.5 years later; ii) develop a method to estimate exposures to a range of chemical, physical and psychosocial risk factors to health by combining group level data through a bespoke Job Exposure Matrix (JEM) and individual level data to refine and evaluate JEM performance.iii) use mental health as an exemplar case study to examine the relationships between work-related risk factors and mental health difficulties, and identify the individual and/or workplace 'protective' factors that promote wellbeing within the workplace.Our proposal has high policy relevance at the level of both government and employers. It represents a novel, cross-sectoral collaboration between academics across five UK leading universities and in partnership with police forces and the Police Federation (representing rank and file officers) across Great Britain. The application has wide support from our stakeholders who have been included in the project from the outset in order to ensure that the findings are translated into interventions that impact on health and wellbeing.