DETERMINANTS OF OCCUPATIONAL HEALTH AMONG PRIMARY HEALTH CARE WORKERS: AN INTEGRATIVE REVIEW WITH EMPHASIS ON PSYCHOSOCIAL RISKS AND ENVIRONMENTAL WORKING CONDITION

Abstract

Objective: To analyze the effects of environmental working conditions and sustainability practices on the occupational health of Primary Health Care (PHC) professionals. Method: Integrative literature review conducted in PubMed, Scopus, SciELO, and LILACS, covering studies published between 2019 and 2025 in Portuguese, English, and Spanish. The PEO strategy structured the research question. Data selection, extraction, and analysis followed the stages proposed by Whittemore and Knafl (2005) and Mendes, Silveira and Galvão (2008). Twenty-five studies were included and submitted to narrative synthesis with inductive thematic categorization. Methodological quality was assessed using JBI instruments selected by study design. Results: Four thematic categories were identified. Evidence demonstrated an association between inadequate environmental conditions and occupational stress, burnout, physical and mental illness, absenteeism, and reduced quality of working life. Overall methodological quality was predominantly moderate to high.Conclusion: Environmental and organizational conditions in PHC significantly influence workers' occupational health. Findings carry direct normative relevance in the context of Brazil's updated Regulatory Standard NR-1, which incorporated psychosocial risk factors into Occupational Risk Management, with full compliance required by May 2026.