Can psychosocial working conditions help to explain the impact of shiftwork on health in male- and female-dominated occupations? A prospective cohort study DOI Creative Commons
Philip Tucker,

Paraskevi Peristera,

Constanze Leineweber

et al.

Chronobiology International, Journal Year: 2020, Volume and Issue: 37(9-10), P. 1348 - 1356

Published: Sept. 6, 2020

Occupational factors are sometimes invoked to explain gender differences in the associations between shiftwork and health. We examined prospective health, sick leave, separately for workers female-dominated (FD) male-dominated (MD) occupations; whether remained after controlling psychosocial working conditions. Data from six waves of Swedish Longitudinal Survey Health were used examine with a four-year time lag work schedule (daywork versus involving nightwork; daywork not nightwork) self-reports depressive symptoms; incidents short- long-term leave; self-rated health; sleep disturbance. Dynamic panel models fixed effects applied, using structural equation modeling. The analyses included adjustments personal circumstances employment conditions; additional conditions (psychological emotional job demands; control; worktime social support at work; persecution threats or violence work). Within FD occupations, that night (as compared daytime work) predicted higher incidence short-term leave (<1 week); within MD nightwork greater symptoms mild depression. Despite notable dayworkers shiftworkers, both significant adjustments. Thus, it was confirmed health reflected poorer shiftworkers either although possibility remains due other unmeasured aspects environment.

Language: Английский

How to schedule night shift work in order to reduce health and safety risks DOI Creative Commons
Anne Helene Garde, Luise Mølenberg Begtrup, Bjørn Bjorvatn

et al.

Scandinavian Journal of Work Environment & Health, Journal Year: 2020, Volume and Issue: 46(6), P. 557 - 569

Published: Sept. 8, 2020

Objectives This discussion paper aims to provide scientifically based recommendations on night shift schedules, including consecutive shifts, intervals and duration of which may reduce health safety risks. Short-term physiological effects in terms circadian disruption, inadequate sleep quality, fatigue were considered as possible links between work selected risks, namely, cancer, cardio-metabolic disease, injuries, pregnancy-related outcomes. Method In early 2020, 15 experienced researchers participated a workshop where they identified relevant scientific literature within their main research area. Results Knowledge gaps discussed the current evidence. The consensus was that schedules disruption cancer risk, particularly for breast optimize occurrence injuries. is generally achieved with fewer sufficient intervals, shorter duration. Conclusions Based limited, existing literature, we recommend order risk injuries possibly have: (i) ≤3 shifts; (ii) ≥11 hours; (iii) ≤9 hours special cases – eg, oil rigs other isolated workplaces better possibilities adapt daytime additional or apply. Finally, miscarriage, pregnant women should not more than one week.

Language: Английский

Citations

80
Working hours and health – key research topics in the past and future DOI Creative Commons
Mikko Härmä, Göran Kecklund, Philip Tucker

et al.

Scandinavian Journal of Work Environment & Health, Journal Year: 2024, Volume and Issue: 50(4), P. 233 - 243

Published: March 18, 2024

OBJECTIVE: This paper discusses the past and present highlights of working hours health research identifies key needs for future. METHOD: We analyzed over 220 original articles reviews on in Scandinavian Journal Work, Environment & Health published during last 50 years. Key publications from other journals were also included. RESULTS: The majority identified focussed effects shift night work, with fewer studying long reduced work time control. observed a transition small-scale experimental intensive field studies to large-scale epidemiological utilizing precise exposure assessment, reflecting recent emergence register-based datasets development analytic methods alternative study designs randomized controlled designs. cumulative findings provide convincing evidence that hours, which are often associated insufficient recovery, increase risk poor sleep fatigue, sickness absence, occupational injuries, several chronic conditions such as cardiovascular diseases cancer. risks strongly modified by individual work-related factors. CONCLUSIONS: Although mostly low or moderate, widespread prevalence hazardousness many potential outcomes makes arrangements major risks. Further is needed identify exposure–response associations, especially relation effects, elucidate underlying pathways effective personalized intervention strategies.

Language: Английский

Citations

6
Working time characteristics and long-term sickness absence among Danish and Finnish nurses: A register-based study DOI Creative Commons
Ann Dyreborg Larsen, Annina Ropponen, Johnni Hansen

et al.

International Journal of Nursing Studies, Journal Year: 2020, Volume and Issue: 112, P. 103639 - 103639

Published: May 21, 2020

Working time regimes in Denmark and Finland share many similarities such as nursing personnel working highly irregular shift systems. Yet, there are also differences for example policy on when how the employers compensated sickness absence. We aimed to investigate association between different hour characteristics long-term absence whether these associations differed within various age groups two large datasets of from Finland. Based objective payroll data we used Poisson regression models calculate incidence rate ratios with 95% confidence intervals prospectively assess risk relation annual characteristics. The analyses were adjusted age, sex, short-term absence, weekly hours. Danish Finnish personnel. 31,729 6970 ≥ 0.5 Whole-Time Equivalent, registered database 1 year, 18–67 years less than 30 days baseline year 2008. assessed 2008: day; evening; night. Duration shift; long shifts (9–12 h); very (12–24 quick returns (< 11 h shifts); weeks (> 40 h/week); 48 consecutive night (≥ 5 shifts). Long-term was first or more off 2009–2015. showed having evening work five associated higher When excluding pregnant women, stratifying groups, observed a lower youngest among oldest. results nights, longs shifts, returns, weeks. similar tendencies Danish. show that scheduling hours is likely affect differs groups. No consistent picture found Differences may be due contextual thus comparison countries should performed caution. Tweetable abstract: A recent study shows nurses

Language: Английский

Citations

41
Work Schedule Unpredictability: Daily Occurrence and Effects on Working Parents' Well‐Being DOI
Elizabeth Ananat, Anna Gassman‐Pines

Journal of Marriage and Family, Journal Year: 2020, Volume and Issue: 83(1), P. 10 - 26

Published: July 13, 2020

Abstract Objective To investigate the pervasiveness and frequency of work schedule unpredictability among workers in low‐wage hourly jobs effects on worker family well‐being. Background Family science has long considered ways which parents' experiences workplace can affect families. Although schedules increased over time, especially for workers, well‐being have been understudied. Method Ninety‐two with children aged 2–7, recruited using a new venue‐time sampling technique, were asked to complete once‐a‐day surveys 30 consecutive days ( N = 2,221 person‐days analysis). Descriptive analyses regression models fixed utilized. Results Work was common context families' lives: days, parents experienced an unanticipated change 13.3% 87% at least one change. Within families, unpredictable changes given day associated worse outcomes that parents, including negative mood decreased perceived sleep quality. Conclusion is ubiquitous lives negatively related working Implications These results provide evidence unscheduled canceled shifts typical service may harm well‐being, could ultimately their children's development

Language: Английский

Citations

39
Prevalence of shift work disorder among hospital personnel: A cross‐sectional study using objective working hour data DOI
Päivi Vanttola, Sampsa Puttonen, Kati Karhula

et al.

Journal of Sleep Research, Journal Year: 2019, Volume and Issue: 29(3)

Published: Aug. 14, 2019

Abstract The prevalence of shift work disorder ( SWD ) has been studied using self‐reported data and the International Classification Sleep Disorders, Second Edition ICSD ‐2) criteria. We examined in relation to ‐2 ‐3 criteria, schedules number non‐day shifts (work outside 06:00–18:00 hours) objective working‐hours data. Secondly, we explored a minimum cut‐off for occurrence symptoms. Hospital workers without n = 1,813) with night 2,917) permanent 84) answered survey (response rate 69%) on fatigue days off. was calculated groups ≥1, ≥3, ≥5 ≥7 monthly utilizing working hours registry. ‐3‐based 2.5%–3.7% (shift nights), 2.6%–9.5% nights) 6.0% (permanent workers), depending (≥7–1/month, respectively). ‐2‐based higher: 7.1%–9.2%, 5.6%–33.5% 16.7%, respectively. significantly higher among than those nights p ‐values <.001) when cut‐offs ≥1–3 shifts. Shift who had ≥3 symptoms/month more commonly off (49.3%) below (35.8%, < .05). criteria provided lower estimates ISCD similarly exclusion employees fewest results suggest that plausible symptoms is ≥3/month, resulting 3%–6% .

Language: Английский

Citations

38
Non-Pharmacological Interventions to Improve Chronic Disease Risk Factors and Sleep in Shift Workers: A Systematic Review and Meta-Analysis DOI Creative Commons
Meagan E. Crowther, Sally A. Ferguson, Grace E. Vincent

et al.

Clocks & Sleep, Journal Year: 2021, Volume and Issue: 3(1), P. 132 - 178

Published: Jan. 28, 2021

Shift work is associated with adverse chronic health outcomes. Addressing disease risk factors including biomedical factors, behavioural as well sleep and perceived status, affords an opportunity to improve outcomes in shift workers. The present study aimed conduct a systematic review, qualitative synthesis, meta-analysis of non-pharmacological interventions targeting sleep, A total 8465 records were retrieved; 65 publications eligible for inclusion analysis. Random-effects conducted eight outcomes, thirty-nine studies. Interventions resulted increased objective duration (Hedges’ g = 0.73; CI: 0.36, 1.10, k 16), improved efficiency 0.48; 0.20, 0.76, 10) small increase both subjective 0.11; −0.04, 0.27, 19) quality −0.11, 0.33, 21). also status 0.20; −0.05, 0.46, 8), decreased systolic 0.26; −0.54, 0.02, 7) diastolic 0.06; −0.23, blood pressure, reduced body mass index −0.04; −0.37, 0.29, 9). current suggests may workers; however, this could only be objectively assessed limited number factor endpoints. Future explore the impact on broader range better characterise targets

Language: Английский

Citations

29
Evaluating quick return restrictions on sickness absence in healthcare employees: A difference-in-differences study DOI Creative Commons
Jarno Turunen, Kati Karhula, Annina Ropponen

et al.

International Journal of Nursing Studies, Journal Year: 2025, Volume and Issue: 163, P. 104996 - 104996

Published: Jan. 10, 2025

Language: Английский

Citations

0
Organisational-level risk and health-promoting factors within the healthcare sector—a systematic search and review DOI Creative Commons
Magnus Åkerström, Jens ­Wahlström, Agneta Lindegård

et al.

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 17, 2025

The healthcare sector is globally experiencing increasing demands and workplace interventions on an organisational level sought to create healthy workplaces. aim of this study was provide overview Nordic research the work environment health professionals, with a focus identifying organisational-level risk health-promoting factors. This systematic search review based analysis studies published in peer-reviewed journals between 1 January 2016 3 2023. selected investigate relationships factors measures well-being among professionals during ordinary operations. To increase applicability, limited countries as they share same context publicly-funded widely accessible system. A total 2,677 articles were initially identified, 95 original meeting criteria for relevance quality. Identified categorised into five categories: schedule distribution, operations design methods, ergonomic conditions, working conditions personnel policies, organisation's ethical environment. In addition, two themes across categories emerged, providing further insight implications practice. first theme emphasises actions that employers take fulfil goals. second connection ability employees do their jobs at quality deem acceptable. Several results indicate health-care goals promote high-quality care are important wellbeing employees.

Language: Английский

Citations

0
Cognitive behavioural therapy interventions for insomnia among shift workers: RCT in an occupational health setting DOI Creative Commons
Heli Järnefelt, Mikko Härmä, Mikael Sallinen

et al.

International Archives of Occupational and Environmental Health, Journal Year: 2019, Volume and Issue: 93(5), P. 535 - 550

Published: Dec. 18, 2019

The aim of the study was to compare effectiveness cognitive behavioural therapy interventions for insomnia (CBT-I) that a sleep hygiene intervention in randomized controlled design among shift workers. We also studied whether features work disorder (SWD) affected results.

Language: Английский

Citations

30
Shift work with and without night shifts and breast cancer risk in a cohort study from Finland DOI Creative Commons
Mikko Härmä,

Anneli Ojajärvi,

Aki Koskinen

et al.

Occupational and Environmental Medicine, Journal Year: 2022, Volume and Issue: 80(1), P. 1 - 6

Published: Aug. 10, 2022

Objectives To examine the association of shift work with and without night breast cancer among women in public sector. Methods Using Finnish Public Sector cohort study (N=33 359, mean age 40.6 years at baseline), we investigated associations potential confounders incident cancer. Exposure to permanent day or was defined from first two consecutive surveys 2000, 2004, 2008 2012 past information on exposure a subcohort (n=20 786). Incident cases (n=1129) were retrieved National Cancer Register members followed end 2016. HR 95% CI Cox proportional hazard regression models calculated. Results Shift shifts not overall associated When stratified according age, both nights (HR 2.01, 1.12 3.60) (OR 2.05, 1.04 4.01) an increased risk after period 10 more follow-up aged 50 older, when adjusted for socioeconomic status, children, smoking, alcohol body mass index. In subgroup work, by longer significant. Conclusions This provides support elderly workers. However, insufficient intensity may attenuate estimates.

Language: Английский

Citations

17