Browse > Article

The Effect of Shift Work on the Level of Self-Rated Health  

Noh, Dae-Hee (Department of Occupational and Environmental Medicine, College of Medicine, Kyung Hee University)
Wang, Jong-Ho (Department of Occupational and Environmental Medicine, College of Medicine, Kyung Hee University)
Choi, Hyun-Rim (Department of Occupational and Environmental Medicine, College of Medicine, Kyung Hee University)
Lim, Sin-Ye (Department of Occupational and Environmental Medicine, College of Medicine, Kyung Hee University)
Kim, Keun-Whoe (Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital)
Won, Chang-Won (Department of Family Medicine, College of Medicine, Kyung Hee University)
JungChoi, Kyung-Hee (Department of Preventive Medicine, Ewha Women's University School of Medicine)
Publication Information
Annals of Occupational and Environmental Medicine / v.22, no.3, 2010 , pp. 200-209 More about this Journal
Abstract
Objectives: The present study was designed to determine the characteristics of shift work and the relationship between shift work and the level of self-rated health using the Korean Labor and Income Panel Study (KLIPS) data, which represents urban households in Korea. Methods: Using the 9th wave of KLIPS, this study analyzed 2,087 male workers aged 25 to 64 years; participants missing data were excluded from analysis. To determine the impact of shift work on the level of self-rated health, logistic regression analysis was applied that controlled for socio-demographic characteristics, labor environment, and health-related behaviors. Results: Shift workers comprised 13.4% of study subjects overall. The majority(69.2%) of participants were in 2-teams and in 2-shifts. Week 1 shift cycle changes were the highest, 56.3%. The risk of poor self-rated health was not significantly higher among shift workers compared to non-shift workers (OR=1.08, 95% CI=0.79~1.48). When divided by tenure, shift workers with more than 10-years experience (OR=1.79, 95% CI=0.91~3.50) tended to show greater risk than non-shift workers at marginal significance. Conclusions: In the present study, a significantly higher risk of self-rated poor health among shift workers was not observed. However, shift workers with more than 10-years experience tended to show increased health risk compared to non-shift workers. Further studies are required to determine time-series data and to consider both healthy worker effect and information bias.
Keywords
Shift work; Self-rated health;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 A kerstedt T. Shift work and disturbed sleep/wakefulness. Occup Med (Lond) 2003;53(2):89-94.   DOI   ScienceOn
2 Kim MH, Kim CY, Park JK, Kawachi I. Is precarious employment damaging to self-rated health? Results of propensity score matching methods, using longitudinal data in South Korea. Soc Sci Med 2008;67(12):1982- 94.   DOI   ScienceOn
3 Kim ST. Working hours survey (translated by Noh DH). Ministry of Labor. Gwacheon. 2003. pp 112-6, 157-74. (Korean)
4 Ministry of Labor.2004 nationwide manufacturers workplace survey (translated by Noh DH). Ministry of Labor. Gwacheon. 2004. (Korean)
5 Jung YY, Choi GS, Woo KH, Han GW. Comparison of subjective symptoms of workers in rapidly and weekly rotating shift. Korean J Prev Med 1992;25(4):374-85. (Korean)
6 Bahk J, Han YJ, Kim SS. Health inequity among waged workers by employment status. J Prev Med Public Health 2007;40(5):388-96. (Korean)   과학기술학회마을   DOI
7 Yadegarfar G, McNamee R. Shift work, confounding and death from ischaemic heart disease. Occup Environ Med 2008;65(3):158-63.   DOI   ScienceOn
8 Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38(1):21-37.   DOI   ScienceOn
9 Jee SH, Ohrr HC, Kim lS. Self rated health and mortality in elderly-Kangwha cohort, 8-year follow up-. Korean J Epidemiol 1994;16(2):172-80. (Korean)
10 Kweon SS, Kim SY, Im JS, Sohn SJ, Choi JS. Self-rating perceived health : the influence on health care utilization and death risk. Korean J Prev Med 1999;32(3): 355-60. (Korean)
11 Khang Y, Lee S, Lee M, Jo M. Socioeconomic mortality inequalities in Korea Labor & Income Panel Study Korean J of Health Policy & Administration 2004; 14(4):1-20. (Korean)   과학기술학회마을   DOI
12 Korea Labor Institute. Korean labor and income panel study 1-9th user's guide (translated by Noh DH). Available: http://www.kli.re.kr/kli_admin/download. df?filePath=d:/AttachFile/emategw/issue/ACD4121CF 27B8F14492574800027DFDA/CodeBookUserGuide20 08(BM).pdf [cited 18 January 2010]. (Korean)
13 Korea Labor Institute. 9th(2006) Year of the economic activities of household and personal Korea (translated by Noh DH). Korea Labor Institute. Seoul. 2008. (Korean)
14 Lee JJ, Chung JH. Health assessment of shift workers in a automobile manufacturing plant. Korean J Prev Med 1995;28(1):103-22. (Korean)
15 Koller M. Health risks related to shift work. An example of time-contingent effects of long-term stress. Int Arch Occup Environ Health 1983;53(1):59-75.   DOI
16 Kawachi I, Colditz GA, Stampfer MJ, Willett WC, Manson JE, Speizer FE, Hennekens CH. Prospective study of shift work and risk of coronary heart disease in women. Circulation 1995;92(11):3178-82.   DOI   ScienceOn
17 Tuchsen F, Hannerz H, Burr H. A 12 year prospective study of circulatory disease among Danish shift workers. Occup Environ Med 2006;63(7):451-5.   DOI   ScienceOn
18 Choi SK, Lee KS, Lee JW, Koo JW, Park CY. Health behavior practices and needs for health promotion program according to shift work pattern in subway workers. Korean J Occup Environ Med 2003;15(1):37-51. (Korean)
19 Park JS, Paek D, Lee KB, Rhee KY, Yi KH. Shiftwork and sickness absence in Korean manufacturing industries. Korean J Prev Med 1994;27(3):475-86. (Korean)
20 Kim JY. A study on the safety accidents by shift systems. Korean J Occup Environ Med 1996;8(2):330-9. (Korean)
21 Folkard S, Tucker P. Shift work, safety and productivity. Occup Med (Lond) 2003;53(2):95-101.   DOI   ScienceOn
22 Scott AJ. Shift work and health. Prim Care 2000;27(4): 1057-79.   DOI   ScienceOn
23 Zhu JL, Hjollund NH, Boggild H, Olsen J. Shift work and subfecundity: a causal link or an artefact? Occup Environ Med 2003;60(9):E12.   DOI
24 Knutsson A. Health disorders of shift workers. Occup Med (Lond) 2003;53(2):103-8.   DOI   ScienceOn
25 A kerstedt T, Kecklund G, Johansson SE. Shift work and mortality. Chronobiol Int 2004;21(6):1055-61.   DOI   ScienceOn
26 Karlsson B, Alfredsson L, Knutsson A, Andersson E, Tor n K. Total mortality and cause-specific mortality of Swedish shift- and dayworkers in the pulp and paper industry in 1952-2001. Scand J Work Environ Health 2005;31(1):30-5.   DOI   ScienceOn
27 Taylor PJ, Pocock SJ. Mortality of shift and day workers 1956-68. Br J Ind Med 1972;29(2):201-7.
28 Boggild H, Suadicani P, Hein HO, Gyntelberg F. Shift work, social class, and ischaemic heart disease in middle aged and elderly men: a 22 year follow up in the Copenhagen Male Study. Occup Environ Med 1999; 56(9):640-5.   DOI   ScienceOn
29 Lee KJ, Kim JJ. Relationship of shift work to cardiovascular and gastrointestinal symptoms in Korean female workers. Korean J Occup Environ Med 2008; 20(4):362-71. (Korean)
30 Pietroiusti A, Forlini A, Magrini A, Galante A, Coppeta L, Gemma G, Romeo E, Bergamaschi A. Shift work increases the frequency of duodenal ulcer in H pylori infected workers. Occup Environ Med 2006; 63(11): 773-5.   DOI   ScienceOn
31 Puttonen S, Ha¨rma¨ M, Hublin C. Shift work and cardiovascular disease-pathways from circadian stress to morbidity. Scand J Work Environ Health 2010;36(2):96-108.   DOI   ScienceOn
32 Kolstad HA. Nightshift work and risk of breast cancer and other cancers-a critical review of the epidemiologic evidence. Scand J Work Environ Health 2008;34(1):5- 22.   DOI   ScienceOn
33 Chun H, Son M, Kirn Y, Cho E, Kirn J, Paek D. Effect of shift work on worker's health, family and social life at a automobile manufacturing plant. Korean J Occup Environ Med 1998;10(4):587-98. (Korean)
34 Sallinen M, Kecklund G. Shift work, sleep and sleepiness- differences between shift schedules and systems. Scand J Work Environ Health 2010;36(2):121-33.   DOI   ScienceOn
35 Nam M, Joe SH, Jung IK, Soh KY, Chung CK. Anxiety, depression and immune functions of shift workers. Korean J Occup Environ Med 1997;9(3):478-86. (Korean)
36 Shin E, Meng K. Health risks related to shift work among female workers of major manufacturing industries in Korea. Korean J Prev Med 1991;24(3):279-86. (Korean)
37 Kim CY, Huh BY. Psychological symptoms analysis of night duty workers by symptom checklist-90-revision. Korean J Occup Environ Med 1989;1(2):228-35. (Korean)
38 Bara AC, Arber S. Working shifts and mental healthfindings from the British Household Panel Survey (1995-2005). Scand J Work Environ Health 2009; 35(5):361-7.   DOI   ScienceOn
39 Roger RR, Michael JC. Plain Language About Shiftwork. Centers for Disease Control and Prevention. Cincinnati. 1997. pp 1-3.
40 Knutsson A. Methodological aspects of shift-work research. Chronobiol Int 2004;21(6):1037-47.   DOI   ScienceOn
41 Agnes PT, Enrique FM, John H, Greet V. Fourth European Working Conditions Survey. Office for Official Publications of the European Communities. Luxembourg. 2007. pp 22,102-3.
42 United States Department of Labor. Workers on flexible and shift schedules in May 2004. Available: http://www.bls.gov/news.release/pdf/flex.pdf [cited 15 January 2010].
43 Dochi M, Suwazono Y, Sakata K, Okubo Y, Oishi M, Tanaka K, Kobayashi E, Nogawa K. Shift work is a risk factor for increased total cholesterol level: a 14- year prospective cohort study in 6886 male workers. Occup Environ Med 2009;66(9):592-7.   DOI   ScienceOn
44 Lee K. Occupational safety health trends survey (translated by Noh DH). Korea Occupational Safety and Health Agency. Incheon. 2006. pp 163, 455. (Korean)
45 Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean J Occup Environ Med 2007;19(3):223-30. (Korean)
46 Kim YG, Yoon DY, Kim JI, Chae CH, Hong YS, Yang CG, Kim JM, Jung KY, Kim JY. Effects of health on shift-work-general and psychological health, sleep, stress, quality of life-. Korean J Occup Environ Med 2002;14(3):247-56. (Korean)
47 Costa G. Shift work and occupational medicine: an overview. Occup Med (Lond) 2003;53(2):83-8.   DOI   ScienceOn