2003
DOI: 10.5271/sjweh.740
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Measuring and identifying large-study metrics for circadian rhythm disruption in female flight attendants

Abstract: Affiliation: NIOSH (R-13), 4676 Columbia Parway, Cincinnati, OH 45226, United States. bag2@cdc.govThe following article refers to this text: 2016;42(6):455-562

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Cited by 45 publications
(36 citation statements)
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“…Our characterization of circadian disruption is, to our knowledge, the first comprehensive long-term assessment of its kind in this occupational group. We used non-directional time zones crossed as an exposure metric because time zones are well correlated with a state of chronic disruption as biologically measured by an increase in the overnight variability of melatonin excretion in female flight attendants (Grajewski et al, 2003). We also assessed SSI travel because it captures the separate but related exposure of sleep disturbance rather than the desynchronization reflected in cumulative time zones crossed (Grajewski et al, 2003).…”
Section: Discussionmentioning
confidence: 99%
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“…Our characterization of circadian disruption is, to our knowledge, the first comprehensive long-term assessment of its kind in this occupational group. We used non-directional time zones crossed as an exposure metric because time zones are well correlated with a state of chronic disruption as biologically measured by an increase in the overnight variability of melatonin excretion in female flight attendants (Grajewski et al, 2003). We also assessed SSI travel because it captures the separate but related exposure of sleep disturbance rather than the desynchronization reflected in cumulative time zones crossed (Grajewski et al, 2003).…”
Section: Discussionmentioning
confidence: 99%
“…Number of SPEs was assessed separately with reference to satellite data for 23 moderate or large events during the study period. To assess circadian disruption, non-directional cumulative time zones crossed and standard sleep interval (SSI) travel, a separate measure of sleep disturbance, were calculated (Grajewski et al, 2003).…”
Section: Methodsmentioning
confidence: 99%
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“…For most self-respondents, absorbed dose (in mGy without radiation or tissue weighting factors applied) received during work flights while employed as a flight attendant by any airline and commuter flights (flights taken to the domicile to which the flight attendant was assigned) was estimated by linking domicile-and/ or era-specific absorbed dose rates with work history data obtained from interviews. SSI travel and number of time zones crossed were estimated in an analogous way using methods described elsewhere (8,9). For 195 cohort members without self-reported work history data from interviews, absorbed dose, SSI travel, and number of time zones crossed incurred during employment as a flight attendant at Pan Am and National airlines (which was purchased by Pan Am in 1981) only were estimated as described by Waters et al (9) using work history data obtained from the company records.…”
Section: Exposure Assessmentmentioning
confidence: 99%
“…Our investigation examines flight attendants, whose work environment comprises many challenging and age sensitive work conditions like work overload, circadian rhythm disruption, emotional and customer-related stressors, high information load, and intense demands for the musculoskeletal system (Griffiths and Powell 2012;Grajewski et al 2003). To inform occupational health interventions, further investigations are necessary to address the interplay of the work environment of flight crew personnel and factors that are beneficial to maintain well-being, performance, and capabilities (Griffiths and Powell 2012).…”
Section: Introductionmentioning
confidence: 99%