Shift work and cancer – considerations on rationale, mechanisms, and epidemiology

Costa, Giovanni; Haus, Erhard; Stevens, Richard G.

doi:10.5271/sjweh.2899

Cited by 221 publications

(179 citation statements)

References 169 publications

(191 reference statements)

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“…Vermutet wird auf Basis von Tierexperimenten, dass ein geringer Melatoninspiegel durch Schlafstörungen und Schlafmangel möglicherweise das Immunsystem beeinträchtigt. In Überblicksstudien zur epidemiologischen Evidenz werden gesicherte Befunde u. a. aufgrund mangelnder Kontrolle von Tätigkeitsmerkmalen oder des Sozialstatus jedoch sehr kritisch gesehen (Costa et al 2010;Kolstad 2008;Pukkala und Härmä 2007). So können beispielsweise für das Brustkrebsrisiko von Flugbegleiterinnen eher kanzerogene ionisierende Strahlungen als die Lage der Arbeitszeit verantwortlich gemacht werden.…”

Section: Problemstellung Und Forschungsstandunclassified

Arbeit zur falschen Zeit am falschen Platz? Eine Matching-Analyse zu gesundheitlichen Beanspruchungen bei Schicht- und Nachtarbeit

Struck

Dütsch

Liebig

et al. 2013

J Labour Market Res

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Working at the wrong time at the wrong place? A matching-analysis on health stresses for shift and night work Abstract Many studies report diseases caused by shift and night work. As a rule, however, such studies do not take into account socio-demographic factors and job characteristics. Based on the BIBB/BAuA Employment Survey 2006, the present paper looks into the effects of various job-specific and socio-structural factors on physical and mental health as well as sleeping disorders. The analysis was carried out using the matching approach. Furthermore, the matching approach was used to form to shift and night work groups as structurally identical references as possible with regard to social-structural characteristics and job features. This strategy makes it possible to extract independent effects of the timing of work on health problems.

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Section: Problemstellung Und Forschungsstandunclassified

Arbeit zur falschen Zeit am falschen Platz? Eine Matching-Analyse zu gesundheitlichen Beanspruchungen bei Schicht- und Nachtarbeit

Struck

Dütsch

Liebig

et al. 2013

J Labour Market Res

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“…There are a number or biological mechanisms that could explain the increased risk for cancer among shift workers but today we cannot say which mechanism is most plausible (12,45). In order to try preventive a Adjusted for number of children (4 levels) and alcohol consumption (high/low).…”

Section: Knutsson Et Almentioning

confidence: 99%

“…The most extensively studied cancer in this context is female breast cancer. In a recent review, nine epidemiological studies were reported, of which six were positive (12). Since then, an additional four studies have been published (13)(14)(15)(16), three of which were positive.…”

mentioning

confidence: 99%

Breast cancer among shift workers: results of the WOLF longitudinal cohort study

Knutsson¹,

Alfredsson²,

Karlsson³

et al. 2012

Scand J Work Environ Health

102

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This cohort study showed that shift work with night shifts is associated with increased risk of breast cancer, but not shift work without night shifts. Research on the disease mechanisms needs to be intensified. Original article Scand J Work Environ Health. 2013;39(2):170-177. doi:10.5271/sjweh.3323 Breast cancer among shift workers: results of the WOLF longitudinal cohort study Objective The aim of this study was to investigate whether shift work (with or without night work) is associated with increased risk of breast cancer. Affiliation MethodsThe population consisted of 4036 women. Data were obtained from WOLF (Work, Lipids, and Fibrinogen), a longitudinal cohort study. Information about baseline characteristics was based on questionnaire responses and medical examination. Cancer incidence from baseline to follow-up was obtained from the national cancer registry. Two exposure groups were identified: shift work with and without night work. The group with day work only was used as the reference group in the analysis. Cox regression analysis was used to calculate relative risk. ResultsIn total, 94 women developed breast cancer during follow-up. The average follow-up time was 12.4 years. The hazard ratio for breast cancer was 1.23 [95% confidence interval (95% CI) 0.70-2.17] for shifts without night work and 2.02 (95% CI 1.03-3.95) for shifts with night work. When including only women <60 years of age, the risk estimates were 1.18 (95% CI 0.67-2.07) for shifts without night work, and 2.15 (95% CI 1.10-4.21) for shifts with night work. ConclusionsOur results indicate an increased risk for breast cancer among women who work shifts that includes night work.

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“…4 The nursing profession is among those jobs in which the staff works in various work shifts. 5 Individuals who work in the night shift in circulating rounds are exposed to lack of sleep 6 which is associated with increasing fatigue. 5 This exerts detrimental effects on the nurses health, 7 linked to dysfunction in the physical and cognitive performance of persons.…”

Section: Introductionmentioning

confidence: 99%

Perception of Fatigue in Female Nurses Employed in Hospitals

Pourmovahed¹,

Nasiriani²

2017

Women Health Open J

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Background: Fatigue is the inability to maintain the required stamina in work capacity with consequences affecting occupational performance, health, and safety. Women are often more exposed to the risk of fatigue because they tend to be multitaskers. The present survey is aimed at determining the perceived fatigue in female nurses employed in hospitals and identifying the individual and occupational factors affecting it. Methods: This survey was conducted on 270 female nurses. The sample was selected using multistage randomized stratified multistage sampling. To collect the data, a demographic and occupational information, and Iowa Fatigue Scale (IFS) were filled using the self-report technique. The gleaned data were analyzed with SPSS16 using analysis of variance (ANOVA), T-test and, and Pearson correlation coefficient. Results: The overall score of nurses fatigue was 30.78±7.90. There was a statistically significant difference between employment status (p=0.01), husband's support (p=0.00), age (p=0.008), and work experience (p=0.02) on one hand, and fatigue. There was no significant difference between marital status (p=0.23), type of ward (p=0.59), official position (p=0.51), work shift (p=0.29), having a suckling (p=0.10), having a second job (0.25), and monthly work hours (p=0.38) and fatigue. Conclusion: Based on the findings of this survey, a moderate degree of fatigue was observed among female nurses employed in clinical wards. Also, factors such as age, being married, employment status, and husband's support have considerable impact on the perceived fatigue. This demands the application of preventive interventions to decrease fatigue in female nurses specifically for older married nurses with permanent employment.

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Shift work and cancer – considerations on rationale, mechanisms, and epidemiology

Cited by 221 publications

References 169 publications

Arbeit zur falschen Zeit am falschen Platz? Eine Matching-Analyse zu gesundheitlichen Beanspruchungen bei Schicht- und Nachtarbeit

Arbeit zur falschen Zeit am falschen Platz? Eine Matching-Analyse zu gesundheitlichen Beanspruchungen bei Schicht- und Nachtarbeit

Breast cancer among shift workers: results of the WOLF longitudinal cohort study

Perception of Fatigue in Female Nurses Employed in Hospitals

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