Night work and sick leave during pregnancy:a national register-based within-worker cohort study
Autor: | Karin Sørig Hougaard, Ina Olmer Specht, Ann Dyreborg Larsen, Esben Meulengracht Flachs, Paula Edeusa Cristina Hammer, Anne Helene Garde, Luise Moelenberg Begtrup, Jens Peter Bonde, Anja Pinborg, Johnni Hansen, Henrik A Kolstad, Åse Marie Hansen |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Denmark sick leave night work Danish Shift work Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Risk Factors Work Schedule Tolerance Medicine Humans 030212 general & internal medicine Registries Pregnancy Trimesters business.industry Public Health Environmental and Occupational Health Shift Work Schedule Middle Aged sickness absence medicine.disease 030210 environmental & occupational health language.human_language Personnel Hospital Logistic Models shift work Relative risk Sick leave language Female Sick Leave business female reproductive effects and adverse pregnancy outcomes Cohort study Demography |
Zdroj: | Hammer, P E C, Garde, A H, Begtrup, L M, Flachs, E M, Hansen, J, Hansen, Å M, Hougaard, K S, Kolstad, H A, Larsen, A D, Pinborg, A B, Specht, I O & Bonde, J P 2019, ' Night work and sick leave during pregnancy : a national register-based within-worker cohort study ', Occupational and Environmental Medicine, vol. 76, no. 3, pp. 163-168 . https://doi.org/10.1136/oemed-2018-105331 |
Popis: | ObjectiveThe aim of our study was to investigate the acute effect of night work during pregnancy on the risk of calling in sick the following day using register-based information and the workers as their own controls.MethodsUsing the payroll-based national Danish Working Hour Database, including all public hospital employees in Denmark, we identified 9799 pregnant women with ≥1 day shift and ≥1 night shift and ≥1 day of sick leave during the first 32 pregnancy weeks from January 2007 to December 2013. We performed fixed effects logistic regression, that is, within-worker comparisons, of the risk of sick leave of any duration starting within 24 hours after night shifts of different length versus day shifts.ResultsMost of the participants were nurses (64%) or physicians (16%). We found an increased relative risk of sick leave following night shifts compared with day shifts during all pregnancy trimesters. The risk was highest for night shifts lasting >12 hours (OR 1.37, 95% CI 1.15 to 1.63 for nurses; OR 1.87, 95% CI 1.69 to 2.08 for physicians) and among women aged >35 years (OR 1.42, 95% CI 1.24 to 1.63).ConclusionAmong Danish public hospital employees night shifts during pregnancy, especially shifts longer than 12 hours, increased the risk of calling in sick the following day independent of personal factors and time-invariant confounders in all pregnancy trimesters. |
Databáze: | OpenAIRE |
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