Association of rotating shift work schedules and the use of prescribed sleep medication: A prospective cohort study
| Autor: | Paula Salo, Anneli Ojajärvi, Philip Tucker, Constanze Leineweber, Tuula Oksanen, Mika Kivimäki, Jussi Vahtera, Mikko Härmä |
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| Přispěvatelé: | Department of Public Health, Clinicum |
| Rok vydání: | 2021 |
| Předmět: |
DISORDER
Adult medicine.drug_class Cognitive Neuroscience Occupational prestige night work 3124 Neurology and psychiatry Shift work Hypnotic 03 medical and health sciences Behavioral Neuroscience AGE 0302 clinical medicine Work Schedule Tolerance medicine Humans Longitudinal Studies Prospective Studies PREDICTORS Prospective cohort study hypnotics and sedatives Aged business.industry Hazard ratio 3112 Neurosciences Shift Work Schedule General Medicine Middle Aged 030210 environmental & occupational health 3142 Public health care science environmental and occupational health Confidence interval Circadian Rhythm QUICK RETURNS circadian Sedative work schedule 8. Economic growth Marital status NURSES Sleep business INSOMNIA SYMPTOMS 030217 neurology & neurosurgery Demography |
| Zdroj: | Philip Tucker |
| ISSN: | 1365-2869 0962-1105 |
| DOI: | 10.1111/jsr.13349 |
| Popis: | We examined whether working rotating shifts, with or without night work, is associated with the purchase of prescribed sleep medication, and whether the association is dependent on age. Data were obtained from a longitudinal cohort study of Finnish public sector employees who responded to questions on work schedule and background characteristics in 2000, 2004 and 2008. The data were linked to national register data on redeemed prescriptions of hypnotic and sedative medications, with up to 11 years of follow-up. Age stratified Cox proportional hazard regression models were computed to examine incident use of medication comparing two groups of rotating shift workers (those working shifts that included night shifts and those whose schedules did not include night shifts) with day workers who worked in a similar range of occupations. Shift work with night shifts was associated with increased use of sleep medication in all age groups, after adjustments for sex, occupational status, marital status, alcohol consumption, smoking and physical activity levels (hazard ratio [HR], [95% confidence interval, CI] 1.14 [1.01-1.28] for age group ≤39 years; 1.33 [1.19-1.48] for age group 40-49 years; 1.28 [1.13-1.44] for age group ≥50 years). Shift work without nights was associated with medication use in the two older age groups (HR [95% CI] 1.14 [1.01-1.29] and 1.17 [1.05-1.31] for age groups 40-49 years and >50 years, respectively). These findings suggest that circadian disruption and older age puts rotating shift workers, and especially those who work nights, at increased risk of developing clinically significant levels of sleep problems. |
| Databáze: | OpenAIRE |
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