Night work and postpartum depression: a national register-based cohort study
| Autor: | Ina Olmer Specht, Henrik A Kolstad, Åse Marie Hansen, Luise Mølenberg Begtrup, Jens Peter Bonde, Johnni Hansen, Karin Sørig Hougaard, Esben Meulengracht Flachs, Paula Edeusa Cristina Hammer, Anja Pinborg, Ann Dyreborg Larsen, Anne Helene Garde, Ida Hageman |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Postpartum depression
SYMPTOMS Denmark night work Shift work 0302 clinical medicine depressive disorder Risk Factors healthy worker effect PSYCHIATRIC EPISODES Prospective Studies Registries register-based cohort study Prospective cohort study RISK Obstetrics Shift Work Schedule 030210 environmental & occupational health doctor SHIFT WORK PREGNANCY postpartum depression Cohort depression Female HEALTH pregnancy Public aspects of medicine RA1-1270 Cohort study Adult medicine.medical_specialty DISORDERS nurse Depression Postpartum 03 medical and health sciences medicine cohort study Humans Pregnancy business.industry Public Health Environmental and Occupational Health Odds ratio medicine.disease SLEEP shift work INFERENCE NURSES shift worker business Body mass index |
| Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 45, Iss 6, Pp 577-587 (2019) Hammer, P, Hageman, I, Garde, A, Begtrup, L, Flachs, E, Hansen, J, Hansen, A, Hougaard, K, Kolstad, H, Larsen, A, Pinborg, A, Specht, I & Bonde, J P 2019, ' Night work and postpartum depression : a national register-based cohort study ', Scandinavian Journal of Work, Environment & Health, vol. 45, no. 6, pp. 577-587 . https://doi.org/10.5271/sjweh.3831 Hammer, P, Hageman, I, Garde, A, Begtrup, L, Flachs, E, Hansen, J, Hansen, Å M, Hougaard, K, Kolstad, H, Larsen, A, Pinborg, A, Specht, I & Bonde, J P 2019, ' Night work and postpartum depression : a national register-based cohort study ', Scandinavian Journal of Work, Environment & Health, vol. 45, no. 6, pp. 577-587 . https://doi.org/10.5271/sjweh.3831 |
| ISSN: | 0355-3140 |
| Popis: | Objective We aimed to investigate the association of night work during pregnancy with the risk of severe postpartum depression (PPD).Methods We performed a nationwide register-based cohort study of workers in all Danish public hospitals. Daily information on working hours was retrieved from the Danish Working Hour Database from January 2007 to December 2015. Pregnancies, covariates and outcome were identified from national registries for births and hospital contacts. We performed logistic regression of the risk of severe PPD in relation to the number and duration of night shifts, spells of consecutive night shifts, and short shift intervals during the first 32 pregnancy weeks. Analyses were adjusted for age, body mass index, socioeconomic status, parity, sickness absence three months prior to pregnancy, and prior diagnosis of severe depression.Results The study cohort comprised 25 009 singleton pregnancies from 19 382 workers. The majority were nurses or physicians. Overall, we did not observe an increased risk of PPD for any of the dimensions of night work analyzed. We found, however, an increased risk of PPD (adjusted odds ratio 2.08, 95% confidence interval 1.09-4.00) among women who stopped working night shifts after the first pregnancy trimester (N=3094).Conclusion Overall, our results do not support night work during pregnancy as a risk factor for severe PPD among hospital employees. However, we observed a 2-fold increased risk of PPD among women who stopped working night shifts after the first pregnancy trimester. This may reflect the influence of the healthy worker survivor effect and warrants further attention. |
| Databáze: | OpenAIRE |
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