Working shifts and mental health - findings from the British Household Panel Survey (1995-2005)
Working shifts and mental health - findings from the British Household Panel Survey (1995-2005)
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DOI：
10.5271/sjweh.1344
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发表时间：
2009-09-01
影响因子：
6.3
通讯作者：
Arber, Sara
中科院分区：
文献类型：
--
作者：
Bara, Ana-Claudia;Arber, Sara
我们的目标是在人群水平上检验轮班工作对心理健康的影响。我们预计，这种影响将取决于暴露的持续时间，轮班工作的类型，和gender.Methods我们分析了纵向数据（1995-2005年），从英国家庭小组调查。从2005年的浪潮中，我们选择了一个年龄在21-73岁之间的子样本，这些人从1995年到2005年每年都被跟踪。我们使用2005年的一般健康问卷（GHQ，12项）和自我报告的焦虑/抑郁作为因变量。控制年龄、婚姻状况、教育程度、在六个职业类别工作的年数（1995-2005年）和基线心理健康，我们采用嵌套逻辑回归模型来检验夜班工作时间和不同轮班模式对男性和女性心理健康的影响。4年的男性与具有反映精神疾病和报告焦虑/抑郁的GHQ评分的风险增加相关[比值比（OR）2.58，95%置信区间（95%CI）1.22-5.48; OR 6.08，95% CI 2.06-17.92]。女性更容易报告焦虑/抑郁（OR 2.58，95% CI 1.53-4.35），并且GHQ评分反映了心理健康状况不良（OR 4.17，95%CI 1.45-11.98）结论不同倒班方式对心理健康的影响不同，但这种影响因性别而异。不同的轮班模式对妇女的心理健康产生更大的不利影响，而夜班对男子的心理健康产生更大的负面影响。
Objective our objective was to examine the impact of shift work on mental health at the population level. We expected that this impact would depend on duration of exposure, type of shift work, and gender.Methods We analyzed longitudinal data (1995-2005) from the British Household Panel Survey. From the 2005 wave, we selected a subsample of people aged 21-73 years who had been followed annually from 1995 to 2005. We used responses in 2005 to the General Health Questionnaire (GHQ, 12-item) and self-reported anxiety/depression as dependent variables. Controlling for age, marital status, education, number of years working in six occupational categories (1995-2005), and baseline mental health, we performed nested logistic regression models to examine the effect of the duration of night work and varied shift patterns on mental health for men and women.Results Undertaking night work for >= 4 years in men was associated with an increased risk of having a GHQ score reflecting mental ill health and reporting anxiety/depression [odds ratios (OR) 2.58, 95% confidence interval (95% CI) 1.22-5.48; OR 6.08, 95% CI 2.06-17.92, respectively]. Women were significantly more likely to report anxiety/depression (OR 2.58, 95% CI 1.53-4.35) and to have a GHQ score reflecting mental ill health (OR 4.17, 95% CI 1.45-11.98), after working varied shift patterns for 2-3 years, and >= 4 years, respectively.Conclusions Different types of shift work had a differential impact on mental health, but this impact varied according to gender. Women's mental health was more adversely affected by varied shift patterns, while night work had a greater negative impact on men's mental health.