Characteristics of working hours and the risk of occupational injuries among hospital employees: a case-crossover study.
Characteristics of working hours and the risk of occupational injuries among hospital employees: a case-crossover study.
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DOI：
10.5271/sjweh.3905
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发表时间：
2020-11-01
期刊：
影响因子：
--
通讯作者：
Lombardi DA
中科院分区：
文献类型：
--
作者：
Härmä M;Koskinen A;Sallinen M;Kubo T;Ropponen A;Lombardi DA
我们调查了医院轮班工作中工作时间与职业伤害的关系。来自11个城镇和6个医院区的医院雇员的职业伤害登记数据与每日工资单数据相关联，以获得首次受伤前37天的工作时间（N= 18700）。采用病例交叉设计和相关配对区间分析，比较相同受试者在三个独立危险窗口的工作时间特征。条件Logistic回归用于计算比值比（OR）和95%置信区间（CI）。我们发现夜班工作日（OR 1.09，95%CI 1.03-1.14）和夜班工作日（OR 1.33，95%CI 1.17-1.52）的职业伤害风险升高。在排除通勤伤害后，夜班（OR 1.15，95%CI 1.09-1.23）和夜班后的工作日（OR 1.44，95%CI 1.24-1.69）的风险增加，但在早班没有更显著的。一周内早班≥5次或晚班≥3次后，伤害风险增加，但不随前一次晚班或快速返回次数而增加。轮班工作的时间（OR 1.22，CI 1.06-1.42）-而不是每周工作时间的长度-与风险增加相关。结果表明，在夜班期间和夜班后的工作日期间，职业伤害风险增加，风险随着夜班而不是夜班的数量而增加。
We investigated the association of working hours with occupational injuries in hospital shift work. Registry data of occupational injuries of hospital employees from 11 towns and 6 hospital districts were linked to daily payroll data to obtain working hours for 37 days preceding the first incidence of the injury (N=18 700). A case-crossover design and associated matched-pair interval analysis were used to compare working hour characteristics for three separate hazard windows among the same subjects. Conditional logistic regression was used to calculate odds ratios (OR) with 95% confidence intervals (CI). We found an elevated risk of an occupational injury for workdays with evening shifts (OR 1.09, 95% CI 1.03–1.14) and workdays following night shifts (OR 1.33, 95% CI 1.17–1.52). After excluding commuting injuries, the risk increased during the evening shifts (OR 1.15, 95% CI 1.09–1.23) and the work days following night shifts (OR 1.44, 95% CI 1.24–1.69), but was no more significant during the morning shifts. Injury risk increased following a week of ≥5 morning shifts or ≥3 evening shifts, but did not increase according to the number of preceding night shifts or quick returns. The length of the work shift (OR 1.22, CI 1.06–1.42) – not the length of the weekly working hours – was associated with an increased risk. The results indicate an increased occupational injury risk during the evening shifts and during work days following night shifts, with the risk increasing according to the number of evening but not night shifts.
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影响因子：
6.3
作者：
Nielsen, Helena B.;Hansen, Ase M.;Garde, Anne H.
通讯作者：
Garde, Anne H.
影响因子：
4.4
作者：
Haavisto, Marja-Leena;Porkka-Heiskanen, Tarja;Sallinen, Mikael
通讯作者：
Sallinen, Mikael
影响因子：
2.9
作者：
Dall'Ora, Chiara;Griffiths, Peter;Smith, Gary
通讯作者：
Smith, Gary
影响因子：
4.4
作者：
Akerstedt, T
通讯作者：
Akerstedt, T
影响因子：
6.3
作者：
Nielsen, Helena B.;Larsen, Ann D.;Garde, Anne H.
通讯作者：
Garde, Anne H.