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工作场所健康促进活动能覆盖倒班工人吗?

Does workplace health promotion reach shift workers?

机构信息

Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014 Copehagen K, Denmark.

出版信息

Scand J Work Environ Health. 2015 Jan;41(1):84-93. doi: 10.5271/sjweh.3469. Epub 2014 Nov 24.

Abstract

OBJECTIVES

One reason for health disparities between shift and day workers may be that workplace health promotion does not reach shift workers to the same extent as it reaches day workers. This study aimed to investigate the association between shift work and the availability of and participation in workplace health promotion.

METHODS

We used cross-sectional questionnaire data from a large representative sample of all employed people in Denmark. We obtained information on the availability of and participation in six types of workplace health promotion. We also obtained information on working hours, ie, fixed day work (reference) and shift work (four categories), psychosocial work factors, and health behaviors. We conducted binary logistic regression analyses both in the total sample (N=7555) and in a sub-sample consisting of job groups with representatives in all shift work categories (N=2064).

RESULTS

In the general working population, fixed evening and fixed night workers, and employees working variable shifts including night work reported a higher availability of health promotion, while employees working variable shifts without night work reported a lower availability of health promotion. Within job groups undertaking shift work, we found few differences between day and shift workers, and these few differences appear to favor shift workers. Day workers and shift workers did not differ significantly with respect to their participation in health promotion.

CONCLUSIONS

The present study could not confirm that shift workers in general report a lower availability of and participation in workplace health promotion.

摘要

目的

轮班工人与白班工人之间健康状况存在差异的原因之一可能是,工作场所健康促进对轮班工人的覆盖程度不及白班工人。本研究旨在调查轮班工作与工作场所健康促进的可及性和参与度之间的关联。

方法

我们使用了丹麦一项大型代表性就业人群的横断面问卷调查数据。我们获取了关于 6 种类型的工作场所健康促进的可及性和参与度的信息。我们还获取了工作时间(固定白班工作(参照)和轮班工作(4 个类别))、心理社会工作因素和健康行为方面的信息。我们在总样本(N=7555)和包含所有轮班工作类别的职业群体的子样本(N=2064)中分别进行了二元逻辑回归分析。

结果

在一般劳动人口中,固定上夜班和固定下夜班工人以及从事包括夜班在内的变班工作的员工报告称,健康促进的可及性更高,而从事无夜班的变班工作的员工报告称,健康促进的可及性更低。在从事轮班工作的职业群体中,我们发现白班工人和轮班工人之间几乎没有差异,而且这些差异似乎对轮班工人有利。白班工人和轮班工人在参与健康促进方面没有显著差异。

结论

本研究不能证实一般来说轮班工人报告工作场所健康促进的可及性和参与度较低。

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