Havet N, Huguet M, Tonietta J
ISFA, laboratoire SAF, université de Lyon, université Claude Bernard Lyon 1, 50, avenue Tony-Garnier, 69007 Lyon, France.
GATE L-SE UMR 5824, université de Lyon, université Lumière Lyon 2, 69130 Ecully, France.
Rev Epidemiol Sante Publique. 2017 Nov;65(6):397-407. doi: 10.1016/j.respe.2017.06.006. Epub 2017 Oct 21.
Despite the fact that French laws state that night work should be exceptional, the number of night workers has sharply increased in the past 20 years. At the same time, empirical and epidemiological studies indicate that night work has negative effects on workers' health. This is why the 2010 French pension act considered night work to be a drudgery. The aim of this study is to investigate whether night workers are more subject to other factors defined as contributing to the drudgery of work than are day workers. This article focuses on exposure to physical constraints (manual manipulation of heavy loads, awkward posture, exposure to mechanical vibrations) and aggressive physical environment (carcinogenic, mutagenic and reprotoxic chemicals [CMR], extreme temperature and noise).
Our study used the 2010 Medical Monitoring Survey of Occupational Risks [Surveillance médicale des expositions aux risques professionnels, (SUMER)] that was conducted among a sample of around 50,000 employees representative of 21.7 million French employees. We used logistic regressions to explore the potential influence of night work on the probabilities of exposure to at least one CMR, noise, thermal nuisance and physical constraints.
Even though descriptive statistics suggest that night workers are more exposed to drudgery of work than day workers, our multivariate logistic models indicate that the exposure is not always positively correlated with the number of nights worked. Moreover, the exposure differs according to gender and socio-occupational category.
Our findings suggest that night workers are more exposed to several factors defined as contributing to the drudgery of work than are day workers. Thus, they seem to face multiple disadvantages in the labor market. Preventive measures in favor of night workers should be targeted at job content as much as work organization.
尽管法国法律规定夜间工作应属例外情况,但在过去20年里,夜间工作者的数量急剧增加。与此同时,实证研究和流行病学研究表明,夜间工作对工人健康有负面影响。这就是为什么2010年法国养老金法案将夜间工作视为繁重工作的原因。本研究的目的是调查与日班工人相比,夜班工人是否更容易受到其他被定义为导致工作繁重的因素影响。本文重点关注身体限制因素(手动搬运重物、不良姿势、接触机械振动)和恶劣的物理环境(致癌、致突变和生殖毒性化学物质[CMR]、极端温度和噪音)。
我们的研究使用了2010年职业风险医学监测调查[职业暴露风险医学监测(SUMER)],该调查在约50000名员工的样本中进行,这些员工代表了2170万法国员工。我们使用逻辑回归来探讨夜间工作对接触至少一种CMR、噪音、热干扰和身体限制因素可能性的潜在影响。
尽管描述性统计表明夜班工人比日班工人更容易面临繁重的工作,但我们的多变量逻辑模型表明,这种暴露并不总是与夜间工作的天数呈正相关。此外,暴露情况因性别和社会职业类别而异。
我们的研究结果表明,与日班工人相比,夜班工人更容易受到几种被定义为导致工作繁重的因素影响。因此,他们在劳动力市场上似乎面临多重劣势。有利于夜班工人的预防措施应同时针对工作内容和工作组织。