Public Health, NORC at the University of Chicago, Bethesda, Maryland, USA.
Statistics, NORC at the University of Chicago, Bethesda, Maryland, USA.
J Occup Environ Hyg. 2021 Apr-May;18(4-5):192-202. doi: 10.1080/15459624.2021.1876876. Epub 2021 Feb 10.
The purpose of this study was to estimate the effect of past and current rotating shift assignments on U.S. law enforcement officers' health outcomes. In a nationally representative sample of 2,867 officers, with an oversample of female officers, we estimated models of sleep quality and fatigue, physical health outcomes, and psychological health outcomes. Further, we examined individual and agency-level factors associated with officers who reported currently working a rotating shift, to investigate what patterns there may be in shift assignments. A history of rotating shift assignments was positively associated with lower sleep quality, and with hypertension, diabetes, and high cholesterol, but not with gastrointestinal disorders, perceived stress, emotional well-being, or suicidality. The associations of shiftwork with health outcomes did not vary by gender. Demographic characteristics did not predict current rotating shift assignments, but a longer history of shiftwork and more working hours did predict a current shift assignment. Attention to mitigating shift system designs as well as the effect of cumulative years of working a rotating shift for the benefit of officer health outcomes is warranted.
本研究旨在评估过去和当前轮班分配对美国执法人员健康结果的影响。在一个具有代表性的 2867 名警察的样本中,我们对睡眠质量和疲劳、身体健康结果和心理健康结果进行了模型估计。此外,我们还研究了与报告当前轮班工作的警察有关的个人和机构因素,以调查轮班分配可能存在的模式。轮班工作的历史与较低的睡眠质量以及高血压、糖尿病和高胆固醇有关,但与胃肠道疾病、感知压力、情绪健康或自杀意念无关。轮班工作与健康结果的关联不因性别而异。人口统计学特征不能预测当前的轮班分配,但较长的轮班工作历史和更多的工作时间确实预测了当前的轮班分配。有必要关注减轻轮班系统设计以及为了警察健康结果而累积多年轮班工作的影响。