Division of Environmental Health Sciences, School of Public Health, University of California Berkeley, Berkeley, California, USA.
Department of Epidemiology and Population Health, Stanford University, Stanford, California, USA.
Chronobiol Int. 2023 Mar;40(3):310-323. doi: 10.1080/07420528.2023.2168200. Epub 2023 Jan 24.
Shift work is a common occupational exposure, however, few studies have examined aspects of shift work beyond night work and long hours, such as rotational patterns or weekend work, which may contribute to poor health through disruption of the body's circadian rhythms. In this manuscript, we calculated the prevalence of working hour characteristics using algorithms for type (e.g., day), duration, intensity, rotational direction, and social aspects (e.g., weekend work) in a nationwide cohort of American manufacturing workers (N = 23,044) between 2003 and 2014. Distributions of working hour characteristics were examined by schedules (e.g., permanent day, day/night) and demographics, and were cross-classified in a matrix to examine co-occurrence. Approximately 55% of shifts may cause circadian rhythm disruption as they were non-day shifts or day shifts with a quick return or rotation, or were 13 h or longer. Older workers, female workers, and White workers worked permanent day shifts most often, while workers of color worked more day/night schedules. Night and evening shifts had more frequent shift rotations, quick returns, and longer hours than day shifts. Yet, day shifts, which are presumed to have little negative circadian impact, may cause circadian rhythm disruption as long hours, quick returns and rotations also occurred within day shifts.
轮班工作是一种常见的职业暴露,但很少有研究除了夜班和长时间工作之外,还研究轮班工作的其他方面,如轮班模式或周末工作,这些因素可能通过打乱人体的生物钟节律而导致健康状况不佳。在本文中,我们使用算法计算了美国制造业工人(2003 年至 2014 年间共 23044 名)全国队列中工作时间特征的流行率,这些算法用于确定工作类型(例如,白班)、持续时间、强度、旋转方向和社会方面(例如,周末工作)。通过班次(例如,固定白班、白班/夜班)和人口统计学特征检查了工作时间特征的分布情况,并在矩阵中交叉分类以检查同时出现的情况。大约 55%的班次可能会导致昼夜节律紊乱,因为它们是非白班班次或快速返回或旋转的白班班次,或者持续时间为 13 小时或更长时间。年长的工人、女性工人和白人工人最常上固定白班,而有色人种工人则更多地从事白班/夜班班次。夜班和晚班的轮班频率、快速返回和工作时间比白班更长。然而,被认为对昼夜节律影响较小的白班也可能导致昼夜节律紊乱,因为长时间、快速返回和轮班也会发生在白班中。