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Seeking Treatment Profile of Male Shift Workers With Hypertension and Diabetes
Nuri Purwito Adi1, Tomohisa Nagata, Koji Mori
1From the Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (N.P.A., T.N., K.M., K.O., S.K.); Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia (N.P.A.); Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan (T.K.); Data Science Center for Occupational Health, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (K.F., S.M.); Department of Information Management Center, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (M.O.); Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (M.N.); Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan. (Y.F.); and Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (S.M.).
Objective:
This study was identified seeking treatment for hypertension and diabetes among male shift workers.
Method:
This retrospective cohort study included nine large companies in Japan. Data were collected from health checkup, health insurance records, and self-administered questionnaires in 2017 and 2020. Data were analyzed using Kaplan-Meier curves and Cox regression.
Result:
Person-days shift workers and day workers seeking treatment for hypertension were 41,604 and 327,301, respectively and, for diabetes, were 7326 and 60,735, respectively. The log ranks were statistically significant. Shift workers were 46% and 56% less likely to seek treatment for hypertension and diabetes, respectively, than day workers were after adjustment for age, marital status, education level, and intention to modify lifestyle (model 2) ( P < 0.01).
Conclusions:
Male shift workers are less likely to seek treatment for hypertension and diabetes compared with day workers.
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