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Shift work and sick leave

M Kleiven1, H Bøggild, H J Jeppesen

  • 1Department of Occupational Health, Hydro Porsgrunn Industrial Park, Norway. magnar.kleiven@dri.hydro.com

Scandinavian Journal of Work, Environment & Health
|January 23, 1999
PubMed
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Shift work, including night shifts, did not increase the risk of certified sick leave in this industrial study. However, a higher risk of musculoskeletal issues was observed in two-shift workers.

Area of Science:

  • Occupational Health
  • Epidemiology
  • Industrial Hygiene

Background:

  • Shift work, particularly night shifts, is associated with increased morbidity.
  • Previous research suggests a link between shift work and various health issues.

Purpose of the Study:

  • To investigate if slowly rotating shift work increases the risk of certified sick leave.
  • To compare sick leave patterns between day workers and different shift work schedules.

Main Methods:

  • A case-base study design was employed using over 11,000 sick leave episodes (lasting >3 days) from a Norwegian chemical plant.
  • Workers were categorized into three groups: slowly rotating 3-shift, 2-shift (no night work), and daytime schedules.
  • Diagnoses were grouped, and workers' work schedules were analyzed.

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Main Results:

  • No significant difference in sick leave risk was found between shift workers and day workers across all diagnoses (odds ratios 0.8-1.2).
  • The duration of shift work did not correlate with sick leave risk.
  • A higher risk of sick leave for musculoskeletal diagnoses was identified among 2-shift workers.

Conclusions:

  • Shift workers in this study did not exhibit a higher risk of sick leave for conditions previously linked to shift and night work.
  • The findings suggest that certified sick leave may not be a reliable indicator of underlying morbidity.
  • Potential biases exist, but results align with previous studies on shift work and health outcomes.