夜班工作与全因和因特定死亡率有关:一项大型前性队列研究
Qinyu Chang1,2,3,4, Yiqun Zhu1,2,3,4, Huaying Liang1,2,3,4
1Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Journal of general internal medicine
|September 10, 2024
概括
轮班工作,特别是罕见或不规则的夜班,增加了死亡风险. 长期的夜班工作 (20-30年) 显著增加了所有原因和心血管疾病死亡率的风险.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 人们越来越关注与轮班工作和夜班工作相关的健康问题.
- 以前的研究表明,与非标准工作时间相关的潜在不良健康结果.
研究的目的:
- 检查夜班工作与死亡风险之间的关联.
- 调查夜班频率和持续时间对死亡结果的影响.
主要方法:
- 使用英国生物库数据进行前性队列研究设计.
- 包括283579名参与者 (年龄在37-73岁之间),随访时间中位数为14年.
- 使用Cox比例危险模型进行分析,根据工作时间表和暴露时间来评估死亡风险.
主要成果:
- 与日间工人相比,轮班工人有12%的全因死亡风险增加.
- 罕见或不规则的夜班工作者有较高的死亡风险.
- 在累积的夜班年数和死亡率之间观察到非线性关系,20-30年的夜班显著增加了全因和心血管疾病死亡率.
结论:
- 轮班工作,特别是罕见或不规则的夜班,与死亡率的增加有关.
- 长时间接触夜班 (20-30年) 显著增加所有原因和心血管疾病死亡率的风险.
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