The Association Between Shift Work and Health Behavior: Findings from the Korean National Health and Nutrition Examination Survey.
10.4082/kjfm.2017.38.2.86
- Author:
Myung Ji BAE
1
;
Yun Mi SONG
;
Jin Young SHIN
;
Bo Young CHOI
;
Jung Hyun KEUM
;
Eun Ae LEE
Author Information
1. Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yunmisong@skku.edu
- Publication Type:Original Article
- Keywords:
Alcohol Abuse;
Health Behavior;
Sleep Disorders;
Smoking;
Work Schedule Tolerance
- MeSH:
Adult;
Alcohol Drinking;
Alcoholism;
Cross-Sectional Studies;
Female;
Health Behavior*;
Humans;
Logistic Models;
Male;
Nutrition Surveys*;
Sleep Wake Disorders;
Smoke;
Smoking;
Work Schedule Tolerance
- From:Korean Journal of Family Medicine
2017;38(2):86-92
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Shift workers are increasing worldwide, and various negative health effects of shift work have been reported. This study aimed to evaluate the relationship between shift work and health behavior. METHODS: This cross-sectional study included a total of 11,680 Korean adults (6,061 men and 5,619 women) aged ≥20 years old who participated in the Fifth Korean National Health and Nutrition Examination Survey, 2010–2012. Multiple logistic regression analysis was performed to evaluate the association between shift work and health behavior after adjusting for covariates. RESULTS: In men, shift work was associated with an increased risk of inadequate sleep (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.00 to 1.40) compared to day work. In women, shift work was associated with an increased risk of smoking (OR, 1.73; 95% CI, 1.34 to 2.22) and inadequate sleep (OR, 1.24; 95% CI, 1.05 to 1.47) compared to day work. In an age-stratified subgroup analysis, female shift workers aged ≥50 years old demonstrated an increased risk of smoking (OR, 5.55; 95% CI, 3.60 to 8.55), alcohol consumption (OR, 2.22; 95% CI, 1.53 to 3.23), and inadequate sleep (OR, 1.50; 95% CI, 1.10 to 2.05) compared to female day workers. CONCLUSION: Shift work is associated with worse health behavior, and this is most evident in women aged ≥50 years. Targeted strategies to reduce the negative health effects of shift work should be implemented, with consideration of shift workers' demographic characteristics.
