Effects of long working hours and shift work on the mental health of community medical workers
10.20001/j.issn.2095-2619.20250607
- VernacularTitle:长工时和轮班对社区医务人员心理健康影响
- Author:
Xiaodan YANG
1
;
Danni LI
;
Jicui CHEN
;
Jiayi WANG
;
Zou CHEN
Author Information
1. Shanghai Pudong New Area Huamu Community Health Service Center, Shanghai 201204, China
- Publication Type:Journal Article
- Keywords:
Community;
Medical workers;
Long working hours;
Shift work;
Occupational stress;
Fatigue accumulation;
Depressive symptoms
- From:
China Occupational Medicine
2025;52(3):282-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the association of working hours and shift work with occupational stress, fatigue accumulation, and depressive symptoms among primary community medical workers. Methods A total of 516 medical workers from five community medical service centers in Pudong New Area, Shanghai City, were selected as the research subjects using the convenience sampling method. The Core Scale of Occupational Stress Measurement, the Workers' Fatigue Accumulation Self-diagnosis Questionnaire, and the Patient Health Questionnaire were used to assess research subjects' occupational stress, fatigue accumulation, and depressive symptoms, respectively. Results Long working hours (>40 hours/week) were reported by 50.4% of workers among the research subjects, while shift works were reported by 16.9% of the workers. The detection rates of occupational stress, fatigue accumulation, and depressive symptoms were 26.6%, 41.7%, and 30.8%, respectively. Multivariate logistic regression analysis result revealed that, after adjusting for confounders such as age, sex, and education level, longer working hours were associated with higher risks of occupational stress, fatigue accumulation, and depressive symptoms (all P<0.05). Shift workers in community medical centers had higher risks of occupational stress, fatigue accumulation, and depressive symptoms compared with non-shift workers (all P<0.05). Conclusion Long working hours and shift work could increase the risks of occupational stress, fatigue accumulation, and depressive symptoms among community medical workers.
