Medicinski pregled 2012 Volume 65, Issue 11-12, Pages: 461-469
https://doi.org/10.2298/MPNS1212461B
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Night work, total occupational burden and cancer/cardiovascular risk factors in physicians
Belkić Karen (Department of Oncology/Pathology, Karolinska Institute, Stockholm, Sweden + Claremont Graduate University, School of Community and Global Health Claremont, California, USA + Institute for Health Promotion and Disease Prevention Research University of Sout)
Nedić Olesja (Ambulatory Health Care Center Division for Occupational Health Protection, Novi Sad)
Introduction. Lifestyle-related risk factors: smoking, obesity, sedentariness
and excess alcohol intake are among the most important known causes of cancer
and cardiovascular disease. The aim of this study is to examine the
relationship between these lifestyle-related risk factors for
cancer/cardiovascular disease and working conditions among
surgeons/anesthesiologists and other physicians. Material and Methods. The
study was carried out among physicians aged 35 to 60, without diagnosed
coronary heart disease or other structural heart disease, who were employed
at the Novi Sad University Hospital. The participation rate was high (> 90%).
The physicians completed the Occupational Stress Index. Low lifestyle-related
cancer/cardiovascular risk was defined as: not a current smoker, body mass
index < 28, regular recreational physical activity and not consuming alcohol
every day. Analysis of covariance was performed. Results. Of 191 physicians
included in this study only 23 (12.0%) had a low lifestyle- related
cancer/cardiovascular risk. Surgeons/anesthesiologists faced a heavier total
work stressor burden than physicians in other profiles (87.7±8.8 versus
74.1±10.5, p=0.000). Among the 56 surgeons/anesthesiologists, lower
nightshift work scores were associated with low lifestyle-related
cancer/cardiovascular risk (F=4.19, p=0.046). A lower overall work stressor
burden was associated with low risk among the other 135 physicians (F=4.06,
p=0.046). Conclusion. Specific workplace intervention strategies are urgently
needed. Among the surgeons/anesthesiologists these should include reduction
in the frequency of night call and improvement of the overall conditions of
nightshift work. Among other physicians, the total occupational burden needs
to be diminished.
Keywords: Workplace, Physicians, Occupational Exposure, Stress, Psychological, Risk Factors, Sedentary Lifestyle, Smoking, Obesity, Alcohol Drinking, Body Mass Index, Cardiovascular Diseases, Neoplasms, Work Schedule Tolerance