Korean J Occup Environ Med. 2010 Sep;22(3):200-209. Korean.
Published online Sep 30, 2010.
Copyright © 2010 The Korean Society of Occupational and Environmental Medicine
Original Article

The Effect of Shift Work on the Level of Self-Rated Health

Daehee Noh, Jong Ho Wang, Hyunrim Choi, Sinye Lim, Keunwhoe Kim,1 Chang Won Won,2 and Kyunghee Jung-Choi3
    • Department of Occupational and Environmental Medicine, College of Medicine, Kyung Hee University, Korea.
    • 1Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital, Korea.
    • 2Department of Family Medicine, College of Medicine, Kyung Hee University, Korea.
    • 3Department of Preventive Medicine, Ewha Women's University School of Medicine, Korea.
Received February 05, 2010; Revised July 14, 2010; Accepted July 19, 2010.

Abstract

Objectives

The present study was designed to determine the characteristics of shift work and the relationship between shift work and the level of self-rated health using the Korean Labor and Income Panel Study (KLIPS) data, which represents urban households in Korea.

Methods

Using the 9th wave of KLIPS, this study analyzed 2,087 male workers aged 25 to 64 years; participants missing data were excluded from analysis. To determine the impact of shift work on the level of self-rated health, logistic regression analysis was applied that controlled for socio-demographic characteristics, labor environment, and health-related behaviors.

Results

Shift workers comprised 13.4% of study subjects overall. The majority(69.2%) of participants were in 2-teams and in 2-shifts. Week 1 shift cycle changes were the highest, 56.3%. The risk of poor self-rated health was not significantly higher among shift workers compared to non-shift workers (OR=1.08, 95% CI=0.79~1.48). When divided by tenure, shift workers with more than 10-years experience (OR=1.79, 95% CI=0.91~3.50) tended to show greater risk than non-shift workers at marginal significance.

Conclusions

In the present study, a significantly higher risk of self-rated poor health among shift workers was not observed. However, shift workers with more than 10-years experience tended to show increased health risk compared to non-shift workers. Further studies are required to determine time-series data and to consider both healthy worker effect and information bias.

Keywords
Shift work; Self-rated health


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