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Night work and risk of common mental disorders: Analyzing observational data as a non-randomized pseudo trial




TekijätBeltagy M., Pentti J., Vahtera J., Kivimäki M.

KustantajaNordic Association of Occupational Safety and Health

Julkaisuvuosi2018

JournalScandinavian Journal of Work, Environment and Health

Tietokannassa oleva lehden nimiScandinavian Journal of Work, Environment and Health

Vuosikerta44

Numero5

Aloitussivu512

Lopetussivu520

Sivujen määrä9

ISSN0355-3140

DOIhttps://doi.org/10.5271/sjweh.3733

Verkko-osoitedoi:10.5271/sjweh.3733


Tiivistelmä

Objectives The aim of this study was to examine the status of night work as a risk factor for common mental disorders (CMD). Methods A cohort study with three data waves was conducted on populations of social and healthcare employees for a duration of eight years (total N=46 010). Data were analyzed as a non-randomized pseudo trial to examine (i) whether moving from non-night work to night work is associated with the development of CMD, (ii) the extent to which moving back to non-night work biases this association and (iii) whether moving from night to non-night work is associated with the recovery from CMD. Results According to logistic regression with generalized estimating equation and without bias-correction, changing to night work was not associated with the odds of acquiring CMD [odds ratio (OR) 1.03, 95% confidence interval (CI) 0.82-1.30]. However, night workers with CMD had higher odds of recovery from CMD when changing to non-night work compared to continuing night work (1.99, 95% CI 1.20-3.28). When night workers developed CMD, the odds of moving back to non-night work increased by 68%. In analyses corrected for this bias, changing from non-night to night work was associated with a 1.25-fold (95% CI 1.03-1.52) increased odds of acquiring CMD. Conclusions A change from non-night to night work may increase the risk of CMD, while moving back from night to non-night work increased recovery from CMD.



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