Abstract
Introduction This study examines the effect of long-hour work schedules and nonstandard shift work (e.g., night and evening shifts) on the ability of injured workers to maintain productive employment following a workplace injury. Methods Analyses were based on 13 years of data from the National Longitudinal Survey of Youth. Multivariate logistic regression analyses were performed with one of ten nonstandard schedules as the independent variable and a particular vocational consequences as the dependent variable. Vocational consequences included being unable to perform normal job duties, temporary job reassignment, working less than full time, filing a workers’ compensation claim, and quitting or being fired because of the injury. Covariates in the regression model included age, gender, occupation, industry, and region. Results The most prominent effects of working a nonstandard schedule were a increased risk of being fired (OR = 1.81; 1.15–2.90 CI 95%), quitting (OR = 1.68; 1.20–2.36 CI 95%), or being unable to work full time (OR = 1.33; 1.08–1.64 CI 95%) following an injury, compared to injured workers in conventional schedules. Schedules involving overtime and long working hours generally had a greater impact on vocational consequences following a workplace injury than did schedules involving night, evening, and other nonstandard shift work. Conclusions Occupational rehabilitation professionals need to consider the specific type of work schedule when developing effective return-to-work plans for injured workers. Special precautions need to be taken for workers returning to schedules that involve more than 12 h per day, 60 h per week, and long commutes.
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References
Åkerstedt T, Knutsson A. Shift work. In: Levy B, Wegman D, editors. Occupational health. 4th ed. Philadelphia: Lippincott, Williams, and Wilkins; 2000. p. 437–445.
Harrington JM. Health effects of shift work and extended hours of work. Occupat Environ Med 2001;58:68–72.
Kodz J, Davis S, Lain D, Strebler M, Rick J, Bates P, Cummings J, Meager N. Working long hours: a review of the evidence. Volume 1—main report. DTI Employment Relations Research Series ERRS16, Institute for Employment Studies. Brighton, UK: November 2003.
Knutsson A. Health disorders of shift workers. Occupat Med 2003;53:103–8.
Spurgeon A. Working time: its impact on safety and health. Geneva: International Labour Organization; 2003.
Van der Hulst M. Long workhours and health. Scand J Work Environ Health 2003;29:171–88.
Caruso C, Hitchcock E, Dick R, Russo JM, Schmit JM. Overtime and extended work shifts: recent findings on illnesses, injuries, and health behaviors. Cincinnati: U.S. Centers for Disease Control, National Institute for Occupational Safety and Health, Publication no. 2004-143. April 2004.
Dembe A, Erickson A, Delbos R, Banks S. The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States. Occupat Environ Med 2005;62:588–97.
Dembe A, Erickson A, Delbos R, Banks S. Nonstandard shift schedules and the risk of job-related injuries. Scand J Work Environ Health 2006;32(3):232–40.
Folkard S, Åkerstedt T. Trends in the risk of accidents and injures and the implications for models of fatigue and performance. Aviation Space Environ Med 2004;75:A161–7.
Hanecke K, Tiedemann S, Nachreiner F, Grzech-Sukalo H. Accident risk as a function of hour at work and time of day as determined from accident data and exposure models for the German working population. Scand J Work Environ Health 1998;24:43–8.
Horwitz IB, McCall B. The impact of shift work on the risk and severity of injuries for hospital employees: an analysis using Oregon workers’ compensation data. Occupat Med 2004;54:556–63.
Ong C, Kogi K. Shiftwork in developing countries: current issues, trends. In: Scott AJ, editor. Shiftwork. Philadelphia: Hanley and Belfus; 1990. p. 417–28.
Swaen G, van Amelsvoort L, Bültmann U, Kant I. Fatigue as a risk factor for being injured in an occupational accident: results from the Maastricht Cohort. Occupat Environl Med 2003;60(Suppl 1):i88–92.
Åkerstedt T. Psychological and psychophysiological effects of shift work. Scand J Work Environ Health 1990;16(Suppl 1):67–73.
Clancy J, McVicar A. Circadian rhythms. 2: shift work and health. Br J Nursing 1994;3:712–7.
Folkard S, Lombardi DA, Spencer MB. Estimating the circadian rhythm in the risk of occupational injuries and accidents. Chronobiol Int 2006;23(6):1181–92.
Phillips JA, Brown KC. Industrial workers on a rotating shift pattern. Adaptation and injury status. AAOHN J 1992;40:468–76.
Krause N, Lynch JW, Kaplan GA, Cohen RD, Goldberg DE, Salonen JT. Predictors of disability retirement. Scand J Work Environ Health 1997;23(6):403–13.
Anema JR, Cuelenaere B, van der Beek AJ, Knol DL, de Vet HC, van Mechelen W. The effectiveness of ergonomic interventions on return-to-work after low back pain; a prospective two year cohort study in six countries on low back pain patients sicklisted for 3–4-months. Occupat Environ Med 2004;61:289–94.
Kearney J. A closer look at work resumption. In: Bloch FS, Prins R, editors. Who returns to work and why: a six-country report of work incapacity and reintegration. Somerset, NJ: Transaction Publishers; 2001. p. 193–215.
Golden L, Jorgenson H. Time after time: mandatory overtime in the U.S. economy. Economic Policy Institute (EPI) Briefing Paper #120. Washington: EPI; 2002.
Golden L, Wiens-Tuers B. Mandatory overtime work in the United States: Who, where, and what? Labor Stud J 2005;30(1):1–25.
Trinkoff AM, Le R, Geiger-Brown J, Lipscomb J, Lang G. Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses. Am J Indus Med 2006;49:964–71.
Rogers AE, Hwang W-T, Scott LD, Aiken LH, Dinges DF. How long and how much are nurses now working? Too long, too much, and without enough rest between shifts, a study finds. Health Affairs 2004;23(4):202–12.
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Dembe, A.E., Delbos, R., Erickson, J.B. et al. Associations Between Employees’ Work Schedules and the Vocational Consequences of Workplace Injuries. J Occup Rehabil 17, 641–651 (2007). https://doi.org/10.1007/s10926-007-9098-8
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DOI: https://doi.org/10.1007/s10926-007-9098-8