Association of rotating shift work schedules and the use of prescribed sleep medication: A prospective cohort study

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dc.contributor.author Tucker, P
dc.contributor.author Harma, M
dc.contributor.author Ojajarvi, A
dc.contributor.author Kivimaki, M
dc.contributor.author Leineweber, C
dc.contributor.author Oksanen, T
dc.contributor.author Salo, P
dc.contributor.author Vahtera, J
dc.date.accessioned 2021-10-20T07:20:01Z
dc.date.available 2021-10-20T07:20:01Z
dc.date.issued 2021-12
dc.identifier.citation Tucker , P , Harma , M , Ojajarvi , A , Kivimaki , M , Leineweber , C , Oksanen , T , Salo , P & Vahtera , J 2021 , ' Association of rotating shift work schedules and the use of prescribed sleep medication: A prospective cohort study ' , Journal of Sleep Research , vol. 30 , no. 6 , 13349 . https://doi.org/10.1111/jsr.13349
dc.identifier.other PURE: 169631050
dc.identifier.other PURE UUID: 42c5e3cf-2414-4b37-9480-8e9018621922
dc.identifier.other RIS: urn:60798A2F1DD524537DFB5F614BCAE56D
dc.identifier.other WOS: 000661319800001
dc.identifier.uri http://hdl.handle.net/10138/335469
dc.description.abstract We examined whether working rotating shifts, with or without night work, is associated with the purchase of prescribed sleep medication, and whether the association is dependent on age. Data were obtained from a longitudinal cohort study of Finnish public sector employees who responded to questions on work schedule and background characteristics in 2000, 2004 and 2008. The data were linked to national register data on redeemed prescriptions of hypnotic and sedative medications, with up to 11 years of follow-up. Age stratified Cox proportional hazard regression models were computed to examine incident use of medication comparing two groups of rotating shift workers (those working shifts that included night shifts and those whose schedules did not include night shifts) with day workers who worked in a similar range of occupations. Shift work with night shifts was associated with increased use of sleep medication in all age groups, after adjustments for sex, occupational status, marital status, alcohol consumption, smoking and physical activity levels (hazard ratio [HR], [95% confidence interval, CI] 1.14 [1.01-1.28] for age group = 50 years). Shift work without nights was associated with medication use in the two older age groups (HR [95% CI] 1.14 [1.01-1.29] and 1.17 [1.05-1.31] for age groups 40-49 years and >50 years, respectively). These findings suggest that circadian disruption and older age puts rotating shift workers, and especially those who work nights, at increased risk of developing clinically significant levels of sleep problems. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof Journal of Sleep Research
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject age
dc.subject circadian
dc.subject hypnotics and sedatives
dc.subject night work
dc.subject work schedule
dc.subject INSOMNIA SYMPTOMS
dc.subject QUICK RETURNS
dc.subject NIGHT WORK
dc.subject PREDICTORS
dc.subject NURSES
dc.subject DISORDER
dc.subject AGE
dc.subject 3112 Neurosciences
dc.subject 3124 Neurology and psychiatry
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Association of rotating shift work schedules and the use of prescribed sleep medication: A prospective cohort study en
dc.type Article
dc.contributor.organization Department of Public Health
dc.contributor.organization Clinicum
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/jsr.13349
dc.relation.issn 0962-1105
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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