The healthy-worker effect: Self-selection among Swedish shift workers
Abstract
This paper reports a study on the ‘healthy-worker effect’ related to shift work. The study sample comprised 53 male applicants for blue-collar jobs. The subjects who applied for shift work (m = 30) did not differ from those who applied for day work (n = 23) regarding previous illnesses or current symptoms. However, data on self-reported sleep behaviour indicated that a higher percentage of prospective shift workers had a less rigid sleep pattern than did prospective day workers. The results suggest that there might be a self-selection to shift work by individuals with specific sleep behaviours that might facilitate future coping with odd work hours.
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The potential for workers to self-select out of shift work causes a systematic confound in population health research known as the healthy worker effect.
“The potential for workers to self-select out of shift work causes a systematic confound in population health research known as the “healthy worker effect” [105].”
From Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being (2017) · cites this paper as [105]
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- Authors
- Knutsson, A., & Akerstedt, T.
- Affiliations
- Sundsvall Municipality (SE)
- Venue
- Work & Stress
- Publisher
- Informa UK Limited
- Published
- 1992-04
- Volume
- 6
- Issue
- 2
- Pages
- 163-167
- ISSN
- 0267-8373 (ISSN-L)
- 1464-5335
- OpenAlex
- W2169541633
- Cited by
- 85
- References
- 13
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 7 · 2020: 5 · 2019: 6 · 2018: 1 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Work & Stress (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- healthy worker effect, shift work, self-selection, sleep behaviour, sleep patterns, blue-collar workers, day work, occupational health
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