Cited by 556Sleep and Work-Related FatigueOccupational Health and Safety in WorkplacesWorkplace Health and Well-being

Shift work and occupational medicine: an overview

Costa, G.·2003·Occupational Medicine

Abstract

In modern society, more and more people work during 'non-standard' working hours, including shift and night work, which are recognized risk factors for health, safety and social well-being. Suitable preventive and protective measures are required to mitigate the adverse effects and ensure that the worker can cope satisfactorily. These are based mainly on the organization of shift schedules according to ergonomic criteria and on specific medical surveillance. Occupational medicine has to consider very carefully the several factors (psycho-physiological, pathological and social) that can influence tolerance and/or maladaptation.

Integrity signals

Registry

Crossref · 10.1093/occmed/kqg045

Cites

31 of 31 references verified0 citation errors · 0 not checkable

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  • The human body was exposed to continuous stress from attempts to adjust as quickly as possible to varying working hours, but was frustrated by continuous shift rotation.

    “In most cases, the human body was exposed to continuous stress from attempts to adjust as quickly as possible to the varying working hours, but at the same time was frustrated by the continuous shift rotation.31”
  • Health-related selection could lead to an underestimate of the association between rotating night shift work and diabetes.

    “On the other hand, health-related selection could also lead to an underestimate of the association [29],[30].”
  • It is possible that some rotating night shift workers who remained on night shift schedules were healthier than those who worked daytime schedules or switched back to day routines or withdrew from work for health reasons, and thus were less likely to accumulate a longer duration of rotating night shift work.

    “It is possible that some rotating night shift workers who remained on night shift schedules were healthier than those who worked on daytime schedules or switched back to day routines or withdrew from work for health reasons [29],[30] and thus were less likely to accumulate a longer duration of rotating night shift work.”

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Authors
Costa, G.
Affiliations
University of Verona (IT)
Corresponding author
Costa, G.
Venue
Occupational Medicine
Published
2003-03-01
Volume
53
Issue
2
Pages
83-88
ISSN
  • 0962-7480 (ISSN-L)
  • 1471-8405
OpenAlex
W2152126657
Cited by
556
References
31
Citations by year
2026: 12 · 2025: 10 · 2024: 18 · 2023: 27 · 2022: 29 · 2021: 23 · 2020: 26 · 2019: 30 · 2018: 21 · 2017: 38 · 2016: 38 · 2015: 25 · 2014: 31 · 2013: 39 · 2012: 32
FWCI
12.92
Type
journal article
Language
en
Open access
closed
Locations
  • Occupational Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords
shift work, night work, irregular working hours, occupational health, occupational safety, medical surveillance, shift scheduling, human factors, worker adaptation, psychophysiological factors, social well-being
MeSH terms
Adult, Age Factors, Circadian Rhythm, Family, Female, Health Surveys, Humans, Ergonomics, Interpersonal Relations, Male, Middle Aged, Occupational Diseases, Personality, Risk Factors, Work Schedule Tolerance, Occupational Health

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