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The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States
Open accessAbstract
Aims: To analyse the impact of overtime and extended working hours on the risk of occupational injuries and illnesses among a nationally representative sample of working adults from the United States. Methods: Responses from 10 793 Americans participating in the National Longitudinal Survey of Youth (NLSY) were used to evaluate workers’ job histories, work schedules, and occurrence of occupational injury and illness between 1987 and 2000. A total of 110 236 job records were analysed, encompassing 89 729 person-years of accumulated working time. Aggregated incidence rates in each of five exposure categories were calculated for each NLSY survey period. Multivariate analytical techniques were used to estimate the relative risk of long working hours per day, extended hours per week, long commute times, and overtime schedules on reporting a work related injury or illness, after adjusting for age, gender, occupation, industry, and region. Results: After adjusting for those factors, working in jobs with overtime schedules was associated with a 61% higher injury hazard rate compared to jobs without overtime. Working at least 12 hours per day was associated with a 37% increased hazard rate and working at least 60 hours per week was associated with a 23% increased hazard rate. A strong dose-response effect was observed, with the injury rate (per 100 accumulated worker-years in a particular schedule) increasing in correspondence to the number of hours per day (or per week) in the workers’ customary schedule. Conclusions: Results suggest that job schedules with long working hours are not more risky merely because they are concentrated in inherently hazardous industries or occupations, or because people working long hours spend more total time “at risk” for a work injury. Strategies to prevent work injuries should consider changes in scheduling practices, job redesign, and health protection programmes for people working in jobs involving overtime and extended hours.
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“Whereas many studies indicated that working long hours is associated with fatigue, a higher risk of injury, and (psycho)somatic health complaints (5, 7-9)”
From A diary study to open up the black box of overtime work among university faculty members (2008) · cites this paper as [7]
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Health Care Industry: Contemporary Considerations
Emery, R., Charlton, M., Brown, B., & Patlovich, S. (2021) · Patty's Industrial Hygiene · doi:10.1002/0471435139.hyg120.pub2 · Cited by 1
Lee, S., Choi, J. Y., & Lee, W. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201404 · Cited by 1
Unfallrisiko verschiedener Schichtsysteme – Simulation mit dem XIMES-Risikorechner
Arlinghaus, A., & Gärtner, J. (2020) · sozialpolitik.ch · doi:10.18753/2297-8224-169 · Cited by 1
“Die wöchentliche Arbeitszeit zeigt ebenfalls Zusammenhänge zum Unfallrisiko (Arlinghaus et al. 2012; Dembe et al. 2005; Folkard/Lombardi 2006), jedoch scheint hier eine Interaktion mit der Art und Länge der gearbeiteten Schichten vorzuliegen.”
Defying the Circadian Rhythm: Clustering Participant Telemetry in the UK Biobank DataPreprint
Počuča, N., Farrell, M., & McNicholas, P. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2011.08350 · Cited by 1
“Studies have shown that these lifestyles can have negative health effects (Harrington, 2001; Dembe et al., 2005; Fan et al., 2020).”
BackgroundRoutes and roots: factors that drive labour mobility in Newfoundland and Labrador, Canada
Barrett, J. (2020) · Applied Mobilities · doi:10.1080/23800127.2020.1764255 · Cited by 1
“Weather, road conditions, fatigue, distance, and whether a carpool is involved all influence whether the job and the journey to work is worth the potential consequences (Dembe et al. 2005).”
BackgroundTodolí-Signes, A. (2020) · Social Science Research Network · doi:10.2139/ssrn.3522406 · Cited by 1
“Fatigue, in turn, would result in a greater risk to safety at work by increasing the chance of accidents (Dembe, 2005).”
BackgroundThe Safety Concerns of Night Shift Schedule: Implications for Family, Homes and Human Health
Fasanya, B. K., Pope-Ford, R., Shofoluwe, M., & Olaniyi, O. A. (2018) · Journal of Medical - Clinical Research & Reviews · doi:10.33425/2639-944x.1060 · Cited by 1
“[16] studied how night shift and extended working hours cause occupational injuries and illnesses.”
BackgroundMorita, Y., Ohta, M., Jiang, Y., Tanaka, H., & Yamato, H. (2018) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000001466 · Cited by 1
Sleep and Fatigue in Nurses in Relation to Shift Work
Cekova, I., Stoyanova, R., Dimitrova, I., & Vangelova, K. K. (2018) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-96089-0_21 · Cited by 3
Sleep and fatigue in hospital physicians in relation to shift work
Vangelova, K. K., Cekova, I., & Dimitrova, I. (2018) · Ukrainian Journal of Occupational Health · doi:10.33573/ujoh2018.03.016 · Cited by 1
“Extended shifts have been associated with higher risk of accidents, more psychosocial complaints, more cardiovascular symptoms, higher risk for development of hypertension [1, 16, 17].”
BackgroundDeterminant Factors of Work-Related Complaints
Sagita, Q. M., Setyaningsih, Y., & Sulistiyani, S. (2018) · International Journal of Public Health Science (IJPHS) · doi:10.11591/ijphs.v7i1.9124 · Cited by 1
“From research on working adults in USA show that long working hours indirectly precipitate workplace accidents by inducing fatigue or stress in affected workers and overtime schedules had the greatest relative risk of occupational injury or illness, followed by schedules with extended (>12) hours per day and extended…”
BackgroundLe surinvestissement : une nouvelle maladie ?
Kovess–Masféty, V., & Saunder, L. (2017) · Archives des maladies professionnelles et de médecine du travail/Archives des maladies professionnelles et de l'environnement · doi:10.1016/j.admp.2017.08.011
Pudaruth, S., Juwaheer, T. D., Nunkoo, R., & Vencatachellum, I. (2017) · Studies in Business and Economics · doi:10.1515/sbe-2017-0028 · Cited by 1
“…2005) and employees run higher risk of contracting musculoskeletal disorders, both acute and cumulative shoulder pain, back and neck pain, (Aiken et al., 2002; Dembe et al., 2005; Caruso et al., 2006; Gadrey et al., 2006; Trinkoff et al., 2006; Johnson and Lipscomb, 2006; Raediker et al., 2006).”
BackgroundInfluentialBrändle, T. (2015) · Journal of Contextual Economics – Schmollers Jahrbuch · doi:10.3790/schm.135.4.499 · Cited by 1
Schichtarbeit und Gesundheit in einem Großunternehmen der chemischen Industrie
Oberlinner, C., Lang, S., Nasterlack, M., & Yong, M. (2013) · Deutsche Medizinische Wochenschrift · doi:10.1055/s-0032-1332953 · Cited by 1
Windows, Light, Nature, and Color
Wener, R. E. (2012) · Cambridge University Press eBooks · doi:10.1017/cbo9780511979682.014 · Cited by 3
Ergonomic Considerations for Children's Pointing Device: A Review of Design Issues
Lai, H.-H., & Yang, S.-L. (2012) · Journal of Convergence Information Technology · doi:10.4156/jcit.vol7.issue6.12 · Cited by 1
“It also leads to work-related problems in the neck and upper limbs, such as the exstrophy of the fingers, excessive stretching of a tendon, carpal tunnel syndrome, and fibrosis of the neck or shoulder [24].”
BackgroundTravailler moins pour travailler plus longtemps
Cremer, H., Maldonado, D., Donder, P. D., & Pestieau, P. (2011) · doi:10.2307/41615482 · Cited by 1
Working time directive and its impact on training
Anantharachagan, A., & Ojha, K. (2011) · Obstetrics Gynaecology & Reproductive Medicine · doi:10.1016/j.ogrm.2011.01.005 · Cited by 2
Factors Associated with Work-Related Injuries of Nurses in Small and Medium Sized Hospitals
Hwang, J.-I., & Hwang, E. (2010) · Journal of Korean Academy of Nursing Administration · doi:10.11111/jkana.2010.16.3.306 · Cited by 1
“그리고 주당 근무시간이 많고(Dembe et al., 2005), 직무에 불만족할수록(Dembe et al., 2004; Zontek et al., 2009), 직무 스트레스가 높을수록(Jung et al., 2010) 업 무상 손상률이 높은 것으로 나타났다.”
Does Performance Pay Influence Hours of Work?
Green, C. P., & Heywood, J. (2022) · Social Science Research Network · doi:10.2139/ssrn.4188285 · Cited by 1
“Instead, long hours increase worker’s underlying risk of illness per hour worked (Dembe et al 2005).”
BackgroundLabor Law and Technological Challenges
Todolí-Signes, A. (2021) · Flexible Working Practices and Approaches · doi:10.1007/978-3-030-74128-0_13 · Cited by 1
International health and safety standards after Brexit
Moretta, Whyte, & O'neill (2021) · Institute of Employment Rights Journal · doi:10.13169/instemplrighj.4.0.0085 · Cited by 1
Menschengerechte Arbeitszeiten – Grundlagen, Kriterien und Gestaltungsmöglichkeiten
Brauner, C., & Tisch, A. (2020) · Springer eBooks · doi:10.1007/978-3-662-61524-9_13 · Cited by 3
Macroergonomic Effects on Manufacturing Systems
Realyvásquez-Vargas, A., Maldonado-Macías, A. A., & García-Alcaráz, J. L. (2017) · Management and industrial engineering · doi:10.1007/978-3-319-68684-4_6
Chapter 76 – Sleep Problems in First Responders and in Deployed Military Personnel
Vila, B., Samuels, C., & Wesensten, N. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00076-3 · Cited by 1
An Enterprise Decision Model for a Large Scale Assembly Operation
Thome, J., & Whitman, L. (2014) · doi:10.3182/20140824-6-za-1003.02311 · Cited by 1
Metadata
- Authors
- Dembe, A. E., Erickson, J. B., Delbos, R. G., & Banks, S. M.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Corresponding author
- Dembe, A E
- ORCID
- Dembe, A E
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2005-08-18
- Volume
- 62
- Issue
- 9
- Pages
- 588-597
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- PMC
- PMC1741083
- OpenAlex
- W2111942718
- Cited by
- 788
- References
- 0
- Citations by year
- 2026: 23 · 2025: 35 · 2024: 43 · 2023: 34 · 2022: 68 · 2021: 36 · 2020: 48 · 2019: 57 · 2018: 52 · 2017: 59 · 2016: 40 · 2015: 42 · 2014: 37 · 2013: 31 · 2012: 28
- FWCI
- 30.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institute for Occupational Safety and Health (R01-OH07576)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Safety in Workplaces
- Keywords
- overtime, long working hours, occupational injuries, occupational diseases, work schedules, dose-response relationship, injury risk, commuting time, job redesign, occupational injury prevention
- MeSH terms
- Accidents, Occupational, Adult, Epidemiologic Methods, Female, Humans, Male, Occupational Diseases, Time Factors, United States, Work Schedule Tolerance, Wounds and Injuries
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