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Night work and sick leave during pregnancy: a national register-based within-worker cohort study

机译:怀孕期间的夜间工作和病假:基于国家寄存器的工作人员队列队列研究

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The aim of our study was to investigate the acute effect of night work during pregnancy on the risk of calling in sick the following day using register-based information and the workers as their own controls.Using the payroll-based national Danish Working Hour Database, including all public hospital employees in Denmark, we identified 9799 pregnant women with ≥1?day shift and ≥1?night shift and ≥1?day of sick leave during the first 32 pregnancy weeks from January 2007 to December 2013. We performed fixed effects logistic regression, that is, within-worker comparisons, of the risk of sick leave of any duration starting within 24?hours after night shifts of different length versus day shifts.Most of the participants were nurses (64%) or physicians (16%). We found an increased relative risk of sick leave following night shifts compared with day shifts during all pregnancy trimesters. The risk was highest for night shifts lasting >12?hours (OR 1.37, 95%?CI 1.15 to 1.63 for nurses; OR 1.87, 95%?CI 1.69 to 2.08 for physicians) and among women aged >35 years (OR 1.42, 95%?CI 1.24 to 1.63).Among Danish public hospital employees night shifts during pregnancy, especially shifts longer than 12?hours, increased the risk of calling in sick the following day independent of personal factors and time-invariant confounders in all pregnancy trimesters.
机译:我们的研究目的是调查怀孕期间夜间工作的急性效果,这是使用基于寄存器的信息和工人作为自己的控件来调用的风险。为基于工资单的国家丹麦工作小时数据库,包括丹麦的所有公立医院员工,我们确定了9799名孕妇≥1?白班和≥1?夜班和≥1?1月份的第32周期周数,从2007年1月到2013年12月。我们进行了固定效果Logistic回归,即在工人内比较,在24小时内开始的任何持续时间的病假风险,在不同长度与日班位的夜班之后的时间。 )。我们发现在所有怀孕时间的夜班相比,在夜班后的病假的相对风险增加。夜班持续的风险最高> 12小时(或1.37,95%?CI 1.15至1.63的护士;医生持续1.87,95%?对于医生的1.69至2.08岁),女性龄在> 35岁(或1.42, 95%?CI 1.24至1.63)。丹麦公立医院员工夜班怀孕期间,特别是班次超过12?几小时,第二天在所有怀孕的个人因素和时间不变的混乱中增加了呼唤的风险。

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