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Lucca JK, Theodoro H, da Silva JC, Garcez A, Olinto MTA. Common mental disorders in Brazilian female shift workers: prevalence and associated factors. Arch Womens Ment Health 2023; 26:599-607. [PMID: 37439910 DOI: 10.1007/s00737-023-01344-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 06/28/2023] [Indexed: 07/14/2023]
Abstract
This study aimed to identify the prevalence of common mental disorders (CMD) and associated factors in female shift workers. A cross-sectional study was conducted with a sample of 450 female workers, aged 18 years or older (± 36.1 years), from an industry located in Southern Brazil. CMD was assessed using the self-reporting questionnaire (SRQ-20 ≥ 8 points), and sociodemographic, occupational, behavioral, morbidity, and self-rated health characteristics were assessed using a questionnaire survey. The prevalence of CMD was 47.3% (95% CI: 42.6-52.1). After adjusting, female workers with black/brown race/skin color had a 22% higher probability of CMD than white workers (prevalence ratio (PR) = 1.22; 95% CI: 1.01-1.49), and workers with sleep disorders or poor sleep quality were 147% more likely to have CMD compared with those with good sleep quality (PR = 2.47; 95% CI: 1.70-3.58), and workers with fair/poor self-rated health were twice as likely to have CMD (PR = 2.00; 95% CI: 1.43-2.80) compared to those with excellent/very good self-rated health. A high prevalence of CMD was observed in female shift workers, especially in workers with a black/brown race/skin color and with poor sleep quality and self-rated health.
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Affiliation(s)
- Jessica Kraemer Lucca
- Post-graduate Program in Collective Health, University of Vale do Rio dos Sinos, Unisinos, São Leopoldo, RS, Brazil
| | - Heloísa Theodoro
- Post-graduate Program in Department of Health Science, University of Caxias do Sul, UCS, Caxias do Sul, RS, Brazil
| | - Janaína Cristina da Silva
- Post-graduate Program in Collective Health, University of Vale do Rio dos Sinos, Unisinos, São Leopoldo, RS, Brazil
| | - Anderson Garcez
- Post-graduate Program in Collective Health, University of Vale do Rio dos Sinos, Unisinos, São Leopoldo, RS, Brazil
- Post-graduate Program in Nutrition Sciences, Federal University of Health Science of Porto Alegre, UFCSPA, Porto Alegre, RS, Brazil
| | - Maria Teresa Anselmo Olinto
- Post-graduate Program in Food, Nutrition and Health, Faculty of Medicine, Federal University of Rio Grande do Sul, UFRGS, R. Ramiro Barcelos, 2400, Santa Cecília, Porto Alegre, RS, CEP 90035-002, Brazil.
- Pos-graduate Program in Medical Sciences: Endocrinology, Federal University of Rio Grande do Sul State, UFRGS, Porto Alegre, RS, Brazil.
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Du S, Su Y, Zhang D, Wu J, Zheng H, Wang X. Joint effects of self-reported sleep and modifiable physical activity on risk of dyslipidaemia in women aged 45-55 years: a cross-sectional study. BMJ Open 2022; 12:e049351. [PMID: 34996783 PMCID: PMC8744097 DOI: 10.1136/bmjopen-2021-049351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Modifiable physical activity (PA) plays an important role in dyslipidaemia risk in middle-aged women with sleep problems, especially perimenopausal women. We aimed to explore the joint effects of sleep and PA on the risk of dyslipidaemia in women aged 45-55 years, and the extent to which PA moderated the effect of sleep on the risk of dyslipidaemia. DESIGN A cross-sectional study. SETTING This study was based on the survey of Chronic Disease and Nutrition Monitoring in Adults in Inner Mongolia in 2015. PARTICIPANTS 721 women aged 45-55 years were included. OUTCOME MEASUREMENT PA was measured by the Global Physical Activity Questionnaire. Sleep was measured by questionnaire formulated by the Chinese Center for Disease Control and Prevention. Multivariate logistic regression analyses were performed to determine the joint effects of sleep and PA on dyslipidaemia risk. OR and 95% CI were reported. RESULTS Among all participants, 60.6% had sleep problems, 29.0% had low PA and 41.1% had dyslipidaemia. Women with sleep problems had higher dyslipidaemia risk than women without sleep problems, irrespective of low, moderate or high PA, with OR (95% CI) of 4.24 (2.40 to 7.49), 3.14 (1.80 to 5.49) and 2.04 (1.20 to 3.48), respectively. PA could not completely attenuate the negative association between sleep and dyslipidaemia risk. With PA increased from low to high, the OR of dyslipidaemia decreased by 2.20. Women with sleep problems and low PA had higher risks of high total cholesterol, high triglyceride, low high-density lipoprotein cholesterol and high low-density lipoprotein cholesterol than women without sleep problems and high PA, with OR (95% CI) of 2.51 (1.18 to 5.35), 2.42 (1.23 to 4.74), 2.88 (1.44 to 5.74) and 2.52 (1.12 to 5.70), respectively. CONCLUSIONS Among women aged 45-55 years, the joint effects of self-reported sleep and PA on dyslipidaemia risk were more marked for sleep than for PA. Modifiable PA is a widely accessible and effective intervention to reduce the dyslipidaemia risk in women with sleep problems, particularly among perimenopausal women.
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Affiliation(s)
- Sha Du
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Yuenan Su
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Dongxue Zhang
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Jing Wu
- National Institute for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Huiqiu Zheng
- Department of Child and Adolescent Health and Health Education, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Xuemei Wang
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
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Relationship of work-related stress with obesity among Brazilian female shift workers. Public Health Nutr 2020; 24:260-266. [PMID: 33100264 DOI: 10.1017/s1368980020004243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVES To explore the relationship between work-related stress and obesity among female shift workers. Additionally, we also aimed to test the interaction between shift work and work-related stress in this association. DESIGN A cross-sectional study was conducted among Brazilian female shift workers. Work-related stress was assessed through a demand-control questionnaire (Job Stress Scale). Work-related stress was defined by the presence of high psychological demands and low control at work. The obesity cases were defined as those with a BMI of 30 kg/m2 or more. Multivariate Poisson regression with robust variance was used to obtain the prevalence ratios (PR) and their respective 95 % CI. SETTING A group of industries located in southern Brazil in 2017. PARTICIPANTS Four hundred and twenty female workers aged 18-59 years. RESULTS The overall prevalence of obesity was 30 % (95 % CI: 25·6, 34·4), and the presence of work-related stress was identified in 24 % (95 % CI: 19·9, 28·1) of the sample. We found an indication of interaction between work-related stress and night shift work on obesity (P = 0·026). After adjusting for confounding factors, work-related stress was associated with a 71 % greater probability of obesity (PR = 1·71; 95 % CI: 1·02, 2·87; P = 0·042) among female night shift workers. CONCLUSIONS In this study, we revealed that exposure to work-related stress and night shift work were associated with obesity among female shift workers. Furthermore, the prevalence of obesity was high among female shift workers.
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Tonon AC, Amando GR, Carissimi A, Freitas JJ, Xavier NB, Caumo GH, Silva LG, de Souza DOG, Hidalgo MP. The Brazilian-Portuguese version of the Sleep Hygiene Index (SHI): validity, reliability and association with depressive symptoms and sleep-related outcomes. SLEEP SCIENCE (SAO PAULO, BRAZIL) 2020; 13:37-48. [PMID: 32670491 PMCID: PMC7347373 DOI: 10.5935/1984-0063.20190130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective To translate the Sleep Hygiene Index (SHI) to Brazilian Portuguese, to describe its psychometric properties and to show its association with sleep quality, daytime sleepiness, risk for sleep apnea and depressive symptoms. Methods Thirty subjects participated in the cultural adaptation and the item clarity evaluation. Twenty subjects answered the instrument in three different time-points for test-retest reliability. Eighty adult workers completed the SHI, the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), the Beck Depression Inventory (BDI) and the STOP-BANG (S-B). Results SHI shows an acceptable internal consistency (Cronbach's α=0.75), as well as a high reproducibility (intraclass correlation=0.972, p<0.01). The three final factors of confirmatory factor analysis extract an average of 48.22% of the total sample variance. Worse sleep hygiene (higher SHI score) correlated with poor sleep quality (r=0.398, p<0.001), excessive daytime sleepiness (r=0.406, p<0.001) and depressive symptoms (r=0.324, p=0.003). No correlations with S-B were found. Conclusions SHI presents satisfactory-to-optimal psychometric properties. This instrument is useful for treatment planning and management of sleep hygiene practices. Thus, it represents a reliable way of assessing sleep hygiene quantitatively in both research and clinical settings.
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Affiliation(s)
- André Comiran Tonon
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil
| | | | - Alicia Carissimi
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil
| | - Juliana Jury Freitas
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil
| | - Nicóli Bertuol Xavier
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil
| | - Guilherme Hidalgo Caumo
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil
| | - Luka Gawlinski Silva
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil
| | | | - Maria Paz Hidalgo
- Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.,Federal University of Rio Grande do Sul, Department of Psychiatry and Forensic Medicine - Porto Alegre - RS - Brazil
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Neutzling AL, Leite HM, Paniz VMV, de Bairros FS, Dias da Costa JS, Olinto MTA. Association between common mental disorders, sleep quality, and menopausal symptoms: a population-based study in Southern Brazil. ACTA ACUST UNITED AC 2020; 27:463-472. [DOI: 10.1097/gme.0000000000001524] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Holst MM, Wirth MD, Mnatsakanova A, Burch JB, Charles LE, Tinney-Zara C, Fekedulegn D, Andrew ME, Hartley TA, Violanti JM. Shiftwork and Biomarkers of Subclinical Cardiovascular Disease: The BCOPS Study. J Occup Environ Med 2019; 61:391-396. [PMID: 30649009 PMCID: PMC6610651 DOI: 10.1097/jom.0000000000001541] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To assess the association of shiftwork with biomarkers of subclinical cardiovascular disease and examine the moderating role of body mass index (BMI) in a police cohort. METHODS A cross-sectional analysis was conducted among officers who were categorized as working the day, evening, or night shift. Comparisons with inflammatory biomarkers were performed among shifts using analysis of variance/covariance and further stratified by BMI to assess potential effect modification. RESULTS Associations were observed between day and night shiftworkers for leukocytes, tumor necrosis factor alpha, and homocysteine. After BMI stratification, higher c-reactive protein (CRP) levels were observed among evening shiftworkers with a BMI more than or equal to 30 kg/m versus the day shift. CONCLUSIONS Future studies examining prospective changes in these markers will allow for more comprehensive evaluation of their association with shiftwork.
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Affiliation(s)
- Meghan M. Holst
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Michael D. Wirth
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
- Cancer Prevention and Control Program, University of South Carolina, Columbia, SC USA
- College of Nursing, University of South Carolina, Columbia, SC, USA
| | - Anna Mnatsakanova
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - James B. Burch
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
- Cancer Prevention and Control Program, University of South Carolina, Columbia, SC USA
- WJB Dorn VA Medical Center, Columbia, SC, USA
| | - Luenda E. Charles
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - Cathy Tinney-Zara
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - Desta Fekedulegn
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - Michael E. Andrew
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - Tara A. Hartley
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA
| | - John M. Violanti
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University of Buffalo, The State University of New York, Buffalo, NY, USA
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An M, Kim J, Heo S, Kim SH, Hwang YY. Factors Affecting Sleep Quality of Clinical Nurses Working in a Hospital. ACTA ACUST UNITED AC 2018. [DOI: 10.7475/kjan.2018.30.2.126] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Minjeong An
- College of Nursing, Chonnam National University, Gwangju, Korea
| | - JinShil Kim
- College of Nursing, Gachon University, Incheon, Korea
| | - Seongkum Heo
- University of Arkansas for Medical Sciences College of Nursing, Arkansas, USA
| | - Seon Hee Kim
- College of Nursing, Chonnam National University, Gwangju, Korea
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