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0108 Shift work and sleep-related problems: a nationwide survey in taiwan
  1. Wei An Lin1,2,
  2. Wei Shan Chin2,3,
  3. Chih Yong Chen4,
  4. Li Wen Liu4,
  5. Yi Tsong Pan4,
  6. Po Ching Chu1,2,
  7. Yue Leon Guo1,3
  1. 1Department of Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan
  2. 2Institue of Occupational Medicine and Industrial Hygiene, NTU School of Public Health, Taipei, Taiwan
  3. 3National Institute of Environmental Health Sciences, National Health Research Institutes, Zhunan, Taiwan
  4. 4Institute of Labour, Occupational Safety and Health, Ministry of Labour, New Taipei City, Taiwan


Objective 1) To estimate the prevalence of insufficient sleep and poor sleep quality by different shiftwork status in a representative sample of the Taiwan working population. 2) To estimate PARs of sleep-related problems as related to shiftwork.

Methods The data of 22 600 workers aged 20 to 65 years were retrieved from the Survey of Perceptions of Safety and Health in the Work Environment, a nationwide cross-sectional survey conducted in 2010. Insufficient sleep was defined as self-reported short sleep duration interfering with life or work activity. Sleep quality was categorised into very good, good, poor and very poor. Work shifts were classified into fixed daytime, evening, or night, rotating night shift, rotating shift not including night, and irregular. Multivariate logistic regression was used to calculate the ORs and then estimated PARs of sleep-related problems.

Results Among all workers, shift status were as follows: fixed daytime shift 74.7%, fixed evening 10.6%, fixed night 2.3%, rotating night shift 5.3%, rotating shift not including night 2.0%, and irregular 5.2%. The highest prevalence of sleep-related problems was observed among fixed night workers with insufficient sleep of 12.1% and poor sleep quality 3.5%. Fixed night shift was associated with the highest risk of both insufficient sleep (OR=3.20, 95% CI 2.41–4.18, p<0.0001) and poor sleep quality (OR=3.51, 95% CI 2.07–5.62, p<0.0001). The estimated PARs of insufficient sleep and poor sleep quality related to rotating night shift were 9.0% and 8.9%, respectively.

Conclusions Night shiftwork was significantly associated with increased risk of insufficient sleep and poor sleep quality among Taiwanese workers.

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