Journal
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume 65, Issue 9, Pages 783-788Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0000000000002904
Keywords
health-seeking behavior; diabetes; hypertension; chronic disease management; shift work; employee
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This retrospective cohort study in Japan examined male shift workers seeking treatment for hypertension and diabetes. The study found that shift workers were less likely to seek treatment for hypertension and diabetes compared to day workers, even after adjusting for various factors. The findings suggest a potential association between shift work and reduced healthcare seeking behavior for these conditions.
Objective: This study was identified seeking treatment for hypertension and diabetes among male shift workers.Method: This retrospective cohort study included nine large companies in Japan. Data were collected from health checkup, health insurance records, and self-administered questionnaires in 2017 and 2020. Data were analyzed using Kaplan-Meier curves and Cox regression.Result: Person-days shift workers and day workers seeking treatment for hypertension were 41,604 and 327,301, respectively and, for diabetes, were 7326 and 60,735, respectively. The log ranks were statistically significant. Shift workers were 46% and 56% less likely to seek treatment for hypertension and diabetes, respectively, than day workers were after adjustment for age, marital status, education level, and intention to modify lifestyle (model 2) (P < 0.01).Conclusions: Male shift workers are less likely to seek treatment for hypertension and diabetes compared with day workers.
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