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Sleep, Health and SocietyFrom Aetiology to Public Health$
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Francesco P. Cappuccio, Michelle A. Miller, and Steven W. Lockley

Print publication date: 2010

Print ISBN-13: 9780199566594

Published to Oxford Scholarship Online: January 2011

DOI: 10.1093/acprof:oso/9780199566594.001.0001

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Sleep and shift-work

Sleep and shift-work

Chapter:
(p.325) Chapter 15 Sleep and shift-work
Source:
Sleep, Health and Society
Author(s):

J. Axelsson

G. Kecklund

M. Sallinen

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199566594.003.0015

The rapid development of the modern society has resulted in a growing population of workers that have to work around the clock. However, working at other times (which is what a shift-worker does) comes at a cost. Night work is related to short sleep, increased fatigue, intrusions of sleep, worse performance, and increased risk for injuries and accidents. Early morning work is also affected, but to a lesser extent. Working shifts carries long-term health consequences such as an increased risk for developing cardiovascular disease, endocrine and metabolic disturbances, cancer, and gastrointestinal disorders. However, the evidence is far from immaculate and there is a need for studies with better measures of exposure as well as to why there are so large individual differences in tolerance to shift-work. In addition, the negative consequences of shift-work can be reduced by both organizational and individual countermeasures. The interactive effects of combining several countermeasures seem extra promising.

Keywords:   shift-work, sleep, sleepiness, fatigue, safety, health, countermeasures

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