ArticleBMJ open2020
Association for combined exposure to job strain, shift work on mental health among Chinese railway workers: a cross-sectional study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 27 citations in OpenAlex.
- Associations between MASLD phenotypes and the risk of carotid artery plaque: a cross-sectional study among railway workers.Acta diabetologica · 2025Article
- Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review.Safety and health at work · 2024Review
- Dietary Rhythmicity and Mental Health Among Airline Personnel.JAMA network open · 2024Article
- The interaction of occupational stress and job burnout on depressive symptoms in railway workers in Fuzhou city.BMC public health · 2024Article
- Decoding the impact of night/day shiftwork on well-being among healthcare workers.Scientific reports · 2024Article
- Triglyceride-Glucose Index is Related to Carotid Artery Plaque in Railway Workers: A Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023Article
- Association between obese phenotypes and risk of carotid artery plaque among chinese male railway drivers.BMC public health · 2022Article
- Article
- Non-Pharmacological Interventions to Improve Chronic Disease Risk Factors and Sleep in Shift Workers: A Systematic Review and Meta-Analysis.Clocks & sleep · 2021Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to assess the effects of coexposure to job strain and shift work on mental health in railway workers.
designCross-sectional study.
settingOne Railway Bureau Group in China.
participantsA total of 1270 front-line railway workers. OUTCOME MEASURES: The Symptom Checklist-90-Revised questionnaire was used to measure general mental health. Job strain variables were derived from the Job Content Questionnaire. Based on the records of the work schedule 3 months prior to the survey, the following three shift types were identified: fixed day, fixed night and rotating night shifts. Risks associated with mental health were assessed by carrying out logistic regression analysis which was adjusted for age, job tenure, smoking and exercise. Additionally, a crossover analysis was employed for the combined effects.
resultsHigh levels of job strain were linked to a higher risk of poor mental health (OR=1.53, 95% CI: 1.10 to 2.11). After adjusting for confounding factors, night shifts and rotating night shifts were significant risk factors for mental health (OR=2.21, 95% CI: 1.60 to 3.07; OR=2.36, 95% CI: 1.73 to 3.22). Compared with participants who experienced a low level of job strain and day shifts, those with a high level of job strain and who worked rotating shifts were at the highest risk of poor mental health (OR=4.68, 95% CI: 2.91 to 8.04), whereas the influence of a low level of job strain and rotating night shifts was not statistically significant.
conclusionJob strain and night shifts among workers were associated, both independently and in combination, with an increased risk of poor mental health. Our data suggest that job strain contributes to the risk of poor mental health by means of a combined effect with shift work.
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