ArticleScandinavian journal of work, environment & health2022
Night and shift work and incidence of cerebrovascular disease - a prospective cohort study of healthcare employees in Stockholm.
Article in Scandinavian journal of work, environment & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis.Frontiers in public health · 2025Pooled it
- Organisational-level risk and health-promoting factors within the healthcare sector-a systematic search and review.Frontiers in medicine · 2024Pooled it
- The Risk of Cardiovascular Diseases for Shift Workers in the Prospective Heinz Nixdorf Recall Study.American journal of industrial medicine · 2026Article
- Shift work and medically certified sickness absence due to common mental disorders among nursing staff: a prospective cohort study.European journal of public health · 2026Article
- Working time traffic light recommendations: development, use, and implementation in the Finnish social and healthcare.Industrial health · 2026Article
- Changes in shift patterns due to the COVID-19 pandemic: a prospective cohort study of the intensive care nursing staff in hospitals in Stockholm.International journal of nursing studies advances · 2025Article
- The Influence of Optimal Sleep Onset Time and Duration on Risk of Stroke: A Community-Based, Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Article
- Unraveling the complex relationship between night shift work and diabetes: exploring mechanisms and potential interventions.Frontiers in public health · 2025Review
- Chronobiological disruptions: unravelling the interplay of shift work, circadian rhythms, and vascular health in the context of stroke risk.Clinical and experimental medicine · 2024Review
- The Impact of Night Work on the Sleep and Health of Medical Staff-A Review of the Latest Scientific Reports.Journal of clinical medicine · 2024Review
- Working hours and health - key research topics in the past and future.Scandinavian journal of work, environment & health · 2024Review
- Working hours and cardiovascular disease.Scandinavian journal of work, environment & health · 2024Article
- Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study.Scandinavian journal of work, environment & health · 2024Article
- Dietary circadian rhythms and cardiovascular disease risk in the prospective NutriNet-Santé cohort.Nature communications · 2023Article
- Night and shift work patterns and incidence of type 2 diabetes and hypertension in a prospective cohort study of healthcare employees.Scandinavian journal of work, environment & health · 2023Article
- Occupational Risk Factors for Stroke: A Comprehensive Review.Journal of stroke · 2023Review
- Association between night shift work and NAFLD: a prospective analysis of 281,280 UK Biobank participants.BMC public health · 2023Article
- Night work and breast cancer risk in a cohort of female healthcare employees in Stockholm, Sweden.Occupational and environmental medicine · 2023Article
- The Prolonged Effect of Shift Work and the Impact of Reducing the Number of Nightshifts on Arterial Stiffness-A 4-Year Follow-Up Study.Journal of cardiovascular development and disease · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to investigate the effects of various aspects of night and shift work regarding incident cerebrovascular disease (CeVD).
methodsThe cohort included 26 667 women and 3793 men (nurses and nursing assistants) who were employed for at least one year 2008-2016 in Region Stockholm, Sweden. Information about the cohort and working hours were obtained from a computerized employee-register and diagnoses were retrieved from national and regional registers. We used discrete time proportional hazard models to assess the risk of CeVD (2009-2017), in relation to work hour characteristics, adjusting for sex, age, country of birth, education and profession.
resultsWe observed an excess risk of CeVD (N=223) among employees who, during the preceding year, worked night shifts >30 times [hazard ratio (HR) 1.44, 95% confidence interval (CI) 1.04-1.99] or ≥3 consecutive night shifts >15 times (HR 1.69, 95% CI 1.18-2.42) or with >30 quick returns (<28 hours) from night shifts (HR 1.52, 95% CI 1.10-2.10) compared to those who did not work nights. We also observed an excess risk among employees with a long duration (>5 years) of exposure to night shift work (HR 1.87, 95% CI 1.27-2.77), all supported by a dose-response pattern.
conclusionsOur results show that the risk of CeVD among nurses and nursing assistants is associated with night shift work. The number of years with night shift work, the frequency of night shifts per year, the frequency of consecutive night shifts, and short recovery after night shifts influenced the risk. Work schedules aiming at minimizing these aspects of night shift work may reduce the risk.
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