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NIOSH Publication No. 2004-143:

Overtime and Extended Work Shifts: Recent Findings on Illnesses, Injuries and Health Behaviors

May 2004

 

Tables:



Table 5. Studies Examining Overtime and Injuries: Methods and Findings


Back to Table 5 main page

Author, Date Sample Measure of Overtime Health or Safety Measure Statistical Methods Controls Results Reported by Authors
Akerstedt et al.2002 47,680 employed men and women beginning at age 16 (total cohort):
- Sweden
Interviewed regularly for 20 y: work h/wk < 50 or > 50 Occupations fatality from Swedish Cause of Death Registry across 20 y - Cox regression survival analysis
- Covariates: demographics, sleep, other work characteristics
No significant relationship reported between >50 h/wk and occupational fatality.
Lowery et al. 1998 2,140 airport construction contracts involving approximately 32,000 workers (men 95%):
- Employed 12/1990 to 8/1994
- Age R 15 - 60+
- United States
Percent of payroll that was overtime by contract:
0%, >0% - 20%, > 20%
4,634 paid workers' compensation claims to determine:
- Non-lost work time (non-LWT) injury rate
- Lost work time (LWT) injury rate
Poisson regression - Numbers of LWT injuries were small and NS.
- Rate ratio for non-LWT injuries increased to 1.57 (CI 1.13 - 2.17) for contracts with > 20% overtime.
Simpson and Severson 2000 2,247 workers from one hospital:
- 155 injured and 2,092 non-injured
- Age not reported
- Women 81%
- United States
From 1997 hospital records: hours worked < 2000; >= 2000 Hospital injury records in 1997: cut, fracture, sprain, amputation, etc. - Logistic regression
- Covariates: age, gender, ethnicity, job title, physical demand rating, work hours obtained from hospital records

Working >= 2000 h/y increased risk for injury (OR 1.71, CI = 1.22 - 2.38).

Note: Abbreviations used: BMI = body mass index; BP - blood pressure; CI = 95% confidence interval; CIR = cumulative incidence ratio; D = day; E = evening; h - hours; M = mean; N = night; NS = not significant; OR - odds ratio; PR = prevalence risk ratio; R = range; RR = relative risk ratio; wk = week; y = years