Long work hours is associated with suboptimal glycemic control among US workers with diabetes.
Davila-EP; Florez-H; Trepka-MJ; Fleming-LE; Niyonsenga-T; Lee-DJ; Parkash-J
Am J Ind Med 2011 May; 54(5):375-383
Background: Increasing numbers of US workers are diabetic. We assessed the relationship between glycemic control and work hours and type of occupation among employed US adults with type 2 diabetes. Methods: Data were obtained from the 1999-2004 National Health and Nutrition Examination Survey (NHANES). A representative sample of employed US adults > or equal to 20 years with self-reported type 2 diabetes (n = 369) was used. Two dichotomous glycemic control indicators, based on various HbA1c level cut-points, were used as dependent variables in weighted logistic regression analyses with adjustment for confounders. Results: Adults working over 40 hr/week were more likely to have suboptimal glycemic control (HbA1c > or equal to 7%) compared to those working 20 hr or less (odds ratio = 5.09; 95% confidence interval: [1.38-18.76]). Conclusions: Work-related factors, such as numberof hours worked, may affect the ability of adults with type 2 diabetes to reach and maintain glycemic control goals. These factors should be considered in the development of workplace policies and accommodations for the increasing number of workers with type 2 diabetes.
Dietary-effects; Epidemiology; Health-hazards; Health-surveys; Mathematical-models; Protective-measures; Quantitative-analysis; Risk-analysis; Risk-factors; Safety-research; Statistical-analysis; Worker-health; Workplace-studies;
Author Keywords: work hours; type of occupation; suboptimal and poor glycemic control; hemoglobin A1C; type 2 diabetes workers; NHANES survey data
Dr. Evelyn P. Davila, PhD, MPH, Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, 1120 NW 14th Street, Room 1073, Miami, FL 33136
American Journal of Industrial Medicine
University of Miami School of Medicine, Miami, Florida