Shift work and cancer screening: do females who work alternative shifts undergo recommended cancer screening?
Tsai-RJ; Luckhaupt-SE; Sweeney-MH; Calvert-GM
Am J Ind Med 2014 Mar; 57(3):265-275
Background: Alternative shift work is classified as a probable human carcinogen. Certain cancer screening tests reduce cancer mortality. Methods: The 2010 National Health Interview Survey was used to examine associations between adherence to breast, cervical, and colon cancer screening recommendations and alternative shift work among female workers. Results: Workers on alternative shifts, compared to workers on daytime shifts, were more likely to be non-adherent to screening recommendations for breast (34% vs. 23%) and colorectal (55% vs. 48%) cancer (P<0.05).Workers on alternative shifts in two industries ("Manufacturing" and "Accommodation/Food Services") and three occupations ("Food Preparation/Serving," "Personal Care Services," and "Production") were more likely to be non-adherent to screening recommendations for at least two cancers (P<0.05). Conclusions: The Affordable Care Act eliminates out-of-pocket screening expenses for these three cancers. Greater efforts are needed to promote this benefit, particularly among workers with demonstrated non-adherence.
Medical-screening; Cancer; Health-services; Health-surveys; Occupations; Surveillance-programs; Shift-work; Shift-workers; Humans; Women; Breast-cancer; Intestinal-cancer; Epidemiology; Circadian-rhythms;
Author Keywords: industry; occupation; shift work; cancer screening recommendations; breast cancer; cervical cancer; colorectal cancer
Rebecca J. Tsai, PhD, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, R-17, Cincinnati, OH 45226
American Journal of Industrial Medicine