Article metrics

  • citations in SCindeks: [2]
  • citations in CrossRef:0
  • citations in Google Scholar:[=>]
  • visits in previous 30 days:4
  • full-text downloads in 30 days:3
article: 8 from 22  
Back back to result list
Medicinski pregled
2012, vol. 65, iss. 11-12, pp. 461-469
article language: English
document type: Original Scientific Paper
published on: 03/12/2012
doi: 10.2298/MPNS1212461B
Night work, total occupational burden and cancer/cardiovascular risk factors in physicians
aKarolinska Institute, Stockholm, Sweden + Claremont Graduate University, School of Community and Global Health Claremont, California, USA + University of Southern California School of Medicine, Los Angeles, California
bAmbulatory Health Care Center Division for Occupational Health Protection, Novi Sad

e-mail: Karen.Belkic@ki.se

Abstract

Introduction. Lifestyle-related risk factors: smoking, obesity, sedentariness and excess alcohol intake are among the most important known causes of cancer and cardiovascular disease. The aim of this study is to examine the relationship between these lifestyle-related risk factors for cancer/cardiovascular disease and working conditions among surgeons/anesthesiologists and other physicians. Material and Methods. The study was carried out among physicians aged 35 to 60, without diagnosed coronary heart disease or other structural heart disease, who were employed at the Novi Sad University Hospital. The participation rate was high (> 90%). The physicians completed the Occupational Stress Index. Low lifestyle-related cancer/cardiovascular risk was defined as: not a current smoker, body mass index < 28, regular recreational physical activity and not consuming alcohol every day. Analysis of covariance was performed. Results. Of 191 physicians included in this study only 23 (12.0%) had a low lifestyle- related cancer/cardiovascular risk. Surgeons/anesthesiologists faced a heavier total work stressor burden than physicians in other profiles (87.7±8.8 versus 74.1±10.5, p=0.000). Among the 56 surgeons/anesthesiologists, lower nightshift work scores were associated with low lifestyle-related cancer/cardiovascular risk (F=4.19, p=0.046). A lower overall work stressor burden was associated with low risk among the other 135 physicians (F=4.06, p=0.046). Conclusion. Specific workplace intervention strategies are urgently needed. Among the surgeons/anesthesiologists these should include reduction in the frequency of night call and improvement of the overall conditions of nightshift work. Among other physicians, the total occupational burden needs to be diminished.

Keywords

References

Alexander, B.H., Checkoway, H., Nagahama, S.I., Domino, K.B. (2000) Cause-specific Mortality Risks of Anesthesiologists. Anesthesiology, 93(4): 922-930
Balch, C.M., Shanafelt, T.D., Dyrbye, L., Sloan, J.A., Russell, T.R., Bechamps, G.J., Freischlag, J.A. (2010) Surgeon distress as calibrated by hours worked and nights on call. Journal of the American College of Surgeons, 211(5): 609-19
Belkić, K., Savić, Č., Theorell, T., Cizinsky, S. (1995) Work stressors and cardiovascular risk: Assessment for clinical practice. Part I. Stockholm: National Institute for Psychosocial Factors and Health, report no. 256
Belkić, K., Savić, Č. (2008) The occupational stress index: An approach derived from cognitive ergonomics applicable to clinical practice. SJWEH, Suppl., 6:169-176
Belkić, K. (2011) Return-to-work in Scandinavia: Experience and insights with a focus on Sweden. in: Talmage J.B., Melhorn J.M., Hyman M. [ed.] A physician's guide to return to work, Chicago: American Medical Association Press, p. 465-72
Belkić, K., Nedić, O. (2007) Workplace stressors and lifestyle-related cancer risk factors among female physicians: Assessment using the occupational stress index. Journal of Occupational Health, 49(1): 61
Belkić, K.L., Landsbergis, P.A., Schnall, P.L., Baker, D. (2004) Is job strain a major source of cardiovascular disease risk?. Scand J Work Environ Health, 30(2): 85-128
Biro, M. (1995) Dijagnostička procena ličnosti MMPI-202. Novi Sad: Futura publikacije
Bøggild, H., Jeppesen, H.J. (2001) Intervention in shift scheduling and changes in biomarkers of heart disease in hospital wards. Scandinavian journal of work, environment & health, 27(2): 87-96
Bøggild, H., Knutsson, A. (1999) Shift work, risk factors and cardiovascular disease. Scandinavian journal of work, environment & health, 25(2): 85-99
Burns, D.M. (2001) Nicotine addiction. in: Braunwald E., Fauci A., Kasper DL., Hauser S.L., Longo DL., Jameson J.L. [ed.] Harrison's principles of internal medicine, New York: McGraw-Hill, p. 2574-7; 15th ed
Calle, E.E., Thun, M.J. (2004) Obesity and cancer. Oncogene, 23(38): 6365-78
Cole, P., Rodu, B. (2001) Analytic epidemiology: Cancer causes. in: De Vita V.T.Jr, Hellman S., Rosenberg S.A. [ed.] Cancer: Principles and practice of oncology, New York-Philadelphia, itd: Lippincott, pp 241-52
Dodić, B., Planojević, M., Jakovljević, D., Dodić, S. (1997) Distribution of the major cardiovascular disease risk factors in the adult population of Novi Sad. Med Pregl, 50(1-2): 53-5
Emdad, R., Belkic, K., Theorell, T., Cizinsky, S. (1998) What prevents professional drivers from following physicians' cardiologic advice?. Psychotherapy and psychosomatics, 67(4-5): 226-40
Flier, J.S. (2001) Obesity. in: Braunwald E., Fauci A., Kasper DL., Hauser S.L., Longo D.L., Jameson J.L. [ed.] Harrison's principles of internal medicine, New York: McGraw-Hill, p. 479-86; 15th ed
Hodgetts, G., Broers, T., Godwin, M. (2004) Smoking behaviour, knowledge and attitudes among family medicine physicians and nurses in Bosnia and Herzegovina. BMC Fam Pract, 5 (7): 12
Israel, B.A., Baker, E.A., Goldenhar, L.M., Heaney, C.A., Schurman, S.J. (1996) Occupational stress, safety, and health: Conceptual framework and principles for effective prevention interventions. Journal of occupational health psychology, 1(3): 261-86
Kawachi, I., Colditz, G.A., Stampfer, M.J., Willett, W.C., Manson, J.E., Speizer, F.E., Hennekens, C.H. (1995) Prospective study of shift work and risk of coronary heart disease in women. Circulation, 92(11): 3178-82
Kinzl, J.F., Traweger, C., Trefalt, E., Riccabona, U., Lederer, W. (2007) Work stress and gender-dependent coping strategies in anesthesiologists at a university hospital. Journal of clinical anesthesia, 19(5): 334-8
Knutsson, A. (2003) Health disorders of shift workers. Occup Med (Lond), 53(2): 103-8
Kobayashi, F., Furui, H., Akamatsu, Y., Watanabe, T., Horibe, H. (1997) Changes in psychophysiological functions during night shift in nurses. Influence of changing from a full-day to a half-day work shift before night duty. International archives of occupational and environmental health, 69(2): 83-90
Lešić, A.R.A., Petrović-Stefanović, N., Peruničić, I., Milenković, P., Lečić-Toševski, D., Bumbaširević, M.Z. (2009) Burnout in Belgrade orthopaedic surgeons and general practitioners: A preliminary report. Acta chirurgica iugoslavica, vol. 56, br. 2, str. 53-59
Lindfors, P.M., Nurmi, K.E., Meretoja, O.A., Luukkonen, R.A., Viljanen, A., Leino, T.J., Härmä, M.I. (2006) On-call stress among Finnish anaesthetists. Anaesthesia, 61(9): 856-66
Nedić, O. (2006) Occupational stressors and physician health. Novi Sad, [dissertation]
Nedić, O., Belkić, K., Filipović, D., Jocić, N. (2008) Profesionalni stresori kod lekara obolelih od stečenih kardiovaskularnih oboljenja - procena pomoću upitnika Occupational Stress Index. Medicinski pregled, vol. 61, br. 5-6, str. 226-234
Nedić, O., Belkić, K., Filipović, D., Jocić, N. (2008) Pol kao važan modifikator povezanosti profesionalnih stresora lekara raznih specijalnosti i pojave kardiovaskularnih oboljenja. Medicinski pregled, vol. 61, br. 7-8, str. 343-349
Nyssen, A.S., Hansez, I., Baele, P., Lamy, M., de Keyser, V. (2003) Occupational stress and burnout in anaesthesia. British journal of anaesthesia, 90(3): 333-7
Petrović, V., Miladinov-Mikov, M. (2005) Demographical analyses of lung cancer incidence and mortality trends in Vojvodina. Archive of Oncology, vol. 13, br. 1, str. 11-15
Sattelmair, J., Pertman, J., Ding, E.L., Kohl, H.W., Haskell, W., Lee, I. (2011) Dose response between physical activity and risk of coronary heart disease: A meta-analysis. Circulation, 124(7): 789-95
Savić, Č. (2002) The physician and stress. in: Proceedings of the 17th Medical Meeting of the Medical Society of Vojvodina, Sombor: Medical Society of Vojvodina, p. 52-4
Schernhammer, E.S., Laden, F., Speizer, F.E., Willett, W.C., Hunter, D.J., Kawachi, I., Colditz, G.A. (2001) Rotating night shifts and risk of breast cancer in women participating in the nurses' health study. Journal of the National Cancer Institute, 93(20): 1563-8
Schernhammer, E.S., Laden, F., Speizer, F.E., Willett, W.C., Hunter, D.J., Kawachi, I., Fuchs, C.S., Colditz, G.A. (2003) Night-shift work and risk of colorectal cancer in the nurses' health study. Journal of the National Cancer Institute, 95(11): 825-8
Schuckit, M.A. (2001) Alcohol and alcoholism. in: Braunwold E., Fauci A., Kasper J., Hauser S., Longo D., Jameson J. [ed.] Harison's principles of internal medicine, New York, Chicago, San Francisco, Lisbon, London, Madrid: Mc Graw Hill, Medical Publishing Division, p. 2561-6
Shanafelt, T.D., Balch, C.M., Dyrbye, L., Bechamps, G., Russell, T., Satele, D., Rummans, T., Swartz, K., Novotny, P.J., Sloan, J., Oreskovich, M.R. (2011) Special report: Suicidal ideation among American surgeons. Archives of surgery, 146(1): 54-62
Svärdsudd, K., Wedel, H., Gordh, T. (2002) Mortality rates among Swedish physicians: A population-based nationwide study with special reference to anesthesiologists. Acta anaesthesiologica Scandinavica, 46(10): 1187-95
Uglješić, M., Belkić, K., Simeunović-Micković, Lj., Vukajlović, M. (1992) Realizacija preventivnog plana u sprečavanju kardiovaskularnih oboljenja kod visokorizične grupe vozača profesionalaca. Srpski arhiv za celokupno lekarstvo, 120(1): 49-51