Document Type
Article
Publication Date
2024
Keywords
Shift work, Quality of life, Health behaviors
Digital Object Identifier (DOI)
https://doi.org/10.1186/s12955-024-02269-4
Abstract
The shift work schedule is a common work arrangement that can disrupt typical sleep-wake rhythms and lead to negative health consequences. The present study aims to examine the effect of shift work on health-related quality of life (QoL) and explore potential behaviorial mediators (i.e., sleep, eating, exercise, smoking, drinking). A cross-sectional survey was conducted among 4,449 petroleum workers in southwest China. Data on shift work status, health behaviors, and physical and mental health QoL were collected. We tested our model using path analysis and the Monte Carlo approach among 2,129 included participants. After adjusting for covariates, shift work did not exhibit a significant direct association with QoL. However, shift work indirectly related to poorer physical health quality of life via less frequent healthy food consumption; shift work also indirectly related to poorer mental health QoL via both less frequent healthy food consumption and physical exercise. No significant indirect effects were found via sleeping, smoking, or drinking. Results suggest that shift work presents a challenge for QoL among Chinese petroleum workers due to their lesser engagement in two specific health behaviors: healthy eating and physical exercise. Healthy eating and exercise may present an even more prominent threat to shift workers’ QoL than sleep and substance use. Strategies targeting shift work schedule as well as eating and exercise behaviors may help protect against poor QoL and adverse physical and mental health outcomes in this vulnerable group.
Rights Information
This work is licensed under a Creative Commons Attribution 4.0 License.
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
Health and Quality of Life Outcomes, v. 22, art. 52
Scholar Commons Citation
Chen, Yuxin; Deng, Kaiyi; Hughes, Ian M.; Smith, Claire E.; Meng, Hongdao; Le, Minh Quan; Sun, Min; Zhang, Xianyan; and Liu, Danping, "More Than Sleep Problems? Testing Five Key Health Behaviors as Reasons for Quality of Life Issues Among Shift Workers" (2024). Psychology Faculty Publications. 2514.
https://digitalcommons.usf.edu/psy_facpub/2514
