Journal of Preventive Medicine and Public Health

Original Articles

Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study: Yuhjin Chung, Hyunjoo Kim, Dong-Hee Koh, Ju-Hyun Park, Seohyun Yoon; J Prev Med Public Health. 2021;54(1):46-54. Published online December 22, 2020; DOI: https://doi.org/10.3961/jpmph.20.555

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Abstract Summary PDF Supplementary Material

Objectives
This study explored the relationship between shift intensity and insomnia among hospital nurses.
Methods
The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8.
Results
The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia.
Conclusions
The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.

Summary

Korean summary
불면증상의 척도로서 ‘한국판 불면증 심각도 평가척도’를, 교대근무강도의 지표로서 지난 3개월 간의 ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’을 사용하여, 대학병원 야간 근무 간호사 386명의 불면증상과 교대근무강도 간의 연관성을 탐색하고자 하였다. 로지스틱 회귀분석 결과, ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’은 불면증상의 오즈비 증가와 관련이 있었다. 이 결과는 교대근무강도를 저하시켜야 순환 교대근무 병원 간호사들의 불면증상을 줄일 수 있음을 시사한다.

Citations

Citations to this article as recorded by

Qualidade de vida e engajamento no trabalho em profissionais de enfermagem no início da pandemia de COVID-19
Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
Ciência & Saúde Coletiva.2023; 28(10): 2903. CrossRef
Quality of life and work engagement among nursing staff at the start of the COVID-19 pandemic
Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
Ciência & Saúde Coletiva.2023; 28(10): 2903. CrossRef
Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior
Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong
American Journal of Health Behavior.2023; 47(4): 714. CrossRef
Insomnia among Intensive Care Unit Nurses in the United Arab Emirates and its Association to Work Productivity and Quality of Life
Hassnaa Shaban Mobarak, Fatma Refaat Ahmed, Nabeel Al-Yateem, Wegdan Bani-Issa, Muna Ibrahim Alhosani, Mohannad Eid AbuRuz
The Open Nursing Journal.2023;[Epub] CrossRef
Personality Traits and Insomnia Symptoms in Shift Workers
Brigitte Holzinger, Lucille Mayer, Gerhard Klösch
Frontiers in Psychology.2021;[Epub] CrossRef
The Association Between the Number of Consecutive Night Shifts and Insomnia Among Shift Workers: A Multi-Center Study
Juho Sim, Byung-Yoon Yun, Jiho Lee, Sung Kyung Kim, Seunghyun Lee, Ara Cho, Seunghan Kim, Chang-young Kim, Yeon Suh Oh, Jin-Ha Yoon
Frontiers in Public Health.2021;[Epub] CrossRef
Alcohol Abuse and Insomnia Disorder: Focus on a Group of Night and Day Workers
Fulvio Plescia, Luigi Cirrincione, Daniela Martorana, Caterina Ledda, Venerando Rapisarda, Valentina Castelli, Francesco Martines, Denis Vinnikov, Emanuele Cannizzaro
International Journal of Environmental Research and Public Health.2021; 18(24): 13196. CrossRef

Effects of the Out-of-pocket Payment Exemption in the Public Health Center on Medical Utilization of the Korean Elderly: Kiryong Nam, Eunhye Park, Yuhjin Chung, Chang-yup Kim; J Prev Med Public Health. 2020;53(6):455-464. Published online October 20, 2020; DOI: https://doi.org/10.3961/jpmph.20.341

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Abstract PDF

Objectives
The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals.
Methods
This study used online data on Korean national law to gather information on individual local governments’ regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources.
Results
The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48).
Conclusions
The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

Summary

Citations

Citations to this article as recorded by

Access of older people to primary health care in low and middle-income countries: A systematic scoping review
Saydeh Dableh, Kate Frazer, Diarmuid Stokes, Thilo Kroll, Dirceu Henrique Paulo Mabunda
PLOS ONE.2024; 19(4): e0298973. CrossRef

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