Shift Work and Cancer Screening: Do Females Who Work Alternative Shifts Undergo Recommended Cancer Screening?
Published Date:Nov 30 2013
Source:Am J Ind Med. 57(3):265-275.
Cancer Screening Recommendations
Early Detection Of Cancer
Uterine Cervical Neoplasms
Work Schedule Tolerance
Pubmed Central ID:PMC4557694
Funding:DYT1/Intramural CDC HHS/United States
Alternative shift work is classified as a probable human carcinogen. Certain cancer screening tests reduce cancer mortality.
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.
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).
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.
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