Long working hours and health.

OBJECTIVES This article examines associations between long working hours, depression and changes in selected health behaviours. Based on an analysis of people followed over a two-year period, the relationship between changes in work hours and changes in health behaviours is explored. DATA SOURCE The data are from the household longitudinal component of the 1994/95 and 1996/97 cycles of the National Population Health Survey, conducted by Statistics Canada. Results are based on 3,830 adult workers aged 25 to 54 (2,181 men and 1,649 women) who worked 35 hours or more per week throughout the year before their 1994/95 interview. ANALYTICAL TECHNIQUES Multivariate analyses were used to estimate associations between working hours and depression, and changes in weight, smoking, drinking and exercise, while controlling for potential socioeconomic and work-related confounders such as education, income, occupation, shift work and self-employment. MAIN RESULTS Women who worked long hours had increased odds of subsequently experiencing depression. Moving from standard to long hours was associated with unhealthy weight gain for men, with an increase in smoking for both men and women, and with an increase in drinking for women. No associations were detected for physical activity.

[1]  G. Catlin,et al.  Sample design of the national population health survey. , 1995, Health reports.

[2]  M. Beaudet,et al.  Work stress and health. , 1998, Health reports.

[3]  C. Brisson,et al.  Job strain and psychological distress in white-collar workers. , 1996, Scandinavian journal of work, environment & health.

[4]  Robert Karasek,et al.  Work and non‐work correlates of illness and behaviour in male and female Swedish white collar workers , 1987 .

[5]  S A Stansfeld,et al.  Low job control and risk of coronary heart disease in whitehall ii (prospective cohort) study , 1997, BMJ.

[6]  J. Johnson,et al.  Karoshi—Death from Overwork: Occupational Health Consequences of Japanese Production Management , 1997, International journal of health services : planning, administration, evaluation.

[7]  R. D'Agostino,et al.  Job strain and health-related quality of life in a national sample. , 1994, American journal of public health.

[8]  P. Landsbergis Occupational stress among health care workers: A test of the job demands-control model , 1988 .

[9]  C. Pieper,et al.  Psychosocial correlates of job strain in a sample of working women. , 1997, Archives of general psychiatry.

[10]  R. Kessler,et al.  Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. , 1994, Archives of general psychiatry.

[11]  Robert Karasek,et al.  Healthy Work : Stress, Productivity, and the Reconstruction of Working Life , 1990 .

[12]  K F Rust,et al.  Variance estimation for complex surveys using replication techniques , 1996, Statistical methods in medical research.

[13]  C. Cooper,et al.  Health and safety problems associated with long working hours: a review of the current position. , 1997, Occupational and environmental medicine.

[14]  K. Yamaoka,et al.  Effect of overtime work on 24-hour ambulatory blood pressure. , 1996, Journal of occupational and environmental medicine.

[15]  K. Morimoto,et al.  Effects of long workhours on life-style, stress and quality of life among intermediate Japanese managers. , 1996, Scandinavian journal of work, environment & health.

[16]  C. Cooper,et al.  A model of occupational stress. , 1981, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[17]  R. Jeffery,et al.  The association of job strain and health behaviours in men and women. , 1997, International journal of epidemiology.

[18]  S. Stansfeld,et al.  Work and psychiatric disorder in the Whitehall II Study. , 1997, Journal of psychosomatic research.

[19]  A Ahlbom,et al.  Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. , 1981, American journal of public health.

[20]  K. Light,et al.  Job strain and ambulatory work blood pressure in healthy young men and women. , 1992, Hypertension.

[21]  Y Motohashi,et al.  Increases in body mass index and waist circumference as outcomes of working overtime. , 1998, Occupational medicine.

[22]  N Hisanaga,et al.  Effect of working hours on biological functions related to cardiovascular system among salesmen in a machinery manufacturing company. , 1998, Industrial health.

[23]  J. Johnson,et al.  The effects of psychosocial work organization on patterns of cigarette smoking among male chemical plant employees. , 1990, American journal of public health.

[24]  M. Beaudet,et al.  The National Population Health Survey--its longitudinal nature. , 1999, Health reports.

[25]  T. Uehata,et al.  Long working hours and occupational stress-related cardiovascular attacks among middle-aged workers in Japan. , 1991, Journal of human ergology.

[26]  R. Hollander,et al.  Work and depression among women in the Federal Republic of Germany. , 1988, Women & health.

[27]  J M Harrington Working long hours and health , 1994, BMJ.

[28]  S. Kagamimori,et al.  Working hours as a risk factor for acute myocardial infarction in Japan: case-control study , 1998, BMJ.

[29]  Robert Karasek,et al.  Job decision latitude and mental strain: Implications for job redesign , 1979 .