Multidimensional aspects related to shiftworkers' health and well-being
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31809 |
Resumo: | The impact of shift and night work on health shows a high inter- and intra-individual variability, both in terms of kind of troubles and temporal occurrence, related to various intervening factors dealing with individual characteristics, lifestyles, work demands, company organisation, family relations and social conditions. The way we define "health" and "well-being" can significantly influence appraisals, outcomes and interventions. As the goal is the optimisation of shiftworkers' health, it is necessary to go beyond the health protection and to act for health promotion. In this perspective, not only people related to medical sciences, but many other actors (ergonomists, psychologists, sociologists, educators, legislators), as well as shiftworkers themselves. Many models have been proposed aimed at describing the intervening variables mediating and/or moderating the effects; they try to define the interactions and the pathways connecting risk factors and outcomes through several human dimensions, which refer to physiology, psychology, pathology, sociology, ergonomics, economics, politics, and ethics. So, different criteria can be used to evaluate shiftworkers' health and well-being, starting from biological rhythms and ending in severe health disorders, passing through psychological strain, job dissatisfaction, family perturbation and social dis-adaptation, both in the short- and long-term. Consequently, it appears rather arbitrary to focus the problem of shiftworkers' health and tolerance only on specific aspects (e.g. individual characteristics), but a systemic approach appears more appropriate, able to match as many variables as possible, and aimed at defining which factors are the most relevant for those specific work and social conditions. This can support a more effective and profitable (for individuals, companies, and society) adoption of preventive and compensative measures, that must refer more to "countervalues" rather than to "counterweights". |
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Multidimensional aspects related to shiftworkers' health and well-being Saúde ocupacionalTrabalho em turnosTrabalhadoresPromoção da saúdeCondições de trabalhoJornada de trabalhoOccupational healthShift workWorkersHealth promotionWorking conditionsWork hours The impact of shift and night work on health shows a high inter- and intra-individual variability, both in terms of kind of troubles and temporal occurrence, related to various intervening factors dealing with individual characteristics, lifestyles, work demands, company organisation, family relations and social conditions. The way we define "health" and "well-being" can significantly influence appraisals, outcomes and interventions. As the goal is the optimisation of shiftworkers' health, it is necessary to go beyond the health protection and to act for health promotion. In this perspective, not only people related to medical sciences, but many other actors (ergonomists, psychologists, sociologists, educators, legislators), as well as shiftworkers themselves. Many models have been proposed aimed at describing the intervening variables mediating and/or moderating the effects; they try to define the interactions and the pathways connecting risk factors and outcomes through several human dimensions, which refer to physiology, psychology, pathology, sociology, ergonomics, economics, politics, and ethics. So, different criteria can be used to evaluate shiftworkers' health and well-being, starting from biological rhythms and ending in severe health disorders, passing through psychological strain, job dissatisfaction, family perturbation and social dis-adaptation, both in the short- and long-term. Consequently, it appears rather arbitrary to focus the problem of shiftworkers' health and tolerance only on specific aspects (e.g. individual characteristics), but a systemic approach appears more appropriate, able to match as many variables as possible, and aimed at defining which factors are the most relevant for those specific work and social conditions. This can support a more effective and profitable (for individuals, companies, and society) adoption of preventive and compensative measures, that must refer more to "countervalues" rather than to "counterweights". O impacto do trabalho noturno e em turnos sobre a saúde demonstra ter grande variabilidade entre os indivíduos e num mesmo indivíduo, em termos tanto dos tipos de problemas como da ocorrência temporal, relativas a vários fatores interferentes como características pessoais, estilo de vida, exigências do trabalho, organização da empresa, relações familiares e condição social. O modo como "saúde" e "bem-estar" são definidos pode interferir significativamente com a avaliação, resultados e intervenções. Como o objetivo é otimizar a saúde dos trabalhadores em turnos, é necessário ir além da proteção da saúde e agir para a promoção da saúde e ter a participação de não apenas profissionais da área das ciências médicas, mas também outros agentes (ergonomistas, psicólogos, sociólogos, educadores, legisladores), assim como dos próprios trabalhadores. Foram propostos vários modelos com o propósito de descrever as variáveis interferentes que intermedeiam e/ou moderam os efeitos. Esses modelos buscam definir as interações e conexões entre os fatores de risco e resultados por meio de várias dimensões humanas, que remetem à fisiologia, psicologia, sociologia, ergonomia, economia, política e ética. Assim, podem ser usados diferentes critérios para avaliar a saúde e o bem-estar dos trabalhadores em turnos, de ritmos biológicos a graves transtornos de saúde, passando por tensão psicológica, insatisfação no trabalho, transtorno familiar e má adaptação social a curto e longo prazo. Como resultado, parece um tanto arbitrário enfocar o problema da saúde e tolerância dos trabalhadores em turnos apenas sob aspectos específicos (por exemplo, características pessoais) e parece ser mais apropriada uma abordagem sistemática, capaz de combinar o maior número possível de variáveis e direcionada a definir os fatores mais relevantes aos tipos particulares de trabalho e condições sociais. Isso pode servir de respaldo para a adoção de medidas preventivas e compensatórias mais eficazes e proveitosas (para indivíduos, empresas e sociedade) que precisam remeter mais a "contravalores" do que a "contrapesos". Universidade de São Paulo. Faculdade de Saúde Pública2004-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3180910.1590/S0034-89102004000700013Revista de Saúde Pública; Vol. 38 No. supl. (2004); 86-91 Revista de Saúde Pública; Vol. 38 Núm. supl. (2004); 86-91 Revista de Saúde Pública; v. 38 n. supl. (2004); 86-91 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/31809/33741Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCosta, Giovanni2012-07-08T22:12:37Zoai:revistas.usp.br:article/31809Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:12:37Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Multidimensional aspects related to shiftworkers' health and well-being |
title |
Multidimensional aspects related to shiftworkers' health and well-being |
spellingShingle |
Multidimensional aspects related to shiftworkers' health and well-being Costa, Giovanni Saúde ocupacional Trabalho em turnos Trabalhadores Promoção da saúde Condições de trabalho Jornada de trabalho Occupational health Shift work Workers Health promotion Working conditions Work hours |
title_short |
Multidimensional aspects related to shiftworkers' health and well-being |
title_full |
Multidimensional aspects related to shiftworkers' health and well-being |
title_fullStr |
Multidimensional aspects related to shiftworkers' health and well-being |
title_full_unstemmed |
Multidimensional aspects related to shiftworkers' health and well-being |
title_sort |
Multidimensional aspects related to shiftworkers' health and well-being |
author |
Costa, Giovanni |
author_facet |
Costa, Giovanni |
author_role |
author |
dc.contributor.author.fl_str_mv |
Costa, Giovanni |
dc.subject.por.fl_str_mv |
Saúde ocupacional Trabalho em turnos Trabalhadores Promoção da saúde Condições de trabalho Jornada de trabalho Occupational health Shift work Workers Health promotion Working conditions Work hours |
topic |
Saúde ocupacional Trabalho em turnos Trabalhadores Promoção da saúde Condições de trabalho Jornada de trabalho Occupational health Shift work Workers Health promotion Working conditions Work hours |
description |
The impact of shift and night work on health shows a high inter- and intra-individual variability, both in terms of kind of troubles and temporal occurrence, related to various intervening factors dealing with individual characteristics, lifestyles, work demands, company organisation, family relations and social conditions. The way we define "health" and "well-being" can significantly influence appraisals, outcomes and interventions. As the goal is the optimisation of shiftworkers' health, it is necessary to go beyond the health protection and to act for health promotion. In this perspective, not only people related to medical sciences, but many other actors (ergonomists, psychologists, sociologists, educators, legislators), as well as shiftworkers themselves. Many models have been proposed aimed at describing the intervening variables mediating and/or moderating the effects; they try to define the interactions and the pathways connecting risk factors and outcomes through several human dimensions, which refer to physiology, psychology, pathology, sociology, ergonomics, economics, politics, and ethics. So, different criteria can be used to evaluate shiftworkers' health and well-being, starting from biological rhythms and ending in severe health disorders, passing through psychological strain, job dissatisfaction, family perturbation and social dis-adaptation, both in the short- and long-term. Consequently, it appears rather arbitrary to focus the problem of shiftworkers' health and tolerance only on specific aspects (e.g. individual characteristics), but a systemic approach appears more appropriate, able to match as many variables as possible, and aimed at defining which factors are the most relevant for those specific work and social conditions. This can support a more effective and profitable (for individuals, companies, and society) adoption of preventive and compensative measures, that must refer more to "countervalues" rather than to "counterweights". |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31809 10.1590/S0034-89102004000700013 |
url |
https://www.revistas.usp.br/rsp/article/view/31809 |
identifier_str_mv |
10.1590/S0034-89102004000700013 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31809/33741 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 38 No. supl. (2004); 86-91 Revista de Saúde Pública; Vol. 38 Núm. supl. (2004); 86-91 Revista de Saúde Pública; v. 38 n. supl. (2004); 86-91 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221782986194944 |