Shift work and the incidence of prostate cancer: a 10-year follow-up of a German population-based cohort study

Shift work and the incidence of prostate cancer: a 10-year follow-up of a German population-based cohort study

Objectives We investigated the association of shift and night work with the incidence of prostate cancer using data of the population-based prospective Heinz Nixdorf Recall Study from the highly industrialized Ruhr area in Germany. Methods Participants of the baseline survey were recruited between 2...

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Veröffentlicht in:Scandinavian Journal of Work, Environment & Health. - NOROSH Nordic Association of Occupational Safety and health, 1975. - 43(2017), 6, Seite 560-568
1. Verfasser: Behrens, Thomas (VerfasserIn)
Weitere Verfasser: Rabstein, Sylvia, Wichert, Katharina, Erbel, Raimund, Eisele, Lewin, Arendt, Marina, Dragano, Nico, Brüning, Thomas, Jöckel, Karl-Heinz
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2017
Zugriff auf das übergeordnete Werk:Scandinavian Journal of Work, Environment & Health
Schlagworte:Health sciences Economics Behavioral sciences Philosophy Biological sciences
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520 |a Objectives We investigated the association of shift and night work with the incidence of prostate cancer using data of the population-based prospective Heinz Nixdorf Recall Study from the highly industrialized Ruhr area in Germany. Methods Participants of the baseline survey were recruited between 2000–2003. A follow-up survey including, a detailed interview on shift and night work, was conducted from 2011–2014. We included 1757 men who did not report a history of prostate cancer at baseline. We assessed shift- and night-work exposure up to time of the baseline interview. Incident prostate cancers were recorded from baseline through September 2014. We calculated hazard ratios (HR) of shift- and night-work exposure using Cox proportional hazards regression with age at event as timescale, adjusting for smoking status, family history of prostate cancer, education (≤13, 14–17, ≥18 years), and equivalent income (low, medium, high). Results We observed a twofold increased HR for prostate cancer among shift and night workers. Ever employment in shift work was associated with HR 2.29, 95% confidence interval (CI) 1.43–3.67 and night work with HR 2.27, 95% CI 1.42–3.64. HR increased steadily with duration of employment in shift or night work. Stratifying analyses by preferred midpoint of sleep, yielded strongly elevated HR among subjects with early sleep preference, although these analyses were limited by small number of cases. Conclusions We identified increased risks for prostate cancer among men with employment in shift or night work. HR were strongly elevated among long-term employed shift workers and men with early preferred midpoint of sleep. 
650 4 |a Health sciences  |x Medical conditions  |x Diseases  |x Neoplasia  |x Cancer  |x Prostate cancer 
650 4 |a Economics  |x Economic disciplines  |x Labor economics  |x Employment  |x Labor time  |x Work schedules  |x Work hours  |x Shift work 
650 4 |a Economics  |x Economic disciplines  |x Labor economics  |x Employment  |x Labor time  |x Work schedules  |x Work hours  |x Shift work  |x Night work 
650 4 |a Health sciences  |x Health and wellness  |x Public health  |x Epidemiology  |x Disease risk  |x Cancer risk 
650 4 |a Behavioral sciences  |x Human behavior  |x Recreational drug use  |x Tobacco use  |x Tobacco smoking 
650 4 |a Philosophy  |x Applied philosophy  |x Philosophy of science  |x Scientific method  |x Experimentation  |x Experiment design  |x Longitudinal studies  |x Cohort studies 
650 4 |a Biological sciences  |x Biochemistry  |x Biomolecules  |x Macromolecules  |x Lipids  |x Steroids  |x Vitamin D 
650 4 |a Behavioral sciences  |x Sociology  |x Human societies  |x Social institutions  |x Families  |x Family background  |x Family history 
650 4 |a Health sciences  |x Medical conditions  |x Diseases  |x Neoplasia  |x Cancer 
650 4 |a Economics  |x Microeconomics  |x Income  |x Income level  |x Low income 
655 4 |a research-article 
700 1 |a Rabstein, Sylvia  |e verfasserin  |4 aut 
700 1 |a Wichert, Katharina  |e verfasserin  |4 aut 
700 1 |a Erbel, Raimund  |e verfasserin  |4 aut 
700 1 |a Eisele, Lewin  |e verfasserin  |4 aut 
700 1 |a Arendt, Marina  |e verfasserin  |4 aut 
700 1 |a Dragano, Nico  |e verfasserin  |4 aut 
700 1 |a Brüning, Thomas  |e verfasserin  |4 aut 
700 1 |a Jöckel, Karl-Heinz  |e verfasserin  |4 aut 
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