Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers
Purpose: Night shift work is common in the current working environment and is a risk factor for many diseases. The study aimed to explore the relationship between night shift work with chronic spontaneous urticaria (CSU), and the modification effect of circadian dysfunction on it.Methods: A cross-se...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:e69a069c609842d9886a41dc081848a52021-12-02T06:34:08ZAssociation of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers2296-256510.3389/fpubh.2021.751579https://doaj.org/article/e69a069c609842d9886a41dc081848a52021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.751579/fullhttps://doaj.org/toc/2296-2565Purpose: Night shift work is common in the current working environment and is a risk factor for many diseases. The study aimed to explore the relationship between night shift work with chronic spontaneous urticaria (CSU), and the modification effect of circadian dysfunction on it.Methods: A cross-sectional survey was conducted among Chinese workers. Exposure was measured by night work history and duration. Circadian dysfunction was characterized by excessive daytime sleepiness (EDS). The diagnosis of CSU was made by dermatologists who were investigating on the spot. The effect size was expressed as odds ratios (ORs).Results: A total of 8,057 participants were recruited, and 7,411 (92%) with complete information were included in the final analyses. The prevalence rates of CSU for workers without night shift and those with night shift history were 0.73 and 1.28%, respectively. Compared with workers who never worked night shifts, the risk of CSU increased with the length of night shift work: OR = 1.55 (95% confidence interval [CI]: 0.78–3.06) for duration <5 years and OR = 1.91 (95% CI: 1.12–3.26) for duration ≥5 years. EDS s EDS has been shown to modify this combination. Among workers without EDS, there was no association between night shift and CSU (OR = 0.94; 95% CI: 0.49–1.79). Whereas, in participants with EDS, the correlation was significant (OR = 3.58; 95% CI: 1.14–11.20). However, the effect modification by sleep disturbance was not observed.Conclusions: Night shift work is a risk factor for CSU, and there is a dose-response relationship between night shift work hours and the risk of CSU. This connection may be modified by circadian dysfunction.Yuzhou HuangYuzhou HuangYuzhou HuangDanrong JingDanrong JingDanrong JingJuan SuJuan SuJuan SuZhijun HuangHan LiuJuan TaoMeian HeXiang ChenXiang ChenXiang ChenXiang ChenMinxue ShenMinxue ShenMinxue ShenMinxue ShenMinxue ShenYi XiaoYi XiaoYi XiaoFrontiers Media S.A.articlecircadian dysfunctionchronic spontaneous urticariaeffect modificationnight shift workexcessive daytime sleepinessPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021) |
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EN |
| topic |
circadian dysfunction chronic spontaneous urticaria effect modification night shift work excessive daytime sleepiness Public aspects of medicine RA1-1270 |
| spellingShingle |
circadian dysfunction chronic spontaneous urticaria effect modification night shift work excessive daytime sleepiness Public aspects of medicine RA1-1270 Yuzhou Huang Yuzhou Huang Yuzhou Huang Danrong Jing Danrong Jing Danrong Jing Juan Su Juan Su Juan Su Zhijun Huang Han Liu Juan Tao Meian He Xiang Chen Xiang Chen Xiang Chen Xiang Chen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Yi Xiao Yi Xiao Yi Xiao Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| description |
Purpose: Night shift work is common in the current working environment and is a risk factor for many diseases. The study aimed to explore the relationship between night shift work with chronic spontaneous urticaria (CSU), and the modification effect of circadian dysfunction on it.Methods: A cross-sectional survey was conducted among Chinese workers. Exposure was measured by night work history and duration. Circadian dysfunction was characterized by excessive daytime sleepiness (EDS). The diagnosis of CSU was made by dermatologists who were investigating on the spot. The effect size was expressed as odds ratios (ORs).Results: A total of 8,057 participants were recruited, and 7,411 (92%) with complete information were included in the final analyses. The prevalence rates of CSU for workers without night shift and those with night shift history were 0.73 and 1.28%, respectively. Compared with workers who never worked night shifts, the risk of CSU increased with the length of night shift work: OR = 1.55 (95% confidence interval [CI]: 0.78–3.06) for duration <5 years and OR = 1.91 (95% CI: 1.12–3.26) for duration ≥5 years. EDS s EDS has been shown to modify this combination. Among workers without EDS, there was no association between night shift and CSU (OR = 0.94; 95% CI: 0.49–1.79). Whereas, in participants with EDS, the correlation was significant (OR = 3.58; 95% CI: 1.14–11.20). However, the effect modification by sleep disturbance was not observed.Conclusions: Night shift work is a risk factor for CSU, and there is a dose-response relationship between night shift work hours and the risk of CSU. This connection may be modified by circadian dysfunction. |
| format |
article |
| author |
Yuzhou Huang Yuzhou Huang Yuzhou Huang Danrong Jing Danrong Jing Danrong Jing Juan Su Juan Su Juan Su Zhijun Huang Han Liu Juan Tao Meian He Xiang Chen Xiang Chen Xiang Chen Xiang Chen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Yi Xiao Yi Xiao Yi Xiao |
| author_facet |
Yuzhou Huang Yuzhou Huang Yuzhou Huang Danrong Jing Danrong Jing Danrong Jing Juan Su Juan Su Juan Su Zhijun Huang Han Liu Juan Tao Meian He Xiang Chen Xiang Chen Xiang Chen Xiang Chen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Minxue Shen Yi Xiao Yi Xiao Yi Xiao |
| author_sort |
Yuzhou Huang |
| title |
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| title_short |
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| title_full |
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| title_fullStr |
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| title_full_unstemmed |
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers |
| title_sort |
association of night shift work with chronic spontaneous urticaria and effect modification by circadian dysfunction among workers |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/e69a069c609842d9886a41dc081848a5 |
| work_keys_str_mv |
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