Shift work and health

Prim Care. 2000 Dec;27(4):1057-79. doi: 10.1016/s0095-4543(05)70189-5.


Night work and rotating shift work disrupt the circadian timing system. This disruption may produce significant deleterious symptoms in some workers. Certain medical conditions may be aggravated by shift-work scheduling, and shift workers are at increased risk of experiencing cardiovascular, gastrointestinal, and reproductive dysfunction. Vulnerable individuals may develop clinical depression when working shifts. Primary care practitioners may intervene by providing medical surveillance and educational programs for shift-working patients and their families.

Publication types

  • Review

MeSH terms

  • Humans
  • Mass Screening
  • Mental Health
  • Occupational Diseases / diagnosis*
  • Occupational Diseases / etiology
  • Occupational Diseases / physiopathology
  • Occupational Diseases / psychology
  • Occupational Diseases / therapy*
  • Occupational Health*
  • Occupational Medicine / methods
  • Patient Education as Topic / methods
  • Personnel Staffing and Scheduling
  • Primary Health Care / methods
  • Risk Factors
  • Sleep Disorders, Circadian Rhythm / diagnosis*
  • Sleep Disorders, Circadian Rhythm / etiology
  • Sleep Disorders, Circadian Rhythm / physiopathology
  • Sleep Disorders, Circadian Rhythm / psychology
  • Sleep Disorders, Circadian Rhythm / therapy*
  • Work Schedule Tolerance*