Rassegna bibliografica

American Journal of Industrial Medicine. Vol. 57, Iss. 3, March 2014

Shift work and cancer screening: Do females who work alternative shifts undergo recommended cancer screening?


Background Alternative shift work is classified as a probable human carcinogen. Certain cancer screening tests reduce cancer mortality.

Methods The 2010 National Health Interview Survey was used to examine associations between adherence to breast, cervical, and colon cancer screening recommendations and alternative shift work among female workers.

ResultsWorkers on alternative shifts, compared to workers on daytime shifts, were more likely to be non-adherent to screening recommendations for breast (34% vs. 23%) and colorectal (55% vs. 48%) cancer (P < 0.05). Workers on alternative shifts in two industries (“Manufacturing” and “Accommodation/Food Services”) and three occupations (“Food Preparation/Serving,” “Personal Care Services,” and “Production”) were more likely to be non-adherent to screening recommendations for at least two cancers (P < 0.05).

ConclusionsThe Affordable Care Act eliminates out-of-pocket screening expenses for these three cancers. Greater efforts are needed to promote this benefit, particularly among workers with demonstrated non-adherence.


breast cancer, cancer screening recommendations, cervical cancer, colorectal cancer, Industry, occupation, shift work

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