Shift Work and Obesity among Canadian Women: A Cross-Sectional Study Using a Novel Exposure Assessment Tool

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

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The Effects of Age and Shift Work on Perceived Sleep Problems: Results From the VISAT-Combined Longitudinal and Cross-Sectional Study: Retraction

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0b013e3181ed3e1b ◽

2010 ◽

Vol 52 (8) ◽

pp. 846

Author(s):

&NA;

Keyword(s):

Shift Work ◽

Sleep Problems ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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The effects of gatekeeping on the quality of primary care in Guangdong Province, China: a cross-sectional study using primary care assessment tool-adult edition

BMC Family Practice ◽

10.1186/s12875-019-0982-z ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Cuiying Liang ◽

Jie Mei ◽

Yuan Liang ◽

Ruwei Hu ◽

Li Li ◽

...

Keyword(s):

Primary Care ◽

Assessment Tool ◽

Guangdong Province ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Quality Of Primary Care ◽

Care Assessment ◽

Primary Care Assessment Tool

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Effect of shift work on hypertension: cross sectional study

Annals of Occupational and Environmental Medicine ◽

10.1186/s40557-017-0166-z ◽

2017 ◽

Vol 29 (1) ◽

Cited By ~ 18

Author(s):

Jeong Han Yeom ◽

Chang Sun Sim ◽

Jiho Lee ◽

Seok Hyeon Yun ◽

Sang Jin Park ◽

...

Keyword(s):

Shift Work ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Association of shift work with depression and anxiety in middle-aged adults: a large cross-sectional study among Iranian industrial manufacturing employees

Journal of Public Mental Health ◽

10.1108/jpmh-12-2019-0103 ◽

2020 ◽

Vol 19 (4) ◽

pp. 291-300

Author(s):

Zeinab Alizadeh ◽

Hamidreza Roohafza ◽

Awat Feizi ◽

Nizal Sarrafzadegan

Keyword(s):

Mental Health ◽

Shift Work ◽

Short Form ◽

Depression Scale ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Sectional Study ◽

Steel Company ◽

Cross Sectional ◽

Content Type

Purpose This study aimed to examine the association of shift work with depression and anxiety in a large sample of formal and contractual employees of a mill steel company, Isfahan, Iran. Design/methodology/approach This cross-sectional study was performed in 2014 among 3,060 formal and contractual employees of a mill steel company Isfahan, Iran, randomly selected from 16,000 people. Data gathering was done by some validated Iranian version of self-administered questionnaires including, International Physical Activity – Short Form, Effort–Reward Imbalance, Hospital Anxiety and Depression Scale. Logistic regression was used as the main statistical method. Findings The results showed individuals in the rotating shift compared with day shift had a higher risk of depression (OR: 1.43; 95% CI: 1.12–1.84). Whereas after adjustment for various confounders, this relationship was not significant (OR: 1.19; 95% CI: 0.81–1.76). Anxiety was not associated with shift work, both in crude and adjusted models (OR: 1.08; 95% CI: 0.81–1.44) and (OR: 0.90; 95% CI: 0.67–1.19), respectively. Research limitations/implications Owing to the cross-sectional design of this study, cause–effect relationships could not be inferred from our findings. All the data used in the present analysis were collected by self-administered questionnaires. Practical implications Although our findings did not show significant association between shift work and mental health, further studies are suggested for obtaining informative data worldwide in this regard among workforce particularly among industrial employees. Originality/value Few studies have addressed the effects of shift work on mental health among industrial employees worldwide, and there is no study in developing countries.

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Unwell in hospital but not incapable: cross-sectional study on the dissociation of decision-making capacity for treatment and research in in-patients with schizophrenia and related psychoses

The British Journal of Psychiatry ◽

10.1192/bjp.2018.85 ◽

2018 ◽

Vol 213 (2) ◽

pp. 484-489 ◽

Cited By ~ 8

Author(s):

Benjamin Walter Jack Spencer ◽

Tania Gergel ◽

Matthew Hotopf ◽

Gareth S. Owen

Keyword(s):

Decision Making ◽

Odds Ratio ◽

Assessment Tool ◽

Legal Framework ◽

Cross Sectional Study ◽

Competence Assessment ◽

Sectional Study ◽

Cross Sectional ◽

Decision Making Capacity ◽

Mental Capacity Act

BackgroundConsent to research with decision-making capacity for research (DMC-R) is normally a requirement for study participation. Although the symptoms of schizophrenia and related psychoses are known to affect decision-making capacity for treatment (DMC-T), we know little about their effect on DMC-R.AimsWe aimed to determine if DMC-R differs from DMC-T in proportion and associated symptoms in an in-patient sample of people with schizophrenia and related psychoses.MethodCross-sectional study of psychiatric in-patients admitted for assessment and/or treatment of schizophrenia and related psychoses. We measured DMC-R and DMC-T using ‘expert judgement’ clinical assessment guided by the MacArthur Competence Assessment Tool for Clinical Research, the MacArthur Competence Assessment Tool for Treatment and the legal framework of the Mental Capacity Act (2005), in addition to symptoms of psychosis.ResultsThere were 84 participants in the study. Half the participants had DMC-R (51%, 95% CI 40–62%) and a third had DMC-T (31%, 95% CI 21–43%) and this difference was statistically significant (P < 0.01). Thought disorder was most associated with lacking DMC-R (odds ratio 5.72, 95% CI 2.01–16.31, P = 0.001), whereas lack of insight was most associated with lacking DMC-T (odds ratio 26.34, 95% CI 3.60–192.66, P = 0.001). With the exception of improved education status and better DMC-R, there was no effect of sociodemographic variables on either DMC-R or DMC-T.ConclusionsWe have shown that even when severely unwell, people with schizophrenia and related psychoses in in-patient settings commonly retain DMC-R despite lacking DMC-T. Furthermore, different symptoms have different effects on decision-making abilities for different decisions. We should not view in-patient psychiatric settings as a research ‘no-go area’ and, where appropriate, should recruit in these settings.Declaration of interestNone.

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