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Chapter 11 For Better or For Worse: Nonstandard Work Schedules and Self-Rated Health across Marital Status

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Abstract

Nonstandard work schedules are increasingly common in today’s economy, and work during these nonstandard hours has a negative impact on health. Scholars investigating work schedules have yet to explore how marital status, which is linked with better health, may protect the health of US workers with nonstandard schedules. This study uses binomial logistic regression models to analyze pooled data from the National Study of the Changing Workforce (N = 6,376). Interaction terms are utilized to test if marital status variations occur in the relationship between work schedule and health for men and women. The results demonstrate that while working a nonstandard schedule puts men and women at a lower odds of reporting good health compared to those who work a standard schedule, there is no difference in this relationship across marital status for men. However, nonstandard schedules are worse for the health of cohabiting and divorced, separated, or widowed women than for married women. The results indicate a significant interaction between work schedule and marital status exists for female workers and should be considered when examining the health of the population with nonstandard work schedules.

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... Although married parents experience higher levels of well-being when working nonstandard work schedules, cohabiting parents working the same schedules experience lower levels of well-being and higher levels of work-family conflict (Liu et al. 2011). Cohabiting mothers working nonstandard schedules also report worse health than married mothers (Shen 2018). This may be because cohabiting parents are less likely to care for their partners' children, receive childcare help from family members, and have fewer economic resources at their disposal (Abroms and Goldscheider 2002;Liu et al. 2011). ...
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Using data from the 2003 and 2004 American Time Use Surveys, this article examines nonstandard work hours and their relationship to parents' family, leisure and personal care time – informing the discussion of the costs and benefits of working nonstandard hours. The results suggest that parents who work nonstandard evening hours spend less time in some child-related activities than their counterparts who work standard daytime hours, but spend more time and more time alone with children. Married parents who work nonstandard hours spend less time with a spouse, and all parents with nonstandard hours get less sleep and watch less television than parents with standard work days.
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Purpose The current study examines emotional exhaustion and its predictors among employees without social or client contact on multiple nonstandard shifts. Design/methodology/approach Data were obtained through surveys from U.S. Postal Service employees at three mail processing centers (N = 353). Findings While we hypothesized that the day, evening, and night shift employees would differ significantly on emotional exhaustion, we found that the day and evening shifts differed significantly from the night shift. Hierarchical moderated regressions revealed that shift moderated the relationship between emotional exhaustion and job demands and work–family conflict, but not job resources. Implications Understanding how working on nonstandard shifts relates to emotional exhaustion aids in our theoretical understanding of the process of emotional exhaustion and the effects of nonstandard work schedules. We provide evidence that the negative consequences associated with nonstandard schedules (role conflict, role ambiguity, unfavorable working conditions, less positive perceptions of supervision, and work–family conflict) differentially predict emotional exhaustion. Management can apply this information to help reduce the impact of these consequences on employees, lessening their likelihood of burnout, lowered performance, and turnover. Originality/value Although research has investigated emotional exhaustion in nonstandard shifts, we extend the literature by investigating multiple, nonstandard shifts, as opposed to standard versus nonstandard. While researchers have recognized that emotional exhaustion need not occur only in human service professions, much of the research continues to focus on professions with high customer or interpersonal contact. Therefore, we extend the literature by examining emotional exhaustion in mail processors, a profession with absolutely no customer contact.
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This article addresses open questions about the nature and meaning of the positive association between marriage and well-being, namely, the extent to which it is causal, shared with cohabitation, and stable over time. We relied on data from the National Survey of Families and Households (N = 2,737) and a modeling approach that controls for fixed differences between individuals by relating union transitions to changes in well-being. This study is unique in examining the persistence of changes in well-being as marriages and cohabitations progress (and potentially dissolve) over time. The effects of marriage and cohabitation are found to be similar across a range of measures tapping psychological well-being, health, and social ties. Where there are statistically significant differences, marriage is not always more advantageous. Overall, differences tend to be small and appear to dissipate over time, even when the greater instability of cohabitation is taken into account.
Article
Shift work, in particular night work, can have a negative impact on health and well-being of workers as it can cause: (a) disturbances of the normal circadian rhythms of the psychophysiological functions, beginning with the sleep/wake cycle; (b) interferences with work performance and efficiency over the 24 hour span, with consequent errors and accidents; (c) difficulties in maintaining the usual relationships both at family and social level, with consequent negative influences on marital relations, care of children and social contacts; (d) deterioration of health that can be manifested in disturbances of sleeping and eating habits and, in the long run, in more severe disorders that deal prevalently with the gastrointestinal (colitis, gastroduodenitis and peptic ulcer), neuro-psychic (chronic fatigue, anxiety, depression) and, probably, cardiovascular (hypertension, ischemic heart diseases) functions. Besides, shift and night work may have more specific adverse effects on women's health both in relation to their particular hormonal and reproductive function, and their family roles. It has been estimated that about 20% of all workers have to leave shift work in a very short time because of serious disturbances; those remaining in shift work show different levels of (mal)adaptation and (in)tolerance, that can become more or less manifest in different times, and with different intensity. In fact, the effects of such stress condition can vary widely among the shift workers in relation to many ‘intervening variables’ concerning both individual factors (e.g. age, personality traits, physiological characteristics), as well as working situations (e.g. work loads, shift schedules) and social conditions (e.g. number and age of children, housing, commuting).
Article
Demographic trends in the 2000s showed the continuing separation of family and household due to factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In addition, demographers demonstrated during the decade that trends such as marriage and divorce were diverging according to education. Moreover, demographic trends in the age structure of the population showed that a large increase in the elderly population will occur in the 2010s. Overall, demographic trends produced an increased complexity of family life and a more ambiguous and fluid set of categories than demographers are accustomed to measuring.
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Jet lag sleep disorder and shift work sleep disorder are the result of dyssynchrony between the internal clock and the external light-dark cycle, brought on by rapid travel across time zones or by working a nonstandard schedule. Symptoms can be minimized by optimizing the sleep environment, by strategic avoidance of and exposure to light, and also with drug and behavioral therapies.
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This article reviews recent research (1999 - 2009) on the effects of parenthood on wellbeing. We use a life course framework to consider how parenting and childlessness influence well-being throughout the adult life course. We place particular emphasis on social contexts and how the impact of parenthood on well-being depends on marital status, gender, race/ethnicity, and socioeconomic status. We also consider how recent demographic shifts lead to new family arrangements that have implications for parenthood and well-being. These include stepparenting, parenting of grandchildren, and childlessness across the life course.
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To assess the effect of armodafinil, 150 mg, on the physiologic propensity for sleep and cognitive performance during usual night shift hours in patients with excessive sleepiness associated with chronic (> or =3 months) shift work disorder (SWD) of moderate or greater severity. This 12-week, randomized controlled study was conducted at 42 sleep research facilities in North America from April 2 through December 23, 2004, and enrolled 254 permanent or rotating night shift workers with SWD. Entry criteria included excessive sleepiness during usual night shifts for 3 months or longer (corroborated by mean sleep latency of < or =6 minutes on a Multiple Sleep Latency Test), insomnia (sleep efficiency < or =87.5% during daytime sleep), and SWD that was judged clinically to be of moderate or greater severity. Patients received armodafinil, 150 mg, or placebo 30 to 60 minutes before each night shift. Physiologic sleep propensity during night shift hours, clinical impression of severity, patient-reported sleepiness, and cognitive function were assessed during laboratory night shifts at weeks 4, 8, and 12. Armodafinil significantly improved mean (SD) sleep latency from 2.3 (1.6) minutes at baseline to 5.3 (5.0) minutes at final visit, compared with a change from 2.4 (1.6) minutes to 2.8 (2.9) minutes in the placebo group (P<.001). Clinical condition ratings improved in more patients receiving armodafinil (79%) vs placebo (59%) (P=.001). As reported by patients' diaries, armodafinil significantly reduced sleepiness during laboratory nights (P<.001), night shifts at work (P<.001), and the commute home (P=.003). Armodafinil improved performance on standardized memory (P<.001) and attention (power, P=.001; continuity, P<.001) tests compared with placebo. Armodafinil was well tolerated and did not affect daytime sleep, as measured by polysomnography. In patients with excessive sleepiness associated with chronic SWD of moderate or greater severity, armodafinil significantly improved wakefulness during scheduled night work, raising mean nighttime sleep latency above the level considered to indicate severe sleepiness during the daytime. Armodafinil also significantly improved measures of overall clinical condition, long-term memory, and attention. clinicaltrials.gov Identifier: NCT00080288.
Article
Shift work has been reported to predict health problems, and a possible explanation is that shift work may lead to poorer health habits, thereby increasing a person's vulnerability to illness. This study examined the association between shift work and health habits, as indicated by smoking, alcohol intake, physical activity and by being overweight. A questionnaire was sent to all 2795 female nurses working in the 10 hospitals of two Finnish health care districts. From the 2299 respondents, we selected those 506 shift workers who reported having always done shift work and those 183 day workers who had never done shift work. Shift workers were found to smoke more and to be overweight more often than day workers. These differences gradually increased in each successive age group, being 1.94 pack-years in smoking and 0.9 kg m-2 in body mass index among nurses over 45 years of age. Shift work was not associated with alcohol intake or sedentary lifestyle. This evidence is compatible with the possibility that shift work in nurses increases smoking and being overweight to a degree that contributes to health problems, including coronary heart disease.
Article
Women constitute about half the work force, and women shift workers warrant special attention given the different physiological needs of women, their reproductive status, and the added burden of family responsibilities. There is increasing evidence that women have greater difficulty adjusting to shift work compared to their male counterparts and that sleep problems may in large part account for this difficulty. The purpose of this article is to review the existing literature to highlight the differential negative impact of shift work on sleep and other health issues in women and as part of a needs assessment to promote research in female shift workers by developing and prioritizing research questions in this field. The literature suggests that women shift workers report poor sleep quality and experience reproductive disturbances, an increased risk of breast cancer, and a greater risk of metabolic and cardiovascular disorders.
Article
Mortality rates are lower for married individuals than they are for unmarried individuals, and marriage seems to be even more beneficial to men than women in this regard. A theoretical model of social integration and social control is developed to explain why this may occur. Drawing from this model, I hypothesize that marriage may be beneficial to health because many spouses monitor and attempt to control their spouse's health behaviors. Furthermore, the provision, receipt, and consequences of these social control efforts may vary for men and women. These hypotheses are considered with analysis of a national panel survey conducted in 1986 (N = 3617) and 1989 (N = 2867). Results show that: (1) marriage is associated with receipt of substantially more efforts to control health for men than women, (2) those who attempt to control the health of others are more likely to be female than male, (3) there is some support for the social control and health behavior hypothesis among the married, and (4) the transition from married to unmarried status is associated with an increase in negative health behavior while the transition from unmarried to married status seems to have little effect on health behavior. A theoretical explanation is developed to explain these marital status differences.
Article
Age-adjusted mortality rates are higher for the unmarried and nonparents than for the married and parents. The effects of marital and parental status on mortality are usually attributed to the positive effects of social integration or social support. The mechanisms by which social support or integration is linked to health outcomes, however, remain largely unexplored. One mechanism may involve health behaviors; the family relationships of marriage and parenting may provide external regulation and facilitate self-regulation of health behaviors which can affect health. The present study employs a national sample to examine the relationships of marital and parenting status to a variety of health behaviors. Results indicate that marriage and presence of children in the home have a deterrent effect on negative health behaviors. It is suggested, within the theoretical framework of social integration, that family roles promote social control of health behaviors which affect subsequent mortality.
Article
This study provides the most recent national estimates of the prevalence of employment during nonstandard hours (evenings, nights, or rotating hours) and on weekends. It also examines in a multivariate context the relevance of job and family characteristics as determinants of such employment, separately for men and for women. The findings support the contention that the demand for employment during nonstandard hours and weekends is pervasive throughout the occupational hierarchy, but particularly in service occupations and in personal service industries and for both men and women. Gender differences exist, however, in the relevance of family factors. Being married reduces women's but not men's likelihood of employment during nonstandard hours, and the presence of children affects women's but not men's hours and days of employment. (The direction of the effect for women depends on the children's age.) Implications of these findings are discussed.