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A Generalized Structural Equation Model Approach to Long Working Hours and Near-Misses among Healthcare Professionals in Japan

Bibliographic Data

ID15490263
AuthorsTatsuhiko Anzai (0000-0003-1073-2996, Tokyo Medical and Dental University), Takashi Yamauchi (0000-0001-5295-4082, Jikei University School of Medicine), Masaki Ozawa (Tokyo Medical and Dental University), Kunihiko Takahashi (0000-0003-2387-7772, Tokyo Medical and Dental University, corresponding author)
Year2021
Volume18
Issue13
Pages7154-7154
Publication date2021-07-04
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18137154
PMID34281091
OpenAlexW3178111119
LanguageEN
Citations received2
References cited5

(1) Background: Near-miss incidents are the foundation of major injuries. They are warning signs that loss is imminent. Long working hours are a risk factor for near-misses along with sleep problems, job-related stress, and depressive symptoms. This study aimed to evaluate the indirect effects of long working hours via mediating variables on near-miss occurrences among Japanese healthcare professionals. (2) Methods: 1490 Japanese healthcare professionals' reports from a web-based survey of workers in October 2018 were analyzed to evaluate total, direct, and indirect effects of long working hours on near-misses. We applied a generalized structural equation model with three mediating variables: sleep problems, job-related stress, and depressive symptoms. (3) Results: The total effect and direct effect of the categories of working hours longer than 41 h per week (h/w) for occurrence of near-misses were not significantly higher than that of 35-40 h/w. However, for indirect effects on occurrence of near-misses that first passed through job-related stress, there were higher reports for each category compared to 35-40 h/w, with odds ratios (OR) and 95% confidence intervals (95% CI) of OR = 1.12, 95% CI (1.07, 1.21) for 41-50 h/w; 1.25, (1.14, 1.41) for 51-60 h/w; and 1.31, (1.18, 1.51) for ≥ 61 h/w. (4) Conclusion: The results suggest that reducing working hours might improve job-related stress, which could reduce near-misses and prevent injuries

Econometrics · Forensic engineering · Generalized estimating equation · Health care · Health professionals · Near miss · Political science · Statistics · Structural equation modeling · Engineering · Law · Mathematics · Psychology · Sleep and Work-Related Fatigue · Workplace Health and Well-being

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Citations per year0.67
Citation span2023 - 2025 (3)
Highly citedNo

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