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Author: Dosa, Nienke P.
Resulting in 1 citation.
1. Dosa, Nienke P.
Auinger, Peggy
Olson, Bradley
Weitzman, Michael
Parents' Workshift and Attention and Behavior Problems in School Aged Children
Presented: Baltimore, MD, Pediatric Academic Societies' Annual Meeting, May 2002
Cohort(s): Children of the NLSY79, NLSY79
Publisher: American Pediatric Society
Keyword(s): Behavior Problems Index (BPI); Shift Workers

Permission to reprint the abstract has not been received from the publisher.

Design/Methods: Cross-sectional study using the 1998 National Longitudinal Survey of Youth to evaluate the distribution of behavior problems (top 10th percentile of the Behavior Problem Index [BPI]), pharmacologic treatment of ADHD, and maternal report that behavior requires counseling among children in dual income households whose parents work similar (both dayshift, both nightshift, both split shift) and discordant (mother dayshift/father nightshift, etc.) job shifts. Multivariate regression was used to identify independent associations between workshifts and the outcomes of interest, controlling for child, household, and employment factors.

Results: Records of 1351 children aged 4-12 years were examined: 837 resided in dayshift households, 36 in split shift households, 13 in night shift households [excluded due to small sample size], and 481 in discordant workshift households. Bivariate analysis revealed an association between maternal report that behavior requires counseling and households in which both parents work split shifts, compared to discordant workshift households and dayshift households (9.4% vs. 2.7% vs.3.4%, respectively; p<0.05). This association was maintained in multivariate models, which revealed that mothers of children in split shift households were three times more likely to report behavior problems(OR=3.0, 95% CI: 1.2-7.9) than mothers in comparison groups. This independent association was stronger than male sex of child (OR=1.6, 95%CI: 1.1-2.6) and household size (OR=.52, 95% CI: 0.3-0.9), which were the only other variables to predict the outcome of interest. Workshift variables were not significant in the models that examined extreme BPI scores or pharmacologic treatment of ADHD.

Conclusions: Mothers of children who reside in households in which both parents work split shifts are more likely to report behavior problems. Additional studies are needed to determine whether disruption of household sleep patterns is the causal mechanism for this association.

Bibliography Citation
Dosa, Nienke P., Peggy Auinger, Bradley Olson and Michael Weitzman. "Parents' Workshift and Attention and Behavior Problems in School Aged Children." Presented: Baltimore, MD, Pediatric Academic Societies' Annual Meeting, May 2002.