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Concluding Remarks
The number of published studies examining overtime
and extended work shifts appears to be
increasing. Recent reviews that address overtime
include approximately 34 research reports published
over a span of about 32 years [Sparks et
al. 1997; Spurgeon et al. 1997]. In comparison,
the current search for reports published during
the past 8 years found 75 reports that examined
overtime, extended work shifts, or very long
shifts. The latest review of long work hours by
van der Hulst [2003] includes an additional
13 studies that have been published since 1996.
Despite the increased current interest in long
working hours, research questions remain about
the ways overtime and extended work shifts
influence health and safety. Few studies have
examined how the number of hours worked per
week, shift work, shift length, the degree of control
over one’s work schedule, compensation for
overtime, and other characteristics of work
schedules interact and relate to health and safety.
Few studies have examined how long working
hours influence health and safety outcomes in
older workers, women, persons with
pre-existing health problems, and workers with
hazardous occupational exposures.
Previous research indicates that the influence of
overtime and extended work shifts on health and
safety may involve a complex interaction of several
work schedule characteristics, as well as
work tasks, worker characteristics, compensation,
commute time, occupational exposures, and
nature of worker control over work schedules. As
a consequence, future research would benefit
from a clear and complete description of the
work schedules and other factors mentioned in
this document. Such an approach would facilitate
a detailed comparison of findings across studies.
Few studies have examined how number
of hours worked per week, shift work,
shift length, the degree of control over
one’s work schedule, compensation for
overtime, and other characteristics of
work schedules interact and relate to
health and safety.
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