{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:10:22Z","timestamp":1788977422508,"version":"build-2803163510"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Ibaraki Kidney Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Night shift work is increasingly prevalent and has been linked to various health risks. However, nationally representative evidence regarding disease burden, lifestyle behaviours and healthcare access among night shift workers remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the associations between night shift work and chronic disease burden, lifestyle patterns and barriers to care in a large Japanese population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed data from the Japan \u2018COVID-19 and Society\u2019 Internet Survey, a nationwide, web-based, self-reported questionnaire conducted in September\u2013October 2023. Among 33\u00a0000 respondents, 28\u00a0481 provided valid responses and were included in this cross-sectional study. Night shift workers were identified by reported frequency of working between 10.00 p.m. and 5.00 a.m. Multivariable logistic regression models with inverse probability weighting were used to assess associations with health outcomes, adjusting for demographics and socioeconomic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 6486 respondents (22.8%) were classified as night shift workers. Night shifters were more likely to report several chronic conditions, including diabetes, coronary artery disease, stroke, and chronic respiratory, kidney, liver diseases and cancer. Furthermore, night shift workers were more likely to sleep less and skip breakfast, but less likely to report snacking or physical inactivity. They also faced more healthcare access issues, including missed annual checkups and postponed treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Night shift workers in Japan reported disproportionate chronic disease burdens and care access barriers. Tailored strategies are needed to support this vulnerable workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqag051","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T12:28:46Z","timestamp":1778675326000},"page":"363-370","source":"Crossref","is-referenced-by-count":0,"title":["Health, lifestyle and care barriers of night shift workers in Japan"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9857-8614","authenticated-orcid":false,"given":"H","family":"Ito","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Department of Internal Medicine, Tokyo Medical University Ibaraki Medical Centre , Inashiki, Ibaraki 300-0395,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Okaya","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, Tsukuba University Hospital 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305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Ma","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, Tsukuba University Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Shimojo","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, Tsukuba University Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1050-3125","authenticated-orcid":false,"given":"T","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine , Sendai, Miyagi 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