We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Shifting Work, Sleep Cycles Are on the Way to Becoming Another Public Health Issue

Chris Anne Raymond, PhD
JAMA. 1988;259(20):2958-2959. doi:10.1001/jama.1988.03720200002002.
Text Size: A A A
Published online


GETTING A LITTLE SHUT-EYE used to be no more than a personal concern. Now it's becoming a public health issue.

One of four American workers is engaged in shift work, according to a 1977 study from the National Institute of Occupational Safety and Health. The effects of this phenomenon now are at issue among police officers and power plant workers alike, in industries as diverse as medicine and manufacturing.

Experts in sleep research hope that concrete changes in work schedules will be made, enabling workers to function in good health. Their concerns were outlined in a recent report warning of threats to public safety if policymakers ignore the impact of shift work (Sleep 1988;1:101-109). And a recently completed first-of-its-kind study indicates that such changes can benefit both workers and employers.

Investigators acknowledge that it will be difficult to implement changes without a clear-cut mandate and considerable agreement between labor and


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.