RT Journal Article T1 Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses A1 Ruiz-Frutos, Carlos A1 Fagundo, Javier A1 Allande-Cussó, Regina A1 Ortega-Moreno, Mónica A1 García-Iglesias, Juan Jesús A1 Romero-Ruiz, Adolfo K1 Jornada laboral AB Abstract: Shift work that involves circadian disruption has been highlighted as a likely carcinogenicfactor for breast cancer in humans. Also, unhealthy lifestyle habits observed in night work nursescould be causally related to an increase in the incidence of estrogen-positive breast tumours in thispopulation. Assessing baseline risk of breast cancer in nurses is essential. The objective of thisstudy was to analyze the risk of breast cancer that nurses had in relation to their lifestyle and labourfactors related to shift work. A cross-sectional descriptive study through a questionnaire aboutsociodemographic variables, self-perception of health, and working life was designed. The sampleconsisted of 966 nurses. The relationship between variables was tested. A binary logistic regressionand a classification and regression tree were performed. The most significant labour variables inrelation to the risk of breast cancer were the number of years worked (more than 16 years; p < 0.01;OR = 8.733, 95% CI = 2.811, 27.134) and the total years performing more than 3 nights per month(10 or more years; p < 0.05; OR = 2.294, 95% CI = 1.008, 5.220). Also, the nights worked throughoutlife (over 500; OR = 4.190, 95% CI = 2.118, 8.287) were significant in the analysis. Nurses who had orever had breast cancer valued their self-perceived health more negatively (p < 0.001) and referred alower quality of sleep (p < 0.001) than the non-cases nurses. The occupational factors derived fromnight work could have several impacts on nurses’ health and their family-work balance. Promotinghealthy lifestyles, informing about shift work risks, and adjusting shift work schedules are criticalmethods to decrease the possible effects of circadian disruption in nurses PB MDPI YR 2021 FD 2021-05-30 LK https://hdl.handle.net/10630/29634 UL https://hdl.handle.net/10630/29634 LA eng NO Fagundo-Rivera, J.; Allande-Cussó, R.; Ortega-Moreno, M.; García-Iglesias, J.J.; Romero, A.; Ruiz-Frutos, C.; Gómez-Salgado, J. Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses. Healthcare 2021, 9, 649. DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 21 ene 2026