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Health and wellbeing of rotation workers in the mining, offshore oil and gas, and construction industry: a systematic review

Health and wellbeing of rotation workers in the mining, offshore oil and gas, and construction industry: a systematic review
Health and wellbeing of rotation workers in the mining, offshore oil and gas, and construction industry: a systematic review
Introduction: rotation work, characterised by travelling long distances to work in isolated areas where workers typically rotate consecutive days working and living on-site with periods at home, is increasingly used in the resources and construction sectors globally. Such employment practices may have an impact on workers’ health and well-being. This systematic review explores the impact rotation work has on mental and physical outcomes in rotation workers in the resources and construction sectors.

Method: thePubMed,Medline,EMBASE,CINAHL, PsycINFO, and Scopus databases were systematically searched on 1 May 2020 to identify quantitative, qualitative and mixed-method studies addressing the health of rotation workers published in peer-reviewed journals. Findings from the studies were summarised narratively.

Results: of 6268 studies retrieved, 90 studies were included in the review. Studies suggested higher prevalence of psychological distress in onshore rotation workers and higher overweight/obesity rates among rotation workers as compared with the general population. We found more sleep problems and higher levels of smoking during work periods compared with off-site days; and higher alcohol intake during off-site days compared with on-site days. Workers generally perceived their physical health status as good. High-perceivedjob demands (such as workload, repetitive work) were associated with mental distress and exhaustion, sleep problems and perceived poor physical health status, while high-perceived job resources (such as job clarity/control, support) were associated with low mental distress and exhaustion, less smoking and alcohol intake, and better sleep.

Conclusion: rotation work is associated with several poorer health behaviours and outcomes, such as sleep problems, smoking, alcohol consumption and overweight/ obesity. Interventions needed to improve rotation workers’ health should include maximising available job resources and reducing job demands. Further longitudinal studies are needed to explore the long-term health effects of rotation work and the short-term contextual effects of the different aspects of rotation work.
2059-7908
Asare, Bernard Yeboah-Asiamah
c7d96058-74f4-4f2f-a58b-7e62f226f3fa
Kwasnicka, Dominika
967b4afc-0d59-467f-aa76-44cc15011f4c
Powell, Daniel
e1e53a46-a37b-425b-ac15-e82f99033f46
Robinson, Suzanne
381aa349-a158-4001-86e8-20327d1b300d
Asare, Bernard Yeboah-Asiamah
c7d96058-74f4-4f2f-a58b-7e62f226f3fa
Kwasnicka, Dominika
967b4afc-0d59-467f-aa76-44cc15011f4c
Powell, Daniel
e1e53a46-a37b-425b-ac15-e82f99033f46
Robinson, Suzanne
381aa349-a158-4001-86e8-20327d1b300d

Asare, Bernard Yeboah-Asiamah, Kwasnicka, Dominika, Powell, Daniel and Robinson, Suzanne (2021) Health and wellbeing of rotation workers in the mining, offshore oil and gas, and construction industry: a systematic review. BMJ Global Health, 6 (7). (doi:10.1136/bmjgh-2021-005112).

Record type: Article

Abstract

Introduction: rotation work, characterised by travelling long distances to work in isolated areas where workers typically rotate consecutive days working and living on-site with periods at home, is increasingly used in the resources and construction sectors globally. Such employment practices may have an impact on workers’ health and well-being. This systematic review explores the impact rotation work has on mental and physical outcomes in rotation workers in the resources and construction sectors.

Method: thePubMed,Medline,EMBASE,CINAHL, PsycINFO, and Scopus databases were systematically searched on 1 May 2020 to identify quantitative, qualitative and mixed-method studies addressing the health of rotation workers published in peer-reviewed journals. Findings from the studies were summarised narratively.

Results: of 6268 studies retrieved, 90 studies were included in the review. Studies suggested higher prevalence of psychological distress in onshore rotation workers and higher overweight/obesity rates among rotation workers as compared with the general population. We found more sleep problems and higher levels of smoking during work periods compared with off-site days; and higher alcohol intake during off-site days compared with on-site days. Workers generally perceived their physical health status as good. High-perceivedjob demands (such as workload, repetitive work) were associated with mental distress and exhaustion, sleep problems and perceived poor physical health status, while high-perceived job resources (such as job clarity/control, support) were associated with low mental distress and exhaustion, less smoking and alcohol intake, and better sleep.

Conclusion: rotation work is associated with several poorer health behaviours and outcomes, such as sleep problems, smoking, alcohol consumption and overweight/ obesity. Interventions needed to improve rotation workers’ health should include maximising available job resources and reducing job demands. Further longitudinal studies are needed to explore the long-term health effects of rotation work and the short-term contextual effects of the different aspects of rotation work.

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e-pub ahead of print date: 21 July 2021

Identifiers

Local EPrints ID: 511364
URI: http://eprints.soton.ac.uk/id/eprint/511364
ISSN: 2059-7908
PURE UUID: 76175f97-93a2-413a-a5fb-8f4f0efc2e60
ORCID for Daniel Powell: ORCID iD orcid.org/0000-0003-4995-6057

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Date deposited: 12 May 2026 16:59
Last modified: 13 May 2026 02:16

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Contributors

Author: Bernard Yeboah-Asiamah Asare
Author: Dominika Kwasnicka
Author: Daniel Powell ORCID iD
Author: Suzanne Robinson

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