Sexual function and sexual quality of life among female healthcare workers in a shift work system

Background: Shift work is a major occupational health issue, disrupting circadian rhythms and increasing risks for physical, psychological, and social problems. Its impact on sexual function and sexual quality of life among female healthcare workers remains underexplored. Objective: This study examined the impact of shift work on sexual function and sexual quality of life among female healthcare workers and highlighted its occupational health implications within a prevention, assessment, and rehabilitation framework. Methods: A descriptive cross-sectional study was conducted with 390 female healthcare workers in Turkey employed in rotating shifts. Data were collected using a Participant Information Form, the Female Sexual Function Index (FSFI), and the Sexual Quality of Life Questionnaire-Female (SQOL-F). Analyses included descriptive statistics, independent t-tests, one-way ANOVA and Multivariable linear regression. Results: Longer professional experience, working in high-stress units (intensive care/emergency), >= 4 monthly night shifts, and >45 weekly working hours were significantly associated with poorer FSFI and SQOL-F scores (p < 0.05). Conversely, >= 32 h of rest after shifts was linked to higher scores. In multivariable analysis, FSFI and FGSIS scores were lower among participants who reported that shift/on-call work affects sexual desire (p < 0.001). Conclusions: Shift work negatively affects sexual function and sexual quality of life among female healthcare workers. These outcomes should be recognized as critical occupational health issues. Adequate rest periods, reduced night-shift frequency, and psychosocial support programs are essential preventive and rehabilitative strategies. Worker-centered institutional policies that balance service continuity with employee health may enhance both well-being and healthcare system sustainability.