Sleep disturbances, work stress and work hours -: A cross-sectional study
Sleep disturbances, work stress and work hours -: A cross-sectional study
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DOI：
10.1016/s0022-3999(02)00333-1
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发表时间：
2002-09-01
影响因子：
4.7
通讯作者：
Kecklund, G
中科院分区：
文献类型：
--
作者：
Åkerstedt, T;Knutsson, A;Kecklund, G
目的：该研究探讨了睡眠障碍与不同工作相关因素和背景/生活方式因素之间的多变量关系。方法：居住在大斯德哥尔摩地区的 5720 名健康就业男性和女性参与了研究。对八个项目的因素分析得出了一个主要因素：“睡眠不安”。使用多重逻辑回归分析对睡眠不安指数以及“休息不好”和“醒来困难”两个单独项目进行数据分析。 结果：结果显示，高工作要求[比值比（OR）= 2.15]和工作中的体力消耗（OR= 1.94）是睡眠不安的风险指标，而高社会支持与风险降低相关（OR= 0.44）。此外，年龄较大（45 岁以上）、女性、高体重指数 (BMI) 和缺乏锻炼也是背景/生活方式风险指标。在模型中引入一个代表在空闲时间无法停止思考工作的项目会产生最高的 OR (3.20) 并迫使工作需求脱离回归。对于感觉休息不好，除了体力消耗之外，获得了相同的重要预测因素。以及夜间工作和结婚。此外，年龄效应是相反的——高年龄预示着感觉休息不好的风险降低。高工作要求、低社会支持、男性、低年龄和吸烟预示着觉醒困难。值得注意的是，虽然主观睡眠质量随着年龄的增长而下降，但觉醒困难和睡眠后没有得到充分休息的感觉却随着年龄的增长而增加。结论：得出的结论是，压力和工作中的社交状况与睡眠不安和觉醒障碍密切相关，性别，甚至年龄可能会改变这一点，而在空闲时间无法停止担心工作可能是压力与睡眠之间关系的重要联系。 (C) 2002 Elsevier Science Inc. 保留所有权利。
Objective: The study examined the multivariate relationship between disturbed sleep and different work-related and background/life style factors.Methods: 5720 healthy employed men and women living in the greater Stockholm area participated. A factor analysis of eight items provided one main factor: "disturbed sleep." The data were analyzed using a multiple logistic regression analysis against the index disturbed sleep as well as the separate items "not well rested" and "difficulties awakening."Results: The results showed that high work demands [odds ratio (OR)= 2.15] and physical effort at work (OR= 1.94) are risk indicators for disturbed sleep, while high social support is associated with reduced risk (OR= 0.44). In addition, higher age (45+), female gender, a high body mass index (BMI) and lack of exercise are background/ life style risk indicators. Introducing into the model an item representing inability to stop thinking about work during free time yielded the highest OR (3.20) and forced work demands out of the regression. With regard to not feeling well rested, the same significant predictors, except physical effort, were obtained. as well as for having night work and being married. In addition, the age effect was reversed - high age predicted reduced risk of not feeling well rested. Difficulties awakening was predicted by high work demands, low social support, being male, low age and smoking. It is notable that, whereas subjective sleep quality decreased with age, the difficulties awakening and feelings of not being well rested after sleep increased with age.Conclusion: It was concluded that stress and the social situation at work are strongly linked to disturbed sleep and impaired awakening, that gender and, even more so, age may modify this and that the inability to stop worrying about work during free time may be an important link in the relation between stress and sleep. (C) 2002 Elsevier Science Inc. All rights reserved.