Sleep-related risk of occupational injuries in Japanese small and medium-scale enterprises

Sleep-related risk of occupational injuries in Japanese small and medium-scale enterprises
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DOI:
10.2486/indhealth.43.89
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发表时间:
2005-01-01
期刊:
影响因子:
2
通讯作者:
Araki, S
Araki, S
中科院分区:
医学4区
文献类型:
--
作者:
Nakata, A;Ikeda, T;Araki, S

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一项横断面研究评估了日常睡眠习惯对职业伤害的影响。一份自我填写的调查问卷要求2,903名年龄在16-83岁(平均45岁)之间的中小型企业工人回答有关睡眠、抑郁症状、工伤、人口统计、疾病存在和生活方式因素的问题。8种睡眠习惯被询问并分为:1)每天睡眠少于或多于6小时;2)入睡时间多于或少于30分钟(难以入睡;DIS); 3)睡眠中醒来次数多于或少于3次/周(难以维持睡眠;DMS), 4)清晨醒来超过或少于3次/周(EMA), 5)一定/有些困难醒来或不醒来,6)晚上睡眠很差/不太好或不太好,7)夜间睡眠肯定/有些不足或不充足,8)睡眠时呼吸困难超过或少于1次/周。职业伤害是通过询问被试者“你在工作中是否受过伤,包括轻微的划伤和割伤(是/否)?”来评估的。在过去的一年里,对睡眠和受伤情况进行了评估。三分之一的工人回答说他们受过伤。具有DIS睡眠特征、夜间睡眠不良、睡眠不足和失眠的工人在调整多个混杂因素后,受伤的发生率明显更高。研究结果表明,不良的夜间睡眠习惯与自我报告的职业伤害有关。
A cross-sectional study evaluated the contribution of daily sleep habits to occupational injuries. A self-administered questionnaire solicited answers about sleep, symptoms of depression, occupational injury, demographics, presence of diseases and lifestyle factors from 2,903 workers between the ages of 16-83 (mean 45) yr in small and medium-scale enterprises. Eight sleep habits were queried and dichotomized: 1) less or more than 6 hr of daily sleep, 2) taking more or less than 30 min to fall asleep (Difficulty initiating sleep; DIS), 3) awakening during sleep more or less than 3 times/wk (Difficulty maintaining sleep; DMS), 4) early morning awakening more or less than 3 times/wk (EMA), 5) definitely/somewhat difficulty waking up or not, 6) sleeping very poorly/not so well at night or not, 7) definitely/somewhat insufficient nightly sleep or not, and 8) difficulty in breathing during sleep more than once/week or less. Occupational injury was assessed by asking subjects 'Have you ever been injured during your work, including minor scratches and cuts (Yes/No)?' Both sleep and injury were assessed over the previous one year period. One-third of workers answered that they had experienced injury. Workers with sleep features of DIS, sleeping poorly at night, insufficient sleep, and insomnia had a significantly higher prevalence for injury after adjusting for multiple confounders. The findings suggest that poor nocturnal sleep habits are associated with self-reported occupational injury.