Work stress, worries, and pain interact synergistically with modelled traffic noise on cross-sectional associations with self-reported sleep problems
Work stress, worries, and pain interact synergistically with modelled traffic noise on cross-sectional associations with self-reported sleep problems
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DOI：
10.1007/s00420-010-0557-8
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发表时间：
2011-02-01
影响因子：
3
通讯作者：
Ardo, Jonas
中科院分区：
文献类型：
--
作者：
Kristiansen, Jesper;Persson, Roger;Ardo, Jonas
研究睡眠问题的风险与工作压力（工作压力、工作要求和决策权）、忧虑和痛苦有关，并研究这些因素与交通噪音之间的协同作用。在一项有12093名受访者的横断面公共卫生调查中，对睡眠问题和预测变量进行了评估。使用模拟的a加权能量等效交通声级来评估住宅的交通噪音水平。睡眠问题的风险采用多元逻辑回归分析建模。至于不归因于任何外部来源的睡眠问题（一般睡眠问题），独立的主要影响因素是交通噪音（女性）、决策权（女性）、工作压力、工作要求、遭受疼痛或其他痛苦、担心失去工作、在工作中遭受欺凌、支付账单有困难、需要照顾生病、残疾或年老的亲戚（女性）。研究发现，交通噪音与女性职场欺凌之间存在显著的协同效应。至于交通噪音引起的睡眠问题，研究发现交通噪音与工作需求（男性）、疼痛或其他病痛、照顾生病、年老或残疾的亲戚以及支付账单有很强的协同作用。主要影响因素是担心失去工作、在工作中遭受欺凌、工作压力（男性）和决策权（男性）。在人口中，由交通噪音引起的睡眠问题中，10-20%可能是协同作用造成的。工作压力、疼痛和不同的担忧与一般睡眠问题独立相关，而与交通噪音一般没有协同作用。相比之下，交通噪音和心理因素在交通噪音引起的睡眠问题方面存在协同效应。这种协同作用可能在很大程度上有助于解决交通噪音引起的睡眠问题。
To examine the risk of sleep problems associated with work stress (job strain, job demands, and decision authority), worries and pain and to investigate the synergistic interaction between these factors and traffic noise.Sleep problems and predictor variables were assessed in a cross-sectional public health survey with 12,093 respondents. Traffic noise levels were assessed using modelled A-weighted energy equivalent traffic sound levels at the residence. The risk of sleep problems was modelled using multiple logistic regression analysis.With regard to sleep problems not attributed to any external source (general sleep problems), independent main effects were found for traffic noise (women), decision authority (women), job strain, job demands, suffering from pain or other afflictions, worries about losing the job, experiencing bullying at work, having troubles paying the bills, and having a sick, disabled, or old relative to take care of (women). Significant synergistic effects were found for traffic noise and experiencing bullying at work in women. With regard to sleep problems attributed to traffic noise, strong synergistic interactions were found between traffic noise and, respectively, job demands (men), having pain or other afflictions, taking care of a sick, old, or disabled relative, and having troubles paying the bills. Main effects were found for worries about losing the job, experiencing bullying at work, job strain (men), and decision authority (men). Synergistic interactions could potentially contribute with 10-20% of the sleep problems attributed to traffic noise in the population.Work stress, pain, and different worries were independently associated with general sleep problems and showed in general no synergistic interaction with traffic noise. In contrast, synergistic effects between traffic noise and psychological factors were found with regard to sleep problems attributed to traffic noise. The synergy may contribute significantly to sleep problems attributed to traffic noise in the population.