Additive interactions of sleep disorders, insufficient sleep, and shift work on road and workplace safety incidents: A sufficient cause approach with overlap weights
Kelly Sansom , Murthy N. Mittinty , Claire Dunbar , Andrew Vakulin , Robert J.T. Adams , Nigel McArdle , Peter R. Eastwood , Amy Reynolds
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引用次数: 0
Abstract
Background
Behavioural and biological factors impacting healthy sleep can influence road and workplace safety. This study investigated the additive interactions of sleep-disrupting factors (sleep disorders, insufficient sleep, and shift work) on road and workplace safety in young adults (22 years) from the Raine Study.
Methods
Employed participants (n = 439, median age 22.0 years, IQR 21.6–22.3) were assessed for common sleep disorders (obstructive sleep apnoea, insomnia, restless legs syndrome). They provided information on shift work status, habitual sleep duration (insufficient sleep <7 h), and self-reported road and work incidents. A sufficient cause approach with inverse probability of overlap weights and logistic regression was used to study additive interactions.
Results
Sleepiness while driving was reported by 16 % and while at work by 11 % of participants. Insufficient sleep alone increased the odds of falling asleep while driving (OR 2.29; 95 % CI 1.17, 4.32). Three sleep-disrupting factors additively increased the risk of near-miss road incidents (β, 1.40 > 0). Sleep disorders with shift work was associated with the highest risk of falling asleep at work (relative excess risk due to interaction, RERI; 4.86; 95 % CI, 2.9, 6.81).
Conclusion
The combined burden of multiple sleep-disrupting factors including sleep disorders, insufficient sleep and shift work, is associated with an increased risk of near-miss road incidents and falling asleep at work. Given that sleepiness, both on the road and in the workplace, is common in young adults, there is a need for greater awareness and intervention to address the associated risks.
期刊介绍:
Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without.
A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry.
The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.