Relationship of sleep deficiency to perceived pain and physical disability in hospital patient care workers

Details

• Personal Author:
  Buxton O ; Dennerlein J ; Hashimoto D ; Hopcia K ; Kenwood C ; Porter J ; Sembajwe G ; Sorensen, Glorian ; Stoddard A
• Description:
  Introduction: Sleep deficiency (insufficient sleep duration and/or inadequate sleep quality) has consequences for pain and work function. In this study of hospital workers employing a socioecological framework, we tested the hypothesis that sleep deficiency is associated with self-reported pain, functional limitations, and work-interfering physical limitations, controlling for relevant confounders. Methods: Patient Care Unit workers from two large academic hospitals in the Boston metropolitan area completed a workplace health survey that included measures of socio-demographics, workplace factors, psychological distress, sleep, pain, and physical limitations. Sleep deficiency was the presence of insufficient sleep duration <6h/day) or inadequate sleep quality (poor sleep often or always, insomnia symptoms, or apnea symptoms). Self-reported outcomes included I) pain in any body part, last 3 months, 2) moderate or greater degree of work interference due to this pain 3) functional limitation on an activities of daily living scale. Association of sleep deficiency with each outcome was assessed by multiple logistic regression analysis [odds ratios (OR)+/-95% confidence intervals] Results: The sample of 1572 respondents was 90% women, mean age 41 years (s.d.=12), mean BMI 26 kg/m2 (s.d.=5). Seventy percent reported sleep deficiency, 73% reported pain in the last 3 months, 33% reported work interference, 17% reported functional limitation. Sleep deficiency, was associated with higher rates of pain (OR=1.5. CI: 1.1- 2.0, p=0.009), work interference (OR=1.7. CI: 1.3-2.3, p=0.0004) and functional limitation (OR=2.1, CI: 1.4-3 .2. p=0.0008), controlling for ethno-racial category, gender, age, BML shift, work hours, occupation, job demands, psychological distress, coworker support, and supervisor support. Conclusion: Sleep Deficiency is significantly associated with pain, functional limitation and workplace interference. Future studies will assess causal direction. These findings suggest that sleep, work-related bodily pain, and resulting functional and work limitations are potentially modifiable outcomes for a workplace health and safety intervention or related avenues of approach for intervention studies. [Description provided by NIOSH]
• Subjects:
  Aging Circadian Rhythm Demography Health Personnel Men Mental Health Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders Stress, Psychological Women

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• Keywords:
  Age-groups Circadian-rhythms Demographic-characteristics Humans Medical-personnel Physical-capacity Physical-stress Physiology Psychological-stress Sleep-deprivation Sleep-disorders Sociological-factors Statistical-analysis Stress Total-Worker-Health Workers

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• ISSN:
  0161-8105
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  34
• NIOSHTIC Number:
  nn:20045612
• Citation:
  Sleep 2011 Jun; 34(Abstract Suppl):A222-A223
• Federal Fiscal Year:
  2011
• NORA Priority Area:
  Healthcare and Social Assistance ; Construction
• Performing Organization:
  Harvard University, Boston, Massachusetts
• Peer Reviewed:
  False
• Start Date:
  20070901
• Source Full Name:
  Sleep
• Supplement:
  Abstract Supplement
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8a1ba2e15a0c5eccf1ca292327011eb2f1ba819923908974d3b24d080899b9c19a596263a1d519c4ecefa0fee44592c12afe68a6110b36ecb1f3337ab1b4a99a
• Download URL:
  https://stacks.cdc.gov/view/cdc/200965/cdc_200965_DS1.pdf
• File Type:
  [PDF - 1.99 MB ]