The Hidden Cost of Caregiving: The Association Between Self-Assessed Caregiving-Related Awakenings and Nighttime Awakenings and Workplace Productivity Impairment Among Unpaid Caregivers to Older Adults in the US

Details

• Personal Author:
  Barger LK ; Czeisler, Charles A. ; Quan SF ; Robbins R ; Weaver MD ; Zhivotovsky S
• Description:
  Objective: To evaluate whether caregiving for older adults is associated with insomnia symptoms and diminished workplace productivity. Methods: We analyzed data collected from caregivers to older adults in the US. Participants self-reported awakenings from sleep (caregiving-related or spontaneous) and workplace measures (presenteeism, absenteeism, and productivity impairment). We conduct generalized linear modeling to examine the relationship between awakenings and workplace outcomes, controlling for confounders. Results: 258 caregivers to older adults reported current employment and met our inclusion criteria. Adjusted analyses found that reporting caregiving-related awakenings was associated with presenteeism (OR = 1.27,95%CI:1.16-1.40), absenteeism (OR = 1.10,95%CI:1.06-1.15), and productivity impairment (OR = 1.41,95%CI:1.25-1.58). Adjusted analyses found that spontaneous nighttime awakenings were associated with absenteeism (OR = 1.05, 95%CI: 1.01-1.08) and productivity impairment (OR = 1.12, 95%CI: 1.02-1.124) but not presenteeism. Conclusions: Caregiving-related awakenings are a risk factor for workplace productivity impairment. Future studies may examine means for improving caregiver sleep. [Description provided by NIOSH]
• Subjects:
  Absenteeism Age Factors Aging Circadian Rhythm Fatigue Health Personnel Occupational Health Risk Assessment Risk Factors Safety Sleep Sleep Initiation And Maintenance Disorders Surveys And Questionnaires

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• Keywords:
  Age Factors Age Groups Author Keywords: Caregiving Circadian Rhythms Dementia Fatigue Properties Health Care Health Care Workers Health Surveys Humans Models Older Adults Performance Capability Risk Factors Sleep Deprivation Sleep Disorders Workers Work Performance Workplace Productivity

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  79-85
• Volume:
  64
• Issue:
  1
• NIOSHTIC Number:
  nn:20063327
• Citation:
  J Occup Environ Med 2022 Jan; 64(1):79-85
• Contact Point Address:
  Rebecca Robbins, Division of Sleep Medicine, Harvard Medical School, 221 Longwood Avenue, Boston, MA 02115
• Email:
  rrobbins4@bwh.harvard.edu
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  Brigham and Women's Hospital, Boston, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  20190901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f507b9f5b4e3fd10120295a3ddd3b461f7f74114ac96803f7431eda31116c3fbb8835515c84d0d8e4afe9abd87f6317fea8b51673beb26ad303152ed9d8df735
• Download URL:
  https://stacks.cdc.gov/view/cdc/226406/cdc_226406_DS1.pdf
• File Type:
  [PDF - 319.87 KB ]