期刊
JOURNAL OF CLINICAL SLEEP MEDICINE
卷 11, 期 3, 页码 233-U49出版社
AMER ACAD SLEEP MEDICINE
DOI: 10.5664/jcsm.4534
关键词
occupational health; obstructive sleep apnea; safety; driving
资金
- FEMA Assistance for Firefighters Grants [EMW-2007-FP-02197, EMW-2008-FP-02566]
- Cephalon
- Vanda Pharmaceuticals
- Philips Respironics
- Optalert
- Compumedics
- Philips Lighting
- Tyco Healthcare
- ResMed Foundation
- American Family
- Apollo Lighting
- Blackrock
- Brigham
- Women's Hospital
- Cowen Co
- Fidelity
- Frankel Group
- Impax Laboratories
- Kearney Venture Partners
- Lazard Capital Markets
- Naturebright
- Perceptive Advisors
- Polar Capital
- ResearchWorks Inc.
- Thomas Jefferson University
- Warwick Medical School
- Wyle Integrated Science and Engineering
- Wyvern Funds
- Pty
- Oxford University Press
- Elsevier
- Alcon Inc
- Biological Illuminations LLC
- Respironics Inc
- Bose Corporation
- Boston Celtics
- Boston Red Sox
- CITGO, Inc.
- Cleveland Browns
- Colombia River Bar Pilots
- Merck
- Novartis
- Purdue Pharma LP
- Quest Diagnostics, Inc.
- Teva Pharmaceuticals Industries Ltd.
- Valero, Inc.
- Dr. Czeisler owns an equity interest in Lifetrac, Inc.
- Somnus Therapeutics, Inc.
- Cephalon, Inc.
- National Football League Charities
- Boehringer Ingelheim Pharmaceuticals, Inc.
- Gerald McGinnis
- Jazz Pharmaceuticals
- Merck Co., Inc.
- Peter C. Farrell, PhD
- ResMed
- Respironics, Inc.
- Takeda Pharmaceuticals
- Sanofi-Aventis, Inc.
- Sepracor, Inc.
- San Francisco Bar Pilots
- Sysco
Study Objectives: Heart attacks and motor vehicle crashes are the leading causes of death in US firefighters. Given that sleep disorders are an independent risk factor for both of these, we examined the prevalence of common sleep disorders in a national sample of firefighters and their association with adverse health and safety outcomes. Methods: Firefighters (n = 6,933) from 66 US fire departments were assessed for common sleep disorders using validated screening tools, as available. Firefighters were also surveyed about health and safety, and documentation was collected for reported motor vehicle crashes. Results: A total of 3 7.2% of firefighters screened positive for any sleep disorder including obstructive sleep apnea (OSA), 28.4%; insomnia, 6.0%; shift work disorder, 9.1%; and restless legs syndrome, 3.4%. Compared with those who did not screen positive, firefighters who screened positive for a sleep disorder were more likely to report a motor vehicle crash (adjusted odds ratio 2.00, 95% CI 1.29-3.12, p = 0.0021) and were more likely to self-report falling asleep while driving (2.41, 2.06-2.82, p < 0.0001). Firefighters who screened positive for a sleep disorder were more likely to report having cardiovascular disease (2.37, 1.54-3.66, p < 0.0001), diabetes (1.91, 1.31-2.81, p = 0.0009), depression (3.10, 2.49-3.85, p < 0.0001), and anxiety (3.81, 2.87-5.05, p < 0.0001), and to report poorer health status (p < 0.0001) than those who did not screen positive. Adverse health and safety associations persisted when OSA and non-OSA sleep disorders were examined separately. Conclusions: Sleep disorders are prevalent in firefighters and are associated with increased risk of adverse health and safety outcomes. Future research is needed to assess the efficacy of occupational sleep disorders prevention, screening, and treatment programs in fire departments to reduce these safety and health risks.
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