Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey

Saad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13317– 4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareefDepartment of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), PO...

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spelling oai:doaj.org-article:9ff196c9df1348fc84ab7e1694b82b9c2021-12-02T12:15:26ZOccupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey1179-1608https://doaj.org/article/9ff196c9df1348fc84ab7e1694b82b9c2020-10-01T00:00:00Zhttps://www.dovepress.com/occupational-outcomes-associated-with-sleep-quality-and-excessive-dayt-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Saad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13317– 4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareefDepartment of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), PO Box 7544, Riyadh 13317– 4233, Saudi ArabiaEmail drsaad321@hotmail.comIntroduction: There are few population-level studies of the interactions between sleep quality/excessive daytime sleepiness (EDS) and occupational behavior. Here, we investigated the impact of sleep quality and EDS on occupational outcomes in a population-wide survey of adults in Saudi Arabia.Methods: A population-wide survey was administered to Saudi Arabian adults to assess sleep quality, EDS was measured using the Epworth Sleepiness Scale (ESS), and sleep-related absenteeism, sleep-related errors at work, and falling asleep at work in the preceding three months. Associations were evaluated using univariate analyses and binary logistic regression.Results: A total of 10,106 individuals completed all or part of the survey, of whom 8617 (85.3%) were employed. Of these, 28.7% and 8.8% of respondents reported “fairly bad” or “very bad” sleep quality in the preceding month. In binary logistic regression models, taking sleep medications was associated with absenteeism (odds ratio (OR) 1.92, 95% confidence intervals (CI) 1.67– 2.22; p< 0.001) and making errors at work (OR 1.89, 95% CI 1.62– 2.20; p< 0.001) but not falling asleep at work, and poor subjective sleep quality was associated with falling asleep at work (ORs 1.55, 95% CI 1.38– 1.74; p< 0.001). Severe EDS (ESS ≥ 16) was strongly associated with falling asleep at work (OR 3.39, 95% CI 2.51– 4.48; p< 0.001). Parameters associated with absenteeism, errors, and falling asleep at work were similar in blue- and white-collar workers.Discussion: This first population-wide study of sleep quality and EDS in Saudi Arabia provides a comprehensive portrait of the prevalence of sleep problems and their effects on occupational outcomes. Sleep-related absenteeism, work errors, and sleeping at work are common, mandating tailored fatigue-reduction strategies in every workplace and reinvigoration of public health messages on sleep.Keywords: Epworth Sleepiness Scale, errors at work, excessive daytime sleepiness, sleep hygieneAlShareef SMDove Medical Pressarticleepworth sleepiness scaleerrors at workexcessive daytime sleepinesssleep hygienePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 875-882 (2020)
institution DOAJ
collection DOAJ
language EN
topic epworth sleepiness scale
errors at work
excessive daytime sleepiness
sleep hygiene
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle epworth sleepiness scale
errors at work
excessive daytime sleepiness
sleep hygiene
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
AlShareef SM
Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
description Saad Mohammed AlShareef Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13317– 4233, Saudi ArabiaCorrespondence: Saad Mohammed AlShareefDepartment of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), PO Box 7544, Riyadh 13317– 4233, Saudi ArabiaEmail drsaad321@hotmail.comIntroduction: There are few population-level studies of the interactions between sleep quality/excessive daytime sleepiness (EDS) and occupational behavior. Here, we investigated the impact of sleep quality and EDS on occupational outcomes in a population-wide survey of adults in Saudi Arabia.Methods: A population-wide survey was administered to Saudi Arabian adults to assess sleep quality, EDS was measured using the Epworth Sleepiness Scale (ESS), and sleep-related absenteeism, sleep-related errors at work, and falling asleep at work in the preceding three months. Associations were evaluated using univariate analyses and binary logistic regression.Results: A total of 10,106 individuals completed all or part of the survey, of whom 8617 (85.3%) were employed. Of these, 28.7% and 8.8% of respondents reported “fairly bad” or “very bad” sleep quality in the preceding month. In binary logistic regression models, taking sleep medications was associated with absenteeism (odds ratio (OR) 1.92, 95% confidence intervals (CI) 1.67– 2.22; p< 0.001) and making errors at work (OR 1.89, 95% CI 1.62– 2.20; p< 0.001) but not falling asleep at work, and poor subjective sleep quality was associated with falling asleep at work (ORs 1.55, 95% CI 1.38– 1.74; p< 0.001). Severe EDS (ESS ≥ 16) was strongly associated with falling asleep at work (OR 3.39, 95% CI 2.51– 4.48; p< 0.001). Parameters associated with absenteeism, errors, and falling asleep at work were similar in blue- and white-collar workers.Discussion: This first population-wide study of sleep quality and EDS in Saudi Arabia provides a comprehensive portrait of the prevalence of sleep problems and their effects on occupational outcomes. Sleep-related absenteeism, work errors, and sleeping at work are common, mandating tailored fatigue-reduction strategies in every workplace and reinvigoration of public health messages on sleep.Keywords: Epworth Sleepiness Scale, errors at work, excessive daytime sleepiness, sleep hygiene
format article
author AlShareef SM
author_facet AlShareef SM
author_sort AlShareef SM
title Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
title_short Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
title_full Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
title_fullStr Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
title_full_unstemmed Occupational Outcomes Associated with Sleep Quality and Excessive Daytime Sleepiness: Results from a National Survey
title_sort occupational outcomes associated with sleep quality and excessive daytime sleepiness: results from a national survey
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/9ff196c9df1348fc84ab7e1694b82b9c
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