Department of Public Health, University of Helsinki, Helsinki, Finland.
J Sleep Res. 2010 Sep;19(3):466-77. doi: 10.1111/j.1365-2869.2010.00821.x. Epub 2010 Apr 7.
This study aimed to examine how physical working conditions, psychosocial working conditions and work-family conflicts are associated with sleep complaints, and whether health behaviours explain these associations. We used pooled postal questionnaire surveys collected in 2001-2002 among 40-60-year-old employees of the City of Helsinki (n = 5819, response rate 66%). Participants were classified as having sleep complaints if they reported sleep complaints at least once a week on average (24% of women and 20% of men). Independent variables included environmental work exposures, physical workload, computer work, Karasek's job strain and work-family conflicts. Age, marital status, occupational class, work arrangements, health behaviours and obesity were adjusted for. Most working conditions were associated strongly with sleep complaints after adjustment for age only. After adjustment for work-family conflicts, the associations somewhat attenuated. Work-family conflicts were also associated strongly with women's [odds ratio (OR) 5.90; confidence interval (CI) 4.16-8.38] and men's sleep (OR 2.56; CI 1.34-4.87). The associations remained robust even after controlling for unhealthy behaviours, obesity, health status, depression and medications. Physically strenuous working conditions, psychosocial job strain and work-family conflicts may increase sleep complaints. Efforts to support employees to cope with psychosocial stress and reach a better balance between paid work and family life might reduce sleep complaints. Sleep complaints need to be taken into account in worksite health promotion and occupational health care in order to reduce the burden of poor sleep.
本研究旨在探讨生理工作条件、心理社会工作条件和工作-家庭冲突与睡眠抱怨之间的关系，以及健康行为是否可以解释这些关联。我们使用了 2001-2002 年在赫尔辛基市收集的 40-60 岁员工的综合邮政问卷调查（n=5819，应答率为 66%）。如果参与者每周平均至少有一次睡眠抱怨（女性为 24%，男性为 20%），则将其归类为有睡眠抱怨。自变量包括环境工作暴露、体力工作负荷、计算机工作、卡拉克的工作压力和工作-家庭冲突。调整了年龄、婚姻状况、职业类别、工作安排、健康行为和肥胖。在仅调整年龄后，大多数工作条件与睡眠抱怨密切相关。在调整工作-家庭冲突后，关联程度略有减弱。工作-家庭冲突与女性（比值比 [OR] 5.90；置信区间 [CI] 4.16-8.38）和男性的睡眠（OR 2.56；CI 1.34-4.87）也有很强的关联。即使控制了不健康行为、肥胖、健康状况、抑郁和药物，这些关联仍然很可靠。体力消耗大的工作条件、心理社会工作压力和工作-家庭冲突可能会增加睡眠抱怨。努力支持员工应对心理压力，在有偿工作和家庭生活之间取得更好的平衡，可能会减少睡眠抱怨。为了减轻睡眠质量差的负担，需要在工作场所健康促进和职业保健中考虑睡眠抱怨。
