AlShareef Saad Mohammed
Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13317-4233, Saudi Arabia.
Nat Sci Sleep. 2020 Oct 30;12:875-882. doi: 10.2147/NSS.S271154. eCollection 2020.
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.
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.
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.
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.
关于睡眠质量/日间过度嗜睡（EDS）与职业行为之间相互作用的人群层面研究较少。在此，我们在沙特阿拉伯成年人的全人群调查中，研究了睡眠质量和EDS对职业结局的影响。
对沙特阿拉伯成年人进行全人群调查，以评估睡眠质量，使用爱泼华嗜睡量表（ESS）测量EDS，并调查过去三个月中与睡眠相关的旷工、工作中与睡眠相关的失误以及工作时入睡情况。使用单因素分析和二元逻辑回归评估关联。
共有10106人完成了全部或部分调查，其中8617人（85.3%）受雇。在这些受雇者中，28.7%和8.8%的受访者在前一个月报告睡眠质量“相当差”或“非常差”。在二元逻辑回归模型中，服用助眠药物与旷工（优势比（OR）1.92，95%置信区间（CI）1.67 - 2.22；p < 0.001）和工作失误（OR 1.89，95% CI 1.62 - 2.20；p < 0.001）相关，但与工作时入睡无关，而主观睡眠质量差与工作时入睡相关（OR 1.55，95% CI 1.38 - 1.74；p < 0.001）。严重EDS（ESS≥16）与工作时入睡密切相关（OR 3.39，95% CI 2.51 - 4.48；p < 0.001）。与旷工、失误和工作时入睡相关的参数在蓝领和白领工人中相似。
这项沙特阿拉伯首次针对睡眠质量和EDS的全人群研究，全面描绘了睡眠问题的患病率及其对职业结局的影响。与睡眠相关的旷工、工作失误和工作时入睡情况很常见，这就要求在每个工作场所制定针对性的减少疲劳策略，并重新强化关于睡眠的公共卫生信息。
