Jiang Yu, Li Peixin, Zhong Ling, Liu Baoying, Gao Xiaoyan, Ning Li, Lian Yulong, Liu Jiwen
Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Fuzhou, China.
Department of Occupational and Environmental Health, School of Public Health, Xinjiang Medical University, Urumqi, China.
Sleep. 2021 Aug 13;44(8). doi: 10.1093/sleep/zsab039.
We investigated whether changes in psychosocial work conditions affect the risk of sleep disturbances.
Data pertaining to 2738 males and 1431 females were obtained from the Occupational Health Study of Petroleum Industry Workers (OHSPIW), a prospective cohort study of Chinese petroleum industry workers. The subjects were assessed with regard to work-related stressors, coping resources, and sleep disturbances at baseline (2012) and follow-up (2018). The variations in work stressors and coping resources, which were assessed using the Occupation Stress Inventory-Reviewed (OSI-R), were calculated. Sleep disturbances were evaluated with the self-reported Pittsburgh Sleep Quality Index (PSQI).
Increased work stressors (OR = 1.57, 95% CI = 1.24-1.99) and decreased coping resources (OR = 2.03, 95% CI = 1.48-2.78) were correlated with the likelihood of sleep disturbances in male and female workers. The primary risk factors included high role overload, increased responsibility, enhanced physical environment stressors, reduced self-care, and reduced rational coping. A reduction in work stressors was a protective factor against sleep disturbances in females only (OR = 0.63, 95% CI = 0.45-0.88). Coping resources had a modifying effect on the relationship between increased work stressors and sleep disturbances, with increased coping resources being associated with a lower odds of increased works stressors on sleep disturbances (OR = 1.29, 95% CI = 1.01-1.66) than decreased coping resources (OR = 3.60, 95% CI = 1.10-11.81).
Changes in work stressors and coping resources have a significant influence on the risk of sleep disturbances. Our findings highlight important precautionary strategies to abate adverse psychosocial working environments and to strengthen coping resources to prevent work-related sleep disturbances.
我们调查了心理社会工作条件的变化是否会影响睡眠障碍风险。
数据来自中国石油行业工人职业健康研究（OHSPIW），这是一项针对中国石油行业工人的前瞻性队列研究，涉及2738名男性和1431名女性。在基线（2012年）和随访（2018年）时，对受试者进行了与工作相关的压力源、应对资源和睡眠障碍方面的评估。计算了使用职业压力量表修订版（OSI-R）评估的工作压力源和应对资源的变化。睡眠障碍通过自我报告的匹兹堡睡眠质量指数（PSQI）进行评估。
工作压力源增加（OR = 1.57，95%CI = 1.24 - 1.99）和应对资源减少（OR = 2.03，95%CI = 1.48 - 2.78）与男性和女性工人睡眠障碍的可能性相关。主要风险因素包括高角色负荷、责任增加、身体环境压力源增强、自我护理减少和理性应对减少。工作压力源的减少仅是女性睡眠障碍的保护因素（OR = 0.63，95%CI = 0.45 - 0.88）。应对资源对工作压力源增加与睡眠障碍之间的关系有调节作用，与应对资源减少相比，应对资源增加与工作压力源增加对睡眠障碍影响的较低比值比相关（OR = 1.29，95%CI = 1.01 - 1.66），应对资源减少时比值比为（OR = 3.60，95%CI = 1.10 - 11.81）。
工作压力源和应对资源的变化对睡眠障碍风险有显著影响。我们的研究结果突出了重要的预防策略，以减轻不良的心理社会工作环境并加强应对资源，预防与工作相关的睡眠障碍。
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