Stress Research Institute at Department of Psychology, Stockholm University, Stockholm, Sweden.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
J Sleep Res. 2021 Oct;30(5):e13307. doi: 10.1111/jsr.13307. Epub 2021 Mar 3.
The study investigated the association between onset of workplace violence and onset of sleep disturbances. We used self-reported data from the Swedish Longitudinal Occupational Survey of Health (SLOSH) collected in 2014, 2016, and 2018. A two-wave design was based on participants who had no exposure to workplace violence or sleep disturbances at baseline (n = 6,928). A three-wave design was based on participants who in addition were unexposed to sleep disturbances in the second wave (n = 6,150). Four items of the Karolinska Sleep Questionnaire were used to measure sleep disturbances and one question was used to measure the occurrence of workplace violence or threats of violence. Multivariate logistic regression analyses were performed. In the two-wave approach, onset of workplace violence was associated with onset of sleep disturbances after adjustment for sex, age, occupational position, education, and civil status (adjusted odds ratio 1.41, 95% confidence interval 1.02-1.96). The association was no longer statistically significant after further adjustment for night/evening work, demands, control, and social support at work. In the three-wave approach, results were only suggestive of an association between onset of workplace violence and subsequent onset of sleep disturbances after adjustment for sex, age, occupational position, education, and civil status. Onset of frequent exposure to workplace violence was associated with subsequent onset of sleep disturbances in the adjusted analyses, but these analyses were based on few individuals (13 exposed versus 5,907 unexposed). The results did not conclusively demonstrate that onset of workplace violence predicts development of sleep disturbances. Further research could elucidate the role of other working conditions.
这项研究调查了职场暴力的发生与睡眠障碍发生之间的关联。我们使用了 2014 年、2016 年和 2018 年瑞典职业健康纵向调查(SLOSH)中自我报告的数据。该研究基于基线时无职场暴力或睡眠障碍暴露的参与者采用了两波设计(n=6928),基于除了在第二波无睡眠障碍暴露的参与者采用了三波设计(n=6150)。采用卡罗林斯卡睡眠问卷的四项条目来衡量睡眠障碍,并用一个问题来衡量职场暴力或暴力威胁的发生情况。采用多变量逻辑回归分析。在两波设计中,调整性别、年龄、职业地位、教育程度和婚姻状况后,职场暴力的发生与睡眠障碍的发生相关(调整后的优势比为 1.41,95%置信区间为 1.02-1.96)。进一步调整夜间/晚间工作、需求、工作中的控制和社会支持后,这种关联不再具有统计学意义。在三波设计中,调整性别、年龄、职业地位、教育程度和婚姻状况后,结果仅提示职场暴力的发生与随后的睡眠障碍发生之间存在关联。频繁暴露于职场暴力与随后的睡眠障碍发生有关,但这些分析基于少数个体(13 名暴露与 5907 名未暴露)。结果并未明确表明职场暴力的发生可预测睡眠障碍的发展。进一步的研究可以阐明其他工作条件的作用。