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职业性接触化学或物理因素与睡眠障碍的关联:第五次韩国工作条件调查分析。

Association between occupational exposure to chemical or physical factors and sleep disturbance: An analysis of the fifth Korean Working Conditions Survey.

机构信息

Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University, Pusan, Republic of Korea.

Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Sleep Health. 2022 Oct;8(5):521-527. doi: 10.1016/j.sleh.2022.06.004. Epub 2022 Aug 2.

Abstract

OBJECTIVE

A range of risk factors in occupational environments can negatively affect the sleep of workers. Although psychosocial factors have been emphasized in various studies, few have reported on the relationship between physical or chemical exposure in the workplace and sleep disturbances. Thus, this study aimed to investigate the relationship between occupational exposure to physical or chemical factors and sleep disturbances.

DESIGN

Cross-sectional study.

SETTING

Data from the fifth Korean Working Conditions Survey (KWCS).

PARTICIPANTS

The target population of the fifth KWCS was economically active individuals aged 15 years or older in all Korean households in 2017, resulting in a total study population of 50,176 participants. After excluding the unemployed, full-time students, homemakers, and the retired, 36,996 employees were included in the current study.

MEASUREMENTS

Exposure to occupational physical or chemical risk factors was assessed by multiplying the exposure scales of physical or chemical risk factors and weekly working hours. Sleep disturbance was estimated using the Minimal Insomnia Symptom Scale.

RESULTS

In the fully adjusted logistic regression model, exposure to the following risk factors was positively associated with sleep disturbance: vibration (odds ratio [OR], 1.74)); noise (OR, 2.28); high temperatures (OR, 2.43); low temperatures (OR, 2.51); smoke, fume, and dust (OR, 2.12); vapors of solvents or thinners (OR, 3.78); chemical substances (OR, 3.78); and environmental smoking (OR, 5.03).

CONCLUSIONS

The results of this study provide evidence of a relationship between occupational exposure to physical or chemical factors and sleep disturbances.

摘要

目的

职业环境中的一系列危险因素会对工人的睡眠产生负面影响。尽管在各种研究中强调了心理社会因素,但很少有研究报告工作场所的物理或化学暴露与睡眠障碍之间的关系。因此,本研究旨在调查职业暴露于物理或化学因素与睡眠障碍之间的关系。

设计

横断面研究。

设置

数据来自 2017 年第五次韩国工作条件调查 (KWCS)。

参与者

第五次 KWCS 的目标人群是韩国所有家庭中年龄在 15 岁及以上的经济活跃个体,总研究人群为 50176 名参与者。在排除失业者、全日制学生、家庭主妇和退休人员后,共有 36996 名员工纳入本研究。

测量

职业物理或化学危险因素的暴露情况通过将物理或化学危险因素的暴露量表与每周工作时间相乘来评估。睡眠障碍采用最低失眠症状量表进行评估。

结果

在完全调整的逻辑回归模型中,暴露于以下危险因素与睡眠障碍呈正相关:振动(比值比 [OR],1.74);噪声(OR,2.28);高温(OR,2.43);低温(OR,2.51);烟雾、烟尘和粉尘(OR,2.12);溶剂或稀释剂的蒸气(OR,3.78);化学物质(OR,3.78);和环境吸烟(OR,5.03)。

结论

本研究结果提供了职业暴露于物理或化学因素与睡眠障碍之间存在关系的证据。

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