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印度轮班工人的睡眠障碍、工作相关压力与口腔卫生

Sleep disorders and work-related stress with oral hygiene among Indian shift workers.

作者信息

Sathya Kumaresan, Sri Sakthi D, Jayakumar N D, Meignana Arumugham Indiran

机构信息

Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India; *Corresponding author.

出版信息

Bioinformation. 2023 Jan 1;19(1):69-73. doi: 10.6026/97320630019069. eCollection 2023.

DOI:10.6026/97320630019069
PMID:37720291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10504514/
Abstract

Construction workers are mostly migrants from isolated villages and are not vigilant about health care measures besides poor language skills. Majority of the population works in shifts across the globe. As a result of poor sleep architecture, excessive sleepiness or insomnia, the construction labourers working in shifts have approximately twice the risk of OSA when compared with those working in the daytime. Likewise, the performance and the productivity of employees in construction sites are impeded by added stress. Therefore, it is of interest to investigate the sleep disorders, work-related stress and its impact on oral hygiene among the construction workers in Chennai. A cross sectional study was conducted among 518 workers in various construction sites at Chennai, South India. The study incorporated BerlinQuestionnaire to evaluate disordered breathing during sleep, the Work Ability Index that contains questions concerning work, working ability and health and the Oral Hygiene Index Simplified (Greene and Vermillion, 1964) that was used for recording the oral hygiene status. Pearson correlation between education and OHI-S was statistically significant (r=-0.108). Multiple linear regression analysis revealed that mean WAI score had a positive significant association with work experience (B=0.059, SE=0.030, p=0.05), habits (B=0.032, SE=0.017, p=0.05) and marital status (B=0.135, SE=0.54, p=0.01). In contrast, education (B=-0.0.052, SE=0.023, p=0.02) and work schedule (B=0.022, SE=0.037, p=0.54) were inversely associated with the mean score. Based on the current findings, it is imperative to restore work ability for those with poor work ability thereby enhancing productivity in the migrant workers. As shift work may be extremely detrimental to poor sleep quality, the employers should arrange shift schedules in accordance with sleep physiology. Additionally, dental awareness and interventions are required to improve oral hygiene among migrant workers.

摘要

建筑工人大多是来自偏远村庄的外来务工人员,除了语言能力差之外,他们对医疗保健措施也缺乏警惕性。全球大部分人口都在轮班工作。由于睡眠结构不佳、过度嗜睡或失眠,轮班工作的建筑工人患阻塞性睡眠呼吸暂停综合征(OSA)的风险大约是白天工作的工人的两倍。同样,建筑工地员工的工作表现和生产力也受到额外压力的影响。因此,研究钦奈建筑工人的睡眠障碍、工作相关压力及其对口腔卫生的影响具有重要意义。在印度南部钦奈的各个建筑工地对518名工人进行了一项横断面研究。该研究采用柏林问卷评估睡眠期间的呼吸紊乱情况,采用工作能力指数,其中包含有关工作、工作能力和健康的问题,以及简化口腔卫生指数(格林和弗米利恩,1964年)来记录口腔卫生状况。教育程度与简化口腔卫生指数(OHI-S)之间的皮尔逊相关性具有统计学意义(r = -0.108)。多元线性回归分析显示,平均工作能力指数得分与工作经验(B = 0.059,标准误 = 0.030,p = 0.05)、习惯(B = 0.032,标准误 = 0.017,p = 0.05)和婚姻状况(B = 0.135,标准误 = 0.54,p = 0.01)呈显著正相关。相比之下,教育程度(B = -0.052,标准误 = 0.023,p = 0.02)和工作时间表(B = 0.022,标准误 = 0.037,p = 0.54)与平均得分呈负相关。基于目前的研究结果,恢复工作能力差的人的工作能力从而提高农民工的生产力势在必行。由于轮班工作可能对睡眠质量极为不利,雇主应根据睡眠生理学安排轮班时间表。此外,需要提高牙齿保健意识并进行干预,以改善农民工的口腔卫生状况。

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