Wu Qisheng, Fan Shiheng, Zhou Bingxian, Lu Chunyun, Zhang Nengde, Su Zhuna, Peng Jianye, Yu Dee, Zhang Jing
Hainan Medical University, Haikou, Hainan, China (School of Public Health, Heinz Mehlhorn Academician Workstation).
Int J Occup Med Environ Health. 2024 Dec 18;37(6):591-601. doi: 10.13075/ijomeh.1896.02468. Epub 2024 Dec 12.
The study aimed to examine the relationship between occupational factors and sleep disorders among employees in petrochemical enterprises.
All participants from the employees of Hainan Petroleum Refining and Chemical Enterprises were recruited by the cluster sampling in June 1, 2022. The questionnaire used in this research was primarily composed of 3 sections: demographic characteristics, (PSQI) questionnaire and occupation-related factors affecting sleep disorders. A 1:1 propensity score matching (PSM) method was used to balance the demographic characteristics of the 2 groups. Multivariate logistic regression was employed to analyze the independent factors influencing sleep disorders.
A total of 952 valid questionnaires were collected. The frequency of sleep disorders among the 952 participants was 41.9% (N = 399). After PSM, 356 pairs were successfully matched. There was no statistical difference in socio-demographic characteristics between sleep disorder groups (p > 0.05). The logistic regression analysis showed that employees with weekly working time >40 h exhibited a higher likelihood of sleep disorders (OR: 1.74, 95% CI: 1.09-2.82) than those working ≤40 h. Individuals exposed to high-temperature working environments were more likely to experience sleep disorders (OR: 1.77, 95% CI: 1.12-2.81), while the sleep disorder risk in those with occupational stress was 2.67-fold (OR: 2.67, 95% CI: 1.89-3.80). Employees in storage and transportation (OR: 3.34, 95% CI: 1.81-6.40) and other positions (OR: 1.68, 95% CI: 1.03-2.75) displayed a higher risk of sleep disorders than operational workers.
The frequency of sleep disorders among employees in petrochemical enterprises is high. Weekly working hours, type of work position, high-temperature exposure, and high occupational stress are associated with increased risk of sleep disorders among petrochemical workers. Health policymakers should fully consider these factors in improving the sleep quality of petrochemical workers. Int J Occup Med Environ Health. 2024;37(6):591-601.
本研究旨在探讨石化企业员工职业因素与睡眠障碍之间的关系。
2022年6月1日，采用整群抽样的方法，从海南炼化企业的员工中招募所有参与者。本研究使用的问卷主要由3部分组成：人口统计学特征、匹兹堡睡眠质量指数（PSQI）问卷以及影响睡眠障碍的职业相关因素。采用1:1倾向得分匹配（PSM）方法平衡两组的人口统计学特征。采用多因素logistic回归分析影响睡眠障碍的独立因素。
共收集到952份有效问卷。952名参与者中睡眠障碍的发生率为41.9%（N = 399）。PSM后，成功匹配356对。睡眠障碍组之间的社会人口学特征无统计学差异（p > 0.05）。logistic回归分析显示，每周工作时间>40小时的员工比工作时间≤40小时的员工出现睡眠障碍的可能性更高（OR：1.74，95%CI：1.09 - 2.82）。暴露于高温工作环境的个体更易出现睡眠障碍（OR：1.77，95%CI：1.12 - 2.81），而职业压力大的员工出现睡眠障碍的风险为2.67倍（OR：2.67，95%CI：1.89 - 3.80）。储运岗位（OR：3.34，95%CI：1.81 - 6.40）及其他岗位（OR：1.68，95%CI：1.03 - 2.75）的员工比一线操作人员出现睡眠障碍的风险更高。
石化企业员工睡眠障碍发生率较高。每周工作时长、工作岗位类型、高温暴露以及高职业压力与石化工人睡眠障碍风险增加有关。卫生政策制定者在改善石化工人睡眠质量时应充分考虑这些因素。《国际职业医学与环境卫生杂志》。2024；37(6)：591 - 601。
