Stojanović Marko, Nesic Dejan, Maksimović Miloš, Terzić-Šupić Zorica, Todorović Jovana, Topalović Ivana, Vlaisavljević Željko, Ilić Živojinović Jelena
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Faculty of Medicine, Institute of Medical Physiology, University of Belgrade, Belgrade, Serbia.
Front Public Health. 2025 Jan 29;12:1531523. doi: 10.3389/fpubh.2024.1531523. eCollection 2024.
The ability of airline pilots to maintain a good level of sleep goes a long way in ensuring operational effectiveness with regard to safety as well as personal health. The study assesses the risk factors for sleep quality of airline pilots in Serbia with the objective of determining those factors, both occupational and lifestyle that are paramount in assisting with sleep health.
A cross-sectional study was conducted on a total of 66 Serbian commercial pilots, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess their sleep quality. Demographic, occupational, lifestyle, biological and psychological variables were obtained through validated questionnaires. Multivariate logistic regression was used to determine the predictors of poor sleep quality (PSQI ≥5).
Overall sleep quality was poor in 65.2% of the participants. Significant factors associated with poor sleep quality included years of experience (OR = 1.17, = 0.007) and levels of stress (OR = 2.87, = 0.004). Particular lifestyle variables, including factors such as coffee intake, had initial relationships with sleep quality but were not significant in the multivariate models. With regard to age, a significant univariate association was also revealed but was dropped in the final model because of collinearity with years of experience.
Serbian commercial pilots have a relatively high risk of inadequate sleep associated with years of experience and levels of stress. There is a need to implement organization-wide changes such as stress management schemes in order to improve sleep quality among pilots, and foster prioritizing well-being.
航空公司飞行员保持良好睡眠水平的能力对于确保安全方面的运营效率以及个人健康大有帮助。本研究评估了塞尔维亚航空公司飞行员睡眠质量的风险因素，目的是确定那些在促进睡眠健康方面至关重要的职业和生活方式因素。
对总共66名塞尔维亚商业飞行员进行了一项横断面研究，并使用匹兹堡睡眠质量指数（PSQI）来评估他们的睡眠质量。通过经过验证的问卷获取人口统计学、职业、生活方式、生物学和心理变量。使用多变量逻辑回归来确定睡眠质量差（PSQI≥5）的预测因素。
65.2%的参与者总体睡眠质量较差。与睡眠质量差相关的显著因素包括飞行年限（OR = 1.17， = 0.007）和压力水平（OR = 2.87， = 0.004）。特定的生活方式变量，包括咖啡摄入量等因素，最初与睡眠质量有关，但在多变量模型中不显著。关于年龄，单变量分析也显示出显著关联，但由于与飞行年限存在共线性，在最终模型中被剔除。
塞尔维亚商业飞行员睡眠不足的风险相对较高，这与飞行年限和压力水平有关。需要实施全公司范围的变革，如压力管理方案，以改善飞行员的睡眠质量，并促进对健康的重视。
