Hawlader Mohammad Delwer Hossain, Dalal Koustuv, Sabrina Farah, Faruq Md Farhan Ibne, Munaf Nurjahan Binte, Hossain Ahmed, Kibria Md Golam
Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
NSU Global Health Institute (NGHI), North South University, Dhaka, 1229, Bangladesh.
BMC Public Health. 2025 Aug 6;25(1):2665. doi: 10.1186/s12889-025-23919-2.
Firefighting is a challenging and stressful job, and firefighters face many adverse conditions while performing their duties. The study aimed to assess the prevalence of insomnia among firefighting staff working in the Dhaka division of Bangladesh and identify the factors contributing to the severity of insomnia.
A cross-sectional study was conducted among a total of 406 employees of the Department of Fire Service & Civil Defense (FSCD) working in randomly selected nine districts of the Dhaka division using a simple random sampling (SRS) technique. Data were collected from the firefighting staff through face-to-face interviews. The severity of insomnia was assessed during the past 2 weeks using the Bangla version of the Insomnia Severity Index (ISI). Multivariable ordinal logistic regression (OLR) was used to identify the factors associated with insomnia among the fire service staff. All statistical analyses were performed using Stata version 17.
Among the 406 participants, nearly one-fourth (22.9%) suffered from moderate to severe insomnia. The results of the multivariable regression analyses showed that the firefighting staff aged 30 to 45 years (adjusted odds ratio, AOR: 2.0; 95% CI: 1.075 to 3.663) and above 45 years (AOR: 4.3, 95% CI: 1.386 to 13.039)had higher odds of insomnia than those aged below 30 years. The participants who conducted over 1,000 rescue operations had higher odds of experiencing insomnia compared to their colleagues who conducted fewer than 500 rescue operations (AOR: 2.6, 95% CI: 1.451 to 4.529). The firefighting staff with severe (AOR: 2.5, 95% CI: 1.325 to 4.551) and potentially dangerous (AOR: 3.9, 95% CI: 1.928 to 8.012) levels of workplace stress had two 2times higher odds of suffering from insomnia compared to those with minimal/mild levels of workplace stress. Furthermore, those who reported moderate (AOR: 2.0, 95% CI: 1.314 to 3.083) and severe (AOR: 2.6, 95% CI: 1.558 to 4.506) levels of PTSD were more likely to suffer from insomnia than their counterparts who reported minimal/mild levels of PTSD.
The present study revealed that nearly one-fourth of firefighting staff working in the Dhaka division experienced moderate to severe insomnia. Several factors, including age, the number of rescue operations, workplace stress, PTSD, and chronic diseases. The findings of this study highlight the need for sleep health promotion programs in firefighting staff.
消防工作是一项具有挑战性且压力巨大的工作，消防员在履行职责时面临许多不利条件。本研究旨在评估孟加拉国达卡地区消防人员中失眠症的患病率，并确定导致失眠严重程度的因素。
采用简单随机抽样（SRS）技术，对达卡地区随机选取的九个区消防与民防部（FSCD）的406名员工进行了横断面研究。通过面对面访谈收集消防人员的数据。使用孟加拉语版失眠严重程度指数（ISI）评估过去2周内的失眠严重程度。采用多变量有序逻辑回归（OLR）来确定消防人员中与失眠相关的因素。所有统计分析均使用Stata 17版本进行。
在406名参与者中，近四分之一（22.9%）患有中度至重度失眠。多变量回归分析结果显示，年龄在30至45岁（调整后的优势比，AOR：2.0；95%置信区间：1.075至3.663）及45岁以上（AOR：4.3，95%置信区间：1.386至13.039）的消防人员患失眠症的几率高于30岁以下的人员。进行了超过1000次救援行动的参与者比进行救援行动少于500次的同事患失眠症的几率更高（AOR：2.6，95%置信区间：1.451至4.529）。工作压力处于重度（AOR：2.5，95%置信区间：1.325至4.551）和潜在危险（AOR：3.9，95%置信区间：1.928至8.012）水平的消防人员患失眠症的几率是工作压力处于最小/轻度水平人员的两倍。此外，报告中度（AOR：2.0，95%置信区间：1.314至3.083）和重度（AOR：2.6，95%置信区间：1.558至4.506）创伤后应激障碍（PTSD）水平的人员比报告最小/轻度PTSD水平的同行更易患失眠症。
本研究表明，达卡地区近四分之一的消防人员患有中度至重度失眠。年龄、救援行动次数、工作压力、PTSD和慢性病等几个因素与之相关。本研究结果凸显了为消防人员开展睡眠健康促进项目的必要性。
