Tachibana H, Izumi T, Honda S, Horiguchi I, Manabe E, Takemoto T
Department of Public Health, Nagasaki University School of Medicine, Japan.
Occup Med (Lond). 1996 Jun;46(3):221-7. doi: 10.1093/occmed/46.3.221.
Insomnia is one of the most common health problems and has recently been re-termed 'Disorders of initiating and Maintaining Sleep', or DIMS. The main purpose of the present study was to investigate the relationship between daily psychosocial stressors, to which workers are exposed in occupational and/or private life, and insomnia among male industrial workers in a medium-sized company located in Nagasaki City, Japan. All of the workers in the company (n = 368, male = 319) were asked to answer six sleep related questions and 24 questions about working and private conditions. Two hundred and seventy-one (85.0%) of them completed the questionnaire (average age was 40.9 years old). Twenty seven point seven per cent of the subjects complained of insomnia in the last month prior to the survey and the prevalence was in general accord with previous surveys. On the other hand, the proportion of hypnotic use (1.1%), especially in insomniac group (2.7%) was lower than previous reports. The results of multiple logistic regression analysis demonstrated that four psychosocial factors were significantly associated with insomnia: i.e. VDT work overload (odds ratio [OR] 5.058; 95% confidence intervals [95% CI] 2.381-10.745), limited space of bedroom (OR 2.612; 95% CI 1.283-5.683), over-involvement in job (OR 2.78; 95% CI 1.188-6.540), frequent alcohol beverages consumption (OR 2.595; CI 1.77-5.719).
失眠是最常见的健康问题之一,最近被重新命名为“起始与维持睡眠障碍”,即DIMS。本研究的主要目的是调查日本长崎市一家中型公司的男性产业工人在职业和/或私人生活中所面临的日常心理社会压力源与失眠之间的关系。该公司的所有工人(n = 368,男性 = 319)被要求回答六个与睡眠相关的问题以及24个关于工作和私人状况的问题。其中271人(85.0%)完成了问卷调查(平均年龄为40.9岁)。27.7%的受试者在调查前的最后一个月抱怨有失眠症状,这一患病率与先前的调查总体一致。另一方面,催眠药物的使用比例(1.1%),尤其是在失眠组(2.7%)低于先前的报告。多因素逻辑回归分析结果表明,有四个心理社会因素与失眠显著相关:即VDT工作负荷过重(优势比[OR] 5.058;95%置信区间[95% CI] 2.381 - 10.745)、卧室空间有限(OR 2.612;95% CI 1.283 - 5.683)、过度投入工作(OR 2.78;95% CI 1.188 - 6.540)、频繁饮酒(OR 2.595;CI 1.77 - 5.719)。