Short Sleep Duration by Occupation Group — 29 States, 2013–2014

Shockey, Taylor M.; Wheaton, Anne G.

doi:10.15585/mmwr.mm6608a2

Cited by 60 publications

(41 citation statements)

References 10 publications

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“…Although sleep disorders have been associated with adverse health and safety outcomes in male‐dominated first‐responder and long‐haul truck‐driving occupations, there have been few efforts to investigate their implications in more diverse occupational groups such as healthcare. Healthcare support personnel and healthcare practitioners represent two of the five occupational groups with the highest prevalence of short sleep duration (Shockey & Wheaton, ).…”

Section: Introductionmentioning

confidence: 99%

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Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study

Weaver

Vetter

Rajaratnam

et al. 2018

Journal of Sleep Research

118

100

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The objective of the study was to determine if sleep disorder, depression or anxiety screening status was associated with safety outcomes in a diverse population of hospital workers. A sample of shift workers at four hospitals participated in a prospective cohort study. Participants were screened for five sleep disorders, depression and anxiety at baseline, then completed prospective monthly surveys for the next 6 months to capture motor vehicle crashes, near-miss crashes, occupational exposures and medical errors. We tested the associations between sleep disorders, depression and anxiety and adverse safety outcomes using incidence rate ratios adjusted for potentially confounding factors in a multivariable negative binomial regression model. Of the 416 hospital workers who participated, two in five (40.9%) screened positive for a sleep disorder and 21.6% screened positive for depression or anxiety. After multivariable adjustment, screening positive for a sleep disorder was associated with 83% increased incidence of adverse safety outcomes. Screening positive for depression or anxiety increased the risk by 63%. Sleep disorders and mood disorders were independently associated with adverse outcomes and contributed additively to risk. Our findings suggest that screening for sleep disorders and mental health screening can help identify individuals who are vulnerable to adverse safety outcomes. Future research should evaluate sleep and mental health screening, evaluation and treatment programmes that may improve safety.

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Section: Introductionmentioning

confidence: 99%

“…Healthcare support personnel and healthcare practitioners represent two of the five occupational groups with the highest prevalence of short sleep duration (Shockey & Wheaton, 2017).…”

mentioning

confidence: 99%

Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study

Weaver

Vetter

Rajaratnam

et al. 2018

Journal of Sleep Research

118

100

View full text Add to dashboard Cite

show abstract

“…Workers in healthcare support occupations, a diverse group ranging from orderlies to pharmacy aides (US Census Occupation Codes 3600‐3650), have been found to have significantly higher prevalences of several adverse health outcomes than other workers. Healthcare support workers have been observed to have higher prevalences than most other occupational groups for short sleep, and current asthma, and obesity (male workers only) . However, health behaviors and outcomes are not uniform across this workforce.…”

Section: Introductionmentioning

confidence: 99%

“…However, health behaviors and outcomes are not uniform across this workforce. For example, in a study of short sleep, nursing, psychiatric, and home health aides had the highest adjusted prevalence, at 43% . Adverse health metrics in the healthcare workforce can negatively impact not only the health of these workers but also patient safety and health .…”

Section: Introductionmentioning

confidence: 99%

Patient care aides: Differences in healthcare coverage, health‐related behaviors, and health outcomes in a low‐wage workforce by healthcare setting

Silver

Boiano

2019

American J Industrial Med

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Objectives: Patient care aides, who provide basic care to patients in a variety of healthcare settings, have been observed to have higher prevalences of adverse health metrics than the general US workforce. However, few studies have examined how healthcare access and health behaviors and outcomes among patient care aides differ by work setting (home health, nursing home, and hospital).Methods: Data from the 2013 to 2016 Behavioral Risk Factor Surveillance System were used to assess the prevalences of healthcare access, health-related behaviors, and health outcomes among patient care aides in different work settings, and among nurses (licensed vocational/practical and registered). Adjusted prevalence ratios were used to compare prevalences for healthcare workers to those for nonhealthcare clerical workers.Results: Overall, patient care aides are a low-wage workforce with high prevalences of multiple adverse health metrics and low prevalences of positive health behaviors compared to clerical workers. Results differed by work setting. Home health aides had the lowest income levels and most adverse results for multiple metrics; nursing home aides had better healthcare access and somewhat better health outcomes.Most metrics were best (though still quite poor) for hospital aides, who showed few significant differences from clerical workers. Conclusions:These results show the need to focus resources on the patient care aide workforce, particularly those in home health. While some needs of nursing home aides, such as improving influenza vaccination coverage and reducing the prevalence of arthritis-related conditions, would benefit from standardized workplace interventions, alternate, workplace-specific approaches are needed for home health aides.

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“…Sleep disturbance has been linked to adverse health outcomes including cardiovascular disease, obesity, diabetes, depression, and anxiety, as well as safety issues related to drowsy driving and injuries (Kim et al, 2015 ; Shockey and Wheaton, 2017 ). By disrupting circadian rhythms, shift work has emerged as an important risk factor of many health outcomes (Gumenyuk et al, 2012 ; Wyse et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Exosomes and Metabolic Function in Mice Exposed to Alternating Dark-Light Cycles Mimicking Night Shift Work Schedules

et al. 2017

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Sleep is an important modulator of metabolic function. Disruptions of sleep in circadian rhythm are common in modern societies and are associated with increased risk of developing cardiometabolic disorders. Exosomes are ubiquitous extracellular vesicles that may play a mechanistic role in metabolic derangements. We hypothesized that alternating dark-light cycles mimicking shift work in mice would alter fecal microbiota and colonic epithelium permeability and alter plasma exosome cargo and metabolic function. C57BL/6 mice were randomly assigned to (i) control day light (CL), or (ii) inverted dark-light every 2 weeks for 8 weeks (IN). Body weight, fat mass and HOMA-IR were measured, along with Tregs, metabolic, and resident macrophages in visceral white adipose tissue (vWAT). Fecal water samples were incubated with confluent colonic epithelium cell cultures in electric cell-substrate impedance sensing (ECIS) arrays, and plasma exosomes were added to differentiated adipocytes and insulin-induced pAKT/AKT expression changes were assessed by western blots. Mice exposed to IN showed elevated HOMA-IR, and their fecal samples showed altered microbiota which promote increased permeability of the colonic epithelial cell barrier. Plasma exosomes decreased pAKT/AKT responses to exogenous insulin compared to CL, and altered expression of circadian clock genes. Inflammatory macrophages (Ly-6chigh) were increased in IN-exposed vWAT, while Tregs were decreased. Thus, gut microbiota and the cargo of plasma exosomes are altered by periodic shifts in environmental lighting, and effectively alter metabolic function, possibly via induction of systemic inflammation and altered clock expression in target tissues. Further exploration of exosomal miRNA signatures in shift workers and their putative metabolic organ cell targets appears warranted.

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Short Sleep Duration by Occupation Group — 29 States, 2013–2014

Cited by 60 publications

References 10 publications

Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study

Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study

Patient care aides: Differences in healthcare coverage, health‐related behaviors, and health outcomes in a low‐wage workforce by healthcare setting

Exosomes and Metabolic Function in Mice Exposed to Alternating Dark-Light Cycles Mimicking Night Shift Work Schedules

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