Abstract
Objective
We examined whether firefighters in Taiwan have a sleep problem and investigated the related factors of poor sleep quality.
Methods
In this cross-sectional study, 2123 male shift firefighters in the Greater Taipei area were invited, and 37.7% of them satisfactorily completed the questionnaire online. The Chinese version of Pittsburgh sleep quality index (PSQI) was used to evaluate sleep quality. Multiple logistic and linear regression analyses were used to determine the associations among demographic characteristics, work-related characteristics, and poor sleep quality.
Results
As revealed by 801 valid questionnaires, 77.2% were poor sleepers (PSQI cutoff score > 6), and 61.2% reported incomplete off-duty in the past month. Moreover, 42.6% of incomplete off-duty workers reported extended overtime of more than 5 h on off-duty days in the past month. Poor sleep quality was associated with the following factors: (1) demographic characteristics: age, working tenure, having children, and chronotype and (2) work-related characteristics: shift schedule and incomplete off-duty. The final model for poor sleep quality as per PSQI included age, chronotype, shift schedule, and incomplete off-duty hours in the past month. Longer hours of incomplete off-duty work were associated with increased risks of overall poor sleep quality and of poor subjective sleep quality, long sleep latency, sleep disturbances, and daytime dysfunction.
Conclusion
Firefighters are advised to have a complete off-duty day to avoid poor sleep quality, long sleep latency, short sleep duration, sleep disturbances, and daytime dysfunction. Our results confirm the need for implementing appropriate shift schedules to ensure adequate rest time for firefighters.
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Acknowledgements
This article was subsidized for English editing by National Taiwan University under the Excellence Improvement Program for Doctoral Students (grant number 108-2926-I-002-002-MY4), sponsored by Ministry of Science and Technology, Taiwan. We appreciate all the firefighters who participated in the study.
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The authors did not receive support from any organization for the submitted work. The authors have no relevant financial or non-financial interests to disclose.
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R-SH participated in the conception and design of the study, acquisition of data, carried out the initial analyses, drafted the initial manuscript, and approved the final manuscript as submitted. Y-CC participated in critically reviewed and revised the manuscript, and approved the final manuscript as submitted. S-YT participated in the conception and design of the study, acquisition of data, and approved the final manuscript as submitted. Y-SEH participated in the conception and design of the study, acquisition of data, and approved the final manuscript as submitted. Y-LLG supervised the design of the study and data analysis, critically reviewed and revised the manuscript, and approved the final manuscript as submitted.
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Approval was received from the Research and Ethical Committee of the National Taiwan University Hospital (NTUH-REC No.:201605043RINC).
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Huang, RS., Chen, YC., Tsai, SY. et al. Incomplete off-duty work hours and sleep quality among firefighters: a cross-sectional study, Taiwan. Int Arch Occup Environ Health 96, 247–257 (2023). https://doi.org/10.1007/s00420-022-01918-9
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DOI: https://doi.org/10.1007/s00420-022-01918-9