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Published on: August 8, 2019
Job Stress and Sleep Disturbances Among Career Firefighters in Northern California
Dal Lae Chin1, Rachel Odes, OiSaeng Hong
1From the School of Nursing, University of California, San Francisco (UCSF), San Francisco, California (D.L.C., R.O., O.H.); National Clinician Scholars Program, Institute for Health Policy Studies, University of California San Francisco, San Francisco, California (R.O.); Lamson Dugan and Murray LLC, Des Moines, Iowa; and Expert Witness Consultancy, Madison, Wisconsin (R.O.).
Object:
This study examined the association between job stress and sleep disturbance among career firefighters.
Methods:
A cross-sectional survey study was conducted with 154 career firefighters working in Northern California, US job stress was measured using the short form of the Effort-Reward Imbalance questionnaire and sleep was measured with the Patient-Reported Outcomes Measurement Information System Sleep Disturbance.
Results:
Approximately 75% experienced sleep disturbance. For firefighters' job stress, high effort (odds ratio [OR] = 3.68; 95% confidence interval [CI]: 1.25-10.80), high effort-reward ratio (OR = 3.55; 95% CI: 1.23-10.23), and high overcommitment (OR = 9.09; 95% CI: 2.30-35.85) were significantly associated with increased likelihood of sleep disturbance, after adjustment for other factors.
Conclusions:
Job stress significantly affected firefighters' sleep health, suggesting the need to design effective health promotion interventions to reduce job stress and improve sleep quality for these public service workers.
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