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Updated: Mar 21, 2026

08:36
Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
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Using a Public Health Framework to Address Operational Sleep Health.
Tim Hoyt1, Theresa Jackson Santo1
1Office of the Under Secretary of Defense for Personnel & Readiness, Washington, DC 20301-4000, United States.
Military Medicine
|March 19, 2026
Summary
Sleep disruption is a major threat to military readiness. A public health approach addressing individual, organizational, and policy factors can improve service member sleep and overall mission effectiveness.
Area of Science:
- Military Health
- Sleep Science
- Public Health
Background:
- Sleep disruption poses a significant threat to Department of Defense service member health and mission readiness.
- Despite recognized risks, service members experience high rates of sleep disruption, insufficient sleep duration, and diagnosed sleep disorders.
Purpose of the Study:
- To illustrate how socio-ecological factors influence service member sleep.
- To advocate for a public health approach to mitigate sleep disruption in the military.
Main Methods:
- Utilized the socio-ecological model to analyze influencing factors.
- Commentary highlighting systemic prevention opportunities.
Main Results:
- Factors at individual, interpersonal, organizational, community, and policy levels interact to affect service member sleep.
- Identified specific areas like caffeine use, physical activity, and sleep scheduling for intervention.
Conclusions:
- A public health strategy can facilitate system-wide sleep improvements beyond individual-focused interventions.
- Systematic prevention efforts targeting caffeine, physical activity, and scheduling are crucial for enhancing service member sleep and readiness.
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