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Sleep disorders, health, and safety in police officers

Rajaratnam, S.M.W., Barger, L.K., Lockley, S.W., Shea, S.A., Wang, W., Landrigan, C.P., O'Brien, C.S., Qadri, S., Sullivan, J.P., Cade, B.E. , Epstein, L.J., White, D.P. and Czeisler, C.A. (2011) Sleep disorders, health, and safety in police officers JAMA - Journal of the American Medical Association, 306 (23). pp. 2567-2578.

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Context: Sleep disorders often remain undiagnosed. Untreated sleep disorders among police officers may adversely affect their health and safety and pose a risk to the public. Objective: To quantify associations between sleep disorder risk and self-reported health, safety, and performance outcomes in police officers. Design, Setting, and Participants: Cross-sectional and prospective cohort study of North American police officers participating in either an online or an on-site screening (n=4957) and monthly follow-up surveys (n=3545 officers representing 15 735 person-months) between July 2005 and December 2007. A total of 3693 officers in the United States and Canada participated in the online screening survey, and 1264 officers from a municipal police department and a state police department participated in the on-site survey. Main Outcome Measures: Comorbid health conditions (cross-sectional); performance and safety outcomes (prospective). Results: Of the 4957 participants, 40.4% screened positive for at least 1 sleep disorder, most of whom had not been diagnosed previously. Of the total cohort, 1666 (33.6%) screened positive for obstructive sleep apnea, 281 (6.5%) for moderate to severe insomnia, 269 (5.4%) for shift work disorder (14.5% of those who worked the night shift). Of the 4608 participants who completed the sleepiness scale, 1312 (28.5%) reported excessive sleepiness. Of the total cohort, 1294 (26.1%) reported falling asleep while driving at least 1 time a month. Respondents who screened positive for obstructive sleep apnea or any sleep disorder had an increased prevalence of reported physical and mental health conditions, including diabetes, depression, and cardiovascular disease. An analysis of up to 2 years of monthly follow-up surveys showed that those respondents who screened positive for a sleep disorder vs those who did not had a higher rate of reporting that they had made a serious administrative error (17.9% vs 12.7%; adjusted odds ratio [OR], 1.43 [95% CI, 1.23-1.67]); of falling asleep while driving (14.4% vs 9.2%; adjusted OR, 1.51 [95% CI, 1.20-1.90]); of making an error or safety violation attributed to fatigue (23.7% vs 15.5%; adjusted OR, 1.63 [95% CI, 1.43-1.85]); and of exhibiting other adverse work-related outcomes including uncontrolled anger toward suspects (34.1% vs 28.5%; adjusted OR, 1.25 [95% CI, 1.09-1.43]), absenteeism (26.0% vs 20.9%; adjusted OR, 1.23 [95% CI, 1.08-1.40]), and falling asleep during meetings (14.1% vs 7.0%; adjusted OR, 1.95 [95% CI, 1.52-2.52]). Conclusion: Among a group of North American police officers, sleep disorders were common and were significantly associated with increased risk of self-reported adverse health, performance, and safety outcomes. ©2011 American Medical Association. All rights reserved.

Item Type: Article
Authors :
Rajaratnam, S.M.W.
Barger, L.K.
Shea, S.A.
Wang, W.
Landrigan, C.P.
O'Brien, C.S.
Qadri, S.
Sullivan, J.P.
Cade, B.E.
Epstein, L.J.
White, D.P.
Czeisler, C.A.
Date : 2011
DOI : 10.1001/jama.2011.1851
Uncontrolled Keywords : absenteeism, adult, adverse outcome, aged, anger, article, Canada, car driving, cardiovascular disease, cataplexy, cohort analysis, comorbidity, controlled study, cross-sectional study, depression, diabetes mellitus, Epworth sleepiness scale, fatigue, female, follow up, health status, human, insomnia, job performance, male, narcolepsy, night work, occupational safety, police, prevalence, priority journal, prospective study, restless legs syndrome, self report, sleep apnea syndrome, sleep disorder, somnolence, United States, Adult, Comorbidity, Cross-Sectional Studies, Female, Health Status, Humans, Male, Middle Aged, North America, Occupational Health, Police, Prospective Studies, Risk, Safety, Sleep Disorders, Task Performance and Analysis
Depositing User : Clive Harris
Date Deposited : 17 Jun 2020 01:41
Last Modified : 17 Jun 2020 01:41

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