Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Sleep disorders, health, and safety in police officers.

Authors
Rajaratnam-SMW; Barger-LK; Lockley-SW; Shea-SA; Wang-W; Landrigan-CP; O'Brien-CS; Qadri-S; Sullivan-JP; Cade-BE; Epstein-LJ; White-DP; Czeisler-CA
Source
JAMA J Am Med Assoc 2011 Dec; 306(23):2567-2578
NIOSHTIC No.
20040089
Abstract
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.
Keywords
Law-enforcement-workers; Law-enforcement; Police-officers; Men; Women; Shift-workers; Shift-work; Sleep-disorders; Sleep-deprivation; Age-factors; Risk-factors; Epidemiology; Morbidity-rates; Task-performance; Job-analysis; Worker-health; Health-surveys; Medical-screening; Fatigue; Performance-capability
Contact
Charles A. Czeisler, PhD, MD, Division of Sleep Medicine, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Ave, Boston, MA 02115
CODEN
JAMAAP
Publication Date
20111201
Document Type
Journal Article
Email Address
charles_czeisler@hms.harvard.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008496; Grant-Number-R01-OH-009403; B01182012
Issue of Publication
23
ISSN
0098-7484
Source Name
Journal of the American Medical Association
State
MA
Performing Organization
Brigham and Women's Hospital - Boston, Massachusetts
TOP