Prevalence and Risk Factors of Insomnia and Sleep-aid Use in Emergency Physicians in Japan : Secondary Analysis of a Nationwide Survey
INTRODUCTION: Emergency physicians (EP) are suspected to have a high prevalence of insomnia and sleep-aid use. Most prior studies about sleep-aid use in EPs have been limited by low response rates. In this study our aim was to investigate the prevalence of insomnia and sleep-aid use among early-career Japanese EPs and assess the factors associated with insomnia and sleep-aid use.
METHODS: We collected anonymous, voluntary, survey-based data regarding chronic insomnia and sleep-aid use from board-eligible EPs taking the initial Japanese Association of Acute Medicine board certification exam in 2019 and 2020. We describe the prevalence of insomnia and sleep-aid use and analyzed demographic and job-related factors using multivariable logistic regression analysis.
RESULTS: The response rate was 89.71% (732 of 816). The prevalence of chronic insomnia and sleep-aid use was 24.89% (95% CI 21.78-28.29%) and 23.77% (95% CI 20.69-27.15%), respectively. Factors associated with chronic insomnia were long working hours (odds ratio [OR] 1.02, 1.01-1.03, per one-hour/week), and "stress factor" (OR 1.46, 1.13-1.90). Factors associated with sleep-aid use were male gender (OR 1.71, 1.03-2.86), unmarried status (OR 2.38, 1.39-4.10), and "stress factor" (OR 1.48, 1.13-1.94). The "stress factor" was mostly influenced by stressors in dealing with patients/families and co-workers, concern about medical malpractice, and fatigue.
CONCLUSIONS: Early-career EPs in Japan have a high prevalence of chronic insomnia and sleep-aid use. Long working hours and stress were associated with chronic insomnia, while male gender, unmarried status, and stress were associated with the use of sleep aids.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
The western journal of emergency medicine - 24(2023), 2 vom: 20. Feb., Seite 331-339 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chiba, Takuyo [VerfasserIn] |
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| Anmerkungen: |
Date Completed 30.03.2023 Date Revised 30.03.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.5811/westjem.2022.12.57910 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM354815938 |
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| 100 | 1 | |a Chiba, Takuyo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Prevalence and Risk Factors of Insomnia and Sleep-aid Use in Emergency Physicians in Japan |b Secondary Analysis of a Nationwide Survey |
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| 500 | |a Date Revised 30.03.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: Emergency physicians (EP) are suspected to have a high prevalence of insomnia and sleep-aid use. Most prior studies about sleep-aid use in EPs have been limited by low response rates. In this study our aim was to investigate the prevalence of insomnia and sleep-aid use among early-career Japanese EPs and assess the factors associated with insomnia and sleep-aid use | ||
| 520 | |a METHODS: We collected anonymous, voluntary, survey-based data regarding chronic insomnia and sleep-aid use from board-eligible EPs taking the initial Japanese Association of Acute Medicine board certification exam in 2019 and 2020. We describe the prevalence of insomnia and sleep-aid use and analyzed demographic and job-related factors using multivariable logistic regression analysis | ||
| 520 | |a RESULTS: The response rate was 89.71% (732 of 816). The prevalence of chronic insomnia and sleep-aid use was 24.89% (95% CI 21.78-28.29%) and 23.77% (95% CI 20.69-27.15%), respectively. Factors associated with chronic insomnia were long working hours (odds ratio [OR] 1.02, 1.01-1.03, per one-hour/week), and "stress factor" (OR 1.46, 1.13-1.90). Factors associated with sleep-aid use were male gender (OR 1.71, 1.03-2.86), unmarried status (OR 2.38, 1.39-4.10), and "stress factor" (OR 1.48, 1.13-1.94). The "stress factor" was mostly influenced by stressors in dealing with patients/families and co-workers, concern about medical malpractice, and fatigue | ||
| 520 | |a CONCLUSIONS: Early-career EPs in Japan have a high prevalence of chronic insomnia and sleep-aid use. Long working hours and stress were associated with chronic insomnia, while male gender, unmarried status, and stress were associated with the use of sleep aids | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Hagiwara, Yusuke |e verfasserin |4 aut | |
| 700 | 1 | |a Hifumi, Toru |e verfasserin |4 aut | |
| 700 | 1 | |a Kuroda, Yasuhiro |e verfasserin |4 aut | |
| 700 | 1 | |a Ikeda, Shunya |e verfasserin |4 aut | |
| 700 | 1 | |a Khoujah, Danya |e verfasserin |4 aut | |
| 700 | 1 | |a Imaizumi, Takahiro |e verfasserin |4 aut | |
| 700 | 1 | |a Shiga, Takashi |e verfasserin |4 aut | |
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