Pub Date : 2026-02-01Epub Date: 2025-11-12DOI: 10.1016/j.sleh.2025.10.007
Joseph M. Dzierzewski PhD , Spencer A. Nielson MS , J. Todd Arnedt PhD , Kyla Hagan-Haynes MPH, DrPH , Steven E. Lerman MD, MPH , John Lopos BA , Mark R. Rosekind PhD , Brian Tefft BS , Imelda Wong PhD
Drowsy driving is a prevalent form of impaired driving at the intersection of sleep health and public safety. While drowsiness has been implicated in up to 21% of motor vehicle crash fatalities, drowsy driving is largely preventable, primarily by allowing for adequate sleep opportunity and obtaining sufficient healthy sleep. National Sleep Foundation calls for targeted actions from a broad range of community members to improve public sleep health and road safety. Combating drowsy driving requires a comprehensive and coordinated approach across drivers, educators, government policy makers, healthcare professionals, industry, labor representatives, employers, and law enforcement. Actions that can prevent drowsy driving will improve the health and safety of the nation.
{"title":"Drowsy driving prevention: A National Sleep Foundation position statement and call to action","authors":"Joseph M. Dzierzewski PhD , Spencer A. Nielson MS , J. Todd Arnedt PhD , Kyla Hagan-Haynes MPH, DrPH , Steven E. Lerman MD, MPH , John Lopos BA , Mark R. Rosekind PhD , Brian Tefft BS , Imelda Wong PhD","doi":"10.1016/j.sleh.2025.10.007","DOIUrl":"10.1016/j.sleh.2025.10.007","url":null,"abstract":"<div><div>Drowsy driving is a prevalent form of impaired driving at the intersection of sleep health and public safety. While drowsiness has been implicated in up to 21% of motor vehicle crash fatalities, drowsy driving is largely preventable, primarily by allowing for adequate sleep opportunity and obtaining sufficient healthy sleep. National Sleep Foundation calls for targeted actions from a broad range of community members to improve public sleep health and road safety. Combating drowsy driving requires a comprehensive and coordinated approach across drivers, educators, government policy makers, healthcare professionals, industry, labor representatives, employers, and law enforcement. Actions that can prevent drowsy driving will improve the health and safety of the nation.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 6-11"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-25DOI: 10.1016/j.sleh.2025.10.009
Hannah R. Scheibner MSN, RN , Eileen M. Condon PhD, APRN, Kelley A. LaFleur MPH, MS, APRN, FNP-BC, Nancy S. Redeker PhD, RN, FAHA, FAAN
Inadequate sleep during childhood can have a lasting negative impact on lifelong health. Children living in disadvantaged neighborhoods are more likely to be exposed to community violence, which may disrupt sleep health. The purpose of this systematic review was to examine the associations between community violence and pediatric sleep health. We searched 4 electronic databases (CINAHL, Scopus, PubMed, and Embase) to identify articles that examined the associations between community violence and pediatric sleep health. We screened 2271 articles and included 29 eligible studies. Studies focused on sleep quality (n = 4), daytime sleepiness (n = 8), sleep timing (n = 4), sleep efficiency (n = 7), duration (n = 13), and sleep disturbance (n = 19). Most studies included adolescents (n = 18); others included infants (n = 1), those in early childhood (n = 2), and a wide range of ages (n = 7). Six studies were of fair quality, while 5 were of poor quality, often due to the use of measures that were not psychometrically sound and incomplete sample descriptions. Community violence exposure was consistently negatively associated with pediatric sleep health. Consistent definitions and measures of sleep and community violence are needed to promote rigor and comparisons across studies. Future studies should include infants and children under the age of 6 years and address potential risk and protective factors for sleep health. Research is needed to inform policy changes and multilevel community-based interventions to help buffer the harmful effects of community violence and promote pediatric sleep health.
{"title":"Associations between community violence and pediatric sleep health: A systematic review","authors":"Hannah R. Scheibner MSN, RN , Eileen M. Condon PhD, APRN, Kelley A. LaFleur MPH, MS, APRN, FNP-BC, Nancy S. Redeker PhD, RN, FAHA, FAAN","doi":"10.1016/j.sleh.2025.10.009","DOIUrl":"10.1016/j.sleh.2025.10.009","url":null,"abstract":"<div><div>Inadequate sleep during childhood can have a lasting negative impact on lifelong health. Children living in disadvantaged neighborhoods are more likely to be exposed to community violence, which may disrupt sleep health. The purpose of this systematic review was to examine the associations between community violence and pediatric sleep health. We searched 4 electronic databases (CINAHL, Scopus, PubMed, and Embase) to identify articles that examined the associations between community violence and pediatric sleep health. We screened 2271 articles and included 29 eligible studies. Studies focused on sleep quality (n = 4), daytime sleepiness (n = 8), sleep timing (n = 4), sleep efficiency (n = 7), duration (n = 13), and sleep disturbance (n = 19). Most studies included adolescents (n = 18); others included infants (n = 1), those in early childhood (n = 2), and a wide range of ages (n = 7). Six studies were of fair quality, while 5 were of poor quality, often due to the use of measures that were not psychometrically sound and incomplete sample descriptions. Community violence exposure was consistently negatively associated with pediatric sleep health. Consistent definitions and measures of sleep and community violence are needed to promote rigor and comparisons across studies. Future studies should include infants and children under the age of 6 years and address potential risk and protective factors for sleep health. Research is needed to inform policy changes and multilevel community-based interventions to help buffer the harmful effects of community violence and promote pediatric sleep health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 19-29"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-12-11DOI: 10.1016/j.sleh.2025.11.004
Hana Brown MA , Patricia Louie PhD , Connor Sheehan PhD
Objectives
Sleep shapes population health. While substantial research has illustrated that sleep duration is stratified by racial/ethnic identification in the United States, less is known regarding how these population patterns may also vary by skin color. This is an oversight given that a burgeoning body of research has documented the association between skin color and health. The current study aims to document skin color-based disparities in sleep duration at the population level.
Methods
We analyzed the National Longitudinal Study of Adolescent to Adult Health (Add Health, n = 9114) using multinomial regression to predict differences among adults residing in the US in 2016-2018 in self-reported sleep duration between short sleep (≤6 hours per 24-hour period) and long sleep (≥9 hours per 24-hour period) relative to normal sleep (7-8 hours per 24-hour period) among a nationally representative sample of individuals from the US.
Results
Individuals with dark and to a lesser extent medium skin are at higher odds of short sleep than those with light skin. Individuals with medium and also dark skin are also at higher odds of long sleep than those with light skin. However, evidential support for racial/ethnic moderation of skin tone effects was weak. These results were generally consistent when extensive covariates were included.
Conclusions
This work stresses the importance of race/ethnicity and skin color in shaping population-level sleep patterns.
目的：睡眠影响人口健康。虽然大量研究表明，在美国，睡眠时间是根据种族/民族身份而分层的，但关于这些人口模式如何因肤色而异，我们所知甚少。这是一个疏忽，因为越来越多的研究证明了肤色和健康之间的联系。目前的研究旨在记录人群中基于肤色的睡眠时间差异。方法：我们分析了国家青少年到成人健康纵向研究（Add Health, n = 9114），使用多项回归预测2016-2018年居住在美国的成年人在自我报告的睡眠时间方面的差异，相对于正常睡眠（每24小时7-8小时），短睡眠（每24小时≤6小时）和长睡眠（每24小时≥9小时）。结果：深色皮肤和中度皮肤的人比浅色皮肤的人睡眠不足的几率更高。与浅色皮肤的人相比，中等肤色和深色皮肤的人睡眠时间较长的几率更高。然而，种族/民族调节肤色影响的证据支持很弱。当包括广泛的协变量时，这些结果通常是一致的。结论：这项工作强调了种族/民族和肤色在塑造人口水平睡眠模式中的重要性。
{"title":"Skin color stratification and sleep duration: Evidence from a nationally representative sample","authors":"Hana Brown MA , Patricia Louie PhD , Connor Sheehan PhD","doi":"10.1016/j.sleh.2025.11.004","DOIUrl":"10.1016/j.sleh.2025.11.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep shapes population health. While substantial research has illustrated that sleep duration is stratified by racial/ethnic identification in the United States, less is known regarding how these population patterns may also vary by skin color. This is an oversight given that a burgeoning body of research has documented the association between skin color and health. The current study aims to document skin color-based disparities in sleep duration at the population level.</div></div><div><h3>Methods</h3><div>We analyzed the National Longitudinal Study of Adolescent to Adult Health (Add Health, n = 9114) using multinomial regression to predict differences among adults residing in the US in 2016-2018 in self-reported sleep duration between short sleep (≤6 hours per 24-hour period) and long sleep (≥9 hours per 24-hour period) relative to normal sleep (7-8 hours per 24-hour period) among a nationally representative sample of individuals from the US.</div></div><div><h3>Results</h3><div>Individuals with dark and to a lesser extent medium skin are at higher odds of short sleep than those with light skin. Individuals with medium and also dark skin are also at higher odds of long sleep than those with light skin. However, evidential support for racial/ethnic moderation of skin tone effects was weak. These results were generally consistent when extensive covariates were included.</div></div><div><h3>Conclusions</h3><div>This work stresses the importance of race/ethnicity and skin color in shaping population-level sleep patterns.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 61-68"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-04DOI: 10.1016/j.sleh.2025.09.007
Seyni Gueye-Ndiaye MD , Youmeng Wang MD , Jing Wang MS , Cecilia Castro-Diehl DrPH , Xinting Yu MD, PhD , Michael Rueschman MPH , Tamar Sofer PhD , Peggy Lai MD , Judith Owens MD, MPH , Diane R. Gold MD, MPH , Gary Adamkiewicz PhD, MPH , Nervana Metwali MS, PhD , Peter S. Thorne MS, PhD , Wanda Phipatanakul MD, MS , Susan Redline MD, MPH
Objectives
Exposure to allergens may trigger inflammatory pathways contributing to poor sleep. We investigated the associations between indoor allergen concentrations with multiple sleep dimensions in children.
Methods
Bedroom dust aeroallergens were collected in participants' homes. The outcomes were caregiver-reported sleep-related daytime impairment and sleep disturbance (pediatric PROMIS instruments), sleep-disordered breathing (SDB; apnea-hypopnea index or oxygen desaturation index >5), and actigraphy-based short sleep (<8 hours) duration and poor sleep continuity (sleep fragmentation index > 75th percentile). Logistic regression was used to examine associations between aeroallergens (>50% detectable levels) and sleep outcomes, adjusting for potential confounders (i.e., sociodemographic, environmental, and health-related).
Results
The sample included an urban cohort of 256 children (41% Hispanic, 29% Black; 43% female) aged 6-12 years. Mouse (Mus m 1), cat (Fel d 1), and dog (Can f 1) allergens were detected in 81%, 72%, and 53% of households, respectively. Elevated mouse allergen exposure (>0.55 μg/g—75th percentile) was associated with a 2.6-fold (95% CI: 1.34, 5.03) increased odds for sleep-related daytime impairment (PROMIS T-score > 55) after adjusting for demographic factors. This association persisted after further adjusting for inflammatory-related health factors (asthma, allergic rhinitis, obesity, and environmental tobacco smoke), neighborhood disadvantage, and SDB. There was attenuation of this association with poor sleep consolidation. Associations were not observed for other allergens or other sleep outcomes.
Conclusions
Exposure to elevated mouse dust was associated with increased sleep-related daytime impairment symptoms. The role of household pest exposure as a potentially modifiable target for improving sleep health should be further studied.
{"title":"Associations between reservoir bedroom dust allergen levels and sleep symptoms in school-age children","authors":"Seyni Gueye-Ndiaye MD , Youmeng Wang MD , Jing Wang MS , Cecilia Castro-Diehl DrPH , Xinting Yu MD, PhD , Michael Rueschman MPH , Tamar Sofer PhD , Peggy Lai MD , Judith Owens MD, MPH , Diane R. Gold MD, MPH , Gary Adamkiewicz PhD, MPH , Nervana Metwali MS, PhD , Peter S. Thorne MS, PhD , Wanda Phipatanakul MD, MS , Susan Redline MD, MPH","doi":"10.1016/j.sleh.2025.09.007","DOIUrl":"10.1016/j.sleh.2025.09.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Exposure to allergens may trigger inflammatory pathways contributing to poor sleep. We investigated the associations between indoor allergen concentrations with multiple sleep dimensions in children.</div></div><div><h3>Methods</h3><div>Bedroom dust aeroallergens were collected in participants' homes. The outcomes were caregiver-reported sleep-related daytime impairment and sleep disturbance (pediatric PROMIS instruments), sleep-disordered breathing (SDB; apnea-hypopnea index or oxygen desaturation index >5), and actigraphy-based short sleep (<8 hours) duration and poor sleep continuity (sleep fragmentation index > 75th percentile). Logistic regression was used to examine associations between aeroallergens (>50% detectable levels) and sleep outcomes, adjusting for potential confounders (i.e., sociodemographic, environmental, and health-related).</div></div><div><h3>Results</h3><div>The sample included an urban cohort of 256 children (41% Hispanic, 29% Black; 43% female) aged 6-12 years. Mouse (Mus m 1), cat (Fel d 1), and dog (Can f 1) allergens were detected in 81%, 72%, and 53% of households, respectively. Elevated mouse allergen exposure (>0.55 μg/g—75th percentile) was associated with a 2.6-fold (95% CI: 1.34, 5.03) increased odds for sleep-related daytime impairment (PROMIS T-score > 55) after adjusting for demographic factors. This association persisted after further adjusting for inflammatory-related health factors (asthma, allergic rhinitis, obesity, and environmental tobacco smoke), neighborhood disadvantage, and SDB. There was attenuation of this association with poor sleep consolidation. Associations were not observed for other allergens or other sleep outcomes.</div></div><div><h3>Conclusions</h3><div>Exposure to elevated mouse dust was associated with increased sleep-related daytime impairment symptoms. The role of household pest exposure as a potentially modifiable target for improving sleep health should be further studied.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 69-77"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-10-30DOI: 10.1016/j.sleh.2025.09.009
Rebecca L. Flack BA, Sophia L. Kreider BS, Cornelius B. Groenewald MB, ChB
Objectives
Positive childhood experiences (PCEs), defined as positive social experiences and environments which foster healthy child development, are associated with better mental and physical health outcomes and moderate the negative effects of Adverse Childhood Experiences (ACEs). However, knowledge of the associations between PCEs and childhood sleep deficiency is limited. We conducted cross-sectional analyses of the 2022-2023 National Survey of Children's Health (NSCH) to evaluate associations between PCEs and insufficient sleep (defined as sleeping the recommended number of hours for age each weeknight).
Methods
Parents of children ages 6-17 years old (n = 56,540) reported on their child’s exposure to 7 PCEs, including having a resilient and connected family, having an adult mentor, participating in after school activities or volunteering in the community, and living in a supportive and safe neighborhood. Associations between PCEs and insufficient sleep were evaluated using weighted, multivariate logistic regression analyses adjusted for sociodemographic factors.
Results
We found that PCEs had dose-dependent associations with insufficient sleep; children and adolescents exposed to higher numbers of PCEs (5-7 PCEs) had the lowest reported rate of insufficient sleep (29.5%), while those exposed to 2 or fewer PCEs had the highest rate of insufficient sleep (48.0%). Adjusted analysis confirmed that youth experiencing 5-7 PCEs had significantly lower odds of insufficient sleep relative to youth experiencing only 0-2 PCEs (adjusted odds ratio (aOR): 0.57, 95% confidence interval (CI): 0.50-0.68, p<.0001). PCEs moderated associations between ACEs and insufficient sleep.
Conclusions
In conclusion, youth with greater PCEs exposure had lower prevalence rates of insufficient sleep. Furthermore, PCEs were associated with reduced prevalence of insufficient sleep among youth exposed to ACEs.
{"title":"Positive childhood experiences and insufficient sleep among children and adolescents in the United States: A nationally representative study","authors":"Rebecca L. Flack BA, Sophia L. Kreider BS, Cornelius B. Groenewald MB, ChB","doi":"10.1016/j.sleh.2025.09.009","DOIUrl":"10.1016/j.sleh.2025.09.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Positive childhood experiences (PCEs), defined as positive social experiences and environments which foster healthy child development, are associated with better mental and physical health outcomes and moderate the negative effects of Adverse Childhood Experiences (ACEs). However, knowledge of the associations between PCEs and childhood sleep deficiency is limited. We conducted cross-sectional analyses of the 2022-2023 National Survey of Children's Health (NSCH) to evaluate associations between PCEs and insufficient sleep (defined as sleeping the recommended number of hours for age each weeknight).</div></div><div><h3>Methods</h3><div>Parents of children ages 6-17 years old (n = 56,540) reported on their child’s exposure to 7 PCEs, including having a resilient and connected family, having an adult mentor, participating in after school activities or volunteering in the community, and living in a supportive and safe neighborhood. Associations between PCEs and insufficient sleep were evaluated using weighted, multivariate logistic regression analyses adjusted for sociodemographic factors.</div></div><div><h3>Results</h3><div>We found that PCEs had dose-dependent associations with insufficient sleep; children and adolescents exposed to higher numbers of PCEs (5-7 PCEs) had the lowest reported rate of insufficient sleep (29.5%), while those exposed to 2 or fewer PCEs had the highest rate of insufficient sleep (48.0%). Adjusted analysis confirmed that youth experiencing 5-7 PCEs had significantly lower odds of insufficient sleep relative to youth experiencing only 0-2 PCEs (adjusted odds ratio (aOR): 0.57, 95% confidence interval (CI): 0.50-0.68, p<.0001). PCEs moderated associations between ACEs and insufficient sleep.</div></div><div><h3>Conclusions</h3><div>In conclusion, youth with greater PCEs exposure had lower prevalence rates of insufficient sleep. Furthermore, PCEs were associated with reduced prevalence of insufficient sleep among youth exposed to ACEs.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 78-84"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-24DOI: 10.1016/j.sleh.2025.10.014
Vincent P. Martin PhD , Karën Fort PhD , Julien Coelho MD, PhD , François Alla MD, PhD , Jean-Arthur Micoulaud-Franchi MD, PhD
Objective
We assessed the representations of Diversity, Equity and Inclusion-related terms in the sleep health literature as an indicator of the importance of Diversity, Equity and Inclusion-related terms for sleep health research and policies.
Method
We performed a bibliometric analysis and a lexical network of these Diversity, Equity and Inclusion-related terms in previously published literature.
Results
Based on 4047 abstracts, we found 105 out of 163 DEI-related terms (63.5%). A total of 2822 (69.7%) articles had at least one Diversity, Equity and Inclusion-related term. These articles had an average of 4.7 terms per article (sd: 5.7). Interestingly, the ratio of articles containing at least one DEI-related term has risen from 61.1% in 2014 to 73.9% in 2024. On the contrary, the number of Diversity, Equity and Inclusion-related terms in each abstract remains constant over time.
Conclusion
This bibliometric and lexical network study illustrates the difficulty of making research and promoting sleep health policies without Diversity, Equity and Inclusion-related terms.
{"title":"The lexicon of sleep health: A natural language processing bibliometric analysis of the DEI-related terms","authors":"Vincent P. Martin PhD , Karën Fort PhD , Julien Coelho MD, PhD , François Alla MD, PhD , Jean-Arthur Micoulaud-Franchi MD, PhD","doi":"10.1016/j.sleh.2025.10.014","DOIUrl":"10.1016/j.sleh.2025.10.014","url":null,"abstract":"<div><h3>Objective</h3><div>We assessed the representations of Diversity, Equity and Inclusion-related terms in the sleep health literature as an indicator of the importance of Diversity, Equity and Inclusion-related terms for sleep health research and policies.</div></div><div><h3>Method</h3><div>We performed a bibliometric analysis and a lexical network of these Diversity, Equity and Inclusion-related terms in previously published literature.</div></div><div><h3>Results</h3><div>Based on 4047 abstracts, we found 105 out of 163 DEI-related terms (63.5%). A total of 2822 (69.7%) articles had at least one Diversity, Equity and Inclusion-related term. These articles had an average of 4.7 terms per article (sd: 5.7). Interestingly, the ratio of articles containing at least one DEI-related term has risen from 61.1% in 2014 to 73.9% in 2024. On the contrary, the number of Diversity, Equity and Inclusion-related terms in each abstract remains constant over time.</div></div><div><h3>Conclusion</h3><div>This bibliometric and lexical network study illustrates the difficulty of making research and promoting sleep health policies without Diversity, Equity and Inclusion-related terms.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 14-18"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-12-10DOI: 10.1016/j.sleh.2025.11.003
Joseph M. Dzierzewski PhD , Natalie D. Dautovich PhD , Sahar M. Sabet PhD , Pablo Soto MS , Emily K. Donovan PhD , Elliottnell Perez PhD , Scott Ravyts PhD , Lara LoBrutto MS , Spencer Nielson MS , Grace Westcott MA , Brian Turnage MA
Objectives
Healthy sleep is vital for firefighter safety, health, wellness, and for public well-being. However, professional firefighters experience disturbed sleep at disproportionately high rates. The current study investigated firefighter sleep in terms of (1) differences in on-duty and off-duty sleep, (2) risk factors for poor sleep, and (3) whether risk factors differed for on-duty and off-duty sleep.
Methods
Professional firefighters from a large, urban fire department in central Virginia (N = 268) reported their sleep using the Pittsburgh Sleep Quality Index both on- and off-duty. Participants also provided information related to demographic characteristics, work (e.g., length of service), general health (self-rated health and pain), and mental health (Patient Health Questionnaire-2 and Generalized Anxiety Disorder-2).
Results
Using a repeated measures MANOVA, on-duty sleep was significantly worse compared to off-duty sleep F(8250) = 40.80, p<.001, η2 = .57. On-duty, 84% of firefighters were classified as poor sleepers compared to 53.4% off-duty. Significant associations were observed between work-related factors, health-related factors, and mental health-related factors and on-duty and off-duty sleep; however, the strength of associations was generally greater for on-duty sleep.
Conclusions
Healthy sleep is possible for professional firefighters, as nearly half were classified as “good sleepers” while off-duty. Nonetheless, on-duty sleep was significantly worse overall, and risk factors for poor sleep showed stronger associations with on-duty sleep than off-duty sleep. When working a 24-hour variable shift schedule, it appears that poor sleep may “carryover” from on-duty to off-duty days. Further research is needed to test behavioral and environmental approaches to promote healthy sleep among professional firefighters.
{"title":"Is healthy sleep possible for professional firefighters? A comparison of “On-Duty” and “Off-Duty” sleep","authors":"Joseph M. Dzierzewski PhD , Natalie D. Dautovich PhD , Sahar M. Sabet PhD , Pablo Soto MS , Emily K. Donovan PhD , Elliottnell Perez PhD , Scott Ravyts PhD , Lara LoBrutto MS , Spencer Nielson MS , Grace Westcott MA , Brian Turnage MA","doi":"10.1016/j.sleh.2025.11.003","DOIUrl":"10.1016/j.sleh.2025.11.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Healthy sleep is vital for firefighter safety, health, wellness, and for public well-being. However, professional firefighters experience disturbed sleep at disproportionately high rates. The current study investigated firefighter sleep in terms of (1) differences in on-duty and off-duty sleep, (2) risk factors for poor sleep, and (3) whether risk factors differed for on-duty and off-duty sleep.</div></div><div><h3>Methods</h3><div>Professional firefighters from a large, urban fire department in central Virginia (<em>N</em> = 268) reported their sleep using the Pittsburgh Sleep Quality Index both on- and off-duty. Participants also provided information related to demographic characteristics, work (e.g., length of service), general health (self-rated health and pain), and mental health (Patient Health Questionnaire-2 and Generalized Anxiety Disorder-2).</div></div><div><h3>Results</h3><div>Using a repeated measures MANOVA, on-duty sleep was significantly worse compared to off-duty sleep <em>F</em>(8250) = 40.80, <em>p</em><.001, η<sup>2</sup> = .57. On-duty, 84% of firefighters were classified as poor sleepers compared to 53.4% off-duty. Significant associations were observed between work-related factors, health-related factors, and mental health-related factors and on-duty and off-duty sleep; however, the strength of associations was generally greater for on-duty sleep.</div></div><div><h3>Conclusions</h3><div>Healthy sleep is possible for professional firefighters, as nearly half were classified as “good sleepers” while off-duty. Nonetheless, on-duty sleep was significantly worse overall, and risk factors for poor sleep showed stronger associations with on-duty sleep than off-duty sleep. When working a 24-hour variable shift schedule, it appears that poor sleep may “carryover” from on-duty to off-duty days. Further research is needed to test behavioral and environmental approaches to promote healthy sleep among professional firefighters.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 121-127"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-04DOI: 10.1016/j.sleh.2025.09.008
Tingting Mo MD, PhD , Weidong Zhang MD , Yufei Wang MD, Hui Gao MD, PhD, Wending Li MD, PhD, Rong Peng MD, PhD, Hao Wang MD, PhD, Yu Yuan MD, PhD, Xiaomin Zhang MD, PhD, Meian He MD, PhD, Huan Guo MD, PhD, Tangchun Wu MD, PhD, Pinpin Long MD, PhD
Objectives
This study aims to investigate the associations between past shift work and hyperhomocysteinemia and further explore the modification effects of MTNR1A rs12506228 and MTNR1B rs10830963 (2 single-nucleotide polymorphisms in melatonin receptor genes) on this association.
Methods
Based on the data of 14,043 retirees from the Dongfeng-Tongji cohort, multivariate logistic regression was used to analyze the association between past shift work duration and hyperhomocysteinemia, and gene-environment interaction analysis was performed.
Results
Among 14,043 retirees from the Dongfeng-Tongji cohort, we found that retirees with longer durations of past shift work were significantly associated with higher odds of hyperhomocysteinemia (odds ratio and 95% confidence interval for per 5-year increase: 1.04 [1.02-1.06], P<.001). Furthermore, MTNR1B rs10830963 significantly exacerbated the effect of long-duration past shift work on hyperhomocysteinemia odds (P-trend<.001, P-interaction=.01), and MTNR1A rs12506228 had a joint effect with past shift work on hyperhomocysteinemia odds (P-trend<.001, P-interaction=.89).
Conclusions
The long-term hazard of shift work on hyperhomocysteinemia persisted from past to post retirement, and such association could be modified by MTNR1B rs10830963.
{"title":"Past shift work, melatonin receptor gene polymorphisms, and hyperhomocysteinemia among retired workers: The Dongfeng-Tongji cohort study","authors":"Tingting Mo MD, PhD , Weidong Zhang MD , Yufei Wang MD, Hui Gao MD, PhD, Wending Li MD, PhD, Rong Peng MD, PhD, Hao Wang MD, PhD, Yu Yuan MD, PhD, Xiaomin Zhang MD, PhD, Meian He MD, PhD, Huan Guo MD, PhD, Tangchun Wu MD, PhD, Pinpin Long MD, PhD","doi":"10.1016/j.sleh.2025.09.008","DOIUrl":"10.1016/j.sleh.2025.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to investigate the associations between past shift work and hyperhomocysteinemia and further explore the modification effects of <em>MTNR1A</em> rs12506228 and <em>MTNR1B</em> rs10830963 (2 single-nucleotide polymorphisms in melatonin receptor genes) on this association.</div></div><div><h3>Methods</h3><div>Based on the data of 14,043 retirees from the Dongfeng-Tongji cohort, multivariate logistic regression was used to analyze the association between past shift work duration and hyperhomocysteinemia, and gene-environment interaction analysis was performed.</div></div><div><h3>Results</h3><div>Among 14,043 retirees from the Dongfeng-Tongji cohort, we found that retirees with longer durations of past shift work were significantly associated with higher odds of hyperhomocysteinemia (odds ratio and 95% confidence interval for per 5-year increase: 1.04 [1.02-1.06], <em>P</em><.001). Furthermore, <em>MTNR1B</em> rs10830963 significantly exacerbated the effect of long-duration past shift work on hyperhomocysteinemia odds (<em>P</em>-trend<.001, <em>P</em>-interaction=.01), and <em>MTNR1A</em> rs12506228 had a joint effect with past shift work on hyperhomocysteinemia odds (<em>P</em>-trend<.001, <em>P</em>-interaction=.89).</div></div><div><h3>Conclusions</h3><div>The long-term hazard of shift work on hyperhomocysteinemia persisted from past to post retirement, and such association could be modified by <em>MTNR1B</em> rs10830963.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 128-136"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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