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Biggs AT, Seech TR, Markwald RR, Russell DW. Positive impact of sunlight exposure on mental health in a naval population. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2024; 21:666-674. [PMID: 39357060 DOI: 10.1080/15459624.2024.2388535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/04/2024]
Abstract
Naval shipboard operations impose numerous environmental and occupational stressors, which can adversely affect mental and physical health outcomes. Moreover, this operational setting also complicates the implementation of countermeasures to protect personnel from these stressors. Thus, any easily accessible or modifiable protective factors should be explored further for their potential to support the health of military personnel. Daily sunlight exposure is one such factor that has demonstrated positive effects on health outcomes. For the current study, sunlight exposure and self-reported health outcomes were explored in a large population of U.S. Navy personnel (N > 11,000). Mediator analyses examined the relationship between mental and physical health while controlling for key confounding variables such as morale and exercise. Although the overall regression models indicated only a slight impact on physical health, sunlight exposure had a significant direct effect on mental health even while controlling for the mediating influence of morale. Sunlight exposure also had an impact on morale and an indirect influence on mental health through morale. Additional analyses further supported the possible mental health benefits of sunlight exposure even while accounting for occupational differences. The results suggest that prescribed sunlight exposure aboard ships could be used to promote positive mental health during naval operations.
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Affiliation(s)
- Adam T Biggs
- Commander, Naval Surface Force, US Pacific Fleet, Coronado, California
| | - Todd R Seech
- Commander, Naval Surface Force, US Pacific Fleet, Coronado, California
| | - Rachel R Markwald
- Sleep, Tactical Efficiency, and Endurance Lab, Warfighter Performance Department, Naval Health Research Center, San Diego, California
| | - Dale W Russell
- Commander, Naval Surface Force, US Pacific Fleet, Coronado, California
- Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland
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Jameson JT, Markwald RR, Kubala AG, Roma PG, Biggs AT, Lai K, Russell DW. Sleep deficiency, operational fatigue and the interplay of compromising factors: Analysis to aid in fatigue management. J Sleep Res 2022; 32:e13788. [PMID: 36436505 DOI: 10.1111/jsr.13788] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 10/25/2022] [Accepted: 11/03/2022] [Indexed: 11/29/2022]
Abstract
The United States Navy is a high-reliability organization that must maintain optimum performance under challenging conditions. One key challenge for sailors is obtaining sufficient sleep, which can lead to fatigue and other outcomes that compromise operational readiness. Identifying sleep issues and their causes is critical for military leaders to care for their personnel, and to make informed, risk-based operational decisions. Though previous studies in shipboard environments have implicated factors responsible for insufficient sleep (e.g. poor sleep environment and work demands), there has been less research into characterizing the complex interplay among such factors in relation to sleep and work-related fatigue outcomes. This study seeks to address this gap. Data were drawn from the Afloat Safety Climate Assessment Survey of 7617 sailors from 73 ships. The survey included demographic characteristics and measures of crew endurance (e.g. sleep, occupational impairment due to fatigue). Descriptive analyses characterized the presence and severity of sleep issues across subpopulations and operational settings (e.g. the type of ship); structural equation modelling techniques characterized and quantified the statistical associations among factors. The results indicate that sleep deficits are widespread, holding across subpopulations and operational settings. Though sleep deficits varied across subpopulations, no group obtained an average of more than 7 hr of sleep per night. Fatigue-induced occupational functional impairment was directly related to sleep deficiency, and sleep environment and job-related factors were contributors to sleep deficiency. Moreover, job-related factors emerged as potentially more consequential. Lastly, factors may exist aboard a ship that could help promote better sleep.
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Affiliation(s)
- Jason T Jameson
- Leidos, Inc., San Diego, California, USA.,Sleep, Tactical Effectiveness, and Endurance Laboratory, Warfighter Performance Department, Naval Health Research Center, San Diego, California, USA
| | - Rachel R Markwald
- Sleep, Tactical Effectiveness, and Endurance Laboratory, Warfighter Performance Department, Naval Health Research Center, San Diego, California, USA
| | - Andrew G Kubala
- Leidos, Inc., San Diego, California, USA.,Sleep, Tactical Effectiveness, and Endurance Laboratory, Warfighter Performance Department, Naval Health Research Center, San Diego, California, USA
| | - Peter G Roma
- Leidos, Inc., San Diego, California, USA.,Sleep, Tactical Effectiveness, and Endurance Laboratory, Warfighter Performance Department, Naval Health Research Center, San Diego, California, USA
| | - Adam T Biggs
- Commander, Naval Surface Force, US Pacific Fleet, Coronado, California, USA
| | - Kevin Lai
- Leidos, Inc., San Diego, California, USA.,Commander, Naval Surface Force, US Pacific Fleet, Coronado, California, USA
| | - Dale W Russell
- Commander, Naval Surface Force, US Pacific Fleet, Coronado, California, USA.,Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
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