Relationship between working hours and sleep quality with consideration to effect modification by work style: a community-based cross-sectional study

BACKGROUND

Although longer working hours are associated with lower sleep quality, it is still necessary to work a certain number of hours to make a living. In this study, we investigated the relationship between working hours and sleep quality in a community setting. We then explored how to manage work style while maintaining the sleep quality of workers without markedly reducing working hours.

METHODS

4388 day-time workers in various occupations living in Ota ward in Tokyo were included in the analysis. The relationship between working hours and sleep quality measured by the Athens Insomnia Scale was examined by ANOVA and linear regression models. Effect modification by work style (work end time, shift in working start and end time, current work from home status, change in work place) on the relationship between working hours and sleep quality was investigated by multivariate linear regression models.

RESULTS

Longer working hours were significantly associated with lower sleep quality. The magnitude of the relationship between long working hours and low sleep quality was significantly larger when work end time was later (p for trend of interaction < 0.01) and when working start and end time were shifted later (vs no change, p for interaction = 0.03). The relationship was marginally greater when the proportion of work from home was increased (vs no change, p for interaction = 0.07).

CONCLUSIONS

A relationship between longer working hours and lower sleep quality was observed among workers. Leaving work earlier or optimizing the work environment at home may diminish the adverse effect of long working hours on sleep quality.

Home as a new physical workplace: a causal model for understanding the inextricable link between home environment, work productivity, and well-being

The home has become a new physical workplace, and can therefore influence the work, health, and life of workers. This cross-sectional study aimed to evaluate the chronology of the effects of work hazards at home on factors such as workers' health, productivity, and well-being (WB). Information on novice working-from-home (WFH) workers was derived from the "Occupational health of WFH" project. The selected variables in the hypothesis model comprised problems such as perceived indoor environmental quality (IEQ), working conditions (WC), sick house syndrome (SHS), occupational stress (OS), work productivity (WP), and WB. The relationship between these variables was analyzed using a structural equation model. The group analysis results showed the following significant indirect path effects from work environment through WP: IEQ-> SHS->OS->WP. A non-significant direct effect was observed between IEQ and WP. While WC problems could also have a significant direct effect on WP, or be mediated by OS, WP is a significant consequence and a direct effect of WB. In conclusion, the WFH model's causal impact between home environment, WP, and WB is a physiopsychological pathway. Therefore, creating a healthy home environment and WC, along with OS management, comprise important issues for improving productivity and WB for this new work style.

Surgeon personality is associated with recommendation for operative treatment

PURPOSE

When surgeons disagree about the role of surgery, patient values and preferences should drive decision-making, but there is evidence that surgeon preferences have substantial influence. Surgeon preferences may relate to surgeon personality. Our primary null hypothesis is that specific personality characteristics (work styles) are not associated with the recommendation for operative treatment accounting for surgeon demographics.

PATIENTS AND METHODS

We invited members of the Science of Variation Group to assess images of 15 upper extremity injuries with debatable indications for surgery, recommended operative or non-operative treatment, and grade their confidence in this decision (n = 270); subsequently, participants completed the validated Octogram Work and Leadership Style Test (n = 223). We selected injuries that could be treated either operatively or non-operatively including fractures of the clavicle, scapula, humerus, and radius fractures, and proximal and distal bicep ruptures.

RESULTS

A higher proportion of recommendations for surgery was independently associated with a higher Octogram test pioneer score (β regression coefficient [β] 0.0054, partial R (2) 0.065, 95 % confidence interval [CI] 0.0027-0.0080, P < 0.001) and practice location outside North America and Europe (β 0.13, partial R (2) 0.079, 95% CI 0.073-0.020, P < 0.001) (adjusted R (2) 0.12, P < 0.001). No work styles were associated with more confidence in treatment.

CONCLUSIONS

A recommendation for discretionary surgery for musculoskeletal injury was related to surgeon personality. Surgeon self-awareness of how their work style can influence their recommendations might make them more receptive to techniques that ensure patient values have more influence than surgeon preferences on treatment decisions.