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. 2023 May 1;6(5):e2312514.
doi: 10.1001/jamanetworkopen.2023.12514.

Workplace Psychosocial Resources and Risk of Sleep Disturbances Among Employees

Tianwei Xu  1   2   3 , Reiner Rugulies  2   3   4 , Jussi Vahtera  5   6 , Sari Stenholm  5   6   7 , Jaana Pentti  5   8   9 , Linda L Magnusson Hanson  1 , Göran Kecklund  1 , Jimmi Mathisen  2 , Mads Nordentoft  3 , Mika Kivimäki  8   9   10 , Naja Hulvej Rod  2
Affiliations

Workplace Psychosocial Resources and Risk of Sleep Disturbances Among Employees

Tianwei Xu et al. JAMA Netw Open. .

Erratum in

  • Error in Author Affiliation.
    [No authors listed] [No authors listed] JAMA Netw Open. 2023 Jun 1;6(6):e2322243. doi: 10.1001/jamanetworkopen.2023.22243. JAMA Netw Open. 2023. PMID: 37342046 Free PMC article. No abstract available.

Abstract

Importance: Workplace psychosocial resources naturally tend to cluster in some work teams. To inform work-related sleep health promotion interventions, it is important to determine the associations between clustering of workplace resources and sleep disturbances when some resources are high while others are low and to mimic an actual intervention using observational data.

Objective: To examine whether clustering of and changes in workplace psychosocial resources are associated with sleep disturbances among workers.

Design, setting, and participants: This population-based cohort study used data from the Swedish Longitudinal Occupational Survey of Health (2012-2018), the Work Environment and Health in Denmark study (2012-2018), and the Finnish Public Sector Study (2008-2014), collected biennially. Statistical analysis was conducted from November 2020 to June 2022.

Exposure: Questionnaires were distributed measuring leadership quality and procedural justice (ie, vertical resources) as well as collaboration culture and coworker support (ie, horizontal resources). Resources were divided into clusters of general low, intermediate vertical and low horizontal, low vertical and high horizontal, intermediate vertical and high horizontal, and general high.

Main outcomes and measures: Odds ratios (ORs) and 95% CIs were reported from logistic regression models for the associations between the clustering of resources and concurrent and long-term sleep disturbances. Sleep disturbances were measured by self-administered questionnaires.

Results: The study identified 114 971 participants with 219 982 participant-observations (151 021 [69%] women; mean [SD] age, 48 [10] years). Compared with participants with general low resources, other groups showed a lower prevalence of sleep disturbances, with the lowest observed in the general high group concurrently (OR, 0.38; 95% CI, 0.37-0.40) and longitudinally after 6 years (OR, 0.52; 95% CI, 0.48-0.57). Approximately half of the participants (27 167 participants [53%]) experienced changes in resource clusters within 2 years. Improvements in vertical or horizontal dimensions were associated with reduced odds of persistent sleep disturbances, and the lowest odds of sleep disturbances was found in the group with improvements in both vertical and horizontal dimensions (OR, 0.53; 95% CI, 0.46-0.62). A corresponding dose-response association with sleep disturbances was observed for decline in resources (eg, decline in both dimensions: OR, 1.74; 95% CI, 1.54-1.97).

Conclusions and relevance: In this cohort study of workplace psychosocial resources and sleep disturbances, clustering of favorable resources was associated with a lower risk of sleep disturbances.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure 1.
Figure 1.. Flowchart of the Study and Analytical Populations
FPS indicates Finnish Public Sector Study; SLOSH, Swedish Longitudinal Occupational Survey of Health; and WEHD, Work Environment and Health in Denmark.
Figure 2.
Figure 2.. Concurrent and Longitudinal Associations Between Workplace Psychosocial Resources and Sleep Disturbances
FPS indicates Finnish Public Sector Study; NA, not applicable; OR, odds ratio; SLOSH, Swedish Longitudinal Occupational Survey of Health; and WEHD, Work Environment and Health in Denmark.
Figure 3.
Figure 3.. Association Between Changes in Resources and Changes of Sleep Disturbances
FPS indicates Finnish Public Sector Study; OR, odds ratio; SLOSH, Swedish Longitudinal Occupational Survey of Health; and WEHD, Work Environment and Health in Denmark.
See this image and copyright information in PMC

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