Health of Canadian Firefighters: The Impact of Sleep and Work

dc.contributor.authorCramm, Heidi
dc.contributor.authorRichmond, Rachel
dc.contributor.authorJamshidi, Laleh
dc.contributor.authorEdgelow, Megan
dc.contributor.authorGroll, Dianne
dc.contributor.authorRicciardelli, Rosemary
dc.contributor.authorMacDermid, Joy, C.
dc.contributor.authorKeiley, Michael
dc.contributor.authorCarleton, R. Nicholas
dc.date.accessioned2023-03-03T16:36:36Z
dc.date.available2023-03-03T16:36:36Z
dc.date.issued2021-12-16
dc.description© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).en_US
dc.description.abstractVolunteer and career firefighters are at risk of major depressive disorders, posttraumatic stress disorder (PTSD), alcohol use disorder, and other mental health disorders due to the demanding and unpredictable nature of their employment. The mental health risks are exacerbated by the need to work extended hours, night shifts, and/or rotating schedules, or the competing demands of other employment, especially in volunteer firefighters. The mental health disorders and risk factors interact with altered sleeping patterns. In the current study, we examined volunteer and career firefighters regarding the association between mental health and sleep, drawing from a national Canadian mental health survey of 1217 firefighters. Most (69%) of the firefighters reported less than ideal sleep quality and 21% screened positive for clinical insomnia, with no significant difference between volunteer and career subgroups. Firefighters with insomnia had higher odds ratios (OR) and frequencies for PTSD (OR = 4.98), generalized anxiety disorder (OR = 7.15), panic disorder (OR = 6.88), social phobia (OR = 4.98), and major depressive disorder (OR = 7.91), than firefighters without insomnia. The burden of sleep disorders and their association with mental health disorders suggests that sleep should be considered in health monitoring and self-management, environmental design, fire service work-organization policies, and health programming.en_US
dc.description.authorstatusFacultyen_US
dc.description.peerreviewyesen_US
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, au- thorship, and/or publication of this article: R. Nicholas Carleton’s research is supported by the Canadian Institutes of Health Research (CIHR) through a New Investigator Award (FRN: 13666). Joy MacDermid was supported by a Canada Research Chair in Musculoskeletal Health Outcomes and Knowledge Translation and the Dr James Roth Chair in Musculoskeletal Measurement and Knowledge Translation. Her work is supported by a foundation grant from the Canadian Institutes of Health Research (#167284).en_US
dc.identifier.citationCramm, H., Richmond, R., Jamshidi, L., Edgelow, M., Groll, D., Ricciardelli, R., MacDermid, J., Keiley, M., & Carleton, R. N. (2021). Mental Health of Canadian Firefighters: The Impact of Sleep. nternational Journal of Environmental Research and Public Health, 18, 13256. https://doi.org/10.3390/ijerph182413256en_US
dc.identifier.doihttps://doi.org/10.3390/ijerph182413256
dc.identifier.urihttps://hdl.handle.net/10294/15824
dc.language.isoenen_US
dc.publisherMultidisciplinary Digital Publishing Institute,en_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectinsomniaen_US
dc.subjectshift workeren_US
dc.subjectmental healthen_US
dc.subjectpublic safety personnelen_US
dc.titleHealth of Canadian Firefighters: The Impact of Sleep and Worken_US
dc.typeArticleen_US
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