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CC BY-NC-ND 4.0 · Sleep Sci 2024; 17(01): e64-e74
DOI: 10.1055/s-0043-1776743
Original Article

Evaluation of the Association between Medication Use and Sleep Quality among Shift Workers versus Day Workers

Magda Margarida Granadeiro Rosado 
1   Cardiology Department, Hospital Espírito Santo EPE, Évora, Portugal
,
Lucinda Sofia Carvalho
2   Interdisciplinary Research Unit on Building Functional Ageing Communities (AGE.COMM), Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, Portugal
,
André Coelho
3   Escola Superior de Tecnologia da Saúde de Lisboa (ESTeSL), Instituto Politécnico de Lisboa, Lisboa, Portugal
› Author Affiliations Funding The authors declare that they have received no funding from agencies in the public, private or non-profits sectors for the conduction of the present study.
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Abstract

Objective Different factors, such as medication use and shift work, can influence sleep quality. We aimed to determine the association between medication use and sleep quality in shift workers versus daytime workers.

Materials and Methods We conducted a quantitative cross-sectional study with a convenience sample of active workers. Online questionnaires were applied to assess sleep quality, sleepiness, medication use, and sociodemographic characteristics.

Results A total of 296 participants were included: 124 (41.89%) daytime workers and 172 (58.11%) shift workers. In total, 130 (43.92%) participants worked in the healthcare sector, 116 (39.19%), in industry, and 50 (16.89%), in other sectors. After a bivariate analysis, poor sleep quality was associated with the presence of sleep disorders (p < 0.001), type of work (shift or day work) (p < 0.001), and the use of sleeping medication (p < 0.001). Although shift workers had worse sleep quality, no differences were found regarding the use of medications that act directly on the central nervous system or with proven effects on sleep. No association was found between medication use and sleep quality. When adjusted for the different variables that were individually associated with poor sleep quality, through a logistic regression model, none showed an increased risk of poor sleep quality.

Discussion In spite of the need for further research, our results have shown that sleep quality is influenced by many different factors whose impact must be evaluated in combination, and not just in a bivariate manner. There are many factors individually associated with poor sleep quality, but when adjusted to each other, they have shown no increased risk of having poor sleep quality.

Keywords

sleep quality - sleep disorders - shift work - medication use


Publication History

Received: 31 October 2022

Accepted: 31 May 2023

Article published online:
26 March 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Mukherjee S, Patel SR, Kales SN. et al; American Thoracic Society ad hoc Committee on Healthy Sleep. An Official American Thoracic Society Statement: The Importance of Healthy Sleep. Recommendations and Future Priorities. Am J Respir Crit Care Med 2015; 191 (12) 1450-1458
    CrossrefPubMedGoogle Scholar
  • 2 Müller MR, Guimarães SS. Impacto dos transtornos do sono sobre o funcionamento diário e a qualidade de vida. Estud Psicol Camp. 2007; 24 (04) 519-528
    CrossrefGoogle Scholar
  • 3 da Rocha MCP, De Martino MMF. [Stress and sleep quality of nurses working different hospital shifts]. Rev Esc Enferm USP 2010; 44 (02) 280-286
    Google Scholar
  • 4 CDC - Data and Statistics - Sleep and Sleep Disorders [Internet]. 2021 [citado 11 de Janeiro de 2022]. Disponível em: https://www.cdc.gov/sleep/data_statistics.html
    PubMedGoogle Scholar
  • 5 Mendes SS, Martino MM. [Shift work: overall health state related to sleep in nursing workers]. Rev Esc Enferm USP 2012; 46 (06) 1471-1476
    Google Scholar
  • 6 Costa G. Shift work and health: current problems and preventive actions. Saf Health Work 2010; 1 (02) 112-123
    CrossrefPubMedGoogle Scholar
  • 7 De Martino MMF. Estudo comparativo de padrões de sono em trabalhadores de enfermagem dos turnos diurno e noturno. Rev Panam Salud Publica 2002; 12 (02) 95-100
    CrossrefPubMedGoogle Scholar
  • 8 da Silva DB, Gabas DV, Omitto Rde F, da Silva Rde JP, Moreno Ade H. Benefícios do uso da melatonina no tratamento da insônia e qualidade do sono. Cuid Enferm 2020; 75-80
    Google Scholar
  • 9 Oliveira AV, Nunes PIG. Distúrbios do sono e a sua medicalização: uma revisão narrativa da literatura. Rev Interdiscip em Ciênc Saúde e Biológicas – RICSB 2020; 3 (02) 58
    Google Scholar
  • 10 Chang W-P, Peng Y-X. Meta-analysis of differences in sleep quality based on actigraphs between day and night shift workers and the moderating effect of age. J Occup Health 2021; 63 (01) e12262
    CrossrefPubMedGoogle Scholar
  • 11 Kumar S, Wong PS, Hasan SS, Kairuz T. The relationship between sleep quality, inappropriate medication use and frailty among older adults in aged care homes in Malaysia. PLoS One 2019; 14 (10) e0224122
    CrossrefPubMedGoogle Scholar
  • 12 Karami M, Dehdashti AR, Bahrami M. Prevalence of test anxiety among public health students at Semnan University of Medical Sciences in 2017: a short report. Journal of Rafsanjan University of Medical Sciences and Health Services. 2018; 17 (03) 275-282
    Google Scholar
  • 13 Fadhel FH. Exploring the relationship of sleep quality with medication use and substance abuse among university students: a cross-cultural study. Middle East Curr Psychiatry. 2020; 27 (01) 65
    CrossrefGoogle Scholar
  • 14 Gordon HW. Differential Effects of Addictive Drugs on Sleep and Sleep Stages. J Addict Res (OPAST Group) 2019;3(02):
    Google Scholar
  • 15 Liira J, Verbeek JH, Costa G. et al. Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. Cochrane Database Syst Rev 2014; 2014 (08) CD009776
    PubMedGoogle Scholar
  • 16 Bernardo VM, da Silva FC, Gonçalves E, Hernández SSS, Arancibia BAV, da Silva R. Effects of Shift Work on Sleep Quality of Policemen: A Systematic Review. Rev Cuba Med Mil 2015; 44 (03) 334-345
    Google Scholar
  • 17 Rajaratnam SMW, Barger LK, Lockley SW. et al; Harvard Work Hours, Health and Safety Group. Sleep disorders, health, and safety in police officers. JAMA 2011; 306 (23) 2567-2578
    CrossrefPubMedGoogle Scholar
  • 18 Phoi YY, Keogh JB. Dietary Interventions for Night Shift Workers: A Literature Review. Nutrients 2019; 11 (10) 2276
    CrossrefPubMedGoogle Scholar
  • 19 Slaven JE, Mnatsakanova A, Burchfiel CM. et al. Association of sleep quality with depression in police officers. Int J Emerg Ment Health 2011; 13 (04) 267-277
    PubMedGoogle Scholar
  • 20 Kalmbach DA, Arnedt JT, Song PX, Guille C, Sen S. Sleep Disturbance and Short Sleep as Risk Factors for Depression and Perceived Medical Errors in First-Year Residents. Sleep 2017; 40 (03) zsw073
    CrossrefPubMedGoogle Scholar
  • 21 Kerkhof GA. Shift work and sleep disorder comorbidity tend to go hand in hand. Chronobiol Int 2018; 35 (02) 219-228
    CrossrefPubMedGoogle Scholar
  • 22 Costa G. The impact of shift and night work on health. Appl Ergon 1996; 27 (01) 9-16
    CrossrefPubMedGoogle Scholar
  • 23 Richter K, Peter L, Rodenbeck A, Weess HG, Riedel-Heller SG, Hillemacher T. Shiftwork and Alcohol Consumption: A Systematic Review of the Literature. Eur Addict Res 2021; 27 (01) 9-15
    CrossrefPubMedGoogle Scholar
  • 24 Gurubhagavatula I, Barger LK, Barnes CM. et al. Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society. J Clin Sleep Med 2021; 17 (11) 2283-2306
    CrossrefPubMedGoogle Scholar
  • 25 Costa G. Some considerations about aging, shift work and work ability. Int Congr Ser 2005; 1280: 67-72
    CrossrefGoogle Scholar