Sleep disorders are associated with sickness absenteeism (SA), at significant economic cost. Correlates of absenteeism are less well described in nonclinical samples.
Participants and methods
We determined the relationship between markers of inadequate sleep and SA in a sample of 551 working adults aged ≥18 years across Australia. We considered diagnosed obstructive sleep apnea (OSA) and insomnia symptoms, daytime symptoms, and sleepiness with respect to sickness absenteeism (missing ≥1 day of work in the past 28 days because of problems with physical or mental health).
Sickness absenteeism was reported by 27.0% of participants and was more frequent in younger participants, university graduates, and those experiencing financial stress. Sickness absenteeism was independently associated with insomnia (odds ratio [OR] = 2.5, confidence interval [CI] = 1.5-4.0], OSA (OR = 9.8, CI = 4.7-20.7), sleep aid use (OR = 3.0, CI = 1.9-4.7), and daytime symptoms (OR = 3.0, CI = 2.0-4.6) and inversely associated with perception of getting adequate sleep (OR = 0.6, CI = 0.4-0.9). Associations persisted in the population free of insomnia and/or OSA.
In adults without clinical sleep disorders, sleep behaviors are contributing to sickness absenteeism. An increased focus at an organizational level on improvement of sleep hygiene is important to reduce lost work performance.
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- Sickness absence as a measure of health status and functioning: from the UK Whitehall II study.J Epidemiol Community Health. 1995; 49: 124-130
- The cost of poor sleep: workplace productivity loss and associated costs.J Occup Environ Med. 2010; 52: 91-98
- Sickness absence in diabetic employees.Occup Environ Med. 2001; 58: 432-436
- Productivity loss and indirect costs associated with cardiovascular events and related clinical procedures.BMC Health Serv Res. 2015; 15: 245
- 2015 Absence management and well-being report.[Accessed 17/05/2017])
- Impact of five nights of sleep restriction on glucose metabolism, leptin and testosterone in young adult men.PLoS One. 2012; 7e41218
- The metabolic burden of sleep loss.Lancet Diabetes Endocrinol. 2015; 3: 52-62
- Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation.Prog Cardiovasc Dis. 2009; 51: 294-302
- The occupational impact of sleep quality and insomnia symptoms.Sleep Med Rev. 2012; 16: 547-559
- The joint contribution of insomnia and obstructive sleep apnoea on sickness absence.J Sleep Res. 2013; 22: 223-230
- Sleep and sickness absence: a nationally representative register-based follow-up study.Sleep. 2014; 37: 1413-1425
- Sleep health of Australian adults in 2016: results of the 2016 Sleep Health Foundation national survey.Sleep Health. 2017; 3: 35-42
- 2002 Adult sleep habits.[Accessed 17/05/2017])
- Public health implications of sleep loss: the community burden.Med J Aust. 2013; 199: S7-10
- Sleep duration in the United States: a cross-sectional population-based study.Am J Epidemiol. 2009; 169: 1052-1063
- Trends in the prevalence of short sleepers in the USA: 1975-2006.Sleep. 2010; 33: 37-45
- Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey.Hypertension. 2006; 47: 833-839
- A new method for measuring daytime sleepiness: the Epworth sleepiness scale.Sleep. 1991; 14: 540-545
- International classification of sleep disorders-third edition: highlights and modifications.Chest. 2014; 146: 1387-1394
- Characteristics of employment, Australia, august 2016, Canberra, cat no. 6333.0.[Accessed 17/05/2017])
- Sleep duration predicts cardiovascular outcomes: systematic review and meta-analysis of prospective studies.Eur Heart J. 2011; 32: 1484-1492
- Sleep duration and all-cause mortality: a critical review of measurement and associations.Ann Epidemiol. 2013; 23: 361-370
- Sleep duration and obesity among adults: a meta-analysis of prospective studies.Sleep Med. 2014; 15: 1456-1462
- Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis.Diabetes Care. 2010; 33: 414-420
- The sleep and technology use of Americans: findings from the National Sleep Foundation's 2011 Sleep in America poll.J Clin Sleep Med. 2013; 9: 1291-1299
- Sleep health: can we define it? Does it matter?.Sleep. 2014; 37: 9-17
- Insomnia and the performance of US workers: results from the America Insomnia Survey.Sleep. 2011; 34: 1161-1171
- The effect of OSAS on sick leave and work disability.Eur Respir J. 2008; 32: 1497-1503
- CPAP for prevention of cardiovascular events in obstructive sleep apnea.N Engl J Med. 2016; 375: 919-931
- Disagreement between subjective and actigraphic measures of sleep duration in a population-based study of elderly persons.J Sleep Res. 2008; 17: 295-302
Published online: July 04, 2017
Accepted: June 20, 2017
Received in revised form: May 24, 2017
Received: April 11, 2017
© 2017 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.