zurniimtpeМедицина труда и промышленная экологияRussian Journal of Occupational Health and Industrial Ecology1026-94282618-8945FSBSI “Izmerov Research Institute of Occupational Health”10.31089/1026-9428-2018-9-48-53zurniimtpe-1248Research ArticleПРАКТИЧЕСКОМУ ЗДРАВООХРАНЕНИЮFOR THE PRACTICAL MEDICINEОсобенности факторов риска нарушений засыпания и поддержания сна у трудоспособного населенияFeatures of risk factors for sleep initiation and maintenance disorders in able-bodied populationНовичковаН. И.NovichkovaN. I.

Новичкова Надежда Ивановна - зав. отд. гигиены детей, подростков и молодежи, доктор медицинских наук, профессор

ул. Семашко, 2, г. Мытищи, Московская обл., 141014

2, Semashko str., Mytischi, Moscow region, 141014

erisman-novichkova@yandex.ruКаллистовД. Ю.KallistovD. Yu.

Каллистов Дмитрий Юрьевич - зав. сомнолог. отд., доктор медицинских наук

поселок санатория им. Герцена, Одинцовский район, Московская обл., 143088

Odintsovo distr., Moscow region, 143088

sleeprc@yandex.ruhttps://orcid.org/0000-0002-1915-1138СуховаА. В.SukhovaA. V.

Сухова Анна Владимировна - зав. отд. восстановит. лечения и мед. реабилитации, доктор медицинских наук

ул. Семашко, 2, г. Мытищи, Московская обл., 141014

2, Semashko str., Mytischi, Moscow region, 141014

annasukhova-erisman@yandex.ruРомановаЕ. А.RomanovaE. A.

Романова Елена Александровна - врач функц. диагностики, доктор медицинских наук

пер. Сивцев Вражек, 26/28, Москва, 119002

26/28, Sivtsev Vrazhek ln., Moscow, 119002

sleeprc@yandex.ruРомановА. И.RomanovA. I.

Романов Александр Иванович - главный врач, академик РАН, доктор медицинских наук, профессор

поселок санатория им. Герцена, Одинцовский район, Московская обл., 143088

Odintsovo distr., Moscow region, 143088

sleeprc@yandex.ruФБУН «Федеральный научный центр гигиены им. Ф.Ф. Эрисмана» РоспотребнадзораРоссияFederal Scientifc Center of Hygiene named after F.F. ErismanRussian FederationФГБУ «Центр реабилитации» Управления делами Президента РФРоссия«Rehabilitation Center» of Office of the President of the Russian Federation; Setlement of the sanatorium named after GertsenRussian FederationФГБУ «Поликлиника №1» Управления делами Президента РФРоссия«Рolyclinic №1» of Office of the President of the Russian FederationRussian Federation201812022019094853Copyright © Новичкова Н.И., Каллистов Д.Ю., Сухова А.В., Романова Е.А., Романов А.И., 20192019Новичкова Н.И., Каллистов Д.Ю., Сухова А.В., Романова Е.А., Романов А.И.Novichkova N.I., Kallistov D.Y., Sukhova A.V., Romanova E.A., Romanov A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journal-irioh.ru/jour/article/view/1248

Представлены данные исследования особенностей факторов риска нарушений засыпания и поддержания сна у работников умственного труда — сотрудников аппарата госучреждений и медицинских работников — жителей г. Москвы. Для оценки тяжести бессонницы применялся вопросник «Индекс тяжести бессонницы», проводилось исследование условий труда и выраженности связанного с работой стресса.

Результаты исследования свидетельствуют о ведущей роли напряженности труда и рабочего стресса в формировании нарушений сна. У государственных служащих выявлено наличие положительной корреляционной связи между интегральным показателем напряженности туда Lнт и индексом тяжести бессонницы (r=0,43). Установлено, что связанный с работой стресс, для оценки выраженности которого использовались показатели психосоциальных характеристик труда, увеличивает риск наличия бессонницы (ОШ=2,3). Из средовых факторов наибольшую роль в формировании нарушений сна играет акустический фактор (ОШ=1,41). Также установлено, что проблемы с соматическим здоровьем имели статистическую связь с наличием симптома бессонницы (ОШ=1,3). Выявлена возрастная динамика долевого участия отдельных факторов риска хронической бессонницы. Полученные данные позволят оптимизировать комплекс мероприятий по профилактике хронических вариантов бессонницы у работающего населения.

The authors present results of study concerning risk factors of sleep initiation and maintenance disorders in mental workers residing in Moscow — governmental institutions staffers and medical workers. To evaluate insomnia severity, the authors used questionnaire «Index of insomnia severity», studied work conditions and work-related stress intensity. The study results prove leading role of work intensity and stress at work in sleep disorders formation. The governmental employees demonstrated positive correlation between integral parameter of work intensity and insomnia severity index (r=0.43). Findings are that work-related stress which was evaluated via psycho-social characteristic of work increases insomnia risk (OR=2.3). Among environmental factors, the maximal role in insomnia formation is played by acoustic factor (OR=1.41). Moreover, somatic disorders were statistically connected with insomnia (OR=1.3). Shares of separate risk factors of chronic insomnia appeared to be age-related. The data obtained enable to optimize complex of measures to prevent chronic insomnia in workers.

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The authors declare that there are no conflicts of interest present.