Shift Work, Sleep, Chronic Fatigue, and Mental Health Among Hotel Workers.
Marie-Anne S Rosemberg, Joseph Tu, Julianne Armijo
PMID 40521775WHAT IT FOUND
Hotel workers who worked more overtime reported more chronic sleep problems overall, but effects differed by job type.
Working outside the typical week was linked to more fatigue and more positive PTSD screens.
Key findings
01Each additional hour of overtime was associated with 1.13 times higher odds of reporting chronic sleep problems.
02Workers who normally worked outside the typical week were 2.68 times more likely to report chronic fatigue.
03Workers who normally worked outside the typical week were 5.93 times more likely to screen positive for PTSD.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study is cross-sectional, so it cannot show that work schedules caused sleep, fatigue, or mental health problems. Health outcomes were self-reported, and sleep and fatigue were captured by asking whether a provider had diagnosed them, not with validated sleep or fatigue scales. Recruitment used flyers, union contacts, and social media, which can affect who volunteers for surveys. Some job categories, such as bellhops and laundry workers, were too small for several models, so their effects were not fully analyzed. The study did not measure physiologic causes of poor sleep, such as sleep apnea, or home factors such as dependents. Many job-type interaction results were examined, and some effects were described as small, so individual coefficients should be read cautiously.
Declared interests
The authors declared no other potential conflicts of interest. Dr Marie-Anne Rosemberg was a guest editor for this special issue and was recused from peer review and decision-making. The article metadata lists NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read these associations as proof that overtime, unpaid extra hours, or nonstandard weeks cause sleep, fatigue, or mental health problems. The study is cross-sectional, self-reported, and the effects varied by job type.