ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2015
Common sleep disorders increase risk of motor vehicle crashes and adverse health outcomes in firefighters.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 148 citations in OpenAlex.
- Exploring Clinical Trials to Manage Firefighters' Sleep Quality: A PRISMA Compliant Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Prevalence of sleep disorders among first responders for medical emergencies: A meta-analysis.Journal of global health · 2022Pooled it
- Prevalence of Shift Work Disorder: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2021Pooled it
- Risk of Occupational Accidents in Workers with Obstructive Sleep Apnea: Systematic Review and Meta-analysis.Sleep · 2016Pooled it
- Trial
- Short Sleep Duration, Obstructive Sleep Apnea, Shiftwork, and the Risk of Adverse Cardiovascular Events in Patients After an Acute Coronary Syndrome.Journal of the American Heart Association · 2017Trial
- Randomized, Prospective Study of the Impact of a Sleep Health Program on Firefighter Injury and Disability.Sleep · 2017Trial
- Trial
- Prevention of atherosclerotic coronary artery disease in tactical athletes.American journal of preventive cardiology · 2026Review
- Work Productivity Burden Among Patients With Obstructive Sleep Apnea and Obesity Versus Controls Without Obstructive Sleep Apnea or Obesity.Journal of occupational and environmental medicine · 2026Article
- Association of shift work with body weight, stress, sleep, and dietary intake in prison officers and firefighters.European journal of nutrition · 2026Article
- Article
- Network analysis of psychological and behavioral variables in firefighters: identification of central nodes and bridge variables.Frontiers in public health · 2026Article
- Sleep and Substance Use Among Firefighters: Associations with Alcohol, Caffeine, and Nicotine Use.Nature and science of sleep · 2026Article
- Effects of a 24/48 to 48/96 Shift Schedule Change on Firefighter Sleep and Health: Short-Term Improvements and Six-Month Stability.International journal of environmental research and public health · 2025Article
- Occupational and Driving Challenges Within Sleep Medicine.Journal of sleep research · 2025Review
- Prevalence and factors associated with insomnia among firefighting personnel in Dhaka division, Bangladesh.BMC public health · 2025Article
- Elucidating the relationship between burnout and sleep disturbances among firefighters: a network analysis.BMC public health · 2025Article
- Mapping Connection and Direction Among Symptoms of Sleep Disturbance and Perceived Stress in Firefighters: Embracing the Network Analysis Perspective.Nature and science of sleep · 2025Article
- The effects of the paramedics' field work on their mental status in Jeddah.Journal of family medicine and primary care · 2024Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesHeart attacks and motor vehicle crashes are the leading causes of death in US firefighters. Given that sleep disorders are an independent risk factor for both of these, we examined the prevalence of common sleep disorders in a national sample of firefighters and their association with adverse health and safety outcomes.
methodsFirefighters (n = 6,933) from 66 US fire departments were assessed for common sleep disorders using validated screening tools, as available. Firefighters were also surveyed about health and safety, and documentation was collected for reported motor vehicle crashes.
resultsA total of 37.2% of firefighters screened positive for any sleep disorder including obstructive sleep apnea (OSA), 28.4%; insomnia, 6.0%; shift work disorder, 9.1%; and restless legs syndrome, 3.4%. Compared with those who did not screen positive, firefighters who screened positive for a sleep disorder were more likely to report a motor vehicle crash (adjusted odds ratio 2.00, 95% CI 1.29-3.12, p = 0.0021) and were more likely to self-report falling asleep while driving (2.41, 2.06-2.82, p < 0.0001). Firefighters who screened positive for a sleep disorder were more likely to report having cardiovascular disease (2.37, 1.54-3.66, p < 0.0001), diabetes (1.91, 1.31-2.81, p = 0.0009), depression (3.10, 2.49-3.85, p < 0.0001), and anxiety (3.81, 2.87-5.05, p < 0.0001), and to report poorer health status (p < 0.0001) than those who did not screen positive. Adverse health and safety associations persisted when OSA and non-OSA sleep disorders were examined separately.
conclusionsSleep disorders are prevalent in firefighters and are associated with increased risk of adverse health and safety outcomes. Future research is needed to assess the efficacy of occupational sleep disorders prevention, screening, and treatment programs in fire departments to reduce these safety and health risks.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.