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Work-related factors, sleep debt and insomnia in IT professionals

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Reduced sleep can be associated with a risk of health problems. Information technologies (IT) professionals often work long hours and this could have an effect on their sleep quality. To examine the prevalence of sleep debt, insomnia and long working hours among Finnish IT professionals and to analyse which specific work-related factors are associated with shortened sleep. Cross-sectional, representative data from a questionnaire survey of IT professionals. Hierarchical regression analyses were applied to investigate relationships of sleep debt and insomnia. A total of 2,334 IT professionals responded to the survey. Thirty-seven per cent reported sleep debt of at least 1 h and 6% of at least 2 h, while 16% reported insomnia. Twenty-seven per cent worked for a minimum of 50 h a week, while 31% spent at least 50 h a week on work. The most important factors associated with both sleep debt and insomnia were work-related demands requiring long hours, mental stamina and problem solving and positive perceptions of work, such as job control and importance of the respondents' own work in their life. Even though long working hours were common among IT professionals in Finland, sleep debt and insomnia were not. Work-related factors were associated with insufficient sleep.
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Occupational Medicine 2008;58:138–140
Published online 22 January 2008 doi:10.1093/occmed/kqm150
SHORT REPORT
Work-related factors, sleep debt and insomnia in
IT professionals
Marketta Kivisto
¨
1
, Mikko Ha
¨
rma
¨
2
, Mikael Sallinen
2
and Raija Kalimo
3
Background Reduced sleep can be associated with a risk of health problems. Information technologies (IT)
professionals often work long hours and this could have an effect on their sleep quality.
Aims To examine the prevalence of sleep debt, insomnia and long working hours among Finnish IT
professionals and to analyse which specific work-related factors are associated with shortened sleep.
Methods Cross-sectional, representative data from a questionnaire survey of IT professionals. Hierarchical
regression analyses were applied to investigate relationships of sleep debt and insomnia.
Results A total of 2334 IT professionals responded to the survey. Thirty-seven per cent reported sleep debt
of at least 1 h and 6% of at least 2 h, while 16% reported insomnia. Twenty-seven per cent worked
for a minimum of 50 h a week, while 31% spent at least 50 h a week on work. The most important
factors associated with both sleep debt and insomnia were work-related demands requiring long
hours, mental stamina and problem solving and positive perceptions of work, such as job control and
importance of the respondents’ own work in their life.
Conclusions Even though long working hours were common among IT professionals in Finland, sleep debt and
insomnia were not. Work-related factors were associated with insufficient sleep.
Key words Insomnia; IT professionals; sleep debt; work; working hours.
Introduction
The global uptake of information technologies (IT) has
fuelled the emergence of a 24-h society by providing peo-
ple with the opportunity to work unlimited by the bound-
aries of time and space. In the work of IT professionals,
this development is further enabled by flexible working
hours. This could possibly generate risks for health and
recovery from work (e.g. over commitment to work and
insufficient sleep). Long working hours and reduced
sleep have both been found to be associated with a higher
risk of health problems. However, the relationship be-
tween long working hours and psychological health
remains uncertain [1–3].
The aim of this study was to examine the prevalence of
sleep debt, insomnia and long working hours among
Finnish IT professionals and to identify work factors as-
sociated with sleep problems.
Methods
A questionnaire was sent out in 2001 to 5000 IT profes-
sionals who were members of the Finnish Information
Processing Association (FIPA), an independent associa-
tion of Finnish IT professionals and companies that ei-
ther provide or utilize IT products and services. In order
to ensure a sufficient representation of programmers in
the sample, we used stratified sampling with varying
probabilities. The construction of the target sample
(5000) began with the inclusion of 234 programmers
found in a sample of 10 000 people extracted from the
mass of 25 000 FIPA members (excluding students).
The rest (4766) of the target samples (5000) were chosen
on the basis of a random selection of all the members of
FIPA. FIPA members constitute one-third of all Finnish
IT professionals. Of these 5000 IT professionals, 4624
were included in the study. The 376 exclusions were for
1
Centre of Expertise for Health and Work Ability, Finnish Institute of
Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland.
2
Centre of Expertise for Human Factors at Work, Finnish Institute of
Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland.
3
Professor (emerita) of Finnish Institute of Occupational Health (retired).
Correspondence to: Marketta Kivisto¨, Centre of Expertise for Health and
Work Ability, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A,
FI-00250 Helsinki, Finland. Tel: 1358 304741; fax: 1358 304742651;
e-mail: marketta.kivisto@ttl.fi
The Author 2008. Published by Oxford University Press on behalf of the Society of Occupational Medicine.
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individuals who declared themselves to be unemployed,
retired or otherwise uninvolved in work life for .6
months immediately before responding.
Self-reported sleep debt [4] (the difference between
self-reported sleep need and self-reported sleep length)
and insomnia [5] were the dependent factors used in
hierarchical regression analyses. The independent factors
were perceptions of work and work demands (see
Table 1). Adjustment was made for age, gender and
early/late-riser type. The results of the factor analyses of
demands and perceptions of work were used to inform
the regression analyses.
Results
A total of 2334 (50%) of the 4624 IT professionals
responded to the questionnaire. The job titles of the
respondents (71% of whom were men) were as follows:
23% were software designers, 15% managers, 11% pro-
grammers and testers, 8% project managers, 7% trainers
and consults, 6% technical support, 6% consultants,
5% administrators and 5% sales/purchasing personnel.
Fifty per cent of the respondents had a university educa-
tion. The group of respondents was representative of
Finnish IT professionals in all factors apart from age,
which was 6 years higher than the mean age of all FIPA
members.
The average self-reported sleep length of IT professio-
nals was 7.2 h and 37% reported a sleep debt of at least 1
h and 6% of at least 2 h. Only 16% of respondents
reported insomnia. Sleep debt was commoner in younger
people. Also, sleep length was longer and need of sleep
was higher among younger people. Insomnia was com-
moner in the older age group. Sleep debt and insomnia
were commoner in women, and sleep debt was most com-
monly reported by late-riser types. The number of aver-
age weekly working hours was 44.3, and the average
amount of time spent on work and study was 45.2 h
a week. Twenty-seven per cent of the respondents spent
at least 50 h a week working. The average hours spent on
work per week were 43.5 in day workers (SD 7.6; n 5
1937), 50.7 in shift workers (SD 14.7; n 5 69), 43.4 in
workers who had a self-determined working time but an
agreed number of hours (610.2; n 5 92), 48.0 in workers
subject to agreements based on work achievements
(611.6; n 5 114) and 53.1 in workers with completely
undetermined working hours (612.8; n 5 81). Overtime
was reported by 82%, but only 16% reported receiving
monetary compensation for it.
After adjustment for age, gender and early/late-riser
type, the following perceptions of work were found
to be significantly associated with both sleep debt and
insomnia: importance of work in the person’s life, poor
job control, poor opportunities to develop and poor sup-
port from the person’s immediate superior. When work
demands were entered into the models regarding sleep
debt, long hours at work and demands for mental stamina
were found to be significantly associated with sleep debt
(Table 2).
Discussion
We have found that even though long working hours are
common among Finnish IT professionals, sleep debt or
Table 1. The independent factors of the study
The independent
factors of the study
Number
of items
Mean SD Gender Age (years)
Women
(n 5 680)
Men
(n 5 1644)
P 20–29
(n 5 151)
30–39
(n 5 691)
40–49
(n 5 789
50–69
(n 5 695)
P
Work demands [6,7] for:
Accuracy 4 3.6 0.8 3.6 3.6 ns 3.6 3.6 3.6 3.6 ns
Problem solving 4 4.1 0.6 4.1 4.1 ns 4.1 4.1 4.1 4.1 ns
Management 6 3.4 0.9 3.3 3.5 ,0.01** 3.3 3.3 3.5 3.5 ,0.001***
Mental stamina 4 4.4 0.5 4.5 4.4 ,0.001*** 4.3 4.4 4.4 4.4 ns
Expertise 2 4.2 0.7 4.1 4.2 ,0.001*** 4.2 4.3 4.2 4.2 ,0.05*
New knowledge 3 3.4 0.8 3.2 3.5 ,0.001*** 3.6 3.5 3.4 3.4 ,0.01**
Languages 1 3.8 1.0 3.6 3.9 ,0.001*** 3.9 3.9 3.8 3.7 ,0.001***
Long hours 1 45.2 9.2 44.0 45.8 ,0.001*** 46.2 45.7 45.3 44.5 ,0.05*
Perceptions of work [7,8]
Importance of work 7 3.3 0.7 3.3 3.2 ns 3.2 3.2 3.2 3.3 ns
Job control 9 4.0 0.6 3.9 4.0 ,0.001*** 4.1 4.0 3.9 4.0 ,0.01**
Opportunity to develop 3 3.2 0.8 1.2 3.3 ,0.05* 3.6 3.3 3.2 3.1 ,0.001***
Support from managers 3 3.1 0.7 3.3 3.3 ns 3.5 3.4 3.3 3.3 ,0.01**
Statistical differences in the means according to age and gender, n 5 2334; ns 5 not significant.
*P , 0.05; **P , 0.01; ***P , 0.001.
M. KIVISTO
¨
ET AL.: WORK-RELATED FACTORS IN IT PROFESSIONALS 139
by guest on June 1, 2013http://occmed.oxfordjournals.org/Downloaded from
insomnia are not. The proportion of those working for at
least 50 h a week (27%) was higher than in the general
population in Finland (16%). Sleep debt was most com-
mon among the youngest and insomnia among the oldest
respondents, which is compatible with previous observa-
tions [9]. Young men reported spending more time on
work and study than others. Considering that the per-
centage of those who replied in this age group was smaller
than expected, it is possible that the amount of time spent
on work and study by young men in the IT sector is in
reality even greater.
There was a strong correlation found between the im-
portance placed on work and long working hours and
shortened sleep. This could reflect IT professionals’
strong commitment to work, which can be very stressful.
However, as 66% of the subjects did not receive payment
for overtime, this result can be more easily understood if
we suppose that the employees working long hours were
perhaps internally motivated to do so.
Work-related factors were associated with insufficient
sleep. A more positive perception of work and more suit-
able work demands might reduce sleep debt and insom-
nia and thus promote recovery from work. Because work-
related factors explained only a small part of the variance
in sleep debt and insomnia, there are still other, perhaps
individual, factors that impact sleep problems and merit
further study.
Funding
Finnish Work Environment Fund (100318, 103484
to M. K.; 105018 to M. K.) and Finnish Institution of
Occupational Health.
Acknowledgements
The present study forms part of the larger project ‘Decent
Work—A Sound of Life’ established by the Finnish Institution
of Occupational Health. The authors also wish to thank the
FIPA for their help in developing and collecting the database
used in this analysis.
Conflicts of interest
None declared.
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Table 2. Perceptions of work and work demands associated with
sleep debt and insomnia
Sleep debt
(n 5 2151)
Insomnia
(n 5 2151)
Step 1
Early/late-riser type 0.18*** ÿ0.09***
Age ÿ0.10*** ns
Gender ÿ0.11*** ns
Initial R
2
0.06*** 0.01***
Step 2 (perceptions of work)
Job control ÿ0.13*** ÿ0.11***
Importance of work 0.09*** 0.13***
Support from superior ÿ0.06*** ÿ0.10***
Opportunity to develop ÿ0.05* ÿ0.10***
R
2
change 0.04*** 0.06***
Step 3 (work demands for)
Long hours 0.11*** 0.05*
Mental stamina 0.10*** 0.05*
Languages ns ns
Management skills ns ns
Problem solving ns 0.08**
New knowledge ns ns
Accuracy ns ns
R
2
change 0.02*** 0.02***
Final R
2
0.12 0.09
Hierarchical multiple regression analyses (forced entry), standardized beta
weights; ns 5 not significant. *P , 0.05; **P , 0.01; ***P , 0.001.
Key points
Long working hours are common among IT pro-
fessionals in Finland, while sleep debt and insom-
nia are not.
With long working hours, internal motivation
seems to serve as a protection against stress.
Suitable work demands and positive perceptions
of work may promote better sleep.
140 OCCUPATIONAL MEDICINE
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... Given the IT industry shift to Asia (due to cost savings and increased workforce availability) [4], IT worker health studies predominantly stem from these countries, where lifestyle, culture and working conditions are different and therefore not generalizable. There are only few European [5][6][7][8] and US [9,10] studies, two of these [5,9] briefly addressing health and lifestyle factors and the remainder, evaluating stress/burnout. Most IT worker studies to date are small-scale and limited to employees working in IT companies. ...
... Given the IT industry shift to Asia (due to cost savings and increased workforce availability) [4], IT worker health studies predominantly stem from these countries, where lifestyle, culture and working conditions are different and therefore not generalizable. There are only few European [5][6][7][8] and US [9,10] studies, two of these [5,9] briefly addressing health and lifestyle factors and the remainder, evaluating stress/burnout. Most IT worker studies to date are small-scale and limited to employees working in IT companies. ...
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Thesis
Introduction Burnout was first described in 1974 by the clinical psychologist Herbert Freudenberger. Burnout is a state of physical, emotional, and mental exhaustion that results from long-term involvement in work situations that are emotionally demanding. Maslach Burnout Inventory (MBI) and Copenhagen Burnout Inventory (CBI) were most used instruments to assess burnout. Burnout cause total losses of US$4.6 billion in the United States each year and affects approximately half of all nurses, physicians, and other clinicians. In addition, burnout also affects patient-related quality of care. The previous studies demonstrated burnout is related to work-related injuries (WRIs) and increase in the risk of injury. The present study would establish the relationship models of burnout to identify risk factors of burnout and explore the relationship between burnout and WRIs/sharps injuries (SIs) for medical worker. Methods and materials This is an observational and cross-sectional study which was based on members at a hospital affiliated with a medical university in Taichung, Taiwan, in 2021. 1633 individuals completed the questionnaires including Nordic Musculoskeletal Questionnaire (NMQ) and the Copenhagen burnout inventory (CBI). CBI included three burnout scales that are personal burnout (PB), work-related burnout (WB) and client burnout (CB), respectively. Among them, 1250 questionnaires were determined to be valid after exclusion for missing data. Statistical methods included t test, chi-square test or fisher exact test, factor analysis, linear regression, and Sobel test. Analysis was conducted using SAS Enterprise Guide 6.1 software, and significance was set at P < 0.05. Results The present study demonstrated participants with master’s degree or above or married or parenthood significantly reported low level for WB and CB than others and those with regular exercise every week (REW) reported low level for PB, WB and CB than others. Participants with chronic diseases (CD) or ever alcohol use (AU) or sleep duration per day less than 6 h (SSLD) or work overtime (OT) or shift work including irregular shift (IRS) and regular shift (RS) work or physicians/nurses reported high level for PB, WB and CB than others. Work experience (WE) and engaging in leisure activities with family or friends (LAFF) in vacation were negatively related to PB, WB and CB. Neck and both shoulders pain (NBSP) was positively related to PB, WB and CB. Both ankles pain (BAP) and both knees pain (BKP) was positively related to PB and WB. Sex difference of burnout was associated with sex--dominated occupations. Under low proportion of women than men in physician field, women physicians significantly reported high WB than man physicians. PB/WB/CB was closely relevant to WRIs/SIs and was mediation factors between WRIs/SIs and SSLD, or work OT, or IRS work, or Nurse, or NBSP. PB/WB mediated the relationship between WRIs/SIs and CD or BKP, too. However, PB/WB only mediated the relationship between WRIs and BAP. Conclusion The present study has determined the reasons of burnout development by three burnout scales and statistical methods. In addition, we also determined seldom engaging in leisure activity with family and friends, lack of sleep, AU, OT and shift, CD, and MS pain will increase burnout degree, which will further raise incidence of WRIs/SIs. Therefore, the prevention plans of WRIs should include the high-risk identification mechanism of burnout and early find the high-risk employee of work injuries to further relieve burnout symptoms and effectively avoid occurrence for injuries.
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The prevalence of sleep debt and its association with fatigue, performance and accidents in the modern society
  • M Sallinen
  • M Härmä
  • R Kalimo
  • J Hakanen
Sallinen M, Härmä M, Kalimo R, Hakanen J. The prevalence of sleep debt and its association with fatigue, performance and accidents in the modern society. People Work Res Rep 2000;33:140-143.