A1 Refereed original research article in a scientific journal
Do obesity and sleep problems cluster in the workplace? A multivariate multilevel study
Authors: Oksanen T, Kawachi I, Subramanian S, Kim D, Shirai K, Kouvonen A, Pentti J, Salo P, Virtanen M, Vahtera J, Kivimäki M
Publication year: 2013
Journal: Scandinavian Journal of Work, Environment and Health
Number in series: 3
Volume: 39
Issue: 3
First page : 276
Last page: 283
Number of pages: 8
ISSN: 0355-3140
DOI: https://doi.org/10.5271/sjweh.3332
OBJECTIVES:
The aim of this study was to examine the co-occurrence of obesity and sleep problems among employees and workplaces.
METHODS:
We obtained data from 39 873 men and women working in 3040 workplaces in 2000-2002 (the Finnish Public Sector Study). Individual- and workplace-level characteristics were considered as correlates of obesity and sleep problems, which were modelled simultaneously using a multivariate, multilevel approach.
RESULTS:
Of the participants, 11% were obese and 23% reported sleep problems. We found a correlation between obesity and sleep problems at both the individual [correlation coefficient 0.048, covariance 0.047, standard error (SE) 0.005) and workplace (correlation coefficient 0.619, covariance 0.068, SE 0.011) level. The latter, but not the former, correlation remained after adjustment for individual- and workplace-level confounders, such as age, sex, socioeconomic status, shift work, alcohol consumption, job strain, and proportion of temporary employees and manual workers at the workplace.
CONCLUSIONS:
Obese employees and those with sleep problems tend to cluster in the same workplaces, suggesting that, in addition to targeting individuals at risk, interventions to reduce obesity and sleep problems might benefit from identifying "risky" workplaces.
