Sleep apnea and daytime sleepiness in police officers from Kerala, India

Autores
Mini, G. K.; Sangeeth, Krishna S.; Gopika, Gopinathan Bhaskaran; Anjana, V. M.; Marthanda, Pillai Anand; Sreedevi, Aswathy; Marthanda, Pillai A.; Irazola, Vilma
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Globally, poor sleep is a significant public health problem. Healthy sleep is important for physical and mental well-being, particularly for individuals who work in environments with shift schedules. However, this issue has not been adequately addressed, especially in low-and-middle-income settings. This study examined sleep apnea and excessive daytime sleepiness among police officers in Kerala, India, and explored the factors associated with these conditions.Methods: Using a cross-sectional study design, we collected data from 253 police officers selected from 14 police stations in Thiruvananthapuram district. Data on socio-demographic and occupational characteristics were collected using structured questionnaire and stress using the Police Stress Questionnaire. Sleep apnea and excessive daytime sleepiness (EDS) were assessed using the Berlin Scale and Epworth Sleepiness Scale, respectively. Both bivariate and multivariate analyses were used to identify associated factors with sleep apnea and EDS.Results: Participants were predominantly male (89%), aged 30-55 years (mean: 42 years, SD:±6). The prevalence of operational stress was 75.5% [95% Confidence Interval (CI): 69.7-80.6], organizational stress 65.6% (CI:59.4-71.4), sleep apnea 15.0% (CI:10.8-20.0), and EDS 56.5% (CI:50.1-62.7). Sleep apnea was significantly higher among alcohol or tobacco users [unadjusted odds ratio (UAOR):2.16, CI:1.07-4.34]. Both operational stress (UAOR:4.41, CI:1.30-14.89) and organizational stress (UAOR:4.06, CI:1.52-10.84) were significantly associated with sleep apnea. EDS was more likely to be reported by officers from rural police stations (UAOR:3.09, CI:1.82-5.24), those with fewer years of experience (UAOR:1.65, CI:1.00-2.73), and among civil police officers (UAOR:2.15, CI:1.23-3.76) compared to their counterparts. The regression results indicated that those with diabetes or hypertension were significantly more likely to have sleep apnea (Odds Ratio (OR):8.41 95% CI: 3.20-22.10) compared to those without these conditions. Police officers from rural stations were more likely to experience excessive daytime sleepiness compared to their counterparts from urban areas (OR: 3.14, 95% CI: 1.80-5.47).Conclusions: A high prevalence of sleep disorders was observed among police officers, with strong associations to occupational stress and lifestyle factors. Based on the findings, we initiated behavioral interventions to improve sleep quality in this population.
Fil: Mini, G. K.. Harvard University; Estados Unidos
Fil: Sangeeth, Krishna S.. Harvard University; Estados Unidos
Fil: Gopika, Gopinathan Bhaskaran. Ananthapuri Hospitals and Research Institute; India
Fil: Anjana, V. M.. Ananthapuri Hospitals and Research Institute; India
Fil: Marthanda, Pillai Anand. Ananthapuri Hospitals and Research Institute; India
Fil: Sreedevi, Aswathy. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Marthanda, Pillai A.. Ananthapuri Hospitals and Research Institute; India
Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
India
Kerala
Police officers
Sleep
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/291124
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Sleep apnea and daytime sleepiness in police officers from Kerala, IndiaMini, G. K.Sangeeth, Krishna S.Gopika, Gopinathan BhaskaranAnjana, V. M.Marthanda, Pillai AnandSreedevi, AswathyMarthanda, Pillai A.Irazola, VilmaIndiaKeralaPolice officersSleephttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Globally, poor sleep is a significant public health problem. Healthy sleep is important for physical and mental well-being, particularly for individuals who work in environments with shift schedules. However, this issue has not been adequately addressed, especially in low-and-middle-income settings. This study examined sleep apnea and excessive daytime sleepiness among police officers in Kerala, India, and explored the factors associated with these conditions.Methods: Using a cross-sectional study design, we collected data from 253 police officers selected from 14 police stations in Thiruvananthapuram district. Data on socio-demographic and occupational characteristics were collected using structured questionnaire and stress using the Police Stress Questionnaire. Sleep apnea and excessive daytime sleepiness (EDS) were assessed using the Berlin Scale and Epworth Sleepiness Scale, respectively. Both bivariate and multivariate analyses were used to identify associated factors with sleep apnea and EDS.Results: Participants were predominantly male (89%), aged 30-55 years (mean: 42 years, SD:±6). The prevalence of operational stress was 75.5% [95% Confidence Interval (CI): 69.7-80.6], organizational stress 65.6% (CI:59.4-71.4), sleep apnea 15.0% (CI:10.8-20.0), and EDS 56.5% (CI:50.1-62.7). Sleep apnea was significantly higher among alcohol or tobacco users [unadjusted odds ratio (UAOR):2.16, CI:1.07-4.34]. Both operational stress (UAOR:4.41, CI:1.30-14.89) and organizational stress (UAOR:4.06, CI:1.52-10.84) were significantly associated with sleep apnea. EDS was more likely to be reported by officers from rural police stations (UAOR:3.09, CI:1.82-5.24), those with fewer years of experience (UAOR:1.65, CI:1.00-2.73), and among civil police officers (UAOR:2.15, CI:1.23-3.76) compared to their counterparts. The regression results indicated that those with diabetes or hypertension were significantly more likely to have sleep apnea (Odds Ratio (OR):8.41 95% CI: 3.20-22.10) compared to those without these conditions. Police officers from rural stations were more likely to experience excessive daytime sleepiness compared to their counterparts from urban areas (OR: 3.14, 95% CI: 1.80-5.47).Conclusions: A high prevalence of sleep disorders was observed among police officers, with strong associations to occupational stress and lifestyle factors. Based on the findings, we initiated behavioral interventions to improve sleep quality in this population.Fil: Mini, G. K.. Harvard University; Estados UnidosFil: Sangeeth, Krishna S.. Harvard University; Estados UnidosFil: Gopika, Gopinathan Bhaskaran. Ananthapuri Hospitals and Research Institute; IndiaFil: Anjana, V. M.. Ananthapuri Hospitals and Research Institute; IndiaFil: Marthanda, Pillai Anand. Ananthapuri Hospitals and Research Institute; IndiaFil: Sreedevi, Aswathy. Harvard University. Harvard School of Public Health; Estados UnidosFil: Marthanda, Pillai A.. Ananthapuri Hospitals and Research Institute; IndiaFil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaBioMed Central2025-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/291124Mini, G. K.; Sangeeth, Krishna S.; Gopika, Gopinathan Bhaskaran; Anjana, V. M.; Marthanda, Pillai Anand; et al.; Sleep apnea and daytime sleepiness in police officers from Kerala, India; BioMed Central; BMC Public Health; 25; 1; 6-2025; 1-81471-2458CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-025-23292-0info:eu-repo/semantics/altIdentifier/doi/10.1186/s12889-025-23292-0info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T14:44:02Zoai:ri.conicet.gov.ar:11336/291124instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 14:44:02.635CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Sleep apnea and daytime sleepiness in police officers from Kerala, India
title Sleep apnea and daytime sleepiness in police officers from Kerala, India
spellingShingle Sleep apnea and daytime sleepiness in police officers from Kerala, India
Mini, G. K.
India
Kerala
Police officers
Sleep
title_short Sleep apnea and daytime sleepiness in police officers from Kerala, India
title_full Sleep apnea and daytime sleepiness in police officers from Kerala, India
title_fullStr Sleep apnea and daytime sleepiness in police officers from Kerala, India
title_full_unstemmed Sleep apnea and daytime sleepiness in police officers from Kerala, India
title_sort Sleep apnea and daytime sleepiness in police officers from Kerala, India
dc.creator.none.fl_str_mv Mini, G. K.
Sangeeth, Krishna S.
Gopika, Gopinathan Bhaskaran
Anjana, V. M.
Marthanda, Pillai Anand
Sreedevi, Aswathy
Marthanda, Pillai A.
Irazola, Vilma
author Mini, G. K.
author_facet Mini, G. K.
Sangeeth, Krishna S.
Gopika, Gopinathan Bhaskaran
Anjana, V. M.
Marthanda, Pillai Anand
Sreedevi, Aswathy
Marthanda, Pillai A.
Irazola, Vilma
author_role author
author2 Sangeeth, Krishna S.
Gopika, Gopinathan Bhaskaran
Anjana, V. M.
Marthanda, Pillai Anand
Sreedevi, Aswathy
Marthanda, Pillai A.
Irazola, Vilma
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv India
Kerala
Police officers
Sleep
topic India
Kerala
Police officers
Sleep
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Globally, poor sleep is a significant public health problem. Healthy sleep is important for physical and mental well-being, particularly for individuals who work in environments with shift schedules. However, this issue has not been adequately addressed, especially in low-and-middle-income settings. This study examined sleep apnea and excessive daytime sleepiness among police officers in Kerala, India, and explored the factors associated with these conditions.Methods: Using a cross-sectional study design, we collected data from 253 police officers selected from 14 police stations in Thiruvananthapuram district. Data on socio-demographic and occupational characteristics were collected using structured questionnaire and stress using the Police Stress Questionnaire. Sleep apnea and excessive daytime sleepiness (EDS) were assessed using the Berlin Scale and Epworth Sleepiness Scale, respectively. Both bivariate and multivariate analyses were used to identify associated factors with sleep apnea and EDS.Results: Participants were predominantly male (89%), aged 30-55 years (mean: 42 years, SD:±6). The prevalence of operational stress was 75.5% [95% Confidence Interval (CI): 69.7-80.6], organizational stress 65.6% (CI:59.4-71.4), sleep apnea 15.0% (CI:10.8-20.0), and EDS 56.5% (CI:50.1-62.7). Sleep apnea was significantly higher among alcohol or tobacco users [unadjusted odds ratio (UAOR):2.16, CI:1.07-4.34]. Both operational stress (UAOR:4.41, CI:1.30-14.89) and organizational stress (UAOR:4.06, CI:1.52-10.84) were significantly associated with sleep apnea. EDS was more likely to be reported by officers from rural police stations (UAOR:3.09, CI:1.82-5.24), those with fewer years of experience (UAOR:1.65, CI:1.00-2.73), and among civil police officers (UAOR:2.15, CI:1.23-3.76) compared to their counterparts. The regression results indicated that those with diabetes or hypertension were significantly more likely to have sleep apnea (Odds Ratio (OR):8.41 95% CI: 3.20-22.10) compared to those without these conditions. Police officers from rural stations were more likely to experience excessive daytime sleepiness compared to their counterparts from urban areas (OR: 3.14, 95% CI: 1.80-5.47).Conclusions: A high prevalence of sleep disorders was observed among police officers, with strong associations to occupational stress and lifestyle factors. Based on the findings, we initiated behavioral interventions to improve sleep quality in this population.
Fil: Mini, G. K.. Harvard University; Estados Unidos
Fil: Sangeeth, Krishna S.. Harvard University; Estados Unidos
Fil: Gopika, Gopinathan Bhaskaran. Ananthapuri Hospitals and Research Institute; India
Fil: Anjana, V. M.. Ananthapuri Hospitals and Research Institute; India
Fil: Marthanda, Pillai Anand. Ananthapuri Hospitals and Research Institute; India
Fil: Sreedevi, Aswathy. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Marthanda, Pillai A.. Ananthapuri Hospitals and Research Institute; India
Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Background: Globally, poor sleep is a significant public health problem. Healthy sleep is important for physical and mental well-being, particularly for individuals who work in environments with shift schedules. However, this issue has not been adequately addressed, especially in low-and-middle-income settings. This study examined sleep apnea and excessive daytime sleepiness among police officers in Kerala, India, and explored the factors associated with these conditions.Methods: Using a cross-sectional study design, we collected data from 253 police officers selected from 14 police stations in Thiruvananthapuram district. Data on socio-demographic and occupational characteristics were collected using structured questionnaire and stress using the Police Stress Questionnaire. Sleep apnea and excessive daytime sleepiness (EDS) were assessed using the Berlin Scale and Epworth Sleepiness Scale, respectively. Both bivariate and multivariate analyses were used to identify associated factors with sleep apnea and EDS.Results: Participants were predominantly male (89%), aged 30-55 years (mean: 42 years, SD:±6). The prevalence of operational stress was 75.5% [95% Confidence Interval (CI): 69.7-80.6], organizational stress 65.6% (CI:59.4-71.4), sleep apnea 15.0% (CI:10.8-20.0), and EDS 56.5% (CI:50.1-62.7). Sleep apnea was significantly higher among alcohol or tobacco users [unadjusted odds ratio (UAOR):2.16, CI:1.07-4.34]. Both operational stress (UAOR:4.41, CI:1.30-14.89) and organizational stress (UAOR:4.06, CI:1.52-10.84) were significantly associated with sleep apnea. EDS was more likely to be reported by officers from rural police stations (UAOR:3.09, CI:1.82-5.24), those with fewer years of experience (UAOR:1.65, CI:1.00-2.73), and among civil police officers (UAOR:2.15, CI:1.23-3.76) compared to their counterparts. The regression results indicated that those with diabetes or hypertension were significantly more likely to have sleep apnea (Odds Ratio (OR):8.41 95% CI: 3.20-22.10) compared to those without these conditions. Police officers from rural stations were more likely to experience excessive daytime sleepiness compared to their counterparts from urban areas (OR: 3.14, 95% CI: 1.80-5.47).Conclusions: A high prevalence of sleep disorders was observed among police officers, with strong associations to occupational stress and lifestyle factors. Based on the findings, we initiated behavioral interventions to improve sleep quality in this population.
publishDate 2025
dc.date.none.fl_str_mv 2025-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/291124
Mini, G. K.; Sangeeth, Krishna S.; Gopika, Gopinathan Bhaskaran; Anjana, V. M.; Marthanda, Pillai Anand; et al.; Sleep apnea and daytime sleepiness in police officers from Kerala, India; BioMed Central; BMC Public Health; 25; 1; 6-2025; 1-8
1471-2458
CONICET Digital
CONICET
url http://hdl.handle.net/11336/291124
identifier_str_mv Mini, G. K.; Sangeeth, Krishna S.; Gopika, Gopinathan Bhaskaran; Anjana, V. M.; Marthanda, Pillai Anand; et al.; Sleep apnea and daytime sleepiness in police officers from Kerala, India; BioMed Central; BMC Public Health; 25; 1; 6-2025; 1-8
1471-2458
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-025-23292-0
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12889-025-23292-0
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.24418

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