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Does occupational distress raise the risk of alcohol use, binge-eating, ill health and sleep problems among medical doctors? A UK cross-sectional study
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    Occupational distress, alcohol consumption and sleep disorder

    Medisauskaite and Kamau conducted a randomized controlled trial to investigate the association between occupational distress and the risk of health problems among UK doctors (1). Occupational distress and job factors increased the odds of doctors using substances, having sleep problems, presenting with frequent symptoms of ill health and binge-eating. Especially, burnout increased the risk of all types of sleep problems, including difficulty falling/staying asleep, insomnia. I suppose that association might be caused from occupational distress to the risk of health problems in an intervention study. I have a general concern on the inter-relationship among health problems, and discussed the relationship between alcohol use and sleep problem as an example.

    First, Hu et al. conducted a meta-analysis to examine the relationship of alcohol consumption with incidence of sleep disorder (2). Pooled odds ratios (ORs) (95% confidence intervals [CIs]) of mild/moderate and heavy alcohol consumptions for the incidence of sleep disorder were 1.37 (1.22, 1.54) and 1.22 (0.94, 1.60). They selected sleepiness and insomnia as sleep problems, and obstructive sleep apnea was not selected in spite of the frequent sleep disorders in drinkers (3). In addition, there is a space of evaluating dose-response relationship.

    Second, Britton et al. evaluated the association between alcohol consumption and sleep disorders among older people (4). For men, OR (95% CI) of drinking more than 21...

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