title: The negative impact of prison work on sleep health.
abstract: OBJECTIVE
  To examine the prevalence of sleep disorders, deprivation, and quality in a sample of prison employees, and investigate the relationship between exposure to work-related critical incidents and sleep.
  
  
  METHODS
  We surveyed 355 Washington State Department of Corrections employees. The survey included the Pittsburg Sleep Quality Index and the Critical Incident History Questionnaire.
  
  
  RESULTS
  We found 28% and 45% of the sample reported suffering from Apnea and insomnia, respectively. Over half of the sample reporting sleeping less than 2 h between shifts and being constantly fatigued. We found significant associations between exposure to critical incidents and sleep problems.
  
  
  CONCLUSIONS
  Prison workers are in desperate need of help to improve their sleep. Our findings suggest the importance of continued investigation of prison worker sleep health using objective measures, toward the development of programs for improving sleep and resilience to critical incidents and stress.
authors.affiliation: College of Nursing, Washington State University, Spokane, Washington.
authors.forename: Lois
authors.identifier: http://orcid.org/0000-0002-0278-318X
authors.initials: L
authors.lastname: James
authors.affiliation: Department of Criminology and Criminal Justice, Arizona State University, Tempe, Arizona.
authors.forename: Natalie
authors.initials: N
authors.lastname: Todak
authors.affiliation: Department of Psychology, Lewis and Clarke College, Portland, Oregon.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Best
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology; D016273:Occupational Exposure / Q000009:adverse effects*; D011330:Prisons; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology* / Q000523:psychology*; D012926:Social Control, Formal; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D014861:Washington / Q000453:epidemiology; D014937:Work / Q000523:psychology*; D064450:Workplace Violence / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: critical incident exposure; fatigue; health; prison workers; sleep