Evidence map›Paper›PMID 40293573›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Sleep disorders among Tunisian night-shift workers: a cross-sectional study.

Rim Khemakhem, Nesrine Kammoun, Sirine Fehri, Rahma Gargouri, Saeb Bader, Narjes Abid, Nadia Keskes Boudaoura, Jamel Elghoul, Nesrine Kallel, Nedia Moussa and 3 more

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rim KhemakhemDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia. khemakhem_rim@medecinesfax.org.ORCID 0000-0003-4977-6419
Nesrine KammounTunisian Occupational Health and Safety Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Sirine FehriDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Rahma GargouriDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Saeb BaderDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Narjes AbidDepartment of Pneumology, Mohamed Taher Maamouri University Hospital of Nabeul, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Nadia Keskes BoudaouraDepartment of Pneumology, Taher Sfar University Hospital of Mahdia, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Jamel ElghoulDepartment of Pneumology, Habib Bourguiba University Hospital of Medenine, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Nesrine KallelDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Nedia MoussaDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Hamida KwasPulmonology, University of Sfax, Faculty of Medicine of Sfax, University Hospital of Gabès, Gabès, Tunisia.
Sameh MsaadDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Samy KammounDepartment of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNight shift work is common today and disrupts circadian rhythms, leading to health concerns. This study examines the impact of night shifts on sleep quality among Tunisian workers, determines the prevalence of sleep disorders, and identifies factors associated with poor sleep quality. METHODOLOGY: This cross-sectional study employed an online questionnaire to assess sleep disorders among night workers aged 18 and older. Key measures included sleep quality, daytime alertness, mood, and subjective well-being, assessed with validated Arabic versions of the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Patient Health Questionnaire-9 (PHQ-9), and WHO-Five Well-Being Index (WHO-5).

resultsA study of 503 Tunisian night shift workers aged 25 to 64 revealed significant sleep disturbances. Poor sleep quality (PSQI score > 5) was found in 59.4%, while 13.7% reported insomnia (ISI score > 15). Severe insomnia, excessive daytime sleepiness, severe depression, and poor well-being were present in 2%, 32.6%, 4%, and 58.3%, respectively. Factors linked to poor sleep quality included BMI, active smoking, fatty meals, hypnotic use, nasal obstruction, sinusitis, gastrointestinal disorders, and well-being scores.

conclusionThe findings of this study highlight the significant impact of night shift work on sleep quality and overall well-being among Tunisian workers. To mitigate these effects, practical interventions are essential, including promoting shift work schedules, improving workplace wellness programs, encouraging healthier lifestyle choices, and providing access to mental health support. Future research should investigate the relationship between shift work, sleep, and mental health while finding ways to mitigate these effects.

Indexed as

Occupational DiseasesShift Work ScheduleSleep Disorders, Circadian RhythmWork Schedule ToleranceAdultCross-Sectional StudiesDisorders of Excessive SomnolenceFemaleHumansMaleMiddle AgedSleep Initiation and Maintenance DisordersSurveys and QuestionnairesTunisiaNight shift workOccupational healthSleep disordersSleep–wake cycleTunisian workers

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.