Shift Work Sleep Disorder Among Rotating Night Shift Textile Workers and Its Association with Occupational Accidents

Objective: Evaluate Shift Work Sleep Disorder (SWSD) prevalence, risk factors and occupational accident association among rotating shift textile workers. Methods: A cross-sectional survey of 217 workers was conducted (April–June 2024) using standardized scales (STOP-BANG, ESS, PSQI, ISI). SWSD was defined as ISI≥8 and/or ESS≥11, excluding high OSA-risk (STOP-BANG≥5). Logistic regression identified independent predictors. Results: In 202 analyzed workers, SWSD prevalence was 34%. Workplace accidents were significantly higher in SWSD workers (46% vs 31%, p=0.036). Multivariable analysis revealed Body Mass Index (OR=1.140, 95% CI: 1.054–1.233, p=0.001) and insomnia (OR=2.399, 95% CI: 1.252–4.597, p=0.008) as independent predictors of accidents. Conclusions: SWSD affects one-third of rotating textile workers, significantly associated with higher accident rates. Industrial safety protocols must incorporate objective sleep health management.