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Screening for insomnia disorders among flight crews in Tunisia

Published online by Cambridge University Press:  26 August 2025

A. Chouchane*
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
I. Jemmeli
Affiliation:
Occupational Medicine Department- Ibn El Jazzar Hospital, Kairouan, 2- University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
A. Gaddour
Affiliation:
Occupational Medicine Department- Ibn El Jazzar Hospital, Kairouan, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia, Sousse, Tunisia
M. Bouhoula
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
I. Kacem
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
A. Aloui
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
M. Maoua
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
A. Brahem
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
H. Kalboussi
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
O. El Maalel
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
S. Chatti
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
N. Mrizak
Affiliation:
Occupational Medicine and Professional Pathologies Department, Farhat Hached Teaching Hospital, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Flight crew members are subjected to various stressors that can disrupt their sleep-wake cycle, leading to a higher prevalence of sleep disorders.

Objectives

to assess the prevalence of sleep disturbances among flight crew members of a private airline company in Tunisia.

Methods

A cross-sectional study was conducted involving flight crew members employed by a private airline in Tunisia who underwent periodic medical examinations at the Occupational Medicine and Pathology Department in a University Hospital in Sousse. Data collection included socio-demographic information, lifestyle habits, and professional details, gathered through a structured questionnaire. The Sleep Condition Indicator (SCI) was used to screen for insomnia disorder.

Results

The study included 160 participants, predominantly female (60%). Sixty-five percent of the population was over 40 years old. A significant majority (58.8%) were smokers, while 41.3% consumed alcohol. Coffee consumption was high, with 84.4% of participants reporting regular consumption. Regarding professional data, 71.3% of participants were flight attendants, with a median length of service of 15 years. The majority of participants (65%) had flown medium-haul flights (less than 5 hours) in the preceding month. Insomnia was reported in 23.1% of participants.

Conclusions

Our findings highlight the importance of screening for sleep disorders through periodic medical examinations which can significantly contribute to improving sleep quality, enhancing alertness, and ultimately enhancing aviation safety.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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