{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:59:39Z","timestamp":1790171979429,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Firefighters perform high-risk, physically demanding duties with irregular hours and disrupted sleep, increasing injury risk. This study assessed the burden of work-related injuries and their association with sleep quality among firefighters in Kollam, Kerala.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>An institution-based cross-sectional study was conducted from September 2024 to November 2025 among 106 firefighters from all 11 Fire and Rescue stations, selected by simple random sampling. Data were collected through face-to-face interviews using a pre-tested structured questionnaire and analyzed using Microsoft Excel 2021 and JAMOVI 2.5.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      Among 106 male firefighters (median age 39; IQR 37\u201343), 76.4% were married, 62.3% graduates, and 70.8% upper socioeconomic class. Alcohol use (29.2%), and smoking (17%) were reported; all used personal protective equipment (PPE) and 66% had normal body mass index (BMI). Participants worked \u226572 hours weekly with daily physical training. Weekly hazardous exposure was reported by 41.5% and related health problems by 53.8%. Work-related injuries occurred in 39.6%, mostly mild (61.9%) and limb-related (50%), commonly during fire and rescue operations, with fatigue as the leading contributor (40.5%). Poor sleep quality (55.7%) showed a significant association with injury (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Work-related injuries are common among firefighters and are strongly associated with poor sleep quality. Optimizing duty schedules, strengthening workplace safety, and promoting sleep health may help reduce injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijoem.ijoem_425_25","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:00:59Z","timestamp":1790146859000},"page":"229-234","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Study on Work-Related Injuries and Its Association with Sleep Quality and Other Related Factors Among Firefighters in the District of Kollam, Kerala"],"prefix":"10.4103","volume":"30","author":[{"given":"Bitty M.","family":"George","sequence":"first","affiliation":[{"name":"Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monalisha","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of 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