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April 15, 2026Annals of Occupational and Environmental Medicine1 citationsOpen Access

Risk of sleep disturbance associated with work-related activities during free time in South Korea: a cross-sectional study with mediation analysis

OKOhwi KwonHLHye-Eun LeeMKMo-Yeol Kang

Key Points

  • The aim is to explore how work-related activities during free time correlate with sleep disturbance.
  • Analyzed data from 21,473 participants of the 2023 Korean Working Conditions Survey.
  • Employed multivariable logistic regression to determine odds ratios for sleep disturbance.
  • Constructed three sequential models to assess the effect of working hours and shift work.
  • Conducted mediation analysis to identify mechanisms linking work activities and sleep issues.
  • Daily work during free time associated with a significantly higher risk of sleep disturbance (OR: 4.17).
  • Daily use of communication devices for work linked to an increased risk of sleep disturbance (OR: 1.83).
  • Mediation analysis indicated 'worry about work' was a mediator for device use (13.7%).
  • The strongest mediator for working during free time was feeling too tired for housework (26.6%).

Abstract

Background: This study aims to investigate the associations between work-related activities during free time, including frequency of working during free time and use of communication devices for work during free time, and sleep disturbance. It further explores the underlying mechanisms through mediation analysis.Methods: Data were analyzed from 21,473 participants of the seventh Korean Working Conditions Survey (KWCS, 2023). Multivariable logistic regression was employed to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for sleep disturbance. Three sequential models were constructed to evaluate the effects of weekly working hours and shift work on sleep disturbance risk. Mediation analysis was conducted to identify pathways linking work-related activities during free time and sleep disturbance.Results: Those who worked during their free time daily showed significantly higher risk of sleep disturbance (OR: 4.17; 95% CI: 2.64–6.58). Similarly, daily use of communication devices for work during free time was associated with an increased risk (OR: 1.83; 95% CI: 1.57–2.13). These associations remained robust even after adjusting for weekly working hours and shift work. Mediation analysis revealed that "worry about work while at home" was the primary mediator for device use (13.7%; 95% CI: 0.11–0.18), while "feeling too tired for housework after work" was the strongest mediator for working during free time (26.6%; 95% CI: 0.22–0.32).Conclusions: The results indicate that engaging in work-related activities during free time elevates the risk of sleep disturbance, independent of long working hours or shift patterns. Mediation analysis revealed that the strongest effects were driven by the behavioral and psychological dimensions of work–family conflict. These findings suggest that sleep disturbance arises primarily from the erosion of work–life boundaries, fueled by persistent work-related rumination and the spillover of professional burdens into free time.

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Cite This Study

Kwon et al. (2026) studied this question.

synapsesocial.com/papers/69df2c2fe4eeef8a2a6b13cfhttps://doi.org/10.35371/aoem.2026.38.e11
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