Abstract
Background: This study investigates associations between self-rated health (SRH), recovery from work, fatigue, and insomnia and work conditions, psychosocial work environment, lifestyle and sense of coherence (SOC) among commercial pilots. Methods: A standardized questionnaire was sent to all pilots in an airline company, 354 (61%) participated. Associations were analysed by ordinal and logistic regression with mutual adjustment. Results: Totally 21.8% reported low SRH, 13.0% did not recover from work during free time, 61.9% had fatigue and 70.6% had insomnia symptoms. SRH was associated with high work demands, SOC, exercise, and overweight/obesity. Recovery from work was associated with part-time work, being a co-pilot, low social support at work and SOC. Fatigue was associated with female gender, high work demands, SOC, and younger age. Insomnia was associated with low social support, SOC, and free hours after work. Moreover, insomnia was associated with flying MD80 and intercontinental flights with Airbus 330/340, using Boeing 737 as reference. Conclusion: The psychosocial environment at work is important for health among pilots and a high sense of coherence can be protective. Occupational conditions may have an influence on recovery from work, fatigue, and insomnia. Moreover exercise, being fit, working part-time and having more free hours after work could improve health.