DOI: 10.1097/jom.0000000000003922 ISSN: 1076-2752

Occupational Conditions and Sleep Duration, Continuity, and Quality among First Responders: Evidence from the 2025 Los Angeles Wildfires

Sunny Liu, Chunqing Lin, Xia Yang, Jian Li

Objective:

To examine occupational conditions and sleep during wildfire response.

Methods:

We surveyed 90 first responders during the 2025 Los Angeles wildfires and modeled sleep duration, continuity, and quality against shift characteristics, workload, hazard proximity, and working conditions.

Results:

After adjustment for age and experience, 24-hour shifts were associated with 1.65 fewer total sleep hours (95% CI: −2.45, −0.84) and 1.93 fewer consecutive hours (−2.99, −0.87). Four or more consecutive shifts were also associated with shorter sleep, and poorer working conditions with shorter total sleep; hazard proximity and total shifts were not. Poor or very poor sleep quality (83%) was associated with all exposures except total shifts and shift extension.

Conclusion:

Long and consecutive shifts were associated with shorter, more fragmented sleep. Exposures were closely tied to occupational role.

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