“…Further research is needed to explicate the pathways that may result in greater sleep problems among female transit operators compared to their male colleagues. Sleep quality has been shown to decline with age (Hublin, Lehtovirta, Partinen, Koskenvuo, & Kaprio, 2017), but workers in the study's oldest age category (56+ years) were not at increased risk for often experiencing insomnia symptoms. This may be due in part to the healthy worker effect, the phenomena in which healthier individuals are more likely to be employed than unhealthier individuals, and are likewise more likely to continue working than those in poorer health (McMichael, 1976).…”