Substance Use, Sleep Duration, and Health Among Adults in Ohio.

Substance Use, Sleep Duration, and Health Among Adults in Ohio.
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俄亥俄州成年人的药物使用,睡眠持续时间和健康。

DOI:
10.5888/pcd20.230198
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发表时间:
2023-12-28
影响因子:
5.5
通讯作者:
Griggs S
Griggs S
中科院分区:
医学3区
文献类型:
--
作者:
Hernandez E;Griggs S

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物质使用影响了大约4630万12岁或以上的人(占美国人口的16.5%),并与整体睡眠健康状况不佳有关。我们对俄亥俄州2020年行为风险因素监测系统调查的数据进行了横断面二次分析。样本包括14,676名成年人。我们研究了使用2种物质(大麻和非处方止痛药)与睡眠时间短(每晚<6小时)和整体健康(精神,身体和一般)之间的关系。我们使用线性和逻辑回归模型,同时调整个人水平(年龄,性别,种族和民族,教育,收入和体重指数)和地区水平(社会经济贫困)协变量。在回答问题的调查受访者中,9.2%(12,362人中的1,140人)报告使用大麻,1.4%(8,203人中的111人)使用非处方止痛药。使用大麻的受访者平均每月使用17.3天。在调整后的逻辑回归模型中,使用非处方处方止痛药的受访者报告睡眠时间短的几率是未使用处方止痛药的受访者的2.4倍。在报告使用大麻的受访者中,报告睡眠时间短,心理健康状况差,身体健康状况差和一般健康状况差的几率分别为1.5,1.3,2.1和1.9倍(与那些没有使用大麻的受访者相比)。在线性回归模型(调整后)中,使用大麻的天数越多,睡眠时间越长,心理健康状况越差,总体健康状况越差。需要了解物质使用和健康结果之间的联系,以改善物质使用和恢复的轨迹。睡眠时间在使用药物的人中往往被低估。扩大对物质使用者的诊断和治疗选择可能会降低物质使用水平,改善整体健康状况。
Substance use affects approximately 46.3 million people aged 12 years or older (16.5% of the US population) and is associated with poor sleep health overall. We conducted a cross-sectional secondary analysis of data from the 2020 Behavioral Risk Factor Surveillance System survey in Ohio. The sample comprised 14,676 adults. We examined associations between the use of 2 types of substances (marijuana and nonprescribed prescription pain medication) and short sleep duration (<6 hours per night) and overall health (mental, physical, and general). We used linear and logistic regression modeling while adjusting for individual-level (age, sex, race and ethnicity, education, income, and body mass index) and area-level (socioeconomic deprivation) covariates. Of survey respondents who answered questions, 9.2% (1,140 of 12,362) reported using marijuana, and 1.4% (111 of 8,203) used nonprescribed prescription pain medication. Respondents who used marijuana used it an average 17.3 days per month. In adjusted logistic regression models, the odds of reporting short sleep duration were 2.4 times greater among respondents who used nonprescribed prescription pain medication (vs those who did not). The odds of reporting short sleep duration, poor mental health, poor physical health, and poor general health were 1.5, 1.3, 2.1, and 1.9 times greater, respectively, among respondents who reported marijuana use (vs those who did not). In the linear regression models (adjusted), more days of marijuana use were associated with longer sleep duration, worse mental health, and worse general health. Understanding the connection between substance use and health outcomes is needed to improve trajectories of substance use and recovery. Sleep duration is often underassessed among people who use substances. Expanding diagnostics and treatment options for those who use substances may result in lower levels of substance use and improved overall health.
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发表时间: 2020-02-01
期刊: SLEEP HEALTH
影响因子: 4.1
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