Estimated Prevalence of Insomnia among Women Veterans: Results of a Postal Survey
Estimated Prevalence of Insomnia among Women Veterans: Results of a Postal Survey
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DOI：
10.1016/j.whi.2016.12.003
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发表时间：
2017-05-01
影响因子：
3.2
通讯作者：
Alessi, Cathy A.
中科院分区：
文献类型：
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作者：
Martin, Jennifer L.;Schweizer, C. Amanda;Alessi, Cathy A.
目的：失眠是一个重要的公共卫生问题，尤其影响女性和退伍军人群体;然而，女性退伍军人的失眠率尚不清楚。方法：2008年至2010年期间在VA大洛杉矶医疗保健系统接受医疗保健并居住在该设施25英里范围内的女性退伍军人被发送了一份邮政调查，评估睡眠，人口统计学，结果：共有660名妇女（43.1%的潜在响应者）返回了邮政调查，并提供了足够的信息失眠诊断。平均而言，女性每晚睡眠时间为6.2小时。根据国际睡眠障碍分类-2诊断标准确定的失眠患病率为52.3%。与没有失眠的女性相比，失眠的女性报告了更严重的睡眠障碍，更多的疼痛，更年期症状，压力/担忧和噩梦。有一个年龄和失眠与妇女在他们的中间40年代，最有可能有insomnia.Conclusions之间的二次关系：这项调查研究发现，失眠症状的赞同超过一半的女性退伍军人在这个样本的VA用户，突出强调了迫切需要加强临床识别和干预。需要进一步的研究来确定全国女性退伍军人的失眠率，并改善失眠症的循证治疗。爱思唯尔公司出版代表雅各布妇女健康研究所
Objectives: Insomnia is a significant public health concern known to particularly impact women and the veteran population; however, rates of insomnia disorder among women veterans are not known.Method: Women veterans who had received health care at VA Greater Los Angeles Healthcare System between 2008 and 2010 and resided within 25 miles of the facility were sent a postal survey assessing sleep, demographics, and other related patient characteristics.Results: A total of 660 women (43.1% of potential responders) returned the postal survey and provided sufficient information for insomnia diagnosis. On average, women reported 6.2 hours of sleep per night. The prevalence of insomnia, determined according to diagnostic criteria from the International Classification of Sleep Disorders-2, was 52.3%. Women with insomnia reported more severely disturbed sleep, and more pain, menopausal symptoms, stress/worries, and nightmares compared with women without insomnia. There was a quadratic relationship between age and insomnia with women in their mid-40s, most likely to have insomnia.Conclusions: This survey study found that insomnia symptoms were endorsed by more than one-half of the women veterans in this sample of VA users, highlighting the critical need for enhanced clinical identification and intervention. Further research is needed to establish national rates of insomnia among women veterans and to improve access to evidence-based treatment of insomnia disorder. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health.