The Cross-Sectional Association of Sleep Disturbance and Sleep Apnea With Complex Multimorbidity Among Chinese and Korean Americans.
The Cross-Sectional Association of Sleep Disturbance and Sleep Apnea With Complex Multimorbidity Among Chinese and Korean Americans.
复制标题
华裔和韩裔美国人的睡眠障碍和睡眠呼吸暂停与复杂多发病的横断面关联。
DOI：
10.1093/aje/kwac211
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发表时间：
2023
影响因子：
5
通讯作者：
Lee,Sunmin
中科院分区：
文献类型：
--
作者：
Ryu,Soomin;Morey,BrittanyN;Lee,GraceE;Kawachi,Ichiro;Redline,Susan;Lee,Sunmin
一种称为复杂多发病的新概念通过根据疾病影响的身体系统对疾病进行分类，提供了比基于简单疾病计数的多发病更可靠的疾病负担衡量标准。本研究使用预防结直肠癌筛查研究（2018-2020）的横断面数据 (n= 400)，探讨了巴尔的摩 - 华盛顿特区大都市区的华裔和韩裔美国人的睡眠指标与复杂多发病之间的关联。使用 8 项患者报告结果测量信息系统睡眠障碍量表测量睡眠障碍，并使用柏林问卷评估睡眠呼吸暂停风险。复杂的多发病被定义为通过医生诊断疾病的自我报告评估的 3 种或更多身体系统疾病的共存。经过调整的泊松回归模型表明，睡眠障碍患者的复杂多病患病率是其 2.15 倍（95% 置信区间 (CI)：1.07、4.29）。睡眠呼吸暂停高风险个体的复杂多病患病率是其 1.19 倍（95% CI：0.47，3.01）。这些发现表明，需要采取干预措施来提高医疗保健提供者和公众对睡眠重要性的认识，并教育他们有关睡眠障碍和睡眠呼吸暂停的原因、体征和治疗方法。
A new concept called complex multimorbidity provides a more reliable measure of disease burden than multimorbidity based on a simple count of diseases, by categorizing diseases according to the body system they affect. This study examined associations between sleep measures and complex multimorbidity among Chinese and Korean Americans in the Baltimore–Washington DC Metropolitan Area, using cross-sectional data (n= 400) from the Screening to Prevent Colorectal Cancer study (2018–2020). Sleep disturbance was measured using the 8-item Patient Reported Outcomes Measurement Information System Sleep Disturbance scale and sleep apnea risk was assessed using the Berlin questionnaire. Complex multimorbidity was defined as the coexistence of 3 or more of body system disorders assessed by self-report of physician-diagnosed diseases. Poisson regression models with adjustments indicated that individuals with sleep disturbance had 2.15 times the prevalence of having complex multimorbidity (95% confidence interval (CI): 1.07, 4.29). Individuals with a high risk of sleep apnea had 1.19 times the prevalence of having complex multimorbidity (95% CI: 0.47, 3.01). These findings suggest a need for interventions to increase awareness of the importance of sleep among health-care providers and the public and to educate them about causes, signs, and treatment of sleep disturbance and sleep apnea.