The burden of insomnia on individual function and healthcare consumption in Australia
The burden of insomnia on individual function and healthcare consumption in Australia
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DOI：
10.1111/j.1753-6405.2012.00845.x
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发表时间：
2012-10-01
影响因子：
3.5
通讯作者：
Glozier, Nicholas
中科院分区：
文献类型：
--
作者：
Bin, Yu Sun;Marshall, Nathaniel S.;Glozier, Nicholas
目的：确定失眠对澳大利亚个人功能和医疗保健使用造成独立负担的程度。研究方法：分析了2007年全国心理健康和福祉调查中8，841名受访者和16至85岁澳大利亚人口的代表性数据。失眠的定义是过去一周内只短暂睡眠并且大部分时间都醒着。这一措施是针对常见的失眠流行病学指标进行验证的。失眠，残疾和医疗保健消费之间的关联进行了探讨，采用多元逻辑回归。结果：5.6%的成年人报告了抑郁症，与年龄较大、女性、疼痛和心理困扰有关。控制这些和其他先验混杂因素，失眠与更大的几率相关，（调整后比值比; 95% CI）：残疾天数（1.62; 1.202.18），日常活动困难（1.60; 1.102.31）、对生活不满意（2.34; 1.114.93）、使用安眠药（1.78; 1.122.82）和更多地去看全科医生（1.57; 1.062.33）。抑郁症与精神健康药物的使用（1.17; 0.821.67）、住院（1.31; 0.821.67）、补充和替代医学的使用（1.10; 0.731.67）或未满足的医疗保健需求（1.22; 0.841.77）无显著相关性。结论：每20名澳大利亚成年人中就有1人患有失眠症，这与功能障碍和医疗保健使用增加独立相关。影响：提高公众和临床医生对失眠的影响的认识，并促进可用的失眠治疗可能是必要的。
Objective: To determine the extent to which insomnia poses an independent burden on individual function and healthcare use in Australia. Methods: Cross-sectional data from 8,841 respondents and representative of the Australian population aged 16 to 85 in the 2007 National Mental Health and Wellbeing Survey were analysed. Insomnia was defined as sleeping only in short bursts and being awake most of the night during the past week. This measure was validated against common epidemiological indicators of insomnia. Associations between insomnia, disability and healthcare consumption were explored using multivariate logistic regression. Results: Insomnia was reported by 5.6% of adults and was associated with older age, female gender, pain and psychological distress. Controlling for these and other a priori confounders, insomnia was associated with greater odds of (Adjusted Odds Ratio; 95% CI): disability days (1.62; 1.202.18), difficulties in daily activities (1.60; 1.102.31), life dissatisfaction (2.34; 1.114.93), use of sleep medication (1.78; 1.122.82) and a higher number of visits to general practitioners (1.57; 1.062.33). Insomnia was not significantly associated with the use of medications for mental health (1.17; 0.821.67), hospital admissions (1.31; 0.821.67), the use of complementary and alternative medicine (1.10; 0.731.67) or unmet need for healthcare (1.22; 0.841.77). Conclusions: One in twenty adult Australians experience a level of insomnia that is independently associated with impairments in functioning and increased use of healthcare. Implications: Increasing public and clinician awareness of the impact of insomnia, and promotion of available insomnia treatments may be warranted.