Associations of a Short Sleep Duration, Insufficient Sleep, and Insomnia with Self-Rated Health among Nurses
Associations of a Short Sleep Duration, Insufficient Sleep, and Insomnia with Self-Rated Health among Nurses
复制标题
DOI：
10.1371/journal.pone.0126844
复制
发表时间：
2015-05-11
期刊：
影响因子：
3.7
通讯作者：
Rotenberg, Lucia
中科院分区：
文献类型：
--
作者：
Silva-Costa, Aline;Griep, Rosane Haerter;Rotenberg, Lucia
流行病学证据表明，睡眠时间和睡眠质量差与死亡率以及各种负面健康结果有关。然而，很少有研究调查了睡眠和自我评估健康之间的关系，特别是通过结合睡眠抱怨。本研究的目的是考虑到睡眠时间、失眠和睡眠充足的综合因素，研究自我评估的健康状况是否与睡眠抱怨有关。这项横断面研究是在巴西里约热内卢市18家最大的公立医院进行的。共有2518名女护士自行填写了一份多维度问卷。调整后的优势比和95%置信区间（ci）估计了在不同的睡眠时间和质量组合存在的情况下，自评健康状况不佳的可能性。与报告睡眠时间充足但无睡眠质量抱怨的女性（参照组）相比，仅报告睡眠不足的女性自评健康状况不佳的比值比（95% CI）为1.79(1.27-2.24)，仅报告睡眠时间短的女性为1.85(0.94-3.66)，仅失眠的女性为3.12（1.94-5.01）。与所有三种抱怨（睡眠时间短、失眠和睡眠不足）的人相比，自评健康状况不佳的优势比为4.49（3.25-6.22）。根据睡眠抱怨的组合，观察到这种关联的程度存在差异。由于自我评估的健康状况是发病率的一致预测指标，这些结果加强了人们对睡眠在健康和疾病中的作用的认识。我们的发现有助于认识到睡眠是一个公共卫生问题，值得决策者更好地理解和解决。
Epidemiological evidence suggests that sleep duration and poor sleep are associated with mortality, as well as with a wide range of negative health outcomes. However, few studies have examined the association between sleep and self-rated health, particularly through the combination of sleep complaints. The objective of this study was to examine whether self-rated health is associated with sleep complaints, considering the combination of sleep duration, insomnia, and sleep sufficiency. This cross-sectional study was performed in the 18 largest public hospitals in the city of Rio de Janeiro, Brazil. A total of 2518 female nurses answered a self-filled multidimensional questionnaire. The adjusted odds ratios and 95% confidence intervals (CIs) estimated the chance of poor self-rated health in the presence of different combinations of sleep duration and quality. Compared with women who reported adequate sleep duration with no sleep quality complaints (reference group), the odds ratios (95% CI) for poor self-rated health were 1.79 (1.27-2.24) for those who reported only insufficient sleep, 1.85 (0.94-3.66) for only a short sleep duration, and 3.12 (1.94-5.01) for only insomnia. Compared with those who expressed all three complaints (short sleep duration, insomnia, and insufficient sleep), the odds ratio for poor self-rated health was 4.49 (3.25-6.22). Differences in the magnitude of the associations were observed, depending on the combination of sleep complaints. Because self-rated health is a consistent predictor of morbidity, these results reinforce the increasing awareness of the role of sleep in health and disease. Our findings contribute to the recognition of sleep as a public health matter that deserves to be better understood and addressed by policymakers.