Racial differences in sleep, medication use: A cross-sectional study of the Johnston County Osteoarthritis Project
Racial differences in sleep, medication use: A cross-sectional study of the Johnston County Osteoarthritis Project
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DOI：
10.1345/aph.1l111
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发表时间：
2008-09-01
影响因子：
2.9
通讯作者：
Jordan, Joanne M.
中科院分区：
文献类型：
--
作者：
Allen, Kelli D.;Renner, Jordan B.;Jordan, Joanne M.
背景：人们对睡眠药物使用的种族差异知之甚少。目的：比较非裔美国人和自我报告当前睡眠问题的白人的睡眠药物使用情况。方法：参与者来自约翰斯顿县骨关节炎项目的1910名个体（69%为女性，34%为非洲裔美国人，66%为白人）。我们研究了种族间在自我报告的处方、非处方、草药和其他睡眠药物使用情况上的差异。多变量logistic回归模型控制了年龄、性别、教育程度、健康保险、有症状的髋关节或膝关节骨关节炎、抑郁症状、肥胖、一般健康状况尚可或较差以及自我报告的每年睡眠问题天数。模型分别针对整个样本和男性和女性进行。结果：在目前有睡眠问题的参与者中，31%正在使用一种或多种睡眠药物：17%是处方药，12%是非处方药，1%是草药，3%是其他产品。非裔美国人比白人更不可能使用任何睡眠药物（25%对35%；p < 0.001），处方睡眠药物（14%对19%；p = 0.003）和非处方睡眠药物（10%对13%；p = 0.048）。这些种族差异在多变量模型中持续存在。在性别分层分析中，只有女性在使用睡眠药物方面存在显著的种族差异。结论：非洲裔美国人报告目前使用处方和非处方安眠药的可能性低于白人；这些结果似乎主要是由女性之间的种族差异造成的。进一步的研究应该研究可能的潜在因素，并确定这些种族差异是否会影响临床结果。
BACKGROUND: Little is known about racial differences in the use of sleep medications.OBJECTIVES: To compare sleep medication use among African Americans and whites with self-reported current sleep problems.METHODS: Participants were 1910 individuals (69% female, 34% African American, 66% white) from the Johnston County Osteoarthritis Project. We examined racial differences in self-reported current use of prescription, nonprescription, herbal, and other medications for sleep. Multivariable logistic regression models controlled for age, sex, education, health insurance, symptomatic hip or knee osteoarthritis, depressive symptoms, obesity, fair or poor general health, and self-reported annual days of sleep problems. Models were conducted separately for the whole sample and for men and women.RESULTS: Among participants with current sleep problems, 31% were using one or more types of sleep medication: 17% prescription, 12% nonprescription, 1% herbal, and 3% other products. African Americans were less likely than whites to be using any sleep medication (25% vs 35%; p < 0.001), prescription sleep medication (14% vs 19%; p = 0.003), and nonprescription sleep medication (10% vs 13%; p = 0.048). These racial differences persisted in multivariable models. In sex-stratified analyses, there were significant racial differences in sleep medication use only among women.CONCLUSIONS: African Americans were less likely than whites to report current use of prescription and nonprescription sleep medications; these results apeared to be largely driven by racial differences among women. Additional research should study possible underlying factors and determine whether these racial differences impact clinical outcomes.