The association between wealth and sleep medication use in a nationally-representative sample of older Medicare beneficiaries.
The association between wealth and sleep medication use in a nationally-representative sample of older Medicare beneficiaries.
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在具有全国代表性的老年医疗保险受益人样本中，财富与睡眠药物使用之间的关联。
DOI：
10.1002/pds.5703
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发表时间：
2024
影响因子：
2.6
通讯作者：
Duchesneau,EmilieD
中科院分区：
文献类型：
--
作者：
Musty,Allison;Lund,JenniferL;Yang,YangClaire;Niznik,Joshua;Shmuel,Shahar;Duchesneau,EmilieD
睡眠障碍在老年人中很常见，导致非处方和处方睡眠药物的使用率很高。社会经济上处于不利地位的人有更高的睡眠障碍患病率。频繁使用睡眠药物会增加福尔斯的风险。关于老年人的财富和睡眠药物使用之间的关系，人们知之甚少。方法我们使用来自国家健康与老龄化趋势研究第1轮（2011年）的7603名医疗保险受益人（65岁以上）的全国样本进行了横断面分析。我们将自我报告的财富衡量为资产（退休储蓄，股票/债券，支票/储蓄账户，商业资产和房屋价值）减去负债（抵押贷款，信用卡和医疗债务）的总和。过去一个月自我报告的睡眠药物使用被归类为频繁（5-7晚/周），有时（1-4晚/周）或从不（0晚/周）。我们使用粗略的和调整后的二项回归模型估计了财富五分位数的睡眠药物使用率的差异。排除了缺少睡眠药物信息的个体。结果财富中位数为152582（IQR：24023 ~ 412992）。16%的人报告经常使用睡眠药物，15%的人报告一些使用，70%的人报告没有使用。频繁使用睡眠药物在财富较低的五分之一人群中更为常见（最低：20%，最高：12%）。或者，某些使用在较高财富的五分之一人群中更为常见（最低：11%，最高：18%）。在调整人口统计学因素、焦虑、抑郁和睡眠障碍后，结果相似。结论：在这项研究中，不太富裕的老年人经常使用睡眠药物的患病率较高。这可能会导致依赖性或增加这一脆弱人群的跌倒风险。
Background Sleep disorders are common among older adults, leading to high prevalence of over‐the‐counter and prescription sleep medication use. Socioeconomically disadvantaged individuals have higher prevalence of sleep disorders. Frequent use of sleep medications can increase the risk of falls. Little is known about the association between wealth and sleep medication use in older adults. Methods We conducted a cross‐sectional analysis using a nationwide sample of 7603 Medicare beneficiaries (65+ years) from Round 1 (2011) of the National Health and Aging Trends Study. We measured self‐reported wealth as the sum of assets (retirement savings, stocks/bonds, checking/savings accounts, business assets, and home value) minus liabilities (mortgage, credit card, and medical debt). Self‐reported sleep medication use in the past month was categorized as frequent (5–7 nights/week), sometimes (1–4 nights/week), or never (0 night/week). We estimated differences in the prevalence of sleep medication use by quintiles of wealth using crude and adjusted binomial regression models. Individuals missing sleep medication information were excluded. Results Median wealth was 152582(IQR: 24 023–412 992). Sixteen percent reported frequent sleep medication use, 15% reported some use, and 70% reported no use. Frequent sleep medication use was more common in lower wealth quintiles (lowest: 20%, highest: 12%). Alternatively, some use was more common in higher wealth quintiles (lowest: 11%, highest: 18%). Results were similar after adjustment for demographic factors, anxiety, depression, and sleep disorders. Conclusions In this study, less wealthy older adults had higher prevalence of frequent sleep medication use. This may lead to dependency or increased fall risk in this vulnerable population.