Risk factors associated with complaints of insomnia in a general adult population. Influence of previous complaints of insomnia.
Risk factors associated with complaints of insomnia in a general adult population. Influence of previous complaints of insomnia.
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DOI：
10.1001/archinte.1992.00400200070012
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发表时间：
1992-08
影响因子：
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通讯作者：
M. Klink;S. Quan;W. Kaltenborn;M. Lebowitz
中科院分区：
文献类型：
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作者：
M. Klink;S. Quan;W. Kaltenborn;M. Lebowitz
背景：在普通人群和医生办公室中，失眠都是一种常见的主诉。然而，导致失眠的风险因素尚未完全确定。方法：为了确定与失眠主诉患病率增加相关的人群特征，我们在1984年至1985年间调查了大量普通成年人。我们评估了目前开始和维持睡眠的主诉与肥胖、打鼾、伴随的健康问题、社会经济状况以及10至12年前记录的失眠困难主诉之间的关系。结果抱怨开始和维持睡眠的最强危险因素是先前的失眠抱怨（优势比为3.5）。此外，女性性别（优势比为1.5）、年龄增长（优势比为1.3）、打鼾（优势比为1.3）和多种类型的伴随健康问题（优势比为1.1至1.7）都是与开始和维持睡眠的抱怨率增加相关的风险因素。结论：失眠的主诉往往是一个长期的或反复出现的问题。女性性别、高龄和伴随的健康问题也是重要的风险因素。
BACKGROUND Insomnia is a common complaint both in the general population and also in physician's offices. However, risk factors for the development of insomnia complaints have not been completely identified. METHODS To identify population characteristics associated with increased prevalence of insomnia complaints, we surveyed a large general adult population in 1984 through 1985. We evaluated the relationship among current complaints of initiating and maintaining sleep and obesity, snoring, concomitant health problems, socioeconomic status, and documented complaints of difficulty with insomnia 10 to 12 years previously. RESULTS The strongest risk factor for complaints of initiating and maintaining sleep was previous complaints of insomnia (odds ratio, 3.5). In addition, female gender (odds ratio, 1.5), advancing age (odds ratio, 1.3), snoring (odds ratio, 1.3), and multiple types of concomitant health problems (odds ratios, 1.1 to 1.7) were all risk factors associated with an increased rate of complaints of initiating and maintaining sleep. CONCLUSION Complaints of insomnia tend to be a persistent or recurrent problem over long periods of time. Female gender, advancing age, and concomitant health problems also are important risk factors.