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.152.8.1634
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发表时间：
1992-08-01
影响因子：
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通讯作者：
LEBOWITZ, MD
中科院分区：
文献类型：
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作者：
KLINK, ME;QUAN, SF;LEBOWITZ, MD
背景。-在一般人群和医生办公室中，肌肉痉挛是一种常见的主诉。然而，失眠投诉的发展的风险因素尚未完全确定。为了确定与失眠症患病率增加相关的人群特征，我们在1984年至1985年调查了一个大型的普通成年人群。我们评估了目前的投诉发起和维持睡眠和肥胖，打鼾伴随的健康问题，社会经济状况，并记录投诉的困难与失眠10至12年前之间的关系。开始和保持睡眠的投诉的最强风险因素是以前的失眠投诉（比值比，3.5）。此外，女性（比值比，1.5）、高龄（比值比，1.3）、打鼾（比值比，1.3）和多种类型的伴随健康问题（比值比，1.1至1.7）都是与开始和维持睡眠的投诉率增加相关的风险因素。失眠的投诉往往是长期持续或反复出现的问题。女性、年龄增长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 1 2 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.