Prevalence and associated risk factors of anxiety-induced sleep disturbance: Sex-stratified comparison among school-going adolescents in Paraguay.

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY
Taufique Ahmed, Muhammad Azimul Haque, Tanjin Kabir Aunto, Md Khalid Hasan
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Abstract

Objectives: This study aimed to assess the prevalence and correlates of anxiety-induced sleep disturbance (AISD) in Paraguayan adolescents through sex-stratified analysis.

Methods: This study used the cross-sectional data from Paraguay's 2017 Global School-Based Student Health Survey (GSHS). A total of 3149 in-school adolescents (12-17 years; 51.2 % female) were included in the final analysis. Anxiety-induced sleep disturbance (AISD) was evaluated using the survey question: "During the past 12 months, how often have you been so anxious about something that you could not sleep at night?" Participants could respond on a scale from 1 (never) to 5 (always). For analysis, responses were categorized as follows: "never/rarely/occasionally" indicated no AISD, while "often/always" indicated the presence of AISD. Age-adjusted univariate and multiple logistic analyses were used to determine the correlates of AISD. Regression analysis findings were presented using adjusted odds ratios (AOR) and 95 % confidence intervals (CI), with a p-value <0.05.

Results: The overall prevalence of AISD was 9.5 % among the respondents, significantly higher in girls (12 %) than boys (6.7 %). Loneliness, suicidal ideation, not attending physical education classes, and sitting activities were significantly associated with respondents' AISD. In both sexes, those with loneliness and those who had suicidal ideation were more likely to suffer from AISD than their counterparts. Among girls, those who did not attend physical education class and those who engaged in sedentary activities for three hours or more had significantly higher odds of AISD than boys.

Conclusion: This study found differences in patterns of significant associations between risk factors of AISD for boys and girls. Therefore, different sex-based strategies are recommended to reduce the prevalence of AISD among adolescents in Paraguay.

焦虑性睡眠障碍的患病率及相关危险因素:巴拉圭学龄青少年的性别分层比较
目的:本研究旨在通过性别分层分析,评估巴拉圭青少年焦虑性睡眠障碍(AISD)的患病率及其相关因素。方法:本研究使用巴拉圭2017年全球校本学生健康调查(GSHS)的横截面数据。共有3149名在校青少年(12-17岁;51.2%为女性)纳入最终分析。焦虑性睡眠障碍(AISD)是通过调查问题来评估的:“在过去的12个月里,你有多少次因为某事而焦虑到晚上睡不着觉?”参与者可以在1(从不)到5(总是)之间打分。为了便于分析,回答分为以下几类:“从不/很少/偶尔”表示没有AISD,而“经常/总是”表示存在AISD。采用年龄调整单因素和多因素logistic分析来确定AISD的相关因素。回归分析结果采用校正优势比(AOR)和95%置信区间(CI), p值结果显示:受访者中AISD的总体患病率为9.5%,女孩(12%)明显高于男孩(6.7%)。孤独、自杀意念、不参加体育课和静坐活动与被调查者的AISD显著相关。在两性中,孤独和有自杀念头的人比同龄人更容易患AISD。在女孩中,那些不上体育课和静坐活动超过3小时的女孩比男孩患AISD的几率要高得多。结论:本研究发现男孩和女孩AISD危险因素之间存在显著的关联模式差异。因此,建议采取不同的基于性别的策略来减少巴拉圭青少年中AISD的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sleep medicine
Sleep medicine 医学-临床神经学
CiteScore
8.40
自引率
6.20%
发文量
1060
审稿时长
49 days
期刊介绍: Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
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