Self-reported sleep disturbance and inappropriate z-hypnotic use among older adults in general practice.

IF 1.9 3区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Scandinavian Journal of Primary Health Care Pub Date : 2025-03-08 DOI:10.1080/02813432.2025.2475300

C Lundqvist, T B Simonsen, T G Siddiqui

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引用次数: 0

Abstract

Background: Sleep disorders such as insomnia may occur in old age, potentially leading to z-hypnotic use. However, few studies have explored older adults' self-reported sleep concerns in relation to z-hypnotic use. We aim to examine this relationship.

Methods: We conducted a cross-sectional study using a web-based questionnaire to assess sleep disturbances and medication use (z-hypnotics, benzodiazepines, and opioid analgesics) among 5,194 older adults through 21 GPs in southeast Norway. The main outcome, inappropriate z-hypnotic use, was defined as self-reported use for ≥4 weeks at ≥ three times per week. We used descriptive statistics and exploratory logistic regression mixed-effects models for data analysis.

Results: Among the 687 patients included in the study, 22% (N = 153) reported sleep disturbances. Of these, 84% (N = 575) did not use z-hypnotics, while 16% (N = 112) used z-hypnotics, 63% (N = 71) of these used them inappropriately. (≥4 weeks, ≥ three times per week). Patients with sleep disturbances (OR: 12.1, CI: 6.77 - 21.6, p < 0.001), trouble falling or staying asleep (OR: 14.6, CI: 5.04-42.0, p < 0.001), and multiple reasons for disturbances (pain, overthinking, or a family death) (OR: 3.58, CI: 1.85-6.93, p < 0.001) had higher odds of inappropriate z-hypnotic use compared to those with no or occasional disturbances. Men had lower odds (OR: 0.54, CI: 0.30-0.97, p = 0.039) than women. GP prescribing was not associated with inappropriate use, but men had lower odds (OR: 0.34, CI: 0.14-0.84, p = 0.020) when prescribed by male GPs compared to women prescribed by female GPs.

Conclusion: A high proportion of patients used z-hypnotics inappropriately. This inappropriate use was associated with experienced sleep disturbances, particularly trouble falling asleep, trouble staying asleep, and multiple reasons for sleep disturbances. The prescribing GP was not significantly associated with inappropriate use.

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一般实践中老年人自我报告的睡眠障碍和不适当的z-催眠使用。

背景：老年人可能出现失眠等睡眠障碍，这可能导致z-hypnotic的使用。然而，很少有研究探讨老年人自我报告的睡眠问题与z-催眠药物使用的关系。我们的目的是研究这种关系。方法：我们在挪威东南部的21个全科医生中进行了一项横断面研究，使用基于网络的问卷调查来评估5194名老年人的睡眠障碍和药物使用（z-催眠药、苯二氮卓类药物和阿片类镇痛药）。主要终点，不适当的z-催眠使用，定义为自我报告使用≥4周，每周≥3次。我们使用描述性统计和探索性逻辑回归混合效应模型进行数据分析。结果：在纳入研究的687例患者中，22% （N = 153）报告睡眠障碍。其中，84% （N = 575）未使用z-催眠药，16% （N = 112）使用z-催眠药，63% （N = 71）使用不当。（≥4周，每周≥3次）。睡眠障碍患者（OR: 12.1, CI: 6.77 - 21.6, p p p p = 0.039）多于女性。全科医生处方与不当用药无关，但男性全科医生处方与女性全科医生处方相比，男性的风险较低（OR: 0.34, CI: 0.14-0.84, p = 0.020）。结论：z型催眠药使用不当的患者比例较高。这种不恰当的使用与经历过的睡眠障碍有关，特别是难以入睡，难以保持睡眠，以及导致睡眠障碍的多种原因。开处方的全科医生与不当用药没有显著关联。

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

Scandinavian Journal of Primary Health Care 医学-卫生保健

CiteScore

3.20

自引率

19.00%

发文量

审稿时长

>12 weeks

期刊介绍： Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.