2018年俄亥俄州行为风险因素监测系统中成年人的心理健康、药物使用和睡眠健康综合情况

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2024-09-10 DOI:10.1016/j.sleep.2024.09.010

Christine Horvat Davey , Stephanie Griggs , Deepesh Duwadi , Shemaine Martin , Ronald L. Hickman Jr.

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引用次数: 0

摘要

目标各种因素都会影响睡眠健康，包括心理健康和药物使用。在美国，精神健康问题和药物使用持续上升。方法我们使用多变量线性回归模型，研究了 2018 年俄亥俄州行为风险因素监测系统调查的 4333 名参与者中，心理健康（过去 30 天内心理健康状况不佳天数）和药物使用（大麻、烟草、酒精）与睡眠健康（睡眠的个体维度：警觉性、睡眠效率、持续时间和睡眠健康综合评分）之间的关联。结果即使在控制了协变量（个体：出生时性别、年龄、体重指数、种族、教育程度、睡眠呼吸紊乱，以及地区层面：社会经济剥夺）后，较好的心理健康与较高的警觉性、较高的睡眠效率、较长的睡眠持续时间和较高的睡眠健康综合得分仍有关联（所有 p <.001）。即使在控制了烟草使用的协变量后，较高的大麻和烟草使用率与较低的个人睡眠健康维度（大麻与睡眠效率和持续时间相关，烟草使用与较低的睡眠效率相关）和较低的睡眠健康综合得分相关（p <.001）。与假设相反，酒精使用量越高，警觉性越高，睡眠健康综合得分越高（p <.001），但在调整了协变量后，这些关联不再显著。结论这些趋势对睡眠健康的影响非常重要，因为心理健康和药物使用是解决睡眠健康问题时需要考虑的可改变目标。

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Mental health, substance use, and a composite of sleep health in adults, 2018 Ohio behavioral risk factor surveillance system

Objectives

Various factors impact sleep health including mental health and substance use. Mental health issues and substance use continue to rise in the United States. Yet, the association between mental health, substance use and sleep health in adults remains unclear.

Methods

We used multivariable linear regression models to examine the associations between mental health (poor mental health days in the past 30 days) and substance use (marijuana, tobacco, alcohol) with sleep health (individual dimensions of sleep: alertness, sleep efficiency, duration, and sleep health composite score) in 4333 participants from the 2018 Ohio Behavioral Risk Factor Surveillance System Survey.

Results

Better mental health was associated with higher alertness, higher sleep efficiency, longer sleep duration and a higher sleep health composite score even after controlling for covariates (individual: sex at birth, age, body mass index, race, education, sleep disordered breathing, and area-level: socioeconomic deprivation) (all p < .001). Higher marijuana and tobacco use were associated with lower individual sleep health dimensions (marijuana with sleep efficiency and duration and tobacco use with lower efficiency) and a lower sleep health composite score even after controlling for covariates for tobacco use (p < .001). Contrary to the hypothesis, higher alcohol use was associated with higher alertness and a higher sleep health composite score (p < .001), however after adjusting for covariates these associations were no longer significant.

Conclusions

The implications of these trends on sleep health are important to address as mental health and substance use are modifiable targets to consider when addressing sleep health.

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来源期刊

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.