Sivertsen Børge, Krokstad Steinar, Mykletun Arnstein, Overland Simon
Department of Clinical Psychology, University of Bergen, Norway.
Behav Sleep Med. 2009;7(4):210-22. doi: 10.1080/15402000903190199.
This study investigated how symptoms of insomnia are related to use of health care services and medications. Data on insomnia symptoms, use of a range of health care services, and potential confounders were gathered from 47,700 individuals aged 20 to 89. The prevalence of insomnia symptoms was higher among health care users across a range of health professionals. The frequency of medication use, alcohol overuse, and hospitalization was also higher among individuals with insomnia symptoms. Overall, much of these associations were explained by medical or mental conditions, but the effects largely remained significant in the fully adjusted analyses. This study concludes that insomnia symptoms represent a significant public health concern, being independently associated with substantially elevated use of health care services, medications, and alcohol overuse.
本研究调查了失眠症状与医疗保健服务使用及药物使用之间的关系。从47700名年龄在20至89岁的个体中收集了有关失眠症状、一系列医疗保健服务使用情况以及潜在混杂因素的数据。在各类医疗专业人员的医疗保健服务使用者中，失眠症状的患病率更高。有失眠症状的个体中，药物使用频率、酒精过度使用频率和住院率也更高。总体而言，这些关联大多可由医疗或精神状况来解释，但在完全调整分析中，这些影响在很大程度上仍然显著。本研究得出结论，失眠症状是一个重大的公共卫生问题，与医疗保健服务、药物使用及酒精过度使用的大幅增加独立相关。
