Seixas Azizi, Ramos Alberto R, Gordon-Strachan Georgiana M, Fonseca Vilma Aparecida da Silva, Zizi Ferdinand, Jean-Louis Girardin
Department of Population Health, New York University School of Medicine, USA.
Department of Neurology, University of Miami, USA.
J Sleep Med Disord. 2014;1(2).
Little is known about the association between visual impairment and insomnia symptoms in elderly populations. The purpose of this study was to ascertain associations between self-reported visual impairments and insomnia symptoms in a community-based sample of Russian immigrants.
Sample consisted of 307 community-residing Russians (ages: 25-95 years, mean=72.64 ± 9.62; women=54% and men=46%). Semi-structured interviews assessed health-care needs and physical health characteristics. Collected demographic and health-related data were analyzed using SPSS 19.0.
Overall, 93% reported at least one of several major health problems: visual impairment (48.4%), hypertension (53%), diabetes (25.7%), arthritis (52.8%), cancer (10.5%), weight problems (34.1%), and anxiety/depressive symptoms (43%), 62% had an insomnia diagnosis. Unadjusted logistic regression analysis showed that individuals with visual impairment were nearly three times as likely as those without to report insomnia symptoms [OR = 2.73, p < 0.01; 95% CI = 1.68-4.48]. Adjusting for the presence of socio demographic variables reduced the odds to 2.68; further adjustment for social isolation and anxiety and depressed symptoms reduced the odds to 2.20.Anxiety/depression mediated the relationship between visual impairment and insomnia.
Individuals with visual impairment have twice the odds of reporting insomnia independent of anxiety/depression and social isolation, two common problems affecting quality of life in that population.
关于老年人群视力障碍与失眠症状之间的关联，目前所知甚少。本研究旨在确定在一个以社区为基础的俄罗斯移民样本中，自我报告的视力障碍与失眠症状之间的关联。
样本包括307名居住在社区的俄罗斯人（年龄：25 - 95岁，平均 = 72.64 ± 9.62；女性 = 54%，男性 = 46%）。半结构化访谈评估了医疗保健需求和身体健康特征。使用SPSS 19.0对收集的人口统计学和健康相关数据进行分析。
总体而言, 93% 的人报告至少存在以下几种主要健康问题之一：视力障碍 (48.4%)、高血压 (53%)、糖尿病 (25.7%)、关节炎 (52.8%)、癌症 (10.5%)、体重问题 (34.1%) 以及焦虑/抑郁症状 (43%)，62% 的人被诊断患有失眠症。未经调整的逻辑回归分析表明，有视力障碍的个体报告失眠症状的可能性几乎是没有视力障碍个体的三倍 [比值比 (OR) = 2.73，p < 0.01；95% 置信区间 (CI) = 1.68 - 4.48]。对社会人口统计学变量的存在进行调整后，比值比降至2.68；进一步对社会隔离以及焦虑和抑郁症状进行调整后，比值比降至2.20。焦虑/抑郁介导了视力障碍与失眠之间的关系。
视力障碍个体报告失眠的几率是其他人的两倍，且这一关联独立于焦虑/抑郁和社会隔离，后两者是影响该人群生活质量的两个常见问题。
