Martin Jennifer L, Schweizer C Amanda, Hughes Jaime M, Fung Constance H, Dzierzewski Joseph M, Washington Donna L, Kramer B Josea, Jouldjian Stella, Mitchell Michael N, Josephson Karen R, Alessi Cathy A
VA Greater Los Angeles Healthcare System, Geriatric Research, Education and Clinical Center, Los Angeles, California; David Geffen School of Medicine at the University of California, Los Angeles, California.
VA Greater Los Angeles Healthcare System, HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, Los Angeles, California.
Womens Health Issues. 2017 May-Jun;27(3):366-373. doi: 10.1016/j.whi.2016.12.003. Epub 2017 Jan 17.
Insomnia is a significant public health concern known to particularly impact women and the veteran population; however, rates of insomnia disorder among women veterans are not known.
Women veterans who had received health care at VA Greater Los Angeles Healthcare System between 2008 and 2010 and resided within 25 miles of the facility were sent a postal survey assessing sleep, demographics, and other related patient characteristics.
A total of 660 women (43.1% of potential responders) returned the postal survey and provided sufficient information for insomnia diagnosis. On average, women reported 6.2 hours of sleep per night. The prevalence of insomnia, determined according to diagnostic criteria from the International Classification of Sleep Disorders-2, was 52.3%. Women with insomnia reported more severely disturbed sleep, and more pain, menopausal symptoms, stress/worries, and nightmares compared with women without insomnia. There was a quadratic relationship between age and insomnia with women in their mid-40s, most likely to have insomnia.
This survey study found that insomnia symptoms were endorsed by more than one-half of the women veterans in this sample of VA users, highlighting the critical need for enhanced clinical identification and intervention. Further research is needed to establish national rates of insomnia among women veterans and to improve access to evidence-based treatment of insomnia disorder.
失眠是一个重大的公共卫生问题，已知对女性和退伍军人影响尤为严重；然而，女性退伍军人中失眠症的发病率尚不清楚。
向2008年至2010年间在洛杉矶退伍军人事务部大洛杉矶医疗系统接受过医疗服务且居住在该机构25英里范围内的女性退伍军人发送邮政调查问卷，评估睡眠、人口统计学特征及其他相关患者特征。
共有660名女性（占潜在受访者的43.1%）回复了邮政调查问卷，并提供了足以诊断失眠症的信息。女性平均每晚报告睡眠时间为6.2小时。根据《国际睡眠障碍分类-2》的诊断标准确定的失眠症患病率为52.3%。与无失眠症的女性相比，患有失眠症的女性报告睡眠干扰更严重，疼痛、更年期症状、压力/担忧及噩梦更多。年龄与失眠症呈二次关系，45岁左右的女性最易患失眠症。
这项调查研究发现，在这个退伍军人事务部使用者样本中，超过一半的女性退伍军人认可存在失眠症状，这凸显了加强临床识别和干预的迫切需求。需要进一步开展研究，以确定全国女性退伍军人的失眠症发病率，并改善获得失眠症循证治疗的途径。
