Erickson Elizabeth A, Stahlman Shauna, McNellis Mark G
MSMR. 2017 Dec;24(12):2-11.
Insomnia is the most common sleep disorder in adults, and its incidence is increasing in the U.S. Armed Forces. A potential consequence of insomnia (including medications used to treat it) is increased risk of motor vehicle accidents (MVAs), which cause significant morbidity and mortality in service members. To examine the relationship between insomnia and MVA-related injuries in the U.S. Armed Forces, this retrospective cohort study compared incidence rates of MVA-related injuries from 2007 through 2016 between service members with diagnosed insomnia and an unexposed cohort. After adjustment for multiple covariates, service members with insomnia had more than double the rate of MVA-related injuries, compared to service members without insomnia (adjusted incidence rate ratio: 2.08; 95% CI: 1.95-2.22). A subanalysis of service members with insomnia during 2014-2016 found no difference in risk of MVA-related injury based on days' supply of sleep aid medications prescribed in 365 days following insomnia diagnosis. Insomnia is an important potential risk factor for MVAs in the military. Sleep health should be a component of MVA prevention efforts.
失眠是成年人中最常见的睡眠障碍，在美国武装部队中的发病率也在上升。失眠（包括用于治疗失眠的药物）的一个潜在后果是机动车事故（MVA）风险增加，而机动车事故会给军人带来严重的发病和死亡情况。为了研究美国武装部队中失眠与MVA相关损伤之间的关系，这项回顾性队列研究比较了2007年至2016年期间被诊断患有失眠的军人与未暴露队列中MVA相关损伤的发病率。在对多个协变量进行调整后，与未患失眠的军人相比，患失眠的军人发生MVA相关损伤的比率增加了一倍多（调整后的发病率比：2.08；95%置信区间：1.95 - 2.22）。对2014 - 2016年期间患有失眠的军人进行的一项亚分析发现，根据失眠诊断后365天内开具的助眠药物的供应天数，MVA相关损伤风险没有差异。失眠是军队中机动车事故的一个重要潜在风险因素。睡眠健康应成为机动车事故预防工作的一个组成部分。
