Manzar Md Dilshad, Salahuddin Mohammed, Alamri Majed, Maru Tarekegn Tesfaye, Pandi-Perumal Seithikurippu R, Bahammam Ahmed S
Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.
Department of Biomedical Sciences, College of Medicine and Health Sciences, Mizan-Tepi University (Mizan Campus), Mizan-Aman, Ethiopia.
Ann Thorac Med. 2018 Oct-Dec;13(4):220-225. doi: 10.4103/atm.ATM_36_18.
Polysubstance dependence, stress, and sleep disturbances are inter-related by shared physiological pathways. No study has investigated the relationship between sleep and concurrent use of alcohol and khat.
The aim of the study was to assess the effect of the concurrent use of alcohol and khat as well as concurrent alcohol, khat, and tobacco smoking on sleep patterns.
A sample of community-dwelling adults ( = 339, age = 25.5 ± 5.7 years, body mass index = 22.0 ± 2.2 kg/m) from Mizan-Aman, Ethiopia, participated in a cross-sectional study. Semi-structured tool for sociodemographics, substance use habit, and the Pittsburgh Sleep Quality Index (PSQI) were used. The difference in sleep patterns among substance use groups, i.e., nonusers, alcohol use only, concurrent alcohol and khat use, and concurrent alcohol, khat and tobacco smoking was assessed.
The poorest sleep quality was found among concurrent users of alcohol, khat, and tobacco smoking (PSQI global score = 8.2 ± 2.4), followed by concurrent users of alcohol and khat (PSQI global score = 7.3 ± 2.9) (F (3.335) = 23.64, < 0.001). There were significant differences in the PSQI component score of sleep quality (3) =159.09, < 0.001, the PSQI component score of sleep latency (3) = 128.09, < 0.001, and the PSQI component score of sleep disturbances (3) = 37.69, < 0.001 between substance use groups.
Concurrent use of alcohol, khat as well as alcohol, khat, and tobacco smoking was associated with poor sleep. Sleep disturbances in this group need management to avoid the prospective development of psychosocial disturbances in polysubstance users.
多种物质依赖、压力和睡眠障碍通过共同的生理途径相互关联。尚无研究调查睡眠与同时使用酒精和恰特草之间的关系。
本研究的目的是评估同时使用酒精和恰特草以及同时使用酒精、恰特草和吸烟对睡眠模式的影响。
来自埃塞俄比亚米赞-阿曼的339名社区居住成年人（年龄=25.5±5.7岁，体重指数=22.0±2.2kg/m²）参与了一项横断面研究。使用了用于社会人口统计学、物质使用习惯和匹兹堡睡眠质量指数（PSQI）的半结构化工具。评估了物质使用组（即非使用者、仅使用酒精者、同时使用酒精和恰特草者以及同时使用酒精、恰特草和吸烟者）之间睡眠模式的差异。
在同时使用酒精、恰特草和吸烟的人群中睡眠质量最差（PSQI全球评分=8.2±2.4），其次是同时使用酒精和恰特草的人群（PSQI全球评分=7.3±2.9）（F(3,335)=23.64，P<0.001）。物质使用组之间在睡眠质量的PSQI成分评分（F(3)=159.09，P<0.001）、入睡潜伏期的PSQI成分评分（F(3)=128.09，P<0.001）以及睡眠障碍的PSQI成分评分（F(3)=37.69，P<0.001）方面存在显著差异。
同时使用酒精、恰特草以及同时使用酒精、恰特草和吸烟与睡眠不佳有关。该组的睡眠障碍需要进行管理，以避免多物质使用者未来出现心理社会障碍。
