Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.
Department of Research Administration and Development, University of Limpopo, Sovenga 0727, South Africa.
Behav Sci (Basel). 2020 Sep 27;10(10):148. doi: 10.3390/bs10100148.
Persistent worry can cause significant distress among adolescents. The goal of this study was to estimate the prevalence and correlates of worry-induced sleep disturbance (WISD) among adolescent school children in Lebanon. Cross-sectional, nationally representative data were analysed from 5849 adolescents (15 years median age) that took part in the "2017 Lebanon Global School-Based Student Health Survey (GSHS)". The results indicate that the prevalence of WISD was 14.7%, 9.6% among males and 17.2% among females. In adjusted logistic regression analysis, loneliness, older age, female sex, having no close friends, infrequent bullying victimization, parents disrespected privacy, current tobacco use, ever cannabis use, high leisure-time sedentary behaviour and having sustained multiple serious injuries (past year) were associated with WISD. In addition, in unadjusted analysis, mostly or always feeling hungry (or low economic status), school truancy, having been physically attacked, frequently being in physical fights (past year), low peer support, parental emotional neglect, parents never checking homework, ever drunk and frequent soft drink intake were positively, and infrequent fast food intake was negatively, associated with WISD. One in seven students reported WISD and several associated factors were identified, which can aid intervention strategies. Multi-level interventions are needed targeting psychosocial distress, social-environmental factors and health risk behaviours to prevent WISD in this adolescent school population.
持续性担忧会给青少年带来极大困扰。本研究的目的是评估黎巴嫩青少年学童中因担忧导致的睡眠障碍（WISD）的患病率及其相关因素。对参与“2017年黎巴嫩全球学校学生健康调查（GSHS）”的5849名青少年（中位年龄15岁）的全国代表性横断面数据进行了分析。结果表明，WISD的患病率为14.7%，男性为9.6%，女性为17.2%。在调整后的逻辑回归分析中，孤独感、年龄较大、女性性别、没有亲密朋友、很少遭受欺凌、父母不尊重隐私、目前吸烟、曾经使用大麻、休闲时间久坐行为较多以及在过去一年中受过多次重伤与WISD有关。此外，在未调整的分析中，大多或总是感到饥饿（或经济状况不佳）、逃学、曾遭受身体攻击、过去一年经常打架、同伴支持度低、父母情感忽视、父母从不检查作业、曾经饮酒以及经常饮用软饮料与WISD呈正相关，而很少食用快餐与WISD呈负相关。七分之一的学生报告有WISD，并确定了几个相关因素，这有助于制定干预策略。需要针对心理社会困扰、社会环境因素和健康风险行为采取多层次干预措施，以预防该青少年学生群体中的WISD。
