Discipline of General Practice, Adelaide Medical School, The University of Adelaide, Helen Mayo North Building, Frome Road, Adelaide, SA 5000, Australia; and Corresponding author. Email:
Discipline of General Practice, Adelaide Medical School, The University of Adelaide, Helen Mayo North Building, Frome Road, Adelaide, SA 5000, Australia.
Aust J Prim Health. 2021 Aug;27(4):304-311. doi: 10.1071/PY20216.
Although there is growing recognition of the effects of living with sleep disorders and the important role of primary care in their identification and management, studies indicate that the detection of sleep apnoea (OSA) and insomnia may still be low. This large representative community-based study (n=2977 adults) used logistic regression models to examine predictors of self-reported OSA and current insomnia and linear regression models to examine the association of these sleep conditions with both mental and physical components of health-related quality of life (HRQoL) and health service use. Overall, 5.6% (95% confidence interval (CI) 4.6-6.7) and 6.8% (95% CI 5.7-7.9) of subjects self-reported OSA (using a single-item question) and current insomnia (using two single-item questions) respectively. Many sociodemographic and lifestyle predictors for OSA and insomnia acted in different directions or showed different magnitudes of association. Both disorders had a similar adverse relationship with physical HRQoL, whereas mental HRQoL was more impaired among those with insomnia. Frequent consultations with a doctor were associated with a lower physical HRQoL across these sleep conditions; however, lower mental HRQoL among those frequently visiting a doctor was observed only among individuals with insomnia. The adverse relationship between sleep disorders and physical and mental HRQoL was substantial and should not be underestimated.
尽管人们越来越认识到睡眠障碍的影响，以及初级保健在识别和管理这些障碍方面的重要作用，但研究表明，睡眠呼吸暂停（OSA）和失眠的检出率可能仍然较低。这项基于社区的大型代表性研究（n=2977 名成年人）使用逻辑回归模型来研究自我报告的 OSA 和当前失眠的预测因素，并使用线性回归模型来研究这些睡眠状况与健康相关生活质量（HRQoL）的心理和生理成分以及健康服务使用之间的关联。总体而言，5.6%（95%置信区间（CI）4.6-6.7）和 6.8%（95%CI 5.7-7.9）的受试者分别自我报告有 OSA（使用一个单项问题）和当前失眠（使用两个单项问题）。许多社会人口统计学和生活方式因素对 OSA 和失眠的预测作用方向不同或关联程度不同。这两种疾病都与生理 HRQoL 呈相似的不利关系，而失眠者的心理 HRQoL 受损更为严重。经常看医生与这些睡眠状况下的生理 HRQoL 较差有关；然而，只有在失眠者中，经常看医生的人心理健康状况较差。睡眠障碍与生理和心理健康状况之间的不利关系是巨大的，不应被低估。
