University of North Carolina at Charlotte, Charlotte, North Carolina.
UNC Charlotte, Department of Public Health Sciences, Charlotte, NC 28223. Email:
Prev Chronic Dis. 2021 Jun 17;18:E61. doi: 10.5888/pcd18.200573.
One-third of US adults report sleeping less than the recommended amount, and approximately 20% live with a mental illness. The objective of our study was to examine the association between inadequate sleep and frequent mental distress in a population-based sample of US adults.
We conducted a cross-sectional study by using 2018 Behavioral Risk Factor Surveillance System (BRFSS) data that included 273,695 US adults aged 18 to 64. Inadequate sleep was defined as 6 hours or less in a given night, and frequent mental distress was defined as self-reporting 14 days of mental health status as "not good" within the last month. We used weighted logistic regression to calculate odds ratios (ORs) and 95% CIs.
Thirteen percent of study participants experienced inadequate sleep, and 14.1% experienced frequent mental distress. Participants who averaged 6 hours or less of sleep per night were about 2.5 times more likely to have frequent mental distress when controlling for confounders (OR, 2.52; 95% CI, 2.32-2.73) than those who slept more than 6 hours.
Inadequate sleep was associated with significantly increased odds of frequent mental distress. Our findings suggest that further research is necessary to evaluate the temporal relationship between inadequate sleep and frequent mental distress.
三分之一的美国成年人报告睡眠时间少于建议量，约 20%的人患有精神疾病。我们研究的目的是在基于人群的美国成年人样本中，研究睡眠不足与频繁精神困扰之间的关联。
我们使用 2018 年行为风险因素监测系统（BRFSS）的数据进行了一项横断面研究，该数据包括 273695 名 18 至 64 岁的美国成年人。睡眠不足定义为每晚 6 小时或更少，频繁精神困扰定义为在过去一个月内报告心理健康状况“不佳”的天数为 14 天。我们使用加权逻辑回归计算比值比（OR）和 95%置信区间（CI）。
研究参与者中有 13%经历睡眠不足，14.1%经历频繁精神困扰。在控制混杂因素后，平均每晚睡眠 6 小时或更少的参与者出现频繁精神困扰的可能性约为睡眠超过 6 小时的参与者的 2.5 倍（OR，2.52；95%CI，2.32-2.73）。
睡眠不足与频繁精神困扰的几率显著增加有关。我们的研究结果表明，有必要进一步研究评估睡眠不足和频繁精神困扰之间的时间关系。
