Husberg Vendela H, Hopstock Laila A, Friborg Oddgeir, Rosenvinge Jan H, Bergvik Svein, Rognmo Kamilla
Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
BMC Public Health. 2022 Apr 27;22(1):844. doi: 10.1186/s12889-022-13250-5.
Hazardous alcohol use is known to be comorbid with insomnia problems. The present study examined the prevalence of insomnia and if the odds of insomnia differed between women and men with a hazardous alcohol use.
Cross-sectional data from the seventh survey of the Norwegian population-based Tromsø Study 2015-2016 (participation 65%). The sample included 19 185 women and men 40-96 years. Hazardous alcohol use was defined by the Alcohol Use Disorder Identification Test (AUDIT) and insomnia by the Bergen Insomnia Scale. Covariates included socio-demographics, shift work, somatic conditions and mental distress defined by Hopkins Symptom Check List-10 (HSCL-10). Mental distress was also included as a moderator.
Insomnia was more prevalent among participants with a hazardous alcohol use (24.1%) than without (18.9%), and participants who had hazardous alcohol use had higher odds of insomnia (odds ratio = 1.49, 95% CI = 1.20, 1.85). The association turned non-significant after adjustment for mental distress. Adding mental distress as a moderator variable revealed a higher odds of insomnia among hazardous alcohol users having no or low-to-medium levels of mental distress, but not among participants with high levels of mental distress.
Insomnia was more prevalent among women and men reporting hazardous alcohol use. When mental distress was treated as a moderator, hazardous alcohol use did not yield higher odds for insomnia among those with high levels of mental distress. This suggests that mental distress may play an important role in the association between hazardous alcohol use and insomnia. And that the impact of alcohol on insomnia may differ depending on the severity of mental distress.
已知有害饮酒与失眠问题并存。本研究调查了失眠的患病率，以及有害饮酒的女性和男性之间失眠的几率是否存在差异。
来自2015 - 2016年挪威特罗姆瑟基于人群的第七次调查的横断面数据（参与率65%）。样本包括19185名年龄在40 - 96岁的女性和男性。有害饮酒通过酒精使用障碍识别测试（AUDIT）定义，失眠通过卑尔根失眠量表定义。协变量包括社会人口统计学、轮班工作、躯体状况以及由霍普金斯症状清单 - 10（HSCL - 10）定义的精神困扰。精神困扰也作为一个调节变量纳入。
有害饮酒的参与者中失眠更为普遍（24.1%），而非有害饮酒者中失眠的比例为（18.9%），且有害饮酒的参与者患失眠的几率更高（优势比 = 1.49，95%置信区间 = 1.20，1.85）。在对精神困扰进行调整后，该关联变得不显著。将精神困扰作为调节变量纳入后发现，精神困扰程度无或低至中等的有害饮酒者患失眠的几率更高，但精神困扰程度高的参与者中并非如此。
报告有害饮酒的女性和男性中失眠更为普遍。当将精神困扰作为调节变量时，精神困扰程度高的人群中，有害饮酒并不会导致更高的失眠几率。这表明精神困扰可能在有害饮酒与失眠的关联中起重要作用。而且酒精对失眠的影响可能因精神困扰的严重程度而异。
