López-Gil José Francisco, Cavero-Redondo Iván, Tárraga López Pedro J, Jiménez-López Estela, González Alberto Durán, Sequí-Domínguez Irene, Mesas Arthur Eumann
Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile.
Front Behav Neurosci. 2022 Apr 25;16:860241. doi: 10.3389/fnbeh.2022.860241. eCollection 2022.
The aim of the current study was twofold: first, to determine the prevalence of anxiety-induced sleep disturbances among Argentine adolescents according to sex, and second, to identify the association between these sleep disturbances and lifestyle behaviors in this population.
This is a cross-sectional study with data from the Global School-based Student Health Survey (GSHS) in Argentina (2018). A total of 32,393 adolescents (aged 12-17 years; 53.4% girls) were included in the final analysis. Anxiety-induced sleep disturbances were assessed with the question "During the past 12 months, how often have you been so worried about something that you could not sleep at night?"
The prevalence of anxiety-induced sleep disturbances was higher in girls (17.4%) than in boys (7.9%) ( < 0.001). In boys, results indicated that those who used marijuana (cannabis) (odds ratio [OR] = 1.46, 95% confidence interval [CI] 1.08-1.98), used amphetamine or methamphetamine (OR = 2.19, 95% CI 1.28-3.77), walked or biked to or from school (OR = 1.53, 95% CI 1.19-1.96), and spent 3 h or more in sedentary behaviors (OR = 1.35, 95% CI 1.05-1.74) were more likely to report anxiety-induced sleep disturbances. In girls, those who ate from a fast-food restaurant (OR = 1.24, 95% CI 1.05-1.47), consumed alcoholic beverages (OR = 1.45, 95% CI 1.19-1.75), smoked cigarettes (OR = 2.09, 95%CI 1.05-4.14), consumed any tobacco product (OR = 1.47, 95% CI 1.19-1.82), used amphetamine or methamphetamine (OR = 2.08, 95% CI 1.33-3.26), and those who spent 3 h or more in sedentary behaviors (OR = 1.32, 95% CI 1.11-1.57) were more likely to report frequent anxiety-induced sleep disturbances.
In conclusion, considerable sex differences were observed with respect to the prevalence of anxiety-related sleep disturbances and associated lifestyle aspects.
本研究的目的有两个：第一，根据性别确定阿根廷青少年中焦虑引起的睡眠障碍的患病率；第二，确定这些睡眠障碍与该人群生活方式行为之间的关联。
这是一项横断面研究，数据来自阿根廷2018年全球学校学生健康调查（GSHS）。最终分析纳入了总共32393名青少年（年龄在12至17岁之间；53.4%为女孩）。通过“在过去12个月里，你因担心某事而经常晚上睡不着觉的频率是多少？”这一问题来评估焦虑引起的睡眠障碍。
女孩中焦虑引起的睡眠障碍患病率（17.4%）高于男孩（7.9%）（P<0.001）。在男孩中，结果表明，使用大麻的人（比值比[OR]=1.46，95%置信区间[CI]1.08 - 1.98）、使用苯丙胺或甲基苯丙胺的人（OR = 2.19，95% CI 1.28 - 3.77）、步行或骑自行车上下学的人（OR = 1.53，95% CI 1.19 - 1.96）以及久坐行为达3小时或更长时间的人（OR = 1.35，95% CI 1.05 - 1.74）更有可能报告焦虑引起的睡眠障碍。在女孩中，在快餐店就餐的人（OR = 1.24，95% CI 1.05 - 1.47）、饮用酒精饮料的人（OR = 1.45，95% CI 1.19 - 1.75）、吸烟的人（OR = 2.09，95% CI 1.05 - 4.14）、使用任何烟草制品的人（OR = 1.47，95% CI 1.19 - 1.82）、使用苯丙胺或甲基苯丙胺的人（OR = 2.08，95% CI 1.33 - 3.26）以及久坐行为达3小时或更长时间的人（OR = 1.32，95% CI 1.11 - 1.57）更有可能报告频繁的焦虑引起的睡眠障碍。
总之，在与焦虑相关的睡眠障碍患病率及相关生活方式方面观察到了显著的性别差异。
