Universidade Estadual de Campinas, Departamento de Saúde Coletiva, Campinas, SP, Brasil.
Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.
Epidemiol Serv Saude. 2022;31(spe 1):e2021386. doi: 10.1590/SS2237-9622202200007.especial.
To evaluate the association between self-reported sleep problems and the presence of non-communicable diseases (NCDs) and multimorbidity, and whether these associations differ by sex.
This is a cross sectional study performed with data from the Brazilian National Health Survey, 2019. Prevalence ratios between morbidities, the number of NCDs, and the self-report of sleep problems were estimated by Poisson regression with robust variance, according to sex.
This study analysed data from 85,531 Brazilians age ≥ 18 years. The self-reported sleep problems were associated with all the herein studied morbidities and multimorbidities. The prevalence of sleep problems was higher in those who stated one or two (PR = 2.37; 95%CI 2.22;2.54) and three or more NCDs (PR = 4.73; 95%CI 4.37;5.11). Prevalence ratios of the association with diabetes, lung disease, mental disease, renal disease and multimorbidities were higher among males.
NCDs significantly impacted sleep quality, with a particularly stronger association in both, males and females.
评估自我报告的睡眠问题与非传染性疾病（NCDs）和多种疾病的存在之间的关联，以及这些关联是否因性别而异。
这是一项横断面研究，使用了 2019 年巴西国家健康调查的数据。根据性别，通过泊松回归（具有稳健方差）估计了发病率、NCD 数量和睡眠问题自我报告之间的比值比。
本研究分析了 85531 名年龄≥18 岁的巴西人的数据。自我报告的睡眠问题与所有在此研究中被评估的疾病和多种疾病相关。报告有睡眠问题的人群中，患有一种或两种（PR=2.37；95%CI 2.22；2.54）和三种或更多 NCDs（PR=4.73；95%CI 4.37；5.11）的比例更高。男性中，与糖尿病、肺部疾病、精神疾病、肾脏疾病和多种疾病相关的关联的患病率比值更高。
NCDs 显著影响睡眠质量，在男性和女性中均具有更强的关联。
