Wiener R Constance, Waters Christopher
Dental Practice and Rural Health, West Virginia University.
Department of Dental Research, West Virginia University.
J Appalach Health. 2021 May 3;3(2):18-31. doi: 10.13023/jah.0302.03. eCollection 2021.
West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation's definition of "may be appropriate" and "not recommended" sleep durations for specific ages.
Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and logistic regression analyses on falls.
There were 2780 participants, aged 45 years and above. Slightly more than half (51.0%) were female. In adjusted logistic regression analysis, the adjusted odds ratio for falls in participants who did not have the recommended sleep duration was 1.77; 95%CI: 1.38, 2.27; <0.0001 as compared with participants who did have the recommended sleep duration.
Inadequate sleep duration, based on age, was associated with ≥1 falls within the previous year in a West Virginia Appalachian population.
西弗吉尼亚州大部分县为农村地区，且该州人口存在多种健康差异。本研究旨在依据美国国家睡眠基金会针对特定年龄的“可能合适”和“不推荐”睡眠时间定义，确定西弗吉尼亚州40岁及以上非机构化成年人的睡眠时间与跌倒之间的关联。
提取2018年行为危险因素监测系统（BRFSS）中有关西弗吉尼亚州居民的睡眠时间和前一年跌倒次数的数据。对跌倒数据进行卡方检验和逻辑回归分析。
共有2780名年龄在45岁及以上的参与者。略超过一半（51.0%）为女性。在调整后的逻辑回归分析中，睡眠时间未达推荐时长的参与者跌倒的调整优势比为1.77；95%置信区间：1.38, 2.27；与睡眠时间达推荐时长者相比，P<0.0001。
在西弗吉尼亚州阿巴拉契亚人群中，基于年龄的睡眠时间不足与前一年发生≥1次跌倒有关。
