伊朗注射吸毒者的睡眠质量及相关因素：一项使用应答驱动抽样的全国性调查。

Sleep quality and associated factors among people who inject drugs in Iran: a nationwide survey using respondent-driven sampling.

机构信息

Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran.

Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

出版信息

BMC Public Health. 2024 Aug 5;24(1):2119. doi: 10.1186/s12889-024-19368-y.

DOI:10.1186/s12889-024-19368-y

PMID:39103895

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11301980/

Abstract

BACKGROUND

Poor sleep quality is a significant issue among people who inject drugs (PWID). This study aimed to evaluate sleep quality and associated factors among PWID in Iran.

METHODS

Using respondent-driven sampling, 2,652 PWID (2,563 male) were recruited in 11 major cities in Iran between 2019 and 2020. The Pittsburgh Sleep Quality Index was utilized to measure sleep quality, and logistic regression was used to assess associations in RDSAnalyst, a software designed for respondent-driven sampling.

RESULTS

The overall prevalence of poor sleep quality was 68.4% (68.3% among males and 70.2% among females). Married PWID had higher odds of poor sleep quality (Adjusted Odds Ratio (AOR): 1.41; 95% CI: 1.05, 1.91). Lack of access to sufficient food in the past 12 months was also associated with poor sleep quality (AOR: 1.73; 95% CI: 1.17, 2.57 for sometimes having no access, and AOR: 2.95; 95% CI: 1.93, 4.52 for always having no access compared to always having access). Additionally, good self-rated health was significantly associated with lower odds of poor sleep quality (AOR: 0.19; 95% CI: 0.11, 0.31).

CONCLUSION

Poor sleep quality is prevalent among PWID in Iran. It is recommended to mitigate the adverse effects of this issue and enhance the overall quality of life for PWID. Supportive interventions aimed at preventing and treating poor sleep quality, as well as improving overall health outcomes, are essential.

摘要

背景

睡眠质量差是注射毒品者（PWID）面临的一个重大问题。本研究旨在评估伊朗 PWID 的睡眠质量及其相关因素。

方法

研究采用应答驱动抽样法，于 2019 年至 2020 年在伊朗 11 个主要城市招募了 2652 名 PWID（2563 名男性）。采用匹兹堡睡眠质量指数评估睡眠质量，并用 RDSAnalyst 软件中的逻辑回归评估应答驱动抽样中的关联，该软件是专为应答驱动抽样设计的。

结果

总体睡眠质量差的发生率为 68.4%（男性为 68.3%，女性为 70.2%）。已婚 PWID 睡眠质量差的可能性更高（调整后的优势比（AOR）：1.41；95%可信区间（CI）：1.05，1.91）。过去 12 个月无法获得足够食物的情况也与睡眠质量差有关（有时无法获得食物的 AOR：1.73；95%CI：1.17，2.57，总是无法获得食物的 AOR：2.95；95%CI：1.93，4.52，与总是能够获得食物相比）。此外，自我报告的良好健康状况与睡眠质量差的可能性较低显著相关（AOR：0.19；95%CI：0.11，0.31）。