Karunanayake Chandima P, Dosman James A, Ayas Najib, Fenton Mark, Seeseequasis Jeremy, Lindain Reynaldo, Seesequasis Warren, McMullin Kathleen, Kachroo Meera J, Ramsden Vivian R, King Malcolm, Abonyi Sylvia, Kirychuk Shelley, Koehncke Niels, Skomro Robert, Pahwa Punam
Canadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, Canada.
Department of Medicine, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK S7N 0W8, Canada.
Clocks Sleep. 2024 Oct 12;6(4):578-588. doi: 10.3390/clockssleep6040039.
Insomnia is a common sleep complaint in Canada and is associated with increased use of health care services and economic burden. This paper examines the association of insomnia with functional outcomes relevant to daily behaviors and sleep-related quality of life among First Nations participants using the Functional Outcomes of Sleep Questionnaire (FOSQ-10). The First Nations Sleep Health Project follow-up survey was conducted in partnership with two Cree First Nations in the summer of 2022, where 355 individuals participated. Statistical analysis was conducted using logistic regression models. The mean age of the participants was 40.76 ± 14.60 (SD) years, and 59.4% were females. The prevalence of chronic insomnia (Insomnia Severity Index score of ≥15) was 21.0%, with more females (26.1%) than males (13.8%) experiencing it among the 348 participants. Overall, the mean FOSQ-10 score was 17.27 ± 2.98 among the 350 participants, with those who had clinical insomnia reporting significantly lower scores than those without clinical insomnia (mean ± SD: 14.6 ± 3.9 vs. 18.0 ± 2.1; < 0.001). The FOSQ-10 scores indicated sleep-related functional impairment (FOSQ-10 total score < 17.90) in 46.6% of participants. After adjusting for age, excessive daytime sleepiness, sex, and regular use of prescription medication, we found that clinical insomnia was significantly associated with functional impairments. In fact, a person with clinical insomnia was 3.5 times more likely to have functional impairments than those without clinical insomnia. This study highlights the significant association between insomnia and functional impairments related to daily behaviors and quality of life in two First Nation communities. Identifying this association can help healthcare providers to diagnose and treat patients with insomnia in these communities.
失眠是加拿大常见的睡眠问题，与医疗服务使用增加和经济负担相关。本文使用睡眠功能结果问卷（FOSQ - 10）研究了原住民参与者中失眠与日常行为相关的功能结果以及与睡眠相关的生活质量之间的关联。2022年夏天，与两个克里族原住民社区合作开展了原住民睡眠健康项目随访调查，有355人参与。使用逻辑回归模型进行统计分析。参与者的平均年龄为40.76±14.60（标准差）岁，59.4%为女性。在348名参与者中，慢性失眠（失眠严重程度指数得分≥15）的患病率为21.0%，女性（26.1%）比男性（13.8%）更易出现。总体而言，350名参与者的FOSQ - 10平均得分为17.27±2.98，有临床失眠的参与者报告的得分显著低于无临床失眠者（平均值±标准差：14.6±3.9 vs. 18.0±2.1；P<0.001）。FOSQ - 10得分表明46.6%的参与者存在与睡眠相关的功能损害（FOSQ - 10总分<17.90）。在调整年龄、日间过度嗜睡、性别和处方药常规使用情况后，我们发现临床失眠与功能损害显著相关。事实上，有临床失眠的人出现功能损害的可能性是无临床失眠者的3.5倍。本研究强调了两个原住民社区中失眠与日常行为和生活质量相关的功能损害之间的显著关联。识别这种关联有助于医疗服务提供者对这些社区的失眠患者进行诊断和治疗。
