Ahmed Taufique, Haque Muhammad Azimul, Aunto Tanjin Kabir, Hasan Md Khalid
Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh.
Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh; Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States.
Sleep Med. 2025 Mar;127:91-99. doi: 10.1016/j.sleep.2025.01.016. Epub 2025 Jan 16.
This study aimed to assess the prevalence and correlates of anxiety-induced sleep disturbance (AISD) in Paraguayan adolescents through sex-stratified analysis.
This study used the cross-sectional data from Paraguay's 2017 Global School-Based Student Health Survey (GSHS). A total of 3149 in-school adolescents (12-17 years; 51.2 % female) were included in the final analysis. Anxiety-induced sleep disturbance (AISD) was evaluated using the survey question: "During the past 12 months, how often have you been so anxious about something that you could not sleep at night?" Participants could respond on a scale from 1 (never) to 5 (always). For analysis, responses were categorized as follows: "never/rarely/occasionally" indicated no AISD, while "often/always" indicated the presence of AISD. Age-adjusted univariate and multiple logistic analyses were used to determine the correlates of AISD. Regression analysis findings were presented using adjusted odds ratios (AOR) and 95 % confidence intervals (CI), with a p-value <0.05.
The overall prevalence of AISD was 9.5 % among the respondents, significantly higher in girls (12 %) than boys (6.7 %). Loneliness, suicidal ideation, not attending physical education classes, and sitting activities were significantly associated with respondents' AISD. In both sexes, those with loneliness and those who had suicidal ideation were more likely to suffer from AISD than their counterparts. Among girls, those who did not attend physical education class and those who engaged in sedentary activities for three hours or more had significantly higher odds of AISD than boys.
This study found differences in patterns of significant associations between risk factors of AISD for boys and girls. Therefore, different sex-based strategies are recommended to reduce the prevalence of AISD among adolescents in Paraguay.
本研究旨在通过性别分层分析评估巴拉圭青少年中焦虑诱发睡眠障碍（AISD）的患病率及其相关因素。
本研究使用了巴拉圭2017年全球学校学生健康调查（GSHS）的横断面数据。最终分析纳入了3149名在校青少年（12 - 17岁；51.2%为女性）。焦虑诱发睡眠障碍（AISD）通过以下调查问题进行评估：“在过去12个月里，你因某事焦虑到晚上无法入睡的频率有多高？”参与者可以从1（从不）到5（总是）进行回答。在分析中，回答被分类如下：“从不/很少/偶尔”表示无AISD，而“经常/总是”表示存在AISD。采用年龄调整的单因素和多因素逻辑分析来确定AISD的相关因素。回归分析结果以调整后的优势比（AOR）和95%置信区间（CI）呈现，p值<0.05。
受访者中AISD的总体患病率为9.5%，女孩（12%）显著高于男孩（6.7%）。孤独感、自杀意念、不参加体育课以及久坐活动与受访者的AISD显著相关。在男女两性中，有孤独感和自杀意念的人比其他人更易患AISD。在女孩中，不参加体育课以及每天久坐三小时或更长时间的人患AISD的几率显著高于男孩。
本研究发现男孩和女孩AISD危险因素之间的显著关联模式存在差异。因此，建议采取不同的基于性别的策略来降低巴拉圭青少年中AISD的患病率。
