科研之友
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摘要
PURPOSE Hazardous and harmful drinking and sleep problems are common but their associations among patients seen in primary care have not been examined We hypothesized that greater levels of alcohol consumption would be associated with several self reported sleep problems
METHODS In a cross sectional survey in primary care practices 94 participating clinicians recruited up to 30 consecutive adult patients and both clinicians and patients completed anonymous postvisit questionnaires Patients were asked questions on demographics alcohol consumption cardinal symptoms of alcohol use disorders sleep quality, insomnia sleep apnea and symptoms of restless leg syndrome Multivariate analyses explored the associations of drinking status (none moderate or hazardous) and sleep problems adjusting for demographics and clustering of patients within physician
RESULTS Of 1 984 patients who responded 1 699 (85 6%) provided complete data for analysis Respondents mean age was 50 4 years (SD 174 years) 67% were women, and 72 9% were white Of these 22 3% reported hazardous drinking, 47 8% reported fair or poor overall sleep quality, and 7 3% reported a diagnos's or treatment of sleep apnea Multivariate analyses showed no associations between drinking status and any measure of insomnia overall sleep quality, or restless legs syndrome symptoms Moderate drinking was associated with lower adjusted odds of sleep apnea compared with nondrinkers (OR = 0 61 95% CI 0 38 1 00) Using alcohol for sleep was strongly associated with hazardous drink ing (OR = 4 58 95% CI 2 97 708 compared with moderate drinking)
CONCLUSIONS Moderate and hazardous drinking were associated with few sleep problems Using alcohol for sleep, however, was strongly associated with hazard ous drinking relative to moderate drinking and may serve as a prompt for physicians to ask about excessive alcohol use
- 出版日期2010-12
