Sleep Duration, Insomnia, and Associated Factors Among Ukrainians 1 Year After Russia's Full-Scale Invasion.

IF 2.9 3区 医学 Q2 PSYCHIATRY Psychosomatic Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-10 DOI:10.1097/PSY.0000000000001337
Shanshan Wang, Madelyn Hsiao-Rei Hicks, Emily Barrett, Dmytro Martsenkovskyi, Irina Holovanova, Olga Marchak, Liudmyla Ishchenko, Nancy Fiedler, Ubydul Haque
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Abstract

Objective: We aimed to investigate the prevalence of sleep disturbances and associated factors among Ukrainians 1 year after Russia's full-scale invasion.

Methods: Quota sampling was used to collect online survey data from 2364 adults living in Ukraine aged 18 to 79 years from April 5, 2023, to May 15, 2023. Short sleep duration was defined as sleep duration ≤6 hours and long sleep duration as ≥9 hours. Insomnia was assessed by the Insomnia Symptom Questionnaire.

Results: The prevalences of short sleep duration, long sleep duration, and insomnia were 39.4%, 6.9%, and 38.5%, respectively. Short sleep duration and insomnia were both more likely in females (short sleep duration: adjusted odds ratio [aOR] = 1.44; insomnia: aOR = 2.17), individuals with depression (short sleep duration: aOR = 1.61; insomnia: aOR = 7.76), affected by the 2014 Russian invasion (short sleep duration: aOR = 1.37; insomnia: aOR = 1.78), and with more trauma events (short sleep duration: quartile 3 [Q3] versus Q1: aOR = 1.88; Q4 versus Q1: aOR = 1.83; insomnia: Q3 versus Q1: aOR = 2.14; Q4 versus Q1: aOR = 2.32). Insomnia was more likely in Ukrainians with posttraumatic stress disorder (aOR = 2.95), anxiety (aOR = 4.57), and loneliness (aOR = 1.67). Essential public service was associated with short sleep duration (aOR = 1.64). Short sleep duration and insomnia were associated with lower quality of life in physical, psychological, and environmental domains. Insomnia was associated with the social relationships domain.

Conclusions: Sleep health among Ukrainian adults 1 year into the war is concerning, with more than one-third reporting inadequate sleep or insomnia. More studies are needed on impacts and interventions for sleep health during and after the war.

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俄罗斯全面入侵一年后乌克兰人的睡眠时间、失眠症及相关因素。
目的我们旨在调查俄罗斯全面入侵一年后乌克兰人睡眠障碍的发生率及相关因素:方法:我们采用配额抽样调查法,从 2023 年 4 月 5 日至 2023 年 5 月 15 日期间收集了 2364 名居住在乌克兰、年龄在 18-79 岁之间的成年人的在线调查数据。睡眠时间短定义为睡眠时间≤6 小时,睡眠时间长定义为睡眠时间≥9 小时。失眠通过失眠症状问卷进行评估:结果:睡眠时间短、睡眠时间长和失眠的发生率分别为 39.4%、6.9% 和 38.5%。女性、抑郁症患者(睡眠时间短:aOR = 1.61;失眠:aOR = 7.76)、受 2014 年俄罗斯入侵影响的人(睡眠时间短:aOR = 1.37;失眠:aOR = 1.78)以及有更多创伤事件的人更容易出现睡眠时间短和失眠(睡眠时间短:aOR = 1.44;失眠:aOR = 2.17):第 3 四分位数 vs 第 1 四分位数:aOR = 1.88;第 4 四分位数 vs 第 1 四分位数:aOR = 1.83;失眠:第三四分位数与第一四分位数相比:aOR = 2.14;第四四分位数与第一四分位数相比:aOR = 2.32)。患有创伤后应激障碍(aOR = 2.95)、焦虑(aOR = 4.57)和孤独(aOR = 1.67)的乌克兰人更容易失眠。基本公共服务与睡眠时间短有关(aOR = 1.64)。睡眠时间短和失眠与身体、心理和环境方面的生活质量较低有关。失眠与社会关系领域有关:结论:战争结束一年后,乌克兰成年人的睡眠健康状况令人担忧,超过三分之一的人表示睡眠不足或失眠。需要对战时和战后睡眠健康的影响和干预措施进行更多研究。
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来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
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