Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada.

IF 2.1 Q3 CLINICAL NEUROLOGY Clocks & Sleep Pub Date : 2024-10-12 DOI:10.3390/clockssleep6040039
Chandima P Karunanayake, James A Dosman, Najib Ayas, Mark Fenton, Jeremy Seeseequasis, Reynaldo Lindain, Warren Seesequasis, Kathleen McMullin, Meera J Kachroo, Vivian R Ramsden, Malcolm King, Sylvia Abonyi, Shelley Kirychuk, Niels Koehncke, Robert Skomro, Punam Pahwa
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Abstract

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; p < 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.

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加拿大萨斯喀彻温省两个社区原住民中失眠与日常行为和睡眠相关生活质量的功能性结果之间的关系。
在加拿大,失眠是一种常见的睡眠问题,与医疗服务的使用和经济负担的增加有关。本文使用睡眠功能结果问卷(FOSQ-10)研究了失眠与原住民参与者日常行为和睡眠相关生活质量的功能结果之间的关联。原住民睡眠健康项目跟踪调查于 2022 年夏季与两个克里原住民合作进行,共有 355 人参加。统计分析采用逻辑回归模型进行。参与者的平均年龄为 40.76 ± 14.60 (SD) 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%,其中女性(26.1%)多于男性(13.8%)。总体而言,350 名参与者的 FOSQ-10 平均得分为 17.27±2.98 分,临床失眠者的得分明显低于无临床失眠者(平均值±标准差:14.6±3.9 vs. 18.0±2.1;P <0.001)。46.6%的参与者的FOSQ-10得分显示出与睡眠相关的功能障碍(FOSQ-10总分<17.90)。在对年龄、白天过度嗜睡、性别和定期服用处方药等因素进行调整后,我们发现临床失眠与功能障碍有显著关联。事实上,临床失眠者出现功能障碍的可能性是无临床失眠者的 3.5 倍。这项研究强调了失眠与两个原住民社区中与日常行为和生活质量相关的功能障碍之间的重要关联。确定这种关联有助于医疗服务提供者诊断和治疗这些社区的失眠患者。
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来源期刊
Clocks & Sleep
Clocks & Sleep Multiple-
CiteScore
4.40
自引率
0.00%
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0
审稿时长
7 weeks
期刊最新文献
Sleep Fragmentation Modulates the Neurophysiological Correlates of Cognitive Fatigue. Timing Mechanisms for Circadian Seizures. Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada. A Longitudinal Examination between Chronotype and Insomnia in Youths: A Cross-Lagged Panel Analysis. The Validation of the SOMNOwatch™ Actigraphy System for Periodic Limb Movements in Sleep Assessment.
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