Self-Reported Sleep Disturbance is an Independent Predictor of All-Cause Mortality and Respiratory Disease Mortality in US Adults: A Population-Based Prospective Cohort Study

被引:5
作者
Hou, Xinran [1 ,2 ]
Hu, Jiajia [1 ,2 ]
Wang, E. [1 ,2 ]
Wang, Jian [1 ,2 ]
Song, Zongbin [1 ,2 ]
Hu, Jie [1 ,2 ]
Shi, Jian [3 ]
Zhang, Chengliang [2 ,4 ]
机构
[1] Cent South Univ, Xiangya Hosp, Dept Anesthesiol, Changsha, Peoples R China
[2] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha, Peoples R China
[3] Changsha Yamei Plast Surg Hosp, Dept Anesthesiol, Changsha, Peoples R China
[4] Cent South Univ, Xiangya Hosp, Dept Cardiovasc Surg, Changsha, Peoples R China
基金
中国国家自然科学基金;
关键词
sleep disturbance; NHANES; NDI; all-cause mortality; disease-specific mortality; CARDIOVASCULAR-DISEASE; NATIONAL-HEALTH; DURATION; DISORDERS; QUALITY; ASSOCIATION; DYSFUNCTION; INSOMNIA; IMPACT; APNEA;
D O I
10.3389/ijph.2023.1605538
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Self-reported sleep disturbance is common but its association with mortality has rarely been investigated.Methods: This prospective cohort analysis included 41,257 participants enrolled in the National Health and Nutrition Examination Survey from 2005 to 2018. Self-reported sleep disturbance in the present study refers to the patients who have ever consulted doctors or other professionals for trouble sleeping. Univariate and multivariate survey-weighted Cox proportional hazards models were used to evaluate the association of self-reported sleep disturbance with all-cause and disease-specific mortality.Results: Approximately 27.0% of US adults were estimated to have self-reported sleep disturbance. After adjusting for all sociodemographic variables, health behavioral factors, and common comorbidities, participants with self-reported sleep disturbance tend to have higher all-cause mortality risk with a hazard ratio (HR) of 1.17 (95% CI, 1.04-1.32) and chronic lower respiratory disease mortality risk (HR, 1.88; 95% CI, 1.26-2.80), but not cardiovascular disease mortality risk (HR, 1.19; 95% CI, 0.96-1.46) and cancer mortality risk (HR, 1.10; 95% CI, 0.90-1.35).Conclusion: Self-reported sleep disturbance could be associated with higher mortality in adults, and may need to be paid more attention in public health management.
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页数:11
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