Sleep problems in adults assisted in the Family Health Strategy
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Abstract
Objective: To estimate the prevalence and investigate factors associated with sleep problems in adults enrolled in the Family Health Strategy in 2016. Methods: Cross-sectional sample study with 791 individuals aged 18 years or over, conducted between 2017 and 2018. Sleep problems were measured using the Mini Sleep Questionnaire, a questionnaire validated in Brazil. Results: The prevalence of sleep problems was 49.6%. Of these, 10.4% had mild, 7.6% moderate, and 31.6% severe alterations. There was a statistically significant association between not having a paid work activity, not having leisure activities, smoking, chronic disease, and negative self-assessment of health with sleep problems. Conclusion: There was a high prevalence of sleep problems. These results can contribute to a better understanding of sleep problems in the adult population and thus collaborate with adopting more effective measures to treat them.
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References
Chokroverty S. Overview of sleep & sleep disorders. Indian J Med Res. 2010;131:126-40.
Luyster FS, Strollo, PJJR, Zee PC, Walsh JK. A health imperative. Sleep. 2012;35(6):727-34. DOI: https://doi.org/10.5665/sleep.1846
https://doi.org/10.5665/sleep.1846 DOI: https://doi.org/10.5665/sleep.1846
Santos-Silva R, Bittencourt LR, Pires ML, de Mello MT, Taddei JA, Benedito-Silva AA, et al. Increasing trends of sleep complaints in the city of Sao Paulo, Brazil. Sleep Med. 2010;11(6):520-4. https://doi.org/10.1016/j.sleep.2009.12.011 DOI: https://doi.org/10.1016/j.sleep.2009.12.011
Daley M, Morin CM, LeBlanc M, Grégoire J-P, Savard JJS. The economic burden of insomnia: direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers. 2009;32(1):55-64. PMID: 19189779
Hirotsu C, Bittencourt L, Garbuio S, Andersen ML, Tufik S. Sleep complaints in the Brazilian population: Impact of socioeconomic factors. Sleep Sci. 2014;7(3):135-42. https://doi.org/10.1016/j.slsci.2014.08.001 DOI: https://doi.org/10.1016/j.slsci.2014.08.001
Zanuto EA, de Lima MC, de Araujo RG, da Silva EP, Anzolin CC, Araujo MY, et al. Sleep disturbances in adults in a city of Sao Paulo state. Rev Bras Epidemiol. 2015;18(1):42-53. https://doi.org/10.1590/1980-5497201500010004 DOI: https://doi.org/10.1590/1980-5497201500010004
Castro LS, Poyares D, Leger D, Bittencourt L, Tufik S. Objective prevalence of insomnia in the São Paulo, Brazil epidemiologic sleep study. Ann Neurol. 2013;74(4):537-46. https://doi.org/10.1002/ana.23945 DOI: https://doi.org/10.1002/ana.23945
Siu YF, Chan S, Wong KM, Wong WS. The comorbidity of chronic pain and sleep disturbances in a community adolescent sample: prevalence and association with sociodemographic and psychosocial factors. Pain Med. 2012;13(10):1292-303. https://doi.org/10.1111/j.1526-4637.2012.01473.x DOI: https://doi.org/10.1111/j.1526-4637.2012.01473.x
Brazilian Institute of Geography and Statistics, -IBGE. Population census: preliminary results. 2017. Available from: https://bit.ly/3CgWUQV
Brazil, MS, Department of Primary Care. Family Health [Internet]. Brasilia (DF); 2015. Available from: https://bit.ly/3NiY8Bs
RFalavigna A, de Souza Bezerra ML, Teles AR, Kleber FD, Velho MC, da Silva RC, et al. Consistency and reliability of the Brazilian Portuguese version of the Mini-Sleep Questionnaire in undergraduate students. Sleep Breath. 2011;15(3):351-5. https://doi.org/10.1007/s11325-010-0392-x DOI: https://doi.org/10.1007/s11325-010-0392-x
Oliveira BHD, Yassuda MS, Cupertino APFB, Neri AL. Relações entre padrão do sono, saúde percebida e variáveis socioeconômicas em uma amostra de idosos residentes na comunidade - Estudo PENSA. Cienc Saúde Colet. 2010;15(3):851-60. https://doi.org/10.1590/S1413-81232010000300028 DOI: https://doi.org/10.1590/S1413-81232010000300028
Silva EP, Rocha APR, Araujo MYC, Turi BC, Fernandes RA, Codogno JS. Sleep pattern, obesity and healthcare expenditures in Brazilian adults. Cienc Saúde Colet. 2019;24(11):4103-10. https://doi.org/10.1590/1413-812320182411.26972017 DOI: https://doi.org/10.1590/1413-812320182411.26972017
Pagnin D, Queiroz V. Influence of burnout and sleep difficulties on the quality of life among medical students. Springerplus. 2015;4:676. https://doi.org/10.1186/s40064-015-1477-6 DOI: https://doi.org/10.1186/s40064-015-1477-6
Freitas AMC, Araújo TM, Pinho PS, Sousa CC, Oliveira PCS, Souza FO. Sleep quality and associated factors among professors. Rev Bras Saude Ocup. 2021;46:e2. https://doi.org/10.1590/2317-6369000018919 DOI: https://doi.org/10.1590/2317-6369000018919
Canhin DS, Tebar WR, Scarabottolo CC, Silva GCR, Pinto RZ, Gobbo LA, et al. Physical activity across life stages and sleep quality in adulthood - an epidemiological study. Sleep Medicine. 2021;83:34-9. https://doi.org/10.1016/j.sleep.2021.04.035 DOI: https://doi.org/10.1016/j.sleep.2021.04.035
Machado AKF, Wendt A, Wehrmeister FC. Sleep problems and associated factors in a rural population of a Southern Brazilian city. Rev Saúde Pública. 2018;52:(suppl 1). https://doi.org/10.11606/S1518-8787.2018052000260 DOI: https://doi.org/10.11606/S1518-8787.2018052000260
Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc Lond B Biol Sci. 2016;371(1688):20150110. https://doi.org/10.1098/rstb.2015.0110 DOI: https://doi.org/10.1098/rstb.2015.0110
Mallampalli MP, Carter CL. Exploring sex and gender differences in sleep health: a Society for Women's Health Research Report. J Womens Health (Larchmt). 2014;23(7):553-62. https://doi.org/10.1089/jwh.2014.4816 DOI: https://doi.org/10.1089/jwh.2014.4816
Nowakowski S, Meers J, Heimbach E. Sleep and Women's Health. Sleep Med Res. 2013;4(1):1-22. https://doi.org/10.17241/smr.2013.4.1.1 DOI: https://doi.org/10.17241/smr.2013.4.1.1
Singh JK, Learman LA, Nakagawa S, Gregorich SE, Kuppermann M. Sleep problems among women with noncancerous gynecologic conditions. J Psychosom Obstet Gynaecol. 2014;35(1):29-35. https://doi.org/10.3109/0167482X.2013.868880 DOI: https://doi.org/10.3109/0167482X.2013.868880
Frange C, Banzoli CV, Colombo AE, Siegler M, Coelho G, Bezerra AG, et al. Women's Sleep Disorders: Integrative Care. Sleep Sci. 2017;10(4):174-80. https://doi.org/10.5935/1984-0063.20170030 DOI: https://doi.org/10.5935/1984-0063.20170030
Chattu VK, Sakhamuri SM, Kumar R, Spence DW, BaHammam AS, Pandi-Perumal SR. Insufficient Sleep Syndrome: Is It Time to Classify It as a Major Noncommunicable Disease? Sleep Sci. 2018;11(2):56-64. https://doi.org/10.5935/1984-0063.20180013 DOI: https://doi.org/10.5935/1984-0063.20180013
Grandner MA, Jackson NJ, Izci-Balserak B, Gallagher RA, Murray-Bachmann R, Williams NJ, et al. Social and Behavioral Determinants of Perceived Insufficient Sleep. Front Neurol. 2015;6:112. https://doi.org/10.3389/fneur.2015.00112 DOI: https://doi.org/10.3389/fneur.2015.00112
Kim J-H, Kim KR, Cho KH, Yoo KB, Kwon JA, Park EC. The association between sleep duration and self-rated health in the Korean general population. J Clin Sleep Med. 2013;9(10):1057-64. https://doi.org/10.5664/jcsm.3082 DOI: https://doi.org/10.5664/jcsm.3082
Barros MBA, Lima MG, Ceolim MF, Zancanella E, Cardoso TAMO. Quality of Sleep, Health and Well-being in a Population-based Study. Rev Saude Publica. 2019;53:82. https://doi.org/10.11606/s1518-8787.2019053001067 DOI: https://doi.org/10.11606/s1518-8787.2019053001067
Bittencourt LRA, Santos-Silva R, Taddei JA, Andersen ML, de Mello MT, Tufik S, et al. Sleep complaints in the adult Brazilian population: a national survey based on screening questions. 2009;5(5):459-63. https://doi.org/10.5664/jcsm.27603 DOI: https://doi.org/10.5664/jcsm.27603
Lallukka T, Sares-Jäske L, Kronholm E, Sääksjärvi K, Lundqvist A, Partonen T, Rahkonen O, Knekt P. Sociodemographic and socioeconomic differences in sleep duration and insomnia-related symptoms in Finnish adults. BMC Public Health. 2012;12:565. https://doi.org/10.1186/1471-2458-12-565 DOI: https://doi.org/10.1186/1471-2458-12-565
Hellström A, Hellström P, Willman A, Fagerström C. Association between Sleep Disturbances and Leisure Activities in the Elderly: A Comparison between Men and Women. Sleep Disord. 2014;2014:595208. https://doi.org/10.1155/2014/595208 DOI: https://doi.org/10.1155/2014/595208
Paggi ME, Jopp D, Hertzog C. The Importance of Leisure Activities in the Relationship between Physical Health and Well-Being in a Life Span Sample. Gerontology. 2016;62(4):450-8. https://doi.org/10.1159/000444415 DOI: https://doi.org/10.1159/000444415
Haario P, Rahkonen O, Laaksonen M, Lahelma E, Lallukka T. Bidirectional associations between insomnia symptoms and unhealthy behaviours. J Sleep Res. 2013;22(1):89-95. https://doi.org/10.1111/j.1365-2869.2012.01043.x DOI: https://doi.org/10.1111/j.1365-2869.2012.01043.x
Peters EN, Fucito LM, Novosad C, Toll BA, O'Malley SS. Effect of night smoking, sleep disturbance, and their co-occurrence on smoking outcomes. Psychol Addict Behav. 2011;25(2): 312-9. https://doi.org/10.1037/a0023128 DOI: https://doi.org/10.1037/a0023128
Hoevenaar-Blom MP, Spijkerman AMW, Kromhout D, Van Den Berg JF, Verschuren WMM. Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. 2011;34(11):1487-92. https://doi.org/10.5665/sleep.1382 DOI: https://doi.org/10.5665/sleep.1382
Koren D, Dumin M, Gozal D, metabolic syndrome, targets o, therapy. Role of sleep quality in the metabolic syndrome. 2016;9:281. https://doi.org/10.2147/DMSO.S95120 DOI: https://doi.org/10.2147/DMSO.S95120
Jike M, Itani O, Watanabe N, Buysse DJ, Kaneita Y. Long sleep duration and health outcomes: A systematic review, meta-analysis and meta-regression. Sleep Med Rev. 2018;39:25-36. https://doi.org/10.1016/j.smrv.2017.06.011 DOI: https://doi.org/10.1016/j.smrv.2017.06.011
National Institutes of Health (NCSDR). National Institutes of Health Sleep Disorders Research Plan. Bethesdda: NIH. 2011.
Moraes W, Piovezan R, Poyares D, Bittencourt LR, Santos-Silva R, Tufik SJSm. Effects of aging on sleep structure throughout adulthood: a population-based study. 2014;15(4):401-9. https://doi.org/10.1016/j.sleep.2013.11.791 DOI: https://doi.org/10.1016/j.sleep.2013.11.791
Barros MBA, Lima MG, Malta DC, Szwarcwald CL, Azevedo RCS, Romero D, et al. Report on sadness/depression, nervousness/anxiety and sleep problems in the Brazilian adult population during the COVID-19 pandemic. Epidemiol Serv Saude. 2020;29(4):e2020427. https://doi.org/10.1590/s1679-49742020000400018 DOI: https://doi.org/10.1590/s1679-49742020000400018