Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans
Objective/Background: This study aimed to compare the changes in sleep quality and use of sleep medications among beneficiaries of health plans, as well as the associated factors. Patients/Methods: Data from two cross-sectional surveys from the 2013 and 2019 National Health Survey were used. Sleep q...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Sleep Epidemiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266734362300001X |
| _version_ | 1827979917354074112 |
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| author | Felipe Mendes Delpino Amanda Reis Bruno Minami Natalia Lara José Cechin |
| author_facet | Felipe Mendes Delpino Amanda Reis Bruno Minami Natalia Lara José Cechin |
| author_sort | Felipe Mendes Delpino |
| collection | DOAJ |
| description | Objective/Background: This study aimed to compare the changes in sleep quality and use of sleep medications among beneficiaries of health plans, as well as the associated factors. Patients/Methods: Data from two cross-sectional surveys from the 2013 and 2019 National Health Survey were used. Sleep quality and use of sleep medications were assessed using structured questions. Descriptive analyses were performed using frequency and 95% confidence interval (95% CI). Inferential analyses were performed using Poisson Regression, whose values were reported as Prevalence Ratio (PR) with their respective 95% confidence intervals. Results: From 2013 to 2019, the prevalence of sleep problems increased from 27.1 (95%CI: 25.9-28.3) to 36.7% (95%CI: 35.5-38.0), whereas the use of sleep medications increased from 8.1 (95%CI: 7.4-8.8) to 10.0% (95%CI: 9.3-10.7). In comparation with men, sleep problems were associated with female sex in 2013 (PR: 1.46; 95%CI: 1.33-1.59) and 2019 (PR: 1.35; 95%CI: 1.27-1.44), even when adjusted for confounding factors. Sleep medications were also associated with female sex in 2013 (PR: 2.41; 95%CI: 1.98-2.94) and 2019 (PR: 1.89; 95%CI: 1.63-2.20), as well as in the adjusted model. Smoking was associated with sleep problems and use of sleep medications, however physical activity and alcohol intake no. Both sleep problems and use of sleep medications were also associated with older age and low education. Conclusions: We found an increase in sleep problems in the two weeks before the interview among beneficiaries of health plans, as well as in the use of sleep medications. |
| first_indexed | 2024-04-09T21:44:22Z |
| format | Article |
| id | doaj.art-53034b1cbc1b4e84a951f3a4e3ed329f |
| institution | Directory Open Access Journal |
| issn | 2667-3436 |
| language | English |
| last_indexed | 2024-04-09T21:44:22Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Sleep Epidemiology |
| spelling | doaj.art-53034b1cbc1b4e84a951f3a4e3ed329f2023-03-25T05:15:48ZengElsevierSleep Epidemiology2667-34362023-12-013100056Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plansFelipe Mendes Delpino0Amanda Reis1Bruno Minami2Natalia Lara3José Cechin4Corresponding author.; Instituto de Estudos de Saúde Suplementar (IESS), 1052 - Conj. 42 - Itaim Bibi, São Paulo SP 04534-004, BrazilInstituto de Estudos de Saúde Suplementar (IESS), 1052 - Conj. 42 - Itaim Bibi, São Paulo SP 04534-004, BrazilInstituto de Estudos de Saúde Suplementar (IESS), 1052 - Conj. 42 - Itaim Bibi, São Paulo SP 04534-004, BrazilInstituto de Estudos de Saúde Suplementar (IESS), 1052 - Conj. 42 - Itaim Bibi, São Paulo SP 04534-004, BrazilInstituto de Estudos de Saúde Suplementar (IESS), 1052 - Conj. 42 - Itaim Bibi, São Paulo SP 04534-004, BrazilObjective/Background: This study aimed to compare the changes in sleep quality and use of sleep medications among beneficiaries of health plans, as well as the associated factors. Patients/Methods: Data from two cross-sectional surveys from the 2013 and 2019 National Health Survey were used. Sleep quality and use of sleep medications were assessed using structured questions. Descriptive analyses were performed using frequency and 95% confidence interval (95% CI). Inferential analyses were performed using Poisson Regression, whose values were reported as Prevalence Ratio (PR) with their respective 95% confidence intervals. Results: From 2013 to 2019, the prevalence of sleep problems increased from 27.1 (95%CI: 25.9-28.3) to 36.7% (95%CI: 35.5-38.0), whereas the use of sleep medications increased from 8.1 (95%CI: 7.4-8.8) to 10.0% (95%CI: 9.3-10.7). In comparation with men, sleep problems were associated with female sex in 2013 (PR: 1.46; 95%CI: 1.33-1.59) and 2019 (PR: 1.35; 95%CI: 1.27-1.44), even when adjusted for confounding factors. Sleep medications were also associated with female sex in 2013 (PR: 2.41; 95%CI: 1.98-2.94) and 2019 (PR: 1.89; 95%CI: 1.63-2.20), as well as in the adjusted model. Smoking was associated with sleep problems and use of sleep medications, however physical activity and alcohol intake no. Both sleep problems and use of sleep medications were also associated with older age and low education. Conclusions: We found an increase in sleep problems in the two weeks before the interview among beneficiaries of health plans, as well as in the use of sleep medications.http://www.sciencedirect.com/science/article/pii/S266734362300001XSleep problemsSleep medicationNational health surveyHealth insurancePrivate health plans |
| spellingShingle | Felipe Mendes Delpino Amanda Reis Bruno Minami Natalia Lara José Cechin Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans Sleep Epidemiology Sleep problems Sleep medication National health survey Health insurance Private health plans |
| title | Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| title_full | Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| title_fullStr | Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| title_full_unstemmed | Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| title_short | Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| title_sort | factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans |
| topic | Sleep problems Sleep medication National health survey Health insurance Private health plans |
| url | http://www.sciencedirect.com/science/article/pii/S266734362300001X |
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