Determinants of excessive daytime sleepiness in two First Nation communities

Abstract Background Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatch...

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Main Authors: Ina van der Spuy, Chandima P. Karunanayake, James A. Dosman, Kathleen McMullin, Gaungming Zhao, Sylvia Abonyi, Donna C. Rennie, Joshua Lawson, Shelley Kirychuk, Judith MacDonald, Laurie Jimmy, Niels Koehncke, Vivian R. Ramsden, Mark Fenton, Gregory P. Marchildon, Malcolm King, Punam Pahwa
Format: Article
Language:English
Published: BMC 2017-12-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12890-017-0536-x
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author Ina van der Spuy
Chandima P. Karunanayake
James A. Dosman
Kathleen McMullin
Gaungming Zhao
Sylvia Abonyi
Donna C. Rennie
Joshua Lawson
Shelley Kirychuk
Judith MacDonald
Laurie Jimmy
Niels Koehncke
Vivian R. Ramsden
Mark Fenton
Gregory P. Marchildon
Malcolm King
Punam Pahwa
author_facet Ina van der Spuy
Chandima P. Karunanayake
James A. Dosman
Kathleen McMullin
Gaungming Zhao
Sylvia Abonyi
Donna C. Rennie
Joshua Lawson
Shelley Kirychuk
Judith MacDonald
Laurie Jimmy
Niels Koehncke
Vivian R. Ramsden
Mark Fenton
Gregory P. Marchildon
Malcolm King
Punam Pahwa
author_sort Ina van der Spuy
collection DOAJ
description Abstract Background Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan. Methods Data for this study were from a 2012–13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10. Results Of 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness. Conclusions Excessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.
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spelling doaj.art-81b4d547d1594699b41c2c62560ff8a22022-12-21T19:34:31ZengBMCBMC Pulmonary Medicine1471-24662017-12-011711910.1186/s12890-017-0536-xDeterminants of excessive daytime sleepiness in two First Nation communitiesIna van der Spuy0Chandima P. Karunanayake1James A. Dosman2Kathleen McMullin3Gaungming Zhao4Sylvia Abonyi5Donna C. Rennie6Joshua Lawson7Shelley Kirychuk8Judith MacDonald9Laurie Jimmy10Niels Koehncke11Vivian R. Ramsden12Mark Fenton13Gregory P. Marchildon14Malcolm King15Punam Pahwa16School of Physical Therapy, University of SaskatchewanCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanFirst Nations University of Canada, Prince Albert CampusCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanDepartment of Community Health and Epidemiology, College of Medicine, University of SaskatchewanCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanCommunity A, Duck LakeCommunity B, Montreal LakeCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanDepartment of Academic Family Medicine, University of Saskatchewan, West Winds Primary Health CentreDivision of Respirology, Critical Care and Sleep Medicine, Department of Medicine, College of Medicine, University of SaskatchewanInstitute of Health Policy, Management and Evaluation, University of TorontoFaculty of Health Sciences, Simon Fraser UniversityCanadian Centre for Health and Safety in Agriculture, University of SaskatchewanAbstract Background Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan. Methods Data for this study were from a 2012–13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10. Results Of 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness. Conclusions Excessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.http://link.springer.com/article/10.1186/s12890-017-0536-xFirst NationsIndigenousSleepinessEpworth sleepiness scaleCo-morbiditiesPoverty
spellingShingle Ina van der Spuy
Chandima P. Karunanayake
James A. Dosman
Kathleen McMullin
Gaungming Zhao
Sylvia Abonyi
Donna C. Rennie
Joshua Lawson
Shelley Kirychuk
Judith MacDonald
Laurie Jimmy
Niels Koehncke
Vivian R. Ramsden
Mark Fenton
Gregory P. Marchildon
Malcolm King
Punam Pahwa
Determinants of excessive daytime sleepiness in two First Nation communities
BMC Pulmonary Medicine
First Nations
Indigenous
Sleepiness
Epworth sleepiness scale
Co-morbidities
Poverty
title Determinants of excessive daytime sleepiness in two First Nation communities
title_full Determinants of excessive daytime sleepiness in two First Nation communities
title_fullStr Determinants of excessive daytime sleepiness in two First Nation communities
title_full_unstemmed Determinants of excessive daytime sleepiness in two First Nation communities
title_short Determinants of excessive daytime sleepiness in two First Nation communities
title_sort determinants of excessive daytime sleepiness in two first nation communities
topic First Nations
Indigenous
Sleepiness
Epworth sleepiness scale
Co-morbidities
Poverty
url http://link.springer.com/article/10.1186/s12890-017-0536-x
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