TY - JOUR
T1 - Alcohol and sleep problems in primary care patients
T2 - A report from the AAFP national research network
AU - Kentucky Ambulatory Network (KAN)
AU - Research Involving Outpatient Settings Network (RIOSNet)
AU - Missouri's Show-Me Research Network
AU - State Networks of Colorado Ambulatory Practices and Partners (SNOCAP)
AU - Vinson, Daniel C.
AU - Manning, Brian K.
AU - Galliher, James M.
AU - Dickinson, L. Miriam
AU - Pace, Wilson D.
AU - Turner, Barbara J.
AU - Abrahim, Alber
AU - Allen, Rich
AU - Austin, Roger
AU - Balasubrahmanyan, Ravi
AU - Bayer, William H.
AU - Benold, Terrell
AU - Bershow, Robby
AU - Brull, Jennifer
AU - Bujold, Edward
AU - Cairney, Linnea
AU - Church, Samuel
AU - Curry, Sarah
AU - Dickerman, Joel
AU - Farley, Tillman
AU - Farmer, John
AU - Faulkner, Scott E.
AU - Finnie, Mitchell
AU - Fisher, Lynn
AU - Fortunato, Michael
AU - Fox, Chester
AU - Girmay, Aregai
AU - Guthrie, Katie
AU - Hahn, David L.
AU - Hammer, Douglas
AU - Holland, Lisa
AU - Inoue, Sue
AU - Johnson, David S.
AU - Joshi, Namita
AU - Kachoria, Raj
AU - Krohn, Kim
AU - Lee, William D.
AU - Longnecker, Stacy
AU - Lopez, Barbara
AU - Lupold, Chris
AU - Macken, Kathleen
AU - Mase, Jeanne
AU - McMaster, Susan
AU - Michel, Yenni
AU - Modjeski, Nickolas
AU - Narula, Jinny
AU - Njoku, Chinyere
AU - Ocloo, Shirley
AU - Panthangi, Venna
AU - Parchman, Michael L.
N1 - Funding Information:
Funding support: This study was funded by a grant from the Robert Wood Johnson Foundation to the University of Pennsylvania, “Program of Research Integrating Substance Use Information into Mainstream Healthcare,” Barbara J. Turner, MD, MSED, MA, principal investigator.
PY - 2010/12/1
Y1 - 2010/12/1
N2 - PURPOSE: Hazardous and harmful drinking and sleep problems are common, but their associations among patients seen in primary care have not been examined. We hypothesized that greater levels of alcohol consumption would be associated with several self-reported sleep problems. METHODS: In a cross-sectional survey in primary care practices, 94 participating clinicians recruited up to 30 consecutive adult patients, and both clinicians and patients completed anonymous postvisit questionnaires. Patients were asked questions on demographics, alcohol consumption, cardinal symptoms of alcohol use disorders, sleep quality, insomnia, sleep apnea, and symptoms of restless leg syndrome. Multivariate analyses explored the associations of drinking status (none, moderate, or hazardous) and sleep problems, adjusting for demographics and clustering of patients within physician. RESULTS: Of 1,984 patients who responded, 1,699 (85.6%) provided complete data for analysis. Respondents' mean age was 50.4 years (SD 17.4 years), 67% were women, and 72.9% were white. Of these, 22.3% reported hazardous drinking, 47.8% reported fair or poor overall sleep quality, and 7.3% reported a diagnosis or treatment of sleep apnea. Multivariate analyses showed no associations between drinking status and any measure of insomnia, overall sleep quality, or restless legs syndrome symptoms. Moderate drinking was associated with lower adjusted odds of sleep apnea compared with nondrinkers (OR = 0.61; 95% CI, 0.38-1.00). Using alcohol for sleep was strongly associated with hazardous drinking (OR = 4.58; 95% CI, 2.97-7.08, compared with moderate drinking). CONCLUSIONS: Moderate and hazardous drinking were associated with few sleep problems. Using alcohol for sleep, however, was strongly associated with hazardous drinking relative to moderate drinking and may serve as a prompt for physicians to ask about excessive alcohol use.
AB - PURPOSE: Hazardous and harmful drinking and sleep problems are common, but their associations among patients seen in primary care have not been examined. We hypothesized that greater levels of alcohol consumption would be associated with several self-reported sleep problems. METHODS: In a cross-sectional survey in primary care practices, 94 participating clinicians recruited up to 30 consecutive adult patients, and both clinicians and patients completed anonymous postvisit questionnaires. Patients were asked questions on demographics, alcohol consumption, cardinal symptoms of alcohol use disorders, sleep quality, insomnia, sleep apnea, and symptoms of restless leg syndrome. Multivariate analyses explored the associations of drinking status (none, moderate, or hazardous) and sleep problems, adjusting for demographics and clustering of patients within physician. RESULTS: Of 1,984 patients who responded, 1,699 (85.6%) provided complete data for analysis. Respondents' mean age was 50.4 years (SD 17.4 years), 67% were women, and 72.9% were white. Of these, 22.3% reported hazardous drinking, 47.8% reported fair or poor overall sleep quality, and 7.3% reported a diagnosis or treatment of sleep apnea. Multivariate analyses showed no associations between drinking status and any measure of insomnia, overall sleep quality, or restless legs syndrome symptoms. Moderate drinking was associated with lower adjusted odds of sleep apnea compared with nondrinkers (OR = 0.61; 95% CI, 0.38-1.00). Using alcohol for sleep was strongly associated with hazardous drinking (OR = 4.58; 95% CI, 2.97-7.08, compared with moderate drinking). CONCLUSIONS: Moderate and hazardous drinking were associated with few sleep problems. Using alcohol for sleep, however, was strongly associated with hazardous drinking relative to moderate drinking and may serve as a prompt for physicians to ask about excessive alcohol use.
KW - Alcohol-related disorders
KW - Intrinsic
KW - Practice-based research
KW - Sleep apnea
KW - Sleep disorders
UR - http://www.scopus.com/inward/record.url?scp=78449282495&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78449282495&partnerID=8YFLogxK
U2 - 10.1370/afm.1175
DO - 10.1370/afm.1175
M3 - Article
C2 - 21060117
AN - SCOPUS:78449282495
VL - 8
SP - 484
EP - 492
JO - Annals of Family Medicine
JF - Annals of Family Medicine
SN - 1544-1709
IS - 6
ER -