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Gender differences in sleep disorders in the US military
- Source :
- Sleep Health. 3:336-341
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- The purpose of this study is to compare sleep disorders between male and female military personnel. Comorbid behavioral health disorders and chronic pain were also studied in relation to sleep disorders.We conducted a retrospective review of military personnel who underwent a sleep medicine evaluation and an in-laboratory attended polysomnography. Initial sleep questionnaires, demographics, polysomnographic variables, and comorbid disorders of interest were reviewed and compared for each sex.All patients were referred to the Wilford Hall Ambulatory Surgical Center Sleep Disorders Center for evaluation of sleep disturbance.Our cohort consisted of 209 military personnel with 51.7% men. The cohort was relatively young with a mean age of 34.3 years. Men had a significantly higher body mass index at 29.4 vs 27.3 in women.Insomnia was diagnosed in 72 women and 41 men (P.001), whereas obstructive sleep apnea (OSA) was diagnosed in 92 men and 50 women (P.001). Depression and anxiety were more common in women. Women had an average of 1.76 ± 1.36 comorbid conditions compared with 1.08 ± 1.19 in men. In patients diagnosed with both insomnia and OSA, women were more likely to have post-traumatic stress disorder, depression, and anxiety. Neither the Epworth Sleepiness Scale (12.8 ± 4.88) nor the Insomnia Severity Index (16.9 ± 5.33) differed between sexes.Gender-related differences in sleep disorders are present in active-duty personnel. Behavioral health disorders were frequent comorbid disorders, and women diagnosed with both insomnia and OSA manifested greater psychiatric comorbidity. The frequent association between sleep and behavioral health disorders in military personnel requires further study.
- Subjects :
- Adult
Male
Sleep Wake Disorders
medicine.medical_specialty
Polysomnography
Sleep medicine
Young Adult
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Insomnia
Humans
Medicine
Sex Distribution
Psychiatry
Depression (differential diagnoses)
Aged
Retrospective Studies
Sleep disorder
medicine.diagnostic_test
business.industry
Health Status Disparities
Middle Aged
medicine.disease
United States
Obstructive sleep apnea
Military Personnel
030228 respiratory system
Cohort
Physical therapy
Anxiety
Female
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 23527218
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Sleep Health
- Accession number :
- edsair.doi.dedup.....f6eb70c914aaceaa7222c03189956e66