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Insomnia Symptoms, Sleep Duration, and Disability Pensions: a Prospective Study of Swedish Workers

Artikel i vetenskaplig tidskrift
Författare C. Canivet
Carin Staland Nyman
S. I. Lindeberg
R. Karasek
M. Moghaddassi
Per-Olof Östergren
Publicerad i International Journal of Behavioral Medicine
Volym 21
Nummer/häfte 2
Sidor 319-328
ISSN 1070-5503
Publiceringsår 2014
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor 319-328
Språk en
Länkar dx.doi.org/10.1007/s12529-013-9315-...
Ämnesord Sleep, Sleep Initiation and Maintenance Disorders, Disability leave, Stress, psychological, Longitudinal, WHITEHALL-II, LONG-SLEEP, FOLLOW-UP, UNITED-STATES, GENDER-DIFFERENCES, DECISION LATITUDE, HORDALAND HEALTH, RISK-FACTORS, JOB DEMANDS, POPULATION
Ämneskategorier Hälsovetenskaper

Sammanfattning

Previous studies have found insomnia and long sleep duration to be independently associated with subsequent disability pension (DP). However, the issue of a possible gender-based pattern in this context has received little attention. This study aims to assess the impact of insomnia symptoms and sleep duration on the DP rates among Swedish women and men during a 12-year follow-up period. The participants, from the general population of Malmo, Sweden, were enrolled from 1992 to 1994 (n = 4,319; participation rate 41 %), aged 45-64, healthy, and employed a parts per thousand yen30 h per week. Baseline inquiry data concerning psychosocial circumstances and self-reported sleep habits were compared with official register-based DP rates. Five hundred and nine persons were granted a DP. Insomnia symptoms, affirmed by 33 % of the men and 41 % of the women, were associated with receiving a DP; the hazard ratios in the fully adjusted model were 1.4 for both men [95 % confidence interval (CI) 1.1, 1.9] and women (95 % CI 1.1, 1.7). The fully adjusted hazard ratio for women sleeping a parts per thousand yen9 h was 7.8 (95 % CI 3.7, 16.6) for DP due to a mental disorder. In the age-adjusted analyses, the sub-domain "difficulties falling asleep" was related to DP due to mental disorders in men and DP due to cardiovascular diseases in women. The findings suggest that preventing and treating insomnia symptoms could reduce DP and that disease mechanisms linking sleep disturbances to DP may differ by gender.

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