Alcohol and Sleep Problems in Primary Care Patients: a Report from the AAFP National Research Network
Alcohol and Sleep Problems in Primary Care Patients: A Report from the AAFP National Research Network 1 Daniel C. Vinson, MD, MSPH ABSTRACT 2 Brian K. Manning, MPH PURPOSE Hazardous and harmful drinking and sleep problems are common, but James M. Galliher, PhD2,3,4 their associations among patients seen in primary care have not been examined. We hypothesized that greater levels of alcohol consumption would be associated 2,4 L. Miriam Dickinson, PhD with several self-reported sleep problems. 2,4 Wilson D. Pace, MD METHODS In a cross-sectional survey in primary care practices, 94 participat- Barbara J. Turner, MD, MSED, MA5 ing clinicians recruited up to 30 consecutive adult patients, and both clinicians and patients completed anonymous postvisit questionnaires. Patients were asked 1Department of Family and Community Medicine, University of Missouri, Colum- questions on demographics, alcohol consumption, cardinal symptoms of alcohol bia, Missouri use disorders, sleep quality, insomnia, sleep apnea, and symptoms of restless leg syndrome. Multivariate analyses explored the associations of drinking status 2 AAFP National Research Network, (none, moderate, or hazardous) and sleep problems, adjusting for demographics Leawood, Kansas and clustering of patients within physician. 3Department of Sociology, University of Missouri, Kansas City, Missouri 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% 4 Department of Family Medicine, Univer- were women, and 72.9% were white. Of these, 22.3% reported hazardous drink- sity of Colorado at Denver Health Sciences ing, 47.8% reported fair or poor overall sleep quality, and 7.3% reported a diag- Center, Denver, Colorado nosis or treatment of sleep apnea.
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