Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada
Insomnia is a common sleep complaint in Canada and is associated with increased use of health care services and economic burden. This paper examines the association of insomnia with functional outcomes relevant to daily behaviors and sleep-related quality of life among First Nations participants usi...
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| Language: | English |
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MDPI AG
2024-10-01
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| Series: | Clocks & Sleep |
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| author | Chandima P. Karunanayake James A. Dosman Najib Ayas Mark Fenton Jeremy Seeseequasis Reynaldo Lindain Warren Seesequasis Kathleen McMullin Meera J. Kachroo Vivian R. Ramsden Malcolm King Sylvia Abonyi Shelley Kirychuk Niels Koehncke Robert Skomro Punam Pahwa |
| author_facet | Chandima P. Karunanayake James A. Dosman Najib Ayas Mark Fenton Jeremy Seeseequasis Reynaldo Lindain Warren Seesequasis Kathleen McMullin Meera J. Kachroo Vivian R. Ramsden Malcolm King Sylvia Abonyi Shelley Kirychuk Niels Koehncke Robert Skomro Punam Pahwa |
| author_sort | Chandima P. Karunanayake |
| collection | DOAJ |
| description | Insomnia is a common sleep complaint in Canada and is associated with increased use of health care services and economic burden. This paper examines the association of insomnia with functional outcomes relevant to daily behaviors and sleep-related quality of life among First Nations participants using the Functional Outcomes of Sleep Questionnaire (FOSQ-10). The First Nations Sleep Health Project follow-up survey was conducted in partnership with two Cree First Nations in the summer of 2022, where 355 individuals participated. Statistical analysis was conducted using logistic regression models. The mean age of the participants was 40.76 ± 14.60 (SD) years, and 59.4% were females. The prevalence of chronic insomnia (Insomnia Severity Index score of ≥15) was 21.0%, with more females (26.1%) than males (13.8%) experiencing it among the 348 participants. Overall, the mean FOSQ-10 score was 17.27 ± 2.98 among the 350 participants, with those who had clinical insomnia reporting significantly lower scores than those without clinical insomnia (mean ± SD: 14.6 ± 3.9 vs. 18.0 ± 2.1; <i>p</i> < 0.001). The FOSQ-10 scores indicated sleep-related functional impairment (FOSQ-10 total score < 17.90) in 46.6% of participants. After adjusting for age, excessive daytime sleepiness, sex, and regular use of prescription medication, we found that clinical insomnia was significantly associated with functional impairments. In fact, a person with clinical insomnia was 3.5 times more likely to have functional impairments than those without clinical insomnia. This study highlights the significant association between insomnia and functional impairments related to daily behaviors and quality of life in two First Nation communities. Identifying this association can help healthcare providers to diagnose and treat patients with insomnia in these communities. |
| format | Article |
| id | doaj-art-7667d3a2841d4e568ea0cdadf0632e0b |
| institution | Kabale University |
| issn | 2624-5175 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
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| series | Clocks & Sleep |
| spelling | doaj-art-7667d3a2841d4e568ea0cdadf0632e0b2024-12-27T14:18:40ZengMDPI AGClocks & Sleep2624-51752024-10-016457858810.3390/clockssleep6040039Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, CanadaChandima P. Karunanayake0James A. Dosman1Najib Ayas2Mark Fenton3Jeremy Seeseequasis4Reynaldo Lindain5Warren Seesequasis6Kathleen McMullin7Meera J. Kachroo8Vivian R. Ramsden9Malcolm King10Sylvia Abonyi11Shelley Kirychuk12Niels Koehncke13Robert Skomro14Punam Pahwa15Canadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaDivision of Critical Care Medicine, Department of Medicine, Faculty of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, CanadaDepartment of Medicine, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK S7N 0W8, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaCommunity B, P.O. Box 250, Montreal Lake, SK S0J 1Y0, CanadaCommunity A, P.O. Box 96, Duck Lake, SK S0K 1J0, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaDepartment of Academic Family Medicine, University of Saskatchewan, West Winds Primary Health Centre, 3311 Fairlight Drive, Saskatoon, SK S7M 3Y5, CanadaDepartment of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5, CanadaDepartment of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaDepartment of Medicine, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK S7N 0W8, CanadaCanadian Centre for Rural and Agricultural Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, CanadaInsomnia is a common sleep complaint in Canada and is associated with increased use of health care services and economic burden. This paper examines the association of insomnia with functional outcomes relevant to daily behaviors and sleep-related quality of life among First Nations participants using the Functional Outcomes of Sleep Questionnaire (FOSQ-10). The First Nations Sleep Health Project follow-up survey was conducted in partnership with two Cree First Nations in the summer of 2022, where 355 individuals participated. Statistical analysis was conducted using logistic regression models. The mean age of the participants was 40.76 ± 14.60 (SD) years, and 59.4% were females. The prevalence of chronic insomnia (Insomnia Severity Index score of ≥15) was 21.0%, with more females (26.1%) than males (13.8%) experiencing it among the 348 participants. Overall, the mean FOSQ-10 score was 17.27 ± 2.98 among the 350 participants, with those who had clinical insomnia reporting significantly lower scores than those without clinical insomnia (mean ± SD: 14.6 ± 3.9 vs. 18.0 ± 2.1; <i>p</i> < 0.001). The FOSQ-10 scores indicated sleep-related functional impairment (FOSQ-10 total score < 17.90) in 46.6% of participants. After adjusting for age, excessive daytime sleepiness, sex, and regular use of prescription medication, we found that clinical insomnia was significantly associated with functional impairments. In fact, a person with clinical insomnia was 3.5 times more likely to have functional impairments than those without clinical insomnia. This study highlights the significant association between insomnia and functional impairments related to daily behaviors and quality of life in two First Nation communities. Identifying this association can help healthcare providers to diagnose and treat patients with insomnia in these communities.https://www.mdpi.com/2624-5175/6/4/39insomniasleepfunctional impairmentsFOSQ-10First Nations |
| spellingShingle | Chandima P. Karunanayake James A. Dosman Najib Ayas Mark Fenton Jeremy Seeseequasis Reynaldo Lindain Warren Seesequasis Kathleen McMullin Meera J. Kachroo Vivian R. Ramsden Malcolm King Sylvia Abonyi Shelley Kirychuk Niels Koehncke Robert Skomro Punam Pahwa Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada Clocks & Sleep insomnia sleep functional impairments FOSQ-10 First Nations |
| title | Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada |
| title_full | Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada |
| title_fullStr | Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada |
| title_full_unstemmed | Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada |
| title_short | Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada |
| title_sort | association of insomnia with functional outcomes relevant to daily behaviors and sleep related quality of life among first nations people in two communities in saskatchewan canada |
| topic | insomnia sleep functional impairments FOSQ-10 First Nations |
| url | https://www.mdpi.com/2624-5175/6/4/39 |
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