Insomnia symptom prevalence in England: a comparison of cross-sectional self-reported data and primary care records in the UK Biobank.

Autor:	de Lange MA; MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK melanie.delange@bristol.ac.uk.; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK., Richmond RC; MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.; NIHR Oxford Health Biomedical Research Centre, University of Oxford, Oxford, UK., Eastwood SV; Institute of Cardiovascular Science, University College London, London, UK., Davies NM; MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.; Division of Psychiatry & Department of Statistical Sciences, University College London, London, UK.; K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 May 07; Vol. 14 (5), pp. e080479. Date of Electronic Publication: 2024 May 07.
DOI:	10.1136/bmjopen-2023-080479
Abstrakt:	Objectives: We aimed to use a large dataset to compare self-reported and primary care measures of insomnia symptom prevalence in England and establish whether they identify participants with similar characteristics. Design: Cross-sectional study with linked electronic health records (EHRs). Setting: Primary care in England. Participants: 163 748 UK Biobank participants in England (aged 38-71 at baseline) with linked primary care EHRs. Outcome Measures: We compared the percentage of those self-reporting 'usually' having insomnia symptoms at UK Biobank baseline assessment (2006-2010) to those with a Read code for insomnia symptoms in their primary care records prior to baseline. We stratified prevalence in both groups by sociodemographic, lifestyle, sleep and health characteristics. Results: We found that 29% of the sample self-reported having insomnia symptoms, while only 6% had a Read code for insomnia symptoms in their primary care records. Only 10% of self-reported cases had an insomnia symptom Read code, while 49% of primary care cases self-reported having insomnia symptoms. In both primary care and self-reported data, prevalence of insomnia symptom cases was highest in females, older participants and those with the lowest household incomes. However, while snorers and risk takers were more likely to be a primary care case, they were less likely to self-report insomnia symptoms than non-snorers and non-risk takers. Conclusions: Only a small proportion of individuals experiencing insomnia symptoms have an insomnia symptom Read code in their primary care record. However, primary care data do provide a clinically meaningful measure of insomnia prevalence. In addition, the sociodemographic characteristics of people attending primary care with insomnia were consistent with those with self-reported insomnia, thus primary care records are a valuable data source for studying risk factors for insomnia. Further studies should replicate our findings in other populations and examine ways to increase discussions about sleep health in primary care. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu