Sleep Disturbances in Adults with Eczema Are Associated with Impaired Overall Health: A US Population-Based Study

Sleep disturbances are associated with poor health outcomes in adults. However, little is known about the sleep disturbances that occur in adult eczema. We studied the association between adult eczema and sleep disturbance and their impact on overall health and health care utilization. We used the 2...

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Vydáno v:Journal of investigative dermatology Ročník 135; číslo 1; s. 56 - 66
Hlavní autoři: Silverberg, Jonathan I., Garg, Nitin K., Paller, Amy S., Fishbein, Anna B., Zee, Phyllis C.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.01.2015
Elsevier Limited
Témata:
Adolescent
Adult
Aged
Asthma - epidemiology
Cross-Sectional Studies
Disorders of Excessive Somnolence - epidemiology
Eczema - epidemiology
Fatigue - epidemiology
Female
Food Hypersensitivity - epidemiology
Health Surveys
Humans
Male
Middle Aged
Prevalence
Rhinitis, Allergic, Seasonal - epidemiology
Sick Leave - statistics & numerical data
Sleep Initiation and Maintenance Disorders - epidemiology
United States - epidemiology
Young Adult
United States
ISSN:0022-202X, 1523-1747, 1523-1747
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Shrnutí:Sleep disturbances are associated with poor health outcomes in adults. However, little is known about the sleep disturbances that occur in adult eczema. We studied the association between adult eczema and sleep disturbance and their impact on overall health and health care utilization. We used the 2012 National Health Interview Survey, a cross-sectional questionnaire of 34,613 adults. Eczema was associated with higher odds of fatigue (odds ratio (95% confidence interval): 2.97 (2.65–3.34)), regular daytime sleepiness (2.66 (2.34–3.01)), and regular insomnia (2.36 (2.11–2.64)), even after controlling for sleep duration, history of allergic disease, sociodemographics, and body mass index. There were significant interactions between eczema and fatigue, sleepiness, and insomnia as predictors of poorer overall health status, number of sick days, and doctor visits, such that eczema and each of the sleep symptoms were associated with higher odds of poorer outcomes than either eczema or sleep symptoms alone. Latent class analysis was used and identified five classes of fatigue, sleep disturbances, and allergic disorders. Two classes had high probabilities of eczema: one with high probabilities of asthma, hay fever, food allergy, and multiple sleep symptoms and the other with intermediate probability of insomnia alone. Future studies are warranted to better characterize sleep loss in eczema and develop strategies for treatment and prevention.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0022-202X
1523-1747
1523-1747
DOI:10.1038/jid.2014.325