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Continuity of sleep problems from adolescence to young adulthood: results from a longitudinal study

机译：从青春期到成年的睡眠问题的连续性：纵向研究的结果

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Background: Considering the lack of evidence on incidence and continuity of sleep problems from adolescence to young adulthood, this study explores sleep problems' incidence and their continuation rates from 14 to 21 years.Methods: Sleep data from the 14-year (n = 4,924) and 21-year (n = 3660) follow-up of the Mater-University of Queensland Study of Pregnancy cohort were used. Sociodemographic, lifestyle, and psychological conditions were explored for their role in sleep problems. Modified Poisson regression with a robust error variance was used to identify predictors. Inverse probability weights were used to account for attrition. Results: Of all subjects, 26.0% of the subjects at 14 years and 28.3% of the subjects at 21 years reported "often" sleep problems, with 41.7% of adolescent sleep problems persisting at 21 years. Perinatal and early-life maternal factors, for example, drug abuse (incidence rate ratio (IRR), 1.32; 95% confidence interval [CI], 1.02-1.71), smoking, depression, and anxiety, were significant predictors of adolescent sleep problems. Female sex (IRR, 2.13; 95% CI, 1.55-2.94), advanced pubertal stages, and smoking were the important predictors of sleep problems at 21 years. Adolescent depression/anxiety supported the continuity of sleep problems (IRR, 1.21; 95% CI, 1.05-1.40), whereas exercise was seen to exert a protective effect.
机译：背景：考虑到从青春期到成年后睡眠问题的发病率和连续性的证据，这项研究探讨了睡眠问题的发病率及其持续率从14年到21年。方法：14年的睡眠数据（n = 4,924使用昆士兰研究妊娠队列研究的母校的随访和21年（n = 3660）。探索了社会人口统计学，生活方式和心理状况，因为它们在睡眠问题中的作用。使用鲁棒误差方差的修改后泊松回归用于识别预测因子。逆概率权重被用来解释损耗。结果：在所有受试者中，有26.0％的受试者在14岁时，21岁的受试者的28.3％报告“经常”睡眠问题，其中41.7％的青少年睡眠问题持续了21年。围产期和早期产妇因素，例如药物滥用（IRR），1.32; 95％置信区间[CI]，1.02-1.71），吸烟，抑郁和焦虑是青少年睡眠问题的重要预测指标。女性（IRR，2.13; 95％CI，1.55-2.94），高级青春期阶段和吸烟是21年睡眠问题的重要预测指标。青春期抑郁/焦虑支持睡眠问题的连续性（IRR，1.21; 95％CI，1.05-1.40），而运动被认为具有保护作用。

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