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Associations of sleep problems with health-risk behaviors and psychological well-being among Canadian adults

  • Haijiang Dai
    Affiliations
    Centre for Disease Modelling, Department of Mathematics and Statistics, York University, Toronto, Ontario, Canada

    Center of Clinical Pharmacology, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China
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  • Zhen Mei
    Affiliations
    Manifold Data Mining, Toronto, Ontario, Canada
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  • Aijun An
    Affiliations
    Department of Electrical Engineering and Computer Science, York University, Toronto, Ontario, Canada
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  • Yao Lu
    Correspondence
    Co-corresponding author: Yao Lu, PhD, Center of Clinical Pharmacology, the Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, China. Tel.: 86 731 8861 8325; Fax: 86 731 8861 8325.
    Affiliations
    Center of Clinical Pharmacology, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China
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  • Jianhong Wu
    Correspondence
    Corresponding author: Jianhong Wu, PhD, Centre for Disease Modelling, Department of Mathematics and Statistics, York University, Toronto, Ontario M3J 1P3, Canada. Tel.: 1 416 736 5243; Fax: 1 416 736 5698.
    Affiliations
    Centre for Disease Modelling, Department of Mathematics and Statistics, York University, Toronto, Ontario, Canada
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Published:March 06, 2020DOI:https://doi.org/10.1016/j.sleh.2020.02.003

      Abstract

      Objectives

      Examine the associations of sleep problems with health-risk behaviors and psychological well-being in a representative sample of Canadian adults.

      Design

      Cross-sectional.

      Setting

      The 2011-2012 Canadian Community Health Survey (CCHS, conducted by Statistics Canada).

      Participants

      Of all individuals taking part in the 2011–2012 CCHS, 42,600 participants aged ≥18 years from five provinces/territories (Nova Scotia, Quebec, Manitoba, Alberta, and Yukon) who participated in the sleep survey module were selected for this study.

      Measurements

      Health conditions were self-reported. Sleep problems referred to extreme sleep durations (either <5 or ≥10 hours) and insomnia symptom. Health-risk behaviors included physical inactivity, daily smoking, highly sedentary behavior, and insufficient fruit and vegetable consumption. Worse psychological well-being included having worse self-rated general health, worse self-rated mental health, and worse sense of belonging, and being dissatisfied with life.

      Results

      The participants represented 10,614,600 Canadian adults aged ≥18 years from the five abovementioned provinces/territories. A significantly higher prevalence of all health-risk behaviors and worse psychological well-being was found among participants with extreme sleep durations (than those with 7 to <8 hours) and insomnia symptom (than those without insomnia symptom). After multivariate adjustment, extreme sleep durations and insomnia symptom were still independently associated with increased odds of all health-risk behaviors and worse psychological well-being.

      Conclusions

      Both extreme sleep durations and insomnia symptom were independently associated with health-risk behaviors and worse psychological well-being among Canadian adults.

      Keywords

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