The national veteran sleep disorder study: Descriptive epidemiology and secular trends, 2000-2010

Melannie Alexander, Meredith A. Ray, James R. Hébert, Shawn Youngstedt, Hongmei Zhang, Susan E. Steck, Richard K. Bogan, James B. Burch

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Study Objectives: A large proportion of individuals affected by sleep disorders are untreated and susceptible to accidents, injuries, long-term sequelae (e.g., risk of cardiovascular disease, cancer, psychiatric disorders), and increased mortality risk. Few studies have examined the scope and magnitude of sleep disorder diagnoses in the United States (US) or factors influencing them. Veterans are particularly vulnerable to factors that elicit or exacerbate sleep disorders. Methods: This serial cross-sectional study characterized secular trends in diagnosed sleep disorders among veterans seeking care in US Veterans Health Administration facilities over an eleven-year span (FY2000-2010, n = 9,786,778). Electronic medical records from the national Veterans Administration Informatics and Computing Infrastructure database were accessed. Cases were defined using diagnostic codes specified by the American Academy of Sleep Medicine. Age-adjusted annual prevalence was summarized by sex, race, combat exposure, body mass index, and comorbid diagnoses (cardiovascular disease, cancer, mental disorders). Results: Sleep apnea (47%) and insomnia (26%) were the most common diagnoses among patients with any sleep disorder. There was a six-fold relative increase in total sleep disorder prevalence over the study period. Posttraumatic stress disorder, which tripled over the same time period, was associated with the highest prevalence of sleep disorders (16%) among the comorbid conditions evaluated. Conclusions: The results indicate a growing need for integration of sleep disorder management with patient care and health care planning among US veterans.

Original languageEnglish (US)
Pages (from-to)1399-1410
Number of pages12
JournalSleep
Volume39
Issue number7
DOIs
StatePublished - Jul 1 2016

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Veterans
Epidemiology
United States Department of Veterans Affairs
Cardiovascular Diseases
Cross-Sectional Studies
Patient Care Management
Veterans Health
Health Planning
Informatics
Sleep Wake Disorders
Electronic Health Records
Health Facilities
Sleep Apnea Syndromes
Sleep Initiation and Maintenance Disorders
Post-Traumatic Stress Disorders
Mental Disorders
Accidents
Psychiatry
Neoplasms
Sleep

Keywords

  • Insomnia, military, posttraumatic stress disorder, sleep apnea, veteran

ASJC Scopus subject areas

  • Physiology (medical)
  • Clinical Neurology

Cite this

Alexander, M., Ray, M. A., Hébert, J. R., Youngstedt, S., Zhang, H., Steck, S. E., ... Burch, J. B. (2016). The national veteran sleep disorder study: Descriptive epidemiology and secular trends, 2000-2010. Sleep, 39(7), 1399-1410. https://doi.org/10.5665/sleep.5972

The national veteran sleep disorder study : Descriptive epidemiology and secular trends, 2000-2010. / Alexander, Melannie; Ray, Meredith A.; Hébert, James R.; Youngstedt, Shawn; Zhang, Hongmei; Steck, Susan E.; Bogan, Richard K.; Burch, James B.

In: Sleep, Vol. 39, No. 7, 01.07.2016, p. 1399-1410.

Research output: Contribution to journalArticle

Alexander, M, Ray, MA, Hébert, JR, Youngstedt, S, Zhang, H, Steck, SE, Bogan, RK & Burch, JB 2016, 'The national veteran sleep disorder study: Descriptive epidemiology and secular trends, 2000-2010', Sleep, vol. 39, no. 7, pp. 1399-1410. https://doi.org/10.5665/sleep.5972
Alexander, Melannie ; Ray, Meredith A. ; Hébert, James R. ; Youngstedt, Shawn ; Zhang, Hongmei ; Steck, Susan E. ; Bogan, Richard K. ; Burch, James B. / The national veteran sleep disorder study : Descriptive epidemiology and secular trends, 2000-2010. In: Sleep. 2016 ; Vol. 39, No. 7. pp. 1399-1410.
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