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. 2017 Dec 12;17(1):192.
doi: 10.1186/s12890-017-0536-x.

Determinants of excessive daytime sleepiness in two First Nation communities

Ina van der Spuy  1 , Chandima P Karunanayake  2 , James A Dosman  2   3 , Kathleen McMullin  4 , Gaungming Zhao  2 , Sylvia Abonyi  5 , Donna C Rennie  2   6 , Joshua Lawson  2   3 , Shelley Kirychuk  2   3 , Judith MacDonald  7 , Laurie Jimmy  8 , Niels Koehncke  2   3 , Vivian R Ramsden  9 , Mark Fenton  10 , Gregory P Marchildon  11 , Malcolm King  12 , Punam Pahwa  13   14
Affiliations

Determinants of excessive daytime sleepiness in two First Nation communities

Ina van der Spuy et al. BMC Pulm Med. .

Abstract

Background: Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan.

Methods: Data for this study were from a 2012-13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10.

Results: Of 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness.

Conclusions: Excessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.

Keywords: Co-morbidities; Epworth sleepiness scale; First Nations; Indigenous; Poverty; Sleepiness; Snoring.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Biomedical Research Ethics Board of the University of Saskatchewan (Certificate No. Bio #12–89) and adhered to Chapter 9 criteria of the Canadian Tri-Council requirements for conducting research with Indigenous people. Written consent was obtained from all participants.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Ford ES, Cunningham TJ, Giles WH, Croft JB. Trends in insomnia and excessive daytime sleepiness among U.S. adults from 2002 to 2012. Sleep Med. 2015;16(3):372–378. doi: 10.1016/j.sleep.2014.12.008. - DOI - PMC - PubMed
    1. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea. A population health perspective. Am J Respir Crit Care Med. 2002;165(9):1217–1239. doi: 10.1164/rccm.2109080. - DOI - PubMed
    1. Joo S, Baik I, Yi H, Jung K, Kim J, Shin C. Prevalence of excessive daytime sleepiness and associated factors in the adult population of Korea. Sleep Med. 2009;10(2):182–188. doi: 10.1016/j.sleep.2008.03.017. - DOI - PubMed
    1. Nugent AM, Gleadhill I, McCrum E, Patterson CC, Evans A, MacMahon J. Sleep complaints and risk factors for excessive daytime sleepiness in adult males in Northern Ireland. J Sleep Res. 2001;10(1):69–74. doi: 10.1046/j.1365-2869.2001.00226.x. - DOI - PubMed
    1. Gjevre JA, Pahwa P, Karunanayake C, et al. Excessive daytime sleepiness among rural residents in Saskatchewan. Can Respir J. 2014;21(4):227–233. doi: 10.1155/2014/921541. - DOI - PMC - PubMed