Evidence map›Paper›PMID 38916286›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024

Sex disparity in stroke risk among patients with insomnia: a 19-year prospective cohort study.

Eujene Jung, Dong Ki Kim, Sun Young Lee, Hyun Ho Ryu

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Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Eujene JungDepartment of Emergency Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Dong Ki KimDepartment of Emergency Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Sun Young LeePublic Health Center, Seoul National University, Seoul, South Korea.
Hyun Ho RyuDepartment of Emergency Medicine, Chonnam National University Hospital, Gwangju, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesConsidering the increased prevalence and more severe manifestations of insomnia among females along with established sex differences in ischemic stroke (IS) occurrence, this research aimed to examine the potential effects of the interaction between insomnia and sex on the incidence and outcome of IS.

methodsWe used data from the Korean Genome and Epidemiology Study. The main exposure variables were insomnia history and sex. The main outcome was the occurrence of IS observed in biennial follow-up surveys. Cox proportional regression analysis was performed to estimate the effects of insomnia and sex on IS incidence. We also conducted interaction analysis to investigate the interaction effects between insomnia and sex on IS incidence.

resultsDuring 19 years of follow-up involving 8,933 individuals, we documented 370 cases of new-onset stroke (2.88 cases per 1,000 person-years). Cox proportional regression analysis showed that insomnia and female sex did not increase the risk of IS (hazard ratio: 1.13 [95% confidence interval: 0.86-1.51] and hazard ratio: 0.86 [95% confidence interval: 0.63-1.17], respectively). Interaction analysis demonstrated that stroke risk was increased only among females with insomnia (hazard ratio: 1.34 [95% confidence interval: 1.05-1.80]) compared with those without insomnia.

conclusionsOur study highlights the significance of considering sex-specific factors when evaluating the relationship between insomnia and IS risk, particularly emphasizing the unique role of insomnia in IS risk among females. CITATION: Jung E, Kim DK, Lee SY, Ryu HH. Sex disparity in stroke risk among patients with insomnia: a 19-year prospective cohort study.

Indexed as

Sleep Initiation and Maintenance DisordersStrokeAdultAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRepublic of KoreaRisk FactorsSex Factorsinsomniarisk factorsexstroke

Identifiers

PMID38916286
PMCPMC11446123

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