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Spousal sleep behaviors and obstructive sleep apnea risk: effects on couples’ self-rated health

Sleep Breath. 2024 Nov 26;29(1):7. doi: 10.1007/s11325-024-03171-5.

ABSTRACT

PURPOSE: This study aims to examine the relationship between obstructive sleep apnea (OSA) risk, as assessed by the STOP-Bang questionnaire, and couples’ self-rated health. It also investigates how sleep behaviors (snoring, daytime tiredness, and observed apnea) reported in the STOP-Bang items affect couples’ self-rated health.

METHODS: Data from the Korea National Health and Nutrition Examination Survey (2019-2021) were analyzed, including 2,498 couples with complete STOP-Bang and self-rated health data. Logistic regression was used to explore these associations.

RESULTS: 59.2% of husbands and 11.0% of wives were at high risk for OSA. After adjusting for sociodemographic factors, comorbidities, and health behaviors, OSA risk and daytime tiredness were associated with poor self-rated health in both spouses (OR 1.52-3.38 in husbands, 2.23-2.63 in wives). After adjusting for these confounding factors and individual OSA risk, husbands whose wives reported snoring or daytime tiredness had higher odds of self-rated poor health (OR 2.69 [95% CI: 1.63-4.43] and 1.75 [95% CI: 1.25-2.45], respectively) compared to husbands whose wives did not report these behaviors. However, wives’ self-rated health was not significantly influenced by their husbands’ sleep behaviors. Additionally, the adjusted odds of self-rated poor health were 1.51 (95% CI: 1.06-2.16) in husbands if either partner had a high OSA risk, and 1.83 (95% CI: 1.15-2.90) in wives if both partners had a high OSA risk.

CONCLUSION: Husbands’ self-rated poor health is associated with wives’ snoring and daytime tiredness. The presence of OSA in one or both partners was also associated with poorer perceived health in the couple.

PMID:39589644 | DOI:10.1007/s11325-024-03171-5

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