PMID- 29328680 OWN - NLM STAT- MEDLINE DCOM- 20180810 LR - 20180810 IS - 2152-8217 (Electronic) IS - 2152-8217 (Linking) VI - 24 IP - 12 DP - 2017 Dec TI - Insomnia and motor vehicle accident-related injuries, active component, U.S. Armed Forces, 2007-2016. PG - 2-11 AB - Insomnia is the most common sleep disorder in adults, and its incidence is increasing in the U.S. Armed Forces. A potential consequence of insomnia (including medications used to treat it) is increased risk of motor vehicle accidents (MVAs), which cause significant morbidity and mortality in service members. To examine the relationship between insomnia and MVA-related injuries in the U.S. Armed Forces, this retrospective cohort study compared incidence rates of MVA-related injuries from 2007 through 2016 between service members with diagnosed insomnia and an unexposed cohort. After adjustment for multiple covariates, service members with insomnia had more than double the rate of MVA-related injuries, compared to service members without insomnia (adjusted incidence rate ratio: 2.08; 95% CI: 1.95-2.22). A subanalysis of service members with insomnia during 2014-2016 found no difference in risk of MVA-related injury based on days' supply of sleep aid medications prescribed in 365 days following insomnia diagnosis. Insomnia is an important potential risk factor for MVAs in the military. Sleep health should be a component of MVA prevention efforts. FAU - Erickson, Elizabeth A AU - Erickson EA FAU - Stahlman, Shauna AU - Stahlman S FAU - McNellis, Mark G AU - McNellis MG LA - eng PT - Journal Article PL - United States TA - MSMR JT - MSMR JID - 101548156 RN - 0 (Sleep Aids, Pharmaceutical) SB - IM MH - Accidents, Traffic/*statistics & numerical data MH - Adult MH - Age Factors MH - Case-Control Studies MH - Female MH - Humans MH - Incidence MH - Male MH - Military Personnel/*statistics & numerical data MH - Motor Vehicles/statistics & numerical data MH - Retrospective Studies MH - Sex Factors MH - Sleep Aids, Pharmaceutical/therapeutic use MH - Sleep Hygiene MH - Sleep Initiation and Maintenance Disorders/drug therapy/*epidemiology MH - United States/epidemiology MH - Wounds and Injuries/*epidemiology/ethnology MH - Young Adult EDAT- 2018/01/13 06:00 MHDA- 2018/08/11 06:00 CRDT- 2018/01/13 06:00 PHST- 2018/01/13 06:00 [entrez] PHST- 2018/01/13 06:00 [pubmed] PHST- 2018/08/11 06:00 [medline] PST - ppublish SO - MSMR. 2017 Dec;24(12):2-11.