Objective: To investigate the burden of sleep problems within the Spinal Cord injured (SCI) community with respect to the general population (GP) in Switzerland. The study further explored potential predictors for receiving treatment for sleep problems after SCI.

Design: Cross-sectional study.

Setting: SCI community in Switzerland.

Participants: Individuals diagnosed with an SCI, aged 16 years or older that permanently reside in Switzerland (N = 1549).

Interventions: Not applicable.

Outcome measures: Perceived sleep problems within the SCI community and GP. For those with sleep problems and SCI, an indicator for having received treatment was measured.

Results: 58.8% of survey participants indicated having a sleep problem; 69.4% of those with a sleep problem did not indicate receiving treatment. Amongst people living with an SCI, individuals between the ages of 46–60 years (adjusted Odds Ratio, OR = 3.07; 95% CI 1.54–6.16), participants reporting severe financial hardship (OR = 2.90; 95% CI) 1.69–4.96, and those that indicated having pain (OR = 5.62; 95% CI 3.52–8.98) were more likely to have a chronic sleep problem. In comparison to the Swiss GP, the prevalence of having a sleep problem was 18% higher among persons with SCI, with the largest discrepancy for males with paraplegia between the ages of 46–60 years (Prevalence ratio, PR = 1.28; 95% CI, 1.21–1.36).

Conclusion: Individuals with SCI experience more sleep problems compared to the Swiss GP. Findings from this study suggest that clinical screening for sleep issues targeting high risk groups is needed to reduce the large prevalence of non-treatment in individuals with SCI.

目的：调查瑞士普通人群 (GP) 脊髓损伤 (SCI) 社区的睡眠问题负担。该研究进一步探索了脊髓损伤后接受睡眠问题治疗的潜在预测因素。

设计：横断面研究。

地点：瑞士的 SCI 社区。

参与者：被诊断患有 SCI 的个人，年龄在 16 岁或以上，永久居住在瑞士（N  = 1549）。

干预：不适用。

结果测量：在 SCI 社区和全科医生中感知到的睡眠问题。对于那些有睡眠问题和 SCI 的人，测量了接受治疗的指标。

结果： 58.8% 的调查参与者表示有睡眠问题；有睡眠问题的人中有 69.4% 没有表示接受治疗。在 SCI 患者中，年龄在 46-60 岁之间的个体（调整优势比，OR = 3.07；95% CI 1.54-6.16），报告严重经济困难的参与者（OR = 2.90；95% CI）1.69-4.96 ，而那些表示有疼痛的人（OR = 5.62；95% CI 3.52-8.98）更有可能有慢性睡眠问题。与瑞士全科医生相比，SCI 患者睡眠问题的患病率高出 18%，其中 46-60 岁截瘫男性的差异最大（患病率，PR = 1.28；95% CI , 1.21–1.36)。

结论：与瑞士全科医生相比，SCI 患者的睡眠问题更多。这项研究的结果表明，需要针对高危人群进行睡眠问题的临床筛查，以减少 SCI 患者不接受治疗的普遍现象。