宜宾地区18岁及以上常住人口失眠情况调查  

An epidemiological study on insomnia in permanent residents over the age of 18 years old in Yi Bin City

作　　者：张荣珍[1] 王志青[2] 刘冬梅[3] 杨永和[3] 向道华[3] 廖华[3] 王世禹[3] 冯翼[3] 李桂霞[2] 汪卫东[2] 

机构地区：[1]北京回龙观医院,北京100096 [2]中国中医科学院广安门医院 [3]四川省宜宾市康复医院

出　　处：《中国神经精神疾病杂志》2015年第3期150-154,共5页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的：了解宜宾地区成年人失眠症的患病率及其危险因素。方法采用多阶段分层整群抽样方法抽取宜宾地区年龄≥18岁居民12000人，用自制量表进行失眠情况调查，通过Logistic回归分析筛选失眠症的危险因素。结果11227人完成调查，符合《国际疾病与相关健康问题统计分类》失眠症诊断标准的有1671人（14.9%，95%CI：14.2%～15.5%），其中仅有9.4%（157例）的失眠症患者进行过相应求助。多因素Logistic回归分析显示，自感生命质量低（OR=2.42，P＜0.01）、无工作（OR=1.87，P＜0.01）、年龄≥60岁（OR=1.69，P＜0.01）、受教育年限少（OR=1.41，P＜0.01）、女性（OR=1.41，P＜0.01）、家庭人均年收入低（OR=1.15，P=0.01）是失眠症的独立危险因素。结论在国内，宜宾地区居民失眠症患病率较高，应对高危人群的睡眠情况给予关注，采取相应措施以提高失眠症患者的求助比例。Objective To describe the prevalence and risk factors of insomnia among adults in YiBin City. Meth-ods Using multi-stage stratified cluster sampling, 12000 subjects over 18 years old were identified in YiBin City. The subjects were screened using the insomnia survey self-edited and risk factors of insomnia were identified through logistic analysis. Results A total of 11227 subjects completed the survey in which 1671 people （14.9%, 95%CI：14.2%～15.5%） were diagnosed insomnia using ICD-10. Among them, 9.4% （157 patients） had seeked for professional help. The multi-variate logistic analysis showed that low level of life quality（OR=2.42,P〈0.01）, jobless（OR=1.87,P〈0.01）, over 60 years old（OR=1.69,P〈0.01）, fewer years of education（OR=1.41,P〈0.01）, female（OR=1.41,P〈0.01）and lower annu-al per capita income（OR=1.15,P=0.01）were risk factors in insomnia people. Conclusion The incidence of insomnia is high in YiBin city. Sleep quality in high-risk group needs more attention and corresponding measures should be taken in order to increase the rate of asking for help in insomnia people.

关 键 词：失眠 患病率 流行病学调查 

分 类 号：R740[医药卫生—神经病学与精神病学]