2015年江苏省句容市农村60岁以上老年居民睡眠质量及影响因素研究  

Quality of sleep and its influencing factors among elderly residents aged 60 years above in the rural areas of Jurong City,Jiangsu Province,2015

作　　者：刘敏[1,2] 郑爱明[1] 刘宇 吴晓军[2] 沈冲[1] 曹俊[2] 徐海丰[2] 

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166 [2]江苏省句容市疾病预防控制中心

出　　处：《实用预防医学》2017年第11期1327-1332,共6页Practical Preventive Medicine

基　　金：2016年度镇江市卫生科技重点专项

摘　　要：目的调查句容市农村60岁以上老年人睡眠障碍患病情况,分析其影响因素,为构建有针对性的睡眠障碍干预措施提供科学依据。方法采用横断面研究方法,于2015年9-11月对江苏省句容市各镇多阶段随机抽出的6 109名60岁以上老年居民开展慢性病患病及家族史调查、生活方式与匹兹堡睡眠质量指数(PSQI)问卷调查、人体测量和血液样本实验室检测,收集数据并采用t检验、χ2检验、方差分析等方法分析不同睡眠状况老年人相关特征差异,采用Logistic回归模型筛选睡眠障碍的危险因素。结果调查对象平均PSQI总分为(4.75±3.258)分,共有1 124人患有睡眠障碍,粗患病率为18.40%;在调整了16个潜在混杂因素后发现,女性(OR=1.623,95%CI:1.276~2.064)、年龄增高(OR=1.205,95%CI:1.120~1.297)、血脂异常(OR=1.553,95%CI:1.143~2.108)、12个月内使用药物(OR=1.380,95%CI:1.105~1.723)为睡眠障碍的独立危险因素,而文化程度高(OR=0.876,95%CI:0.777~0.987)和身体活动活跃(OR=0.807,95%CI:0.666~0.979)则是睡眠障碍的保护性因素。结论江苏省句容市2015年农村60岁以上老年居民睡眠障碍流行率和全国水平基本一致,其主要危险因素包括女性、高龄、血脂异常、药物使用及身体活动缺乏等,应加强睡眠障碍相关影响因素的控制,制定符合实际的干预策略,同时应关注睡眠障碍和各类慢性病的交互作用。Objective To investigate the prevalence of sleep disorders and its influencing factors in the rural elders aged 60 years above in Jurong City so as to provide a scientific basis for developing targeted intervention measures. Methods A multi- stage random sampling method was used to select 6,109 elders aged 60 years above from towns in Jurong City, Jiangsu Province from September to November in 2015. The prevalence and family history of chronic diseases and lifestyle were surveyed. Pittsburgh Sleep Quality Index （ PSQI ） questionnaire survey, somatometry and blood test were performed. The characteristic differences a- mong the elders with different sleep quality were analyzed using t-test, X2-test and variance analysis. Logistic regression model was used to screen the risk factors of sleep disorders. Results The average score of PSQI of the elders investigated was （4.75± 3. 258 ）, and 1,124 1 18.40% ） elders suffered from sleep disorders. After 16 potential confounding factors were adjusted, the in- dependent risk factors for sleep disorders were females （ OR = 1.623,95 % CI： 1.276-2.064） , advanced age （ OR = 1.205,95% CI： 1. 120-1. 297） , dyslipidemia（ OR= 1.553,95%CI： 1.143-2.108） and medication within 12 months{ OR= 1.380,95%CI： 1.105- 1. 723 ）, while the protective factors were high education （ OR = 0.876,95 % CI： 0.777- 0.987 ） and enough physical activity （ OR = 0. 807,95%CI. 0.666-0.979）. Conclusions Sleep disorders in the rural elders aged 60 years above in Jurong City, Jiangsu Province in 2015 are consistent with the national level, and the main risk factors are females, advanced age, dyslipidemia, medi- cation and physical activity deficiency. It is necessary to strengthen the control of the risk factors of sleep disorders and formulate practical intervention measures; meanwhile, more attention should be paid to the interaction of sleep disorders and chronic diseases.

关 键 词：睡眠质量 危险因素 老年人 农村居民 

分 类 号：R181.37[医药卫生—流行病学]