广西35~74岁壮族人群睡眠状况及其影响因素分析  

Analysis of sleep status and influencing factors of Zhuang people aged 35 to 74 in Guangxi

作　　者：陈惟义 周泽文 刘颖春[1] 温秋萍 黄东萍[1] 苏莉[1] 刘顺[1] 曾小云[1] 仇小强[1] 余红平[1,2] CHEN Wei-yi;ZHOU Ze-wen;LIU Ying-chun;WEN Qiu-ping;HUANG Dong-ping;SU Li;LIU Shun;ZENG Xiao-yun;QIU Xiao-qiang;YU Hong-ping(School of Public Health,Guangxi Medical University,Nanning,Guangxi 530021,China;不详)

机构地区：[1]广西医科大学公共卫生学院,广西南宁530021 [2]广西医科大学附属肿瘤医院,广西南宁530021

出　　处：《现代预防医学》2022年第2期289-294,共6页Modern Preventive Medicine

基　　金：国家重点研发计划(2017YFC0907103)。

摘　　要：目的了解广西35~74岁壮族人群睡眠情况及其影响因素,为改善广西壮族人群睡眠质量提供参考依据。方法通过"广西少数民族自然人群慢性病前瞻性队列研究"基线调查数据,选择11457名35~74岁的广西壮族人群为研究对象,应用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表评价研究对象的睡眠情况,采用χ^(2)检验以及多因素log-binomial回归模型分析影响睡眠质量的因素。结果共纳入研究对象11457例,平均年龄为(54.09±10.45)岁,PSQI总均分为(4.86±2.95)分,睡眠不良发生率为18.67%(2139/11457)。多因素log-binomial回归分析结果显示,女性(PR=1.169,95%CI:1.059~1.291,P=0.002)、高龄(PR=1.214,95%CI:1.118~1.317,P<0.001)、低教育水平(PR=1.110,95%CI:1.022~1.206,P=0.013)、单身(PR=1.142,95%CI:1.019~1.272,P=0.019)、有夜宵习惯(PR=1.459,95%CI:1.294~1.636,P<0.001)以及没有午睡习惯(PR=1.616,95%CI:1.496~1.745,P<0.001)是睡眠不良的影响因素。结论广西35~74岁壮族中老年人群睡眠不良发生率较高。性别、年龄、教育水平、婚姻状况、夜宵习惯和午睡习惯为主要影响因素。需进一步加大力度开展睡眠健康教育活动,针对睡眠影响因素进行干预,积极改善中老年人群睡眠质量。Objective To understand the sleep situation of Zhuang people aged 35 to 74 in Guangxi and its influencing factors,and to provide reference basis for improving the sleep quality of Zhuang people in Guangxi.Methods Through the baseline survey data of the Prospective Cohort Study on Chronic Diseases in Natural Population of Guangxi Minorities,11457 Zhuang people aged 35 to 74 years old in Guangxi were selected as the study subjects,and the Pittsburgh sleep quality index(PSQI) was applied to evaluate the sleep quality of the study subjects.The χ^(2) test and multi-factor log-binomial regression model were used to analyze the factors affecting sleep quality.Results A total of 11 457 subjects were included,with an average age of(54.09±10.45) years.The total mean score of PSQI was(4.86±2.95),and the incidence of poor sleep was 18.67%(2 139/11 457).Multivariate log binomial regression model analysis showed that female(PR=1.169,95%CI:1.059-1.291,P=0.002),advanced age(PR=1.214,95%CI:1.118-1.317,P<0.001),low education level(PR=1.110,95%CI:1.022-1.206,P=0.013),single(PR=1.142,95%CI:1.019-1.272,P=0.019),having night snack habit(PR=1.459,95%CI:1.294-1.636,P<0.001) and not having nap habit(PR=1.616,95%CI:1.496-1.745,P<0.001) were influencing factors of poor sleep.Conclusion The incidence of poor sleep is higher in the middle-aged and elderly Zhuang people aged 35 to 74 in Guangxi.Gender,age,education level,marital status,supper habits and nap habits are the main influencing factors.Further efforts are needed to carry out sleep health education,intervene based on sleep influencing factors,and proactively improve sleep quality in middle-aged and elderly populations.

关 键 词：广西壮族人群 睡眠质量 影响因素 

分 类 号：R181.3[医药卫生—流行病学]