内蒙古自治区失眠患病率汉蒙民族差异的现况调查  

A cross-sectional study of insomnia prevalence among Han and Mongolian in Inner Mongolia Autonomous Region

作　　者：陈彦超 陈丽霞[1] 刘肇瑞[2] 严洁 王瑞琪 隋晓杰 张婷婷[2] 郭治国 丁华 张晓娥 吕萍 张志强[1] 白志坚 张利[1] 吕东升 黄悦勤[2] CHEN Yanchao;CHEN Lixia;LIU Zhaorui;YAN Jie;WANG Ruiqi;SUI Xiaojie;ZNANG Tingting;GUO Zhiguo;DING Hua;ZHANG Xiaoe;LYU Ping;ZHANG Zhiqiang;BAI Zhijian;ZHANG Li;LYU Dongsheng;HUANG Yueqin(Mental Health Center of Inner Mongolia Autonomous Region,The Third Hospital of Inner Mongolia Autonomous Region,Hohhot 010010,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Institute of Social Science Survey,Peking University,Beijing 100871,China)

机构地区：[1]内蒙古自治区精神卫生中心,内蒙古自治区第三医院,呼和浩特010010 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [3]北京大学中国社会科学调查中心,北京100871

出　　处：《中国心理卫生杂志》2022年第8期650-657,共8页Chinese Mental Health Journal

基　　金：内蒙古自治区应用技术研究与开发资金计划(201702150、201802142)。

摘　　要：目的:探索内蒙古自治区成人失眠的患病率及危险因素,并比较汉族和蒙古族的民族差异。方法:采用分层多阶段不等概率抽样,于2019年7月-12月抽取内蒙古自治区41个区县旗246个村居的14164名在当地居住6个月及以上的18岁及以上居民,采用复合性国际诊断交谈表-3.0版、国际疾病分类第10版中F51.0非器质性失眠症的诊断标准完成。采用Pearsonχ^(2)检验比较汉族和蒙古族的患病率和一般人口学特征,采用logistic回归分析失眠可能的危险因素。结果:共12315人完成调查,其中汉族9849人和蒙古族2089人,失眠患病率分别为5.0%和4.6%,差异无统计学意义(P>0.05)。55~64岁(OR=1.75,95%CI:1.14~2.67)、酒精使用障碍(OR=2.73,95%CI:1.27~5.88)、抑郁症(OR=3.77,95%CI:2.36~6.04)、焦虑障碍(OR=2.70,95%CI:1.75~4.19)、慢性疼痛(OR=3.07,95%CI:2.07~4.54)、心脏病(OR=1.84,95%CI:1.43~2.36)、糖尿病或高血糖(OR=1.92,95%CI:1.37~2.68)、胃溃疡或肠溃疡(OR=2.33,95%CI:1.73~3.16)、高血压(OR=1.33,95%CI:1.03~1.72)的人群更易患失眠,高中(OR=0.56,95%CI:0.33~0.93)、中等年收入(OR=0.61,95%CI:0.41~0.93)、有工作(OR=0.70,95%CI:0.56~0.88)、居住在西北地区(OR=0.38,95%CI:0.23~0.64)的人群更不易患失眠。结论:内蒙古自治区社区成人失眠的患病率较低,汉蒙民族无差异。55~64岁、患酒精使用障碍、抑郁症、焦虑障碍、慢性疼痛、心脏病、糖尿病、胃溃疡或肠溃疡、高血压的人群可能是失眠发生的高危人群。Objective:To explore the prevalence of insomnia and related risk factors in community adults in Inner Mongolia Autonomous Region, and to compare ethnic differences between Han and Mongolian.Methods:From July to December 2019,14 164 residents aged 18 years and above were selected from 246 villages of 41 districts in Inner Mongolia Autonomous Region by a provincial representative stratified multi-stage unequal probability sampling.The diagnoses of insomnia and other mental disorders were made using the diagnostic criteria for F51.0 non-organic insomnia in the International Classification of Diseases-10 and the Composite International Diagnostic Interview-3.0.Pearson χ^(2) test was used to compare morbidity and general demographic data, and logistic regression was used to explore related risk factors of insomnia.Results:Totally 12 315 community residents, including 9849 Han and 2089 Mongolian were interviewed the survey.The prevalence rates of insomnia in Mongolian and Han adults were 4.6% and 5.0% without statistical significance(P>0.05).Persons aged 55 to 64 years old(OR=1.75,95%CI:1.14-2.67),with alcohol use disorder(OR=2.73,95%CI:1.27-5.88),major depressive disorder(OR=3.77,95%CI:2.36-6.04),anxiety disorder(OR=2.70,95%CI:1.75-4.19),chronic pain(OR=3.07,95%CI:2.07-4.54),heart disease(OR=1.84,95%CI:1.43-2.36),diabetes or hyperglycemia(OR=1.92,95%CI:1.37-2.68),gastrohelcosis or enterelcosis(OR=2.33,95%CI:1.73-3.16),and hypertension(OR=1.33,95%CI:1.03-1.72) were more likely to suffer from insomnia, while persons with high school education level(OR=0.56,95%CI:0.33-0.93),medium income(OR=0.61,95%CI:0.41-0.93),being employed(OR=0.70,95%CI:0.56-0.88),and livig in northwest China(OR=0.38,95%CI:0.23-0.64)were less likely to suffer from insomnia.Conclusion:The prevalence of insomnia in community adults is low in Inner Mongolia Autonomous Region, and there is no significant difference between Mongolian and Han nationality.Persons aged 55 to 64 years and suffered from alcohol use disorder, major depressive disorder, anxiety

关 键 词：失眠 患病率 民族 危险因素 现况调查 

分 类 号：R338.63[医药卫生—人体生理学] R181.32[医药卫生—基础医学]