云南省育龄女性睡眠质量与抑郁的关联性研究  

Relationship between sleep quality and depression among fertile women in Yunnan Province

作　　者：邓星梅 杜敏 叶汉风 刘继红[4] 代树花 韩春花 荀丽琦 景文展 吴俣 刘珏[2] 刘民[2] Deng Xingmei;Du Min;Ye Hanfeng;Liu Jihong;Dai Shuhua;Han Chunhua;Xun Liqi;Jing Wenzhan;Wu Yu;Liu Jue;Liu Min(Yunnan Maternal and Child Health Hospital of Qujing,Qujing 655000,China;Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing 100191,China;Yunnan Institute of Population and Family Planning Science and Technology,Kunming 650021,China;The Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]云南省曲靖市妇幼保健院,曲靖655000 [2]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [3]云南省人口和计划生育科学技术研究所,昆明650021 [4]昆明医科大学第二附属医院,昆明650101

出　　处：《中华生殖与避孕杂志》2022年第9期933-941,共9页Chinese Journal of Reproduction and Contraception

基　　金：国家自然科学基金(72122001,71934002)。

摘　　要：目的探讨育龄女性睡眠质量与抑郁的关系,为促进育龄女性心理健康提供科学依据。方法本项横断面研究纳入2019年1月至2019年11月期间于云南省昆明医科大学第二附属医院和曲靖市妇幼保健院门诊就诊的12518例15~49岁育龄女性,通过自设问卷收集睡眠质量信息,采用爱丁堡产后抑郁量表收集抑郁信息,利用logistic回归分析控制其他因素影响后,分析睡眠质量与抑郁的关系。结果被调查的12518名女性中,睡眠质量不佳者3197人,占25.54%(95%CI=24.77%~26.30%)。抑郁状态检出率为55.59%(6959/12518;95%CI=54.72%~56.46%)。睡眠质量不佳组的抑郁状态检出率[75.40%(2410/3197)]显著高于睡眠质量良好组的抑郁状态检出率[48.80%(4549/9321)],差异具有统计学意义(P<0.001)。多因素logistic回归分析显示,在控制了基本人口学特征、健康状况及生活方式等因素的影响后,抑郁仍与睡眠质量不佳有关(aOR=3.28,95%CI=2.99~3.60;P<0.001)。结论育龄女性的睡眠及抑郁问题不容忽视,且女性睡眠质量与抑郁相关,提示应当注意保持良好的生活方式,改善睡眠质量,促进心理健康。Objective To explore the relationship between sleep quality and depression among fertile women,and provide a scientific reference for protecting the mental health of fertile women.Methods The study included 12518 fertile women who were 15 to 49 years old from the Second Affiliated Hospital of Kunming Medical University and Maternal and Child Health Hospital of Qujing in Yunnan Province from January 2019 to November 2019.Sleep quality was collected by using self-reported questionnaires,and depression was evaluated by using the Edinburgh Postpartum Depression Scale.We used logistic regression to analyze the relationship between sleep quality and depression after controlling for other factors.Results Among 12518 fertile women,3197 had poor sleep quality which accounted for 25.54%(95%CI=24.77%-26.30%).The detection rate of depression was 55.59%(6959/12518;95%CI=54.72%-56.46%).The detection rate of depression of the poor sleep quality group[75.40%(2410/3197)]was significantly higher than that of the good sleep quality group[48.80%(4549/9321),P<0.001].Multivariate logistic regression analysis showed that after controlling for basic demographic characteristics,health status,lifestyle habits and other factors,depression was still associated with poor sleep quality(aOR=3.28,95%CI=2.99-3.60;P<0.001).Conclusion The problem of depression and sleep quality on fertile women cannot be ignored,and sleep quality was associated with depression significantly which suggested that it was necessary to keep good life style,improve sleep quality and promote mental health.

关 键 词：睡眠 抑郁 育龄女性 云南 

分 类 号：R173[医药卫生—妇幼卫生保健]