西藏自治区藏族居民社会资本与睡眠障碍关系  

Association of social capital with sleep disorders among adult Tibetan residents in Tibet Autonomous Region, China

作　　者：付瑶 次德吉 尼玛曲措[3] 王勤俭 余宛琪 杨淑娟[1] FU Yao;Cideji;Nima Qucuo(Department of Maternal,Child and Adolescent Health,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan Province 610041,China)

机构地区：[1]四川大学华西公共卫生学院四川大学华西第四医院,四川成都610041 [2]拉萨城关区疾病预防控制中心 [3]西藏自治区疾病预防控制中心

出　　处：《中国公共卫生》2022年第11期1401-1407,共7页Chinese Journal of Public Health

基　　金：国家重点研发计划(2017YFC0907305)。

摘　　要：目的 了解中国西藏自治区藏族居民社会资本对睡眠障碍的影响,为改善其睡眠质量提供依据。方法 于2018年5月—2019年9月,采用多阶段分层整群抽样方法,抽取7 737名西藏藏族居民进行问卷调查,分析其睡眠障碍以及健康相关社会资本(家庭资本和社区/社会资本)情况,应用多因素logistic回归探究西藏藏族居民社会资本对其睡眠障碍的影响。结果 西藏藏族居民睡眠障碍发生率为31.41%(2 430/7 737),家庭社会资本和社区/社会资本得分均值分别为8.2和10.0分。在控制人口学特征及健康危险因素的情况下,家庭社会资本越多的西藏藏族居民睡眠障碍发生风险越低(OR=0.97,95%CI=0.95~0.99);社区/社会资本对睡眠障碍的影响无统计学意义(P>0.05)。按年龄分层后,≥50岁西藏藏族居民的家庭社会资本越多,睡眠障碍的发生风险越低(OR=0.95,95%CI=0.92~0.99);而<50岁西藏藏族居民中的家庭社会资本和社区/社会资本对睡眠障碍的影响均无统计学意义(P>0.05)。结论 西藏藏族居民的社会资本与睡眠障碍具有相关性,应增加其社会资本以改善睡眠质量。Objective To explore the impact of social capital on sleep disorders among adult Tibetan residents in Tibet Autonomous Region(Tibet) and to provide evidences for improving sleep quality in the population. Methods Relevant data on 7 737 Tibetan community residents aged 18-79 years were extracted from the base line survey of The China MultiEthnic Cohort(CMEC) conducted in Tibet with stratified multistage cluster sampling and face-to-face questionnaire interviews from May 2018 to September 2019. Multivariate unconditional logistic regression was used to analyze the correlation of social capital with sleep disorders in the residents. Results Sleep disorders were reported by 31.41%(2 430)of the residents surveyed. The residents′ mean score for family social capital and community/social capital were 8.2 and 10.0,respectively. After adjusting for demographic characteristics and health risk factors, the residents with higher family social capital were less likely to have sleep disorders(odds ratio [OR]=0.97, 95% confidence interval [95% CI]: 0.95-0.99);no significant effect of community/social capital on sleep disorder was observed(P > 0.05). After stratified by age, the elder residents(≥ 50 years) with higher family social capital were less likely to have sleep disorders(OR=0.95, 95% CI: 0.92 –0.99);while, the impact of family social capital and community/social capital on sleep disorders was not significant for the residents under 50 years old(P > 0.05). Conclusion The social capital is related to the occurrence of sleep disorders among adult Tibetan residents in Tibet. The result should be concerned when developing interventions on sleep disorder in the population.

关 键 词：社会资本 睡眠障碍 西藏 

分 类 号：R195.4[医药卫生—卫生统计学]