基于倾向性评分匹配法甘肃省油田企业职工睡眠障碍影响因素分析  

Analysis of influencing factors of sleep disorder among staff and workers in oil field enterprises in Gansu Province based on propensity score matching method

作　　者：江靖雯 丁明峰 张嘉文 罗晓蕾 李改云 梁天虎 李懿伦 马子媛 李婧宜 马亦晨 韩雪梅[1] JIANG Jing-wen;DING Ming-feng;ZHANG Jia-wen;LUO Xiao-lei;LI Gai-yun;LIANG Tian-hu;LI Yi-lun;MA Zi-yuan;LI Jing-yi;MA Yi-chen;HAN Xue-mei(School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学公共卫生学院,甘肃兰州730000

出　　处：《现代预防医学》2023年第23期4266-4272,共7页Modern Preventive Medicine

基　　金：国家自然科学基金(72274087);甘肃省自然科学基金(22JR5RA498);兰州市哲学社会科学规划项目(22-B48)。

摘　　要：目的分析甘肃省油田企业职工睡眠障碍影响因素及每周工作时长与睡眠障碍之间的关系。方法于2022年1—6月对甘肃省油田企业职工进行调查,采用自制问卷结合匹兹堡睡眠质量指数量表收集2178名研究对象基本信息和睡眠质量情况。运用倾向性评分匹配法(propensity score matching,PSM)对睡眠正常组和睡眠障碍组进行1:1匹配,利用单因素分析和多因素logistic回归分析睡眠障碍的影响因素,使用限制性立方样条模型(restricted cubic spline,RCS)分析每周工作时长与睡眠障碍之间的剂量-反应关系。结果甘肃省油田职工睡眠障碍检出率为45.68%。倾向性评分匹配成功957对,匹配后两组基线资料水平基本均衡。多因素logistic回归分析显示,高血压(OR=1.507,95%CI:1.124~2.022)、糖尿病(OR=1.743,95%CI:1.020~2.980)、工龄10~19年(OR=1.325,95%CI:1.021~1.719)、工龄20~29年(OR=1.437,95%CI:1.071~1.927)、工龄≥30年(OR=1.581,95%CI:1.095~2.282)、每周工作时长49~55 h(OR=1.381,95%CI:1.026~1.859)、每周工作时长≥56 h(OR=1.999,95%CI:1.551~2.575)和工伤(OR=1.479,95%CI:1.114~1.962)为睡眠障碍的危险因素,体育锻炼(OR=0.694,95%CI:0.573~0.839)为保护因素(P<0.05)。限制性立方样条模型结果显示,油田职工每周工作时长与睡眠障碍间的关联强度呈非线性剂量-反应关系,当每周工作时长超过40 h,睡眠障碍风险呈上升趋势。结论油田职工睡眠问题应该引起关注,企业要督促职工养成健康生活习惯,改善工作环境,合理安排工作时间,改善职工睡眠质量,降低睡眠障碍发生风险。Objective To analyze the influencing factors of sleep disorders and the relationship between working hours per week and sleep disorders among employees in oil field enterprises in Gansu Province.Methods The employees of oil field enterprises in Gansu Province were investigated from January to June 2022.The basic information and sleep quality data of 2178 subjects were collected by self-made questionnaire combined with Pittsburgh Sleep Quality Index scale.The normal sleep group and sleep disorder group were matched according to 1:1 by propensity score matching(PSM).Univariate analysis and multivariate logistic regression analysis were performed to analyze the influencing factors of sleep disorder.Restricted cubic spline(RCS)model was used to analyze the dose-response relationship between working hours per week and sleep disorder.Results The detection rate of sleep disorders among oil field workers in Gansu Province was 45.68%.In total 957 pairs of propensity scores were matched successfully,and the baseline data of the two groups were basically balanced after matching.Multivariate logistic regression analysis showed that hypertension(OR=1.507,95%CI:1.124-2.022),diabetes mellitus(OR=1.743,95%CI:1.020-2.980),length of service of 10 to 19 years(OR=1.325,95%CI:1.021-1.719),length of service of 20 to 29 years(OR=1.437,95%CI:1.071-1.927),length of service≥30 years(OR=1.581,95%CI:1.095-2.282),weekly working hours of 49 to 55 hours(OR=1.381,95%CI:1.026-1.859),working hours≥56 hours per week(OR=1.999,95%CI:1.551-2.575),and work injury(OR=1.479,95%CI:1.114-1.962)were the risk factors of sleep disorder,while physical exercise(OR=0.694,95%CI:0.573-0.839)was the protective factor.The results of restricted cubic spline model showed that there was a non-linear dose-response relationship between the working hours per week and sleep disorders.When the working hour per week exceeded 40 hours,the risk of sleep disorders increased.Conclusion The sleep problem of oil field workers should be paid attention to.Enterprises should urg

关 键 词：油田职工 睡眠障碍 每周工作时长 倾向性评分匹配 剂量-反应关系 

分 类 号：R135[医药卫生—劳动卫生]