中国成年人睡眠状况与身心健康的交叉滞后分析  

A cross-lagged analysis of sleep condition and physical & mental health among Chinese adults

作　　者：袁亚运 YUAN Ya-yun(School of Education,Linyi University,Linyi,Shandong 276005,China)

机构地区：[1]临沂大学教育学院,山东临沂276005

出　　处：《现代预防医学》2024年第18期3416-3421,3456,共7页Modern Preventive Medicine

基　　金：临沂大学科研启动基金(Z7022002)。

摘　　要：目的 探讨中国成年人睡眠状况与身心健康的纵向关系,为提升中国成年人睡眠状况以及预防相关慢性疾病提供依据。方法 基于中国家庭追踪调查(China Family Panel Studies,CFPS)数据,利用自报夜晚睡眠时间、自评睡眠质量和日间功能构建睡眠状况指数,使用自评健康、慢性病、身体不适和BMI值测量生理健康,使用简易流调中心抑郁量表(CES-D)测量心理健康,获得15 187个成年人三期(T0:2016年、T1:2018年、T2:2020年)纵向数据,采用趋势检验分析中国成年人睡眠状况变化趋势,使用交叉滞后路径模型和稳健性检验研究睡眠状况与生理健康和心理健康的纵向关系。结果 中国成年人夜晚睡眠时间呈显著下降趋势(Z=-19.609,P<0.001),睡眠不足报告率呈明显上升趋势(Z=-11.542,P<0.001),睡眠质量(Z=8.594,P<0.001)和日间功能(Z=11.045,P<0.001)呈显著恶化趋势。相关性分析结果显示,3个时间点的睡眠状况与生理健康(P值均<0.001)和心理健康(P值均<0.001)均呈正相关。交叉滞后分析结果显示,T0、T1睡眠状况均正向预测T1、T2生理健康[β=0.108(95%CI:0.093~0.122),β=0.078(95%CI:0.063~0.092)]和心理健康[β=0.113(95%CI:0.096~0.126),β=0.095(95%CI:0.105~0.136)],T0、T1生理健康[β=0.111(95%CI:0.096~0.129),β=0.121(95%CI:0.078~0.111)]和心理健康[β=0.132(95%CI:0.116~0.149),β=0.139(95%CI:0.122~0.156)]分别正向预测T1、T2睡眠状况。交叉滞后分析结果在亚组中始终稳健。结论 中国成年人睡眠状况呈明显恶化趋势,睡眠状况与生理健康和心理健康均具有跨时间点的双向预测关系。Objective To explore the longitudinal relationship between sleep condition and physical & mental health among Chinese adults and to provide a basis for improving sleep condition and preventing related chronic diseases.Methods Based on China Family Panel Studies data,sleep condition index was constructed using self-reported sleep time,quality and daytime function.Physiological health was measured using self-rated health,chronic diseases,physical discomfort and BMI values.Mental health was measured using the Center for Epidemiological Studies Depression Scale.15 187 adults in three periods(T0:2016,T1:2018,T2:2020) were involved.Trend tests,Cross-lagged path models and robustness tests were used in this study.Results There was a significant downward trend in the sleep time among Chinese adults(Z=-19.609,P<0.001).The rate of insufficient sleep showed a clear upward trend(Z=-11.542,P<0.001).Sleep quality(Z=8.594,P<0.001) and daytime function(Z=11.045,P<0.001) showed significant deterioration trends.Correlation analysis results showed that sleep condition at three time points was positively correlated with physical health(P<0.001) and mental health(P<0.001).Cross-lagged analysis results showed that T0 and T1 sleep condition positively predicted T1 and T2 physical health [β=0.108(95%CI:0.093-0.122),β=0.078(95%CI:0.063-0.092)] and mental health [β=0.113(95%CI:0.096-0.126),β=0.095(95%CI:0.105-0.136)],T0 and T1 physical health [β=0.111(95%CI:0.096-0.129),β=0.121(95%CI:0.078-0.111)] and mental health [β=0.132(95%CI:0.116-0.149),β=0.139(95%CI:0.122-0.156)] each positively predicted T1 and T2 sleep condition.The cross-lagged analysis results were robust in subgroups.Conclusion There has been a significant and concerning decline in the sleep condition among Chinese adults.There is a bidirectional predictive relationship between sleep condition and physical & mental health across time points.

关 键 词：睡眠状况 生理健康 心理健康 交叉滞后分析 

分 类 号：R195.4[医药卫生—卫生统计学]