鄞州区成人睡眠障碍发病密度分析  

Incidence density of sleep disorders among adults in Yinzhou District

作　　者：陈云鹏 殷玥琪 孙烨祥 沈鹏[1] 朱宇 江志琴 CHEN Yunpeng;YIN Yueqi;SUN Yexiang;SHEN Peng;ZHU Yu;JIANG Zhiqin(Yinzhou District Center for Disease Control and Prevention,Ningbo,Zhejiang 315000,China;Health Bureau of Yinzhou District,Ningbo,Zhejiang 315000,China)

机构地区：[1]宁波市鄞州区疾病预防控制中心,浙江宁波315000 [2]宁波市鄞州区卫生健康局,浙江宁波315000

出　　处：《预防医学》2024年第12期1028-1031,共4页China Preventive Medicine Journal

基　　金：国家自然科学基金项目(91846303);宁波市鄞州区科技局科技计划项目(2023AS031)。

摘　　要：目的 分析2017-2023年浙江省宁波市鄞州区成人睡眠障碍发病密度,为制定睡眠障碍防控措施提供依据。方法 通过鄞州区域健康信息平台收集2017-2023年鄞州区≥18岁常住居民的电子健康档案资料,以建档1年后首次诊断睡眠障碍的病例为新发病例,采用Poisson分布估算发病密度,描述性分析睡眠障碍病例的时间、人群和地区分布特征。结果 2017-2023年鄞州区≥18岁常住居民1 255 129人,总观察人时6 292 884人年,M (QR)为5.67 (3.74)人年;睡眠障碍新发病例165 490例,男性67 095例,占40.54%;女性98 385例,占59.46%。2017-2023年鄞州区睡眠障碍发病密度为26.30/1 000人年,未见变化趋势(P>0.05)。女性睡眠障碍发病密度为29.63/1 000人年,大于男性的22.57/1 000人年(P<0.05)。70~<80岁组睡眠障碍发病密度最大,为63.30/1 000人年;18~<30岁组最小,为7.24/1 000人年;≥30岁人群睡眠障碍发病密度大于18~<30岁人群(均P<0.05)。初中及以下文化程度人群的睡眠障碍发病密度为32.03/1 000人年,大于高中/中专、大专及以上文化程度人群(25.93/1 000人年和18.87/1 000人年,均P<0.05)。东柳街道、东郊街道和白鹤街道睡眠障碍发病密度居前三位,分别为45.11/1 000人年、42.87/1 000人年和40.16/1 000人年。结论 2017-2023年鄞州区成人睡眠障碍发病密度无明显变化趋势;女性、老年人和中心城区的发病密度较大。Objective To investigate the incidence density of adult sleep disorders(SD)in Yinzhou District,Ningbo City,Zhejiang Province from 2017 to 2023,so as to provide insights into formulating the control measures of SD.Methods The electronic health records of permanent residents aged 18 years and over in Yinzhou District from 2017 to 2023 were collected through the Yinzhou Regional Health Information Platform.New cases of SD were diagnosed for the first time a year after establishing health records.The incidence density was estimated using Poisson distribution.The temporal,population and regional distribution characteristics of new cases of SD were analyzed using a descriptively epidemiological method.Results From 2017 to 2023,there were 1255129 permanent residents aged 18 years and over in Yinzhou District,with a total observed person-time of 6292884 person-years and a median of 5.67(interquar⁃tile range,3.74)person-years.There were 165490 new cases of SD,including 67095 males(40.54%)and 98385 females(59.46%).The incidence density of SD in Yinzhou District from 2017 to 2023 was 26.30/1000 person-years,with no significant trend observed(P>0.05).The incidence density of SD was higher in females than in males(29.63/1000 person-years vs.22.57/1000 person-years,P<0.05).The highest incidence density of SD was observed in individuals aged 70 to<80 years(63.30/1000 person-years),and the lowest was in individuals aged 18 to<30 years(7.24/1000 person-years).The incidence density of SD in individuals aged 30 years and over was higher than that in individuals aged 18 to<30 years(all P<0.05).The incidence density of SD was 32.03/1000 person-years in individu⁃als with junior high school education or below,which was higher than individuals with senior high school/technical sec⁃ondary school education(25.93/1000 person-years)and college degree and above(18.87/1000 person-years,all P<0.05).Dongliu Street,Dongjiao Street,and Baihe Street had relatively higher incidence densities of SD,at 45.11/1000 person-years,42.87/1000 person-

关 键 词：睡眠障碍 流行特征 发病密度 

分 类 号：R195.4[医药卫生—卫生统计学]