摘要
目的研究中国65岁及以上老年人群失眠现状、城乡差异及相关危险因素。方法本研究纳入了中国多中心痴呆调查(CMDS)中完成睡眠质量测评和临床评估的人群,阿森斯失眠量表(AIS)得分≥6分定义失眠;采用卡方检验或方差分析比较失眠组和非失眠组间的特征差异;采用多因素logistic回归模型分析失眠的相关危险因素。结果共纳入17726名老年人,失眠患病率为38.54%(95%CI:37.82%~39.31%);logistic回归分析显示,女性(OR=1.789,95%CI:1.681~1.903)、高血压(OR=1.327,95%CI:1.249~1.410)、糖尿病(OR=1.201,95%CI:1.108~1.303)、焦虑或抑郁(OR=5.033,95%CI:4.227~5.994)及慢性便秘(OR=2.108,95%CI:1.962~2.265)为失眠患病的危险因素(P<0.001);有配偶(OR=0.782,95%CI:0.729~0.840)、有体育锻炼(OR=0.824,95%CI:0.768~0.884)、社交活动(偶尔社交活动OR=0.685,95%CI:0.623~0.752;经常社交活动OR=0.502,95%CI:0.459~0.549)为失眠患病的保护因素;当控制了社会人口学及疾病因素后,饮酒(OR=1.729,95%CI:1.544~1.936)的农村人群有更高患病风险;锻炼(OR=0.858,95%CI:0.765~0.962)在城市老年人群中能促进睡眠。结论65岁及以上社区居民失眠患病率较高,焦虑和抑郁及慢性疾病是目前中国老年人失眠的主要危险因素,体育锻炼和社交能促进睡眠。
Objective To study the incidence of insomnia,differences between urban and rural regions,and related risk factors in the elderly aged 65 and above in China.Methods The population in this study was people who completed sleep quality assessment and clinical assessment in the Chinese Multicenter Dementia Survey(CMDS),the Athens Insomnia Scale(AIS)score≥6 points was defined as insomnia;Chi-square test and ANOVA were used to compare the differences between insomnia and non-insomnia groups;multivariate logistic regression model was used to analyze the risk factors associated with insomnia.Results A total of 17726 elderly were included in this study,and the prevalence of insomnia was 38.54%(95%CI:37.82%-39.31%);logistic regression analysis shows:female(OR=1.789,95%CI:1.681-1.903),hypertension(OR=1.327,95%CI:1.249-1.410),diabetes(OR=1.201,95%CI:1.108-1.303),anxiety or depression(OR=5.033,95%CI:4.227-5.994)and chronic constipation(OR=2.108,95%CI:1.962-2.265)were risk factors for insomnia(P<0.001);Spouse(OR=0.782,95%CI:0.729-0.840),physical exercise(OR=0.824,95%CI:0.768-0.884),social activities(occasional social activities OR=0.685,95%CI:0.623-0.752);regular social activities(OR=0.502,95%CI:0.459-0.549)are protective factors for insomnia;when sociodemographic and disease factors were controlled,drinking(OR=1.729,95%CI:1.544-1.936)had a higher risk of insomnia in rural elderly,exercise(OR=0.858,95%CI:0.765-0.962)can improve sleep in urban elderly.Conclusion The prevalence of insomnia is high among community residents aged 65 and above,anxiety and depression and chronic diseases are currently the main risk factors for insomnia in the elderly in China,physical exercise and social activities can improve sleep.
作者
饶诗彤
张可涵
曾燕
王晓丹
吕洋
牛建平
程桂荣
RAO Shi-tong;ZHANG Ke-han;ZENG Yan;WANG Xiao-dan;LV Yang;NIU Jian-ping;CHENG Gui-rong(Institute of Advanced Technology of Brain Science,School of Medicine,Wuhan University of Science and Technology,Wuhan,Hubei 430065,China;不详)
出处
《现代预防医学》
CAS
北大核心
2023年第4期577-581,610,共6页
Modern Preventive Medicine
基金
科技部国家重点研发计划(2020YFC2006000)
湖北省卫生健康委联合基金(WJ2019H174)
武汉科技大学大学生创新项目(22Z108)。
关键词
老年人
失眠
危险因素
多中心调查
流行病学调查
Elderly
Insomnia
Risk factor
Multicenter survey
Epidemiological investigation
作者简介
饶诗彤(2003-),女,本科,研究方向:睡眠障碍与认知功能;通信作者:程桂荣,E-mail:chengguirong@wust.edu.cn。
