Paine Sarah-Jane, Gander Philippa H, Harris Ricci B, Reid Papaarangi
Sleep/Wake Research Centre, Research School of Public Health, Massey University, Wellington, New Zealand.
Aust N Z J Public Health. 2005 Feb;29(1):22-8. doi: 10.1111/j.1467-842x.2005.tb00743.x.
To investigate the prevalence of self-reported insomnia symptoms among Maori (Indigenous people) and non-Maori adults in the general population of New Zealand. To explore the consequences for health and quality of life experienced by those who report common insomnia complaints and sleeping problems.
In 2001, a two-page questionnaire was mailed to a stratified random sample of 4,000 adults aged 20-59 years nationwide. Participants were selected from the New Zealand electoral roll. The sample design aimed for equal numbers of Maori and non-Maori participants, men and women, and participants in each decade of age (72.5% response rate).
Population prevalence estimates indicate that self-reported insomnia symptoms and sleeping problems are higher among Maori than non-Maori. Multiple logistic regression analyses showed that self-reported insomnia symptoms and/or sleeping problems are significantly associated with reporting poor or fair health and quality of life outcomes.
Approximately one-quarter of adults in New Zealand may suffer from a chronic sleep problem, highlighting insomnia as a major public health issue in New Zealand.
Significant differences in the prevalence of insomnia symptoms and current sleeping problems with respect to ethnicity have implications in the purchase and development of treatment services, with greater need for these services among Maori than non-Maori.
调查新西兰普通人群中，毛利人（原住民）和非毛利成年人自我报告的失眠症状患病率。探讨报告常见失眠主诉和睡眠问题的人群所经历的健康和生活质量后果。
2001年，向全国4000名年龄在20至59岁的成年人分层随机样本邮寄了一份两页的问卷。参与者从新西兰选民名册中选取。样本设计旨在使毛利人和非毛利参与者、男性和女性以及每个年龄段的参与者人数相等（回复率为72.5%）。
总体患病率估计表明，毛利人自我报告的失眠症状和睡眠问题高于非毛利人。多项逻辑回归分析表明，自我报告的失眠症状和/或睡眠问题与报告健康状况差或一般以及生活质量结果显著相关。
新西兰约四分之一的成年人可能患有慢性睡眠问题，凸显失眠是新西兰的一个主要公共卫生问题。
失眠症状患病率和当前睡眠问题在种族方面的显著差异对治疗服务的购买和开发具有影响，毛利人比非毛利人对这些服务的需求更大。
