School of Public Health, Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.
School of Public Health, Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.
Psychiatry Res. 2017 Oct;256:453-457. doi: 10.1016/j.psychres.2017.07.017. Epub 2017 Jul 10.
Previous studies have identified global associations between sleep quality and suicidal ideation. However, little is known regarding the relationship between sleep quality and suicidal ideation among Chinese older adults. We examined the relationship between sleep quality and suicidal ideation in older adults in China. A cross-sectional study was conducted in 3313 seniors in Shandong, China. Suicidal ideation was assessed using the interviewees' answers to the question "Have you ever seriously considered wanting to die?". Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Logistic regression was performed to estimate odds ratios and 95% confidence intervals adjusted for confounders. When controlling for sex, age, living condition, economic status, marital status, education, past occupation, relationship with children, non-communicable diseases, and mental health, the odds of suicidal ideation increased in association with an increase in the total score for sleep quality and its components (subjective sleep quality, sleep duration, habitual sleep efficiency, and daytime dysfunction). Poor sleep quality was associated with increased odds of suicidal ideation in Chinese older adults. Sleep-based interventions should be developed to prevent suicide in older adults in China.
先前的研究已经确定了睡眠质量与自杀意念之间的全球关联。然而，对于中国老年人的睡眠质量与自杀意念之间的关系，人们知之甚少。我们研究了中国老年人睡眠质量与自杀意念之间的关系。在中国山东，对 3313 名老年人进行了一项横断面研究。使用受访者对“你是否曾认真考虑过想死？”这一问题的回答来评估自杀意念。使用匹兹堡睡眠质量指数来评估睡眠质量。采用逻辑回归来估计调整混杂因素后的比值比和 95%置信区间。在控制了性别、年龄、居住条件、经济状况、婚姻状况、教育程度、过去职业、与子女的关系、非传染性疾病和心理健康状况后，睡眠质量总分及其各成分（主观睡眠质量、睡眠时间、习惯性睡眠效率和日间功能障碍）的增加与自杀意念的几率增加相关。睡眠质量差与中国老年人自杀意念几率增加相关。应该制定基于睡眠的干预措施，以预防中国老年人的自杀。
