Institute of Population Research, Peking University, Beijing, China.
Tianjin Mental Health Center, Tianjin, China.
Arch Gerontol Geriatr. 2020 Mar-Apr;87:103968. doi: 10.1016/j.archger.2019.103968. Epub 2019 Oct 24.
Little was known about sleep quality among Chinese population. Using data from a population-based survey, we aimed to describe the prevalence of poor sleep quality among Chinese elderly people, to analyze factors associated with poor sleep quality, and to explore the relation between sleep quality and life quality as well as the risk for mental disorders. Data was derived from the Tianjin Mental Health Survey. The 19-item Pittsburg Sleep Quality Index was used to assess sleep quality. Life quality was evaluated using a Chinese version of Quality of Life Scale. To investigate the risk for mental disorders, the Chinese version of General Health Questionnaire was administered. Female gender, older age, low educational attainment, poor subject family economic status, and not having health insurance were significantly associated with elevated risk of poor sleep quality. Poor sleep quality was associated with poor life quality and increased odds of mental disorders. Further studies are warranted for the evaluation of effectiveness of screening tools for sleep problems and the generalization of early screening and diagnosing programs in the nation. Early screening is necessary and appropriate intervention programs should be conducted in the population with high risk.
中国人的睡眠质量鲜为人知。本研究旨在利用基于人群的调查数据，描述中国老年人睡眠质量差的流行情况，分析与睡眠质量差相关的因素，并探讨睡眠质量与生活质量以及精神障碍风险之间的关系。数据来自天津心理健康调查。采用匹兹堡睡眠质量指数的 19 项评估睡眠质量。采用生活质量量表的中文版评估生活质量。为了调查精神障碍的风险，使用一般健康问卷的中文版进行评估。女性、年龄较大、教育程度较低、家庭经济状况较差以及没有医疗保险与睡眠质量差的风险增加显著相关。睡眠质量差与生活质量差和精神障碍的几率增加有关。有必要进一步研究睡眠问题筛查工具的有效性，以及在全国范围内推广早期筛查和诊断计划。早期筛查是必要的，应在高风险人群中开展适当的干预计划。
