Department of Epidemiology, School of Public Health, Fudan University, 130 DongAn Road, Shanghai, China.
Songjiang District Center for Disease Control and Prevention, Shanghai, China.
Qual Life Res. 2020 Apr;29(4):1055-1064. doi: 10.1007/s11136-019-02371-x. Epub 2019 Nov 28.
To estimate the prevalence of poor sleep and its risk factors for adults living in a suburban area of Shanghai with rapid urbanization.
A total of 37,545 residents who were aged 20 to 74 years and from the "Peak Program," a community-based natural population cohort study, were included. Data on demographics, lifestyle, and physical health-related factors were collected using a face-to-face questionnaire interview. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep was defined as a PSQI score above 7.
The overall mean of PSQI score was 3.69 ± 2.57 while the prevalence of poor sleep was 8.3%. The prevalence of poor sleep quality was higher in participants who were older than 40 years, had less education, smoked tobacco, had anxiety, and had a chronic disease (p < 0.05 for all comparisons). After adjustment for confounding, a logistic regression model indicated that poor sleep was associated with advanced age, smoking, anxiety, cardiovascular and cerebrovascular diseases, respiratory diseases, and other chronic diseases (p < 0.05 for all comparisons). In addition, compared to women who were premenopausal, the naturally postmenopausal women (OR 1.675, 95% CI 1.44-1.94) and induced menopausal women (OR 2.26, 95% CI 1.81-2.82) were more likely to report poor sleep.
The prevalence of poor sleep among individuals who lived in the Songjiang District of Shanghai and were aged 20 to 74 years was remarkably lower than in the general population of China. Poor sleep was generally more common in middle-aged and elderly residents and in those suffering from anxiety and chronic diseases. Regular exercise, anxiety relieving, and treatment improvement of different chronic diseases may help sleep better.
评估快速城市化的上海郊区成年人中睡眠质量差的患病率及其危险因素。
共有 37545 名年龄在 20 至 74 岁之间的居民参加了“高峰计划”，这是一项基于社区的自然人群队列研究。使用面对面的问卷调查收集人口统计学、生活方式和与身体健康相关的因素数据。使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，PSQI 评分高于 7 分定义为睡眠质量差。
PSQI 总分的平均值为 3.69±2.57，而睡眠质量差的患病率为 8.3%。40 岁以上、受教育程度较低、吸烟、焦虑和患有慢性病的参与者睡眠质量差的患病率较高（所有比较均 p<0.05）。调整混杂因素后，logistic 回归模型表明，睡眠质量差与年龄较大、吸烟、焦虑、心血管和脑血管疾病、呼吸系统疾病和其他慢性病有关（所有比较均 p<0.05）。此外，与绝经前女性相比，自然绝经后女性（OR 1.675，95%CI 1.44-1.94）和诱导绝经后女性（OR 2.26，95%CI 1.81-2.82）更有可能报告睡眠质量差。
居住在上海松江区、年龄在 20 至 74 岁之间的个体中，睡眠质量差的患病率明显低于中国一般人群。睡眠质量差通常在中年和老年居民以及患有焦虑症和慢性病的人群中更为常见。定期运动、缓解焦虑和改善不同慢性病的治疗可能有助于改善睡眠。
