东日本大地震后自我报告的睡眠不满与疏散地区社会经济地位恶化之间的关联：福岛健康管理调查。
The association between self-reported sleep dissatisfaction after the Great East Japan Earthquake, and a deteriorated socioeconomic status in the evacuation area: the Fukushima Health Management Survey.
作者信息
Zhang Wen, Ohira Tetsuya, Maeda Masaharu, Nakano Hironori, Iwasa Hajime, Yasumura Seiji, Ohtsuru Akira, Harigane Mayumi, Suzuki Yuriko, Horikoshi Naoko, Takase Kanae, Takahashi Atsushi, Yabe Hirooki, Kamiya Kenji
机构信息
Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima, Japan; Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima, Japan.
出版信息
Sleep Med. 2020 Apr;68:63-70. doi: 10.1016/j.sleep.2019.09.004. Epub 2019 Sep 18.
BACKGROUND
Currently, few studies have thoroughly investigated the socioeconomic factors related to sleep problems among evacuees following a disaster.
OBJECTIVES
To examine sleep problems in evacuees using data from a large-scale cohort survey of evacuees conducted after the 2011 Great East Japan Earthquake (GEJE).
METHODS
In sum, 73,433 residents who were living in evacuation zones responded to The 2011 Fukushima Health Management Survey. We excluded 16,659 participants who did not answer the question about sleep problems or those younger than 20 years. Thus, data from 56,774 participants (24,959 men and 31,815 women) were used for this analysis. Evacuees' self-reported sleep dissatisfaction was determined based on their response to the question 'Are you satisfied with the quality of your sleep? '. The response options 'Unsatisfied' and 'Very unsatisfied' were considered as the outcome for the present study. Prevalence ratios (PRs) and 95% confidence intervals (CIs) for the prevalence of self-reported sleep disturbance were estimated using modified Poisson regression models.
RESULTS
Of the qualifying survey respondents, 20.3% (4387 men and 7128 women) reported sleep dissatisfaction. Compared with participants living in their own or a relative's home (PR = 1), those living in temporary housing or rental accommodation had a higher prevalence of sleep dissatisfaction (1.47; 95% CI 1.44-1.50 and 2.16; 95% CI 2.07-2.26 in men; 1.39; 95% CI 1.36-1.41 and 1.92; 95% CI 1.86-1.99 in women). Higher educational attainment was also associated with a higher prevalence of sleep dissatisfaction in men, as were job loss and decreased income in both men and women.
CONCLUSION
Self-reported sleep dissatisfaction after the GEJE was associated with a deteriorated socioeconomic status among evacuees. However, future longitudinal studies are warranted.
背景
目前，很少有研究全面调查过灾难后撤离人员中与睡眠问题相关的社会经济因素。
目的
利用2011年东日本大地震（GEJE）后对撤离人员进行的大规模队列调查数据，研究撤离人员的睡眠问题。
方法
共有73433名居住在疏散区的居民参与了2011年福岛健康管理调查。我们排除了16659名未回答睡眠问题或年龄小于20岁的参与者。因此，本分析使用了56774名参与者（24959名男性和31815名女性）的数据。撤离人员自我报告的睡眠不满是根据他们对“你对你的睡眠质量满意吗？”这个问题的回答来确定的。本研究将回答选项“不满意”和“非常不满意”视为研究结果。使用修正的泊松回归模型估计自我报告的睡眠障碍患病率的患病率比（PRs）和95%置信区间（CIs）。
结果
在符合条件的调查受访者中，20.3%（4387名男性和7128名女性）报告了睡眠不满。与居住在自己家或亲戚家的参与者相比（PR = 1），居住在临时住房或出租房的参与者睡眠不满的患病率更高（男性为1.47；95% CI 1.44 - 1.50和2.16；95% CI 2.07 - 2.26；女性为1.39；95% CI 1.36 - 1.41和1.92；95% CI 1.86 - 1.99）。较高的教育程度在男性中也与较高的睡眠不满患病率相关，男性和女性的失业和收入减少也与睡眠不满患病率较高相关。
结论
东日本大地震后自我报告的睡眠不满与撤离人员社会经济状况的恶化有关。然而，未来有必要进行纵向研究。
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