Ramaswamy Gomathi, Premarajan Kariyarath Cheriyath, Kar Sitanshu Sekhar, Narayan Sunil K, Thekkur Pruthu
Department of Community Medicine, All India Institute of Medical Sciences, Bibinagar, Telengana, India.
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.
Natl Med J India. 2020 May-Jun;33(3):132-136. doi: 10.4103/0970-258X.314002.
. We assessed the prevalence of sleep disorders among people above 15 years of age from a rural area of Puducherry, south India.
. We did a community-based cross-sectional study among people residing in four service area villages of a rural primary health centre in Puducherry, India. Probability sampling techniques were used to select participants. The Pittsburgh Sleep Quality Index was administered to detect sleep disorders among the participants. The data were entered and analysed using EpiData entry 3.1 and Stata 12 software, respectively. Association between various individual factors and sleep disorders was assessed using generalized linear models adjusting for clustering at the household level and expressed as prevalence ratio with 95% confidence interval (CI).
. The mean (SD) age of the 501 participants was 38.3 (15.4) years. Poor quality of sleep was present in 36.3% (95% CI 32.2%-40.6%). In multivariate generalized linear model, age >60 years (adjusted prevalence rate ratio [aPRR] 1.68; 95% CI 1.11-2.53), female sex (aPRR 1.57; 95% CI 1.18-2.08), living in a broken family (aPRR 1.47; 95% CI 1.06-2.02) and having a television in their sleeping room (aPRR 1.40; 95% CI 1.40-1.79) were independently associated with poor quality of sleep.
. A high prevalence suggests that sleep disorders are a problem in the rural community too. Capacity building among the existing health workforce to identify and treat sleep disorders and health education activities focusing on sleep hygiene among the general public are needed to tackle sleep disorders in the community.
我们评估了印度南部本地治里农村地区15岁以上人群的睡眠障碍患病率。
我们在印度本地治里一个农村初级卫生中心的四个服务区村庄的居民中开展了一项基于社区的横断面研究。采用概率抽样技术选取参与者。使用匹兹堡睡眠质量指数检测参与者的睡眠障碍。分别使用EpiData 3.1录入数据和Stata 12软件进行分析。采用广义线性模型评估各种个体因素与睡眠障碍之间的关联，并对家庭层面的聚类进行校正，以患病率比及95%置信区间（CI）表示。
501名参与者的平均（标准差）年龄为38.3（15.4）岁。睡眠质量差的比例为36.3%（95%CI 32.2%-40.6%）。在多变量广义线性模型中，年龄>60岁（校正患病率比[aPRR]为1.68；95%CI为1.11-2.53）、女性（aPRR为1.57；95%CI为1.18-2.08）、生活在破裂家庭中（aPRR为1.47；95%CI为1.06-2.02）以及卧室里有电视（aPRR为1.40；95%CI为1.40-1.79）与睡眠质量差独立相关。
高患病率表明睡眠障碍也是农村社区的一个问题。为解决社区中的睡眠障碍问题，需要加强现有卫生人力识别和治疗睡眠障碍的能力建设，并开展针对普通公众的睡眠卫生健康教育活动。
