新疆石油工人睡眠时间和睡眠质量与高血压的相关性
Association of sleep duration and sleep quality with hypertension in oil workers in Xinjiang.
作者信息
Yang Fen, Zhang Yuanyue, Qiu Ruiying, Tao Ning
机构信息
School of Public Health, Xinjiang Medical University, Xinjiang, China.
Clinical Postdoctoral Mobile Station, Xinjiang Medical University, Xinjiang, China.
出版信息
PeerJ. 2021 May 3;9:e11318. doi: 10.7717/peerj.11318. eCollection 2021.
OBJECTIVE
The aim of this study is to explore sleep status and hypertension among oil workers in Xinjiang, China. It may provide new ideas and basis for the precise prevention and treatment of hypertension in occupational population.
METHODS
Sleep status and hypertension were investigated in 3,040 workers by a multi-stage cluster sampling method in six oil field bases in Karamay City, Xinjiang. The Pittsburgh Sleep Quality Index was used to evaluate the sleep status of workers. Logistic regression was used to analyze the relationship between sleep duration and sleep quality, and hypertension. Stratified analysis was also performed.
RESULTS
Our results show: 1. Insufficient sleep duration ( = 1.51, 95% CI [1.19-1.90]) and poor sleep quality ( = 1.78, 95% CI [1.33-2.38] were positively associated with hypertension. 2. Stratified analysis indicated insufficient sleep duration was associated with increased risk of hypertension in females ( = 1.54, 95% CI [1.16-2.04]) than males ( = 1.49, 95% CI [1.00-2.23]), and the risk of hypertension in the group <30 years old ( = 9.03, 95% CI [2.32-35.15]) was higher than that in the group of 30-45 years old ( = 1.59, 95% CI [1.14-2.20]). However, in the group > 45 years old, sleeping > 8 h was associated with increased risk of hypertension ( = 3.36, 95% CI [1.42-7.91]). Oil workers doing shift work had a higher risk of hypertension ( = 1.55, 95% CI [1.16-2.07]) to no shift work ( = 1.48, 95% CI [1.02-2.15]). The risk of hypertension in the group with < 10 years of service ( = 4.08, 95% CI [1.92-8.83]) was higher than that in the group with length of service of 10-20 years ( = 2.79, 95% CI [1.59-4.86]). Poor sleep quality was associated with risk for hypertension in females ( = 1.78, 95% CI [1.26-2.49]), those doing shift work ( = 1.70, 95% CI [1.17-2.47]), those with length of service of > 20 years ( = 1.64, 95% CI [1.18-2.27]). The risk of hypertension in the group 30-45 years old is higher than that in the group > 45 years old ( = 1.71, 95% CI [1.10-2.66]; > 45 years old = 1.60, 95% CI [1.09-2.34]).
CONCLUSION
Insufficient sleep duration and poor sleep quality are the potential factors affecting hypertension in Xinjiang oil workers.
目的
本研究旨在探讨中国新疆石油工人的睡眠状况与高血压之间的关系。这可能为职业人群高血压的精准防治提供新思路和依据。
方法
采用多阶段整群抽样方法，对新疆克拉玛依市6个油田基地的3040名工人进行睡眠状况和高血压调查。采用匹兹堡睡眠质量指数评估工人的睡眠状况。采用Logistic回归分析睡眠时间、睡眠质量与高血压之间的关系，并进行分层分析。
结果
我们的研究结果显示：1. 睡眠时间不足（比值比=1.51，95%置信区间[1.19 - 1.90]）和睡眠质量差（比值比=1.78，95%置信区间[1.33 - 2.38]）与高血压呈正相关。2. 分层分析表明，睡眠时间不足与女性（比值比=1.54，95%置信区间[1.16 - 2.04]）相比男性（比值比=1.49，95%置信区间[1.00 - 2.23]）患高血压风险增加有关，且年龄<30岁组（比值比=9.03，95%置信区间[2.32 - 35.15]）患高血压风险高于30 - 45岁组（比值比=1.59，95%置信区间[1.14 - 2.20]）。然而，在年龄>45岁组，睡眠时间>8小时与患高血压风险增加有关（比值比=3.36，95%置信区间[1.42 - 7.91]）。从事轮班工作的石油工人患高血压风险（比值比=1.55，95%置信区间[1.16 - 2.07]）高于不从事轮班工作的工人（比值比=1.48，95%置信区间[1.02 - 2.15]）。工作年限<10年组（比值比=4.08，95%置信区间[1.92 - 8.83]）患高血压风险高于工作年限为10 - 20年组（比值比=2.79，95%置信区间[1.59 - 4.86]）。睡眠质量差与女性（比值比=1.78，95%置信区间[1.26 - 2.49]）、从事轮班工作的工人（比值比=1.70，95%置信区间[1.17 - 2.47]）、工作年限>20年的工人（比值比=1.64，95%置信区间[1.18 - 2.27]）患高血压风险有关。30 - 45岁组患高血压风险高于年龄>45岁组（比值比=1.71，95%置信区间[1.10 - 2.66]；年龄>45岁组比值比=1.60，95%置信区间[1.09 - 2.34]）。
结论
睡眠时间不足和睡眠质量差是影响新疆石油工人高血压的潜在因素。
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