Guan Y Q, Zhang M, Zhang X, Zhao Z P, Huang Z J, Li C, Wang L M
Department of Chronic and Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Division of Chronic Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Sep 6;55(9):1114-1122. doi: 10.3760/cma.j.cn112150-20210610-00564.
To explore the relationship between alcohol consumption and insomnia among 18-59 years old employed floating population in mainland China, and provide scientific basis for the relevant policies to improve the sleep status of employed floating population from the perspective of alcohol consumption. Data were from Chinese Floating Population Chronic Disease Surveillance (2012). Floating population were selected from industries in 170 counties and districts of 31 provinces/autonomous regions, and Xinjiang Construction Corps in mainland China by using the stratified multistage cluster sampling. Demographic information, behavioral risk factors, insomnia, social pressure and chronic diseases were collected through using the face-to-face questionnaire. After complex weighting of the data, a multivariable logistic regression was used to explore the sleep status and its influencing factors among the employed floating population. A total of 48 499 subjects were included in the analysis. The proportions of the employed floating population who never drank alcohol, drank small amount, and drank excessively were 48.3%, 41.8% and 9.9%, respectively. The prevalence of insomnia among the general, male and female employed floating population was 28.6%, 25.8% and 32.3%, respectively. The prevalence of insomnia among the employed floating population aged between 45 and 59 years old (32.2%) was higher than that in the population aged between 18 and 44 years old (28.2%). The multivariable logistic regression analysis showed that after adjusting confounding factors, compared with the employed floating population who never consumed alcohol as the reference group, the values of insomnia for the employed floating population with moderate drinking and excessive drinking were 1.40 and 1.53, respectively. The values of insomnia for the male and female employed floating population with moderate drinking were 1.28 and 1.53. The values of insomnia for the male and female employed floating population with excessive drinking were both 1.46. The values of insomnia for the population aged 18-44 years and 45-59 years with excessive drinking were 1.41 and 1.27. The values of insomnia for the population aged 18-44 years and 45-59 years with excessive drinking were 1.55 and 1.37. Small amount of drinking and excessive drinking are associated with insomnia among the employed floating population in mainland China. The association between excessive drinking and insomnia is stronger than that between small amount of drinking and insomnia.
为探讨中国大陆18 - 59岁就业流动人口饮酒与失眠之间的关系，从饮酒角度为改善就业流动人口睡眠状况的相关政策提供科学依据。数据来源于中国流动人口慢性病监测（2012年）。采用分层多阶段整群抽样方法，从中国大陆31个省/自治区、新疆生产建设兵团的170个县（区）的行业中选取流动人口。通过面对面问卷调查收集人口学信息、行为危险因素、失眠情况、社会压力和慢性病情况。对数据进行复杂加权后，采用多变量logistic回归分析就业流动人口的睡眠状况及其影响因素。共48499名受试者纳入分析。从不饮酒、少量饮酒和过量饮酒的就业流动人口比例分别为48.3%、41.8%和9.9%。一般就业流动人口、男性就业流动人口和女性就业流动人口的失眠患病率分别为28.6%、25.8%和32.3%。45 - 59岁就业流动人口的失眠患病率（32.2%）高于18 - 44岁人群（28.2%）。多变量logistic回归分析显示，调整混杂因素后，以从不饮酒的就业流动人口为参照组，适量饮酒和过量饮酒的就业流动人口失眠的OR值分别为1.40和1.53。适量饮酒的男性和女性就业流动人口失眠的OR值分别为1.28和1.53。过量饮酒的男性和女性就业流动人口失眠的OR值均为1.46。18 - 44岁和45 - 59岁过量饮酒人群失眠的OR值分别为1.41和1.27。18 - 44岁和45 - 59岁过量饮酒人群失眠的OR值分别为1.55和1.37。少量饮酒和过量饮酒与中国大陆就业流动人口失眠有关。过量饮酒与失眠的关联强于少量饮酒与失眠的关联。
