Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou, 510080, China.
Sun Yat-Sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-Sen University, Guangzhou, 510080, China.
BMC Public Health. 2023 May 30;23(1):996. doi: 10.1186/s12889-023-15340-4.
The COVID-19 pandemic continues to impact global health and China requires a 14-day quarantine for individuals on flights with positive COVID-19 cases. This quarantine can impact mental well-being, including sleep. This study aims to examine the impact of psychosocial and behavioral factors on insomnia among individuals undergoing quarantine in hotels.
This study was a cross-sectional survey carried out in Guangzhou, China. The data was gathered through online questionnaires distributed to international passengers who arrived in Guangzhou on flights and were required to undergo a 14-day quarantine in hotels arranged by the local government. The questionnaires were sent to the participants through the government health hotline "12,320."
Of the 1003 passengers who were quarantined, 6.7% reported significant anxiety and 25.0% had varying degrees of insomnia. Anxiety was positively associated with insomnia (β = 0.92, P < 0.001), while collectivism (β = -0.07, P = 0.036), indoor exercise (β = -0.50, P < 0.001), and the perceived people orientation of the public health service (β = -0.20, P = 0.001) were negatively associated with insomnia. The study also identified moderating effects, such that a higher sense of collectivism, a greater frequency of indoor exercise, and a higher perception of the people-oriented of the public health service were associated with a lower impact of anxiety on insomnia. These moderating effects were also observed in participants with varying degrees of insomnia.
This study reveals that a proportion of people undergoing entry quarantine experience insomnia and confirms how psychosocial and behavioral factors can alleviate insomnia in this population.
新冠疫情仍在全球蔓延，中国要求对有新冠确诊病例的航班入境人员实施为期 14 天的集中隔离。这可能会对隔离人员的心理健康产生影响，包括睡眠质量。本研究旨在探讨在酒店接受隔离的人群中，社会心理和行为因素对失眠的影响。
这是一项在中国广州进行的横断面研究。通过向因乘坐航班抵达广州且需在当地政府安排的酒店接受为期 14 天隔离的国际旅客发放在线问卷收集数据。问卷通过政府卫生热线“12320”发送给参与者。
在 1003 名接受隔离的旅客中，6.7%报告有明显焦虑，25.0%有不同程度的失眠。焦虑与失眠呈正相关（β=0.92，P<0.001），而集体主义（β=-0.07，P=0.036）、室内运动（β=-0.50，P<0.001）和公共卫生服务的以人为本取向（β=-0.20，P=0.001）与失眠呈负相关。研究还发现了一些调节作用，例如较高的集体主义意识、较高的室内运动频率和对公共卫生服务以人为本取向的较高感知与焦虑对失眠的影响较低有关。这些调节作用在不同程度失眠的参与者中也有观察到。
本研究揭示了一部分入境隔离人员存在失眠问题，并证实了社会心理和行为因素如何减轻这一人群的失眠症状。
