Cheng A L, Yang H, Li C, Zhao M, Xi B
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University/Children Cardiovascular Research Center of Shandong University, Ji'nan 250012, China.
Department of Toxicology and Nutrition, School of Public Health, Cheeloo College of Medicine, Shandong University, Ji'nan 250012, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2024 May 6;58(5):622-628. doi: 10.3760/cma.j.cn112150-20230828-00128.
To examine the association between the clustering of adverse childhood experiences (ACEs) and sleep quality in middle-aged and older Chinese adults. Data were from the Life History Survey in 2014 and the third wave follow-up survey in 2015 of China Health and Retirement Longitudinal Study (CHARLS). A total of 10 824 participants aged 45 years and above were included in this study. According to the number of ACEs, the participants were divided into four groups: 0, 1, 2-3 and≥4 ACEs. The multivariate logistic regression model was used to analyze the association of ACEs clustering with inappropriate sleep duration and poor sleep quality in middle-aged and older adults. Among the 10 824 participants with an average age of (60.83±9.06) years, 5 211 (48.14%) were males. About 6 111 participants (56.64%) had inappropriate sleep duration, and 3 640 participants (33.63%) had poor sleep quality. After adjusting for covariates including gender, age, residence, marital status, education, household consumption, BMI, smoking, drinking, and depression in adulthood, compared with the 0 ACE group, the risk of inappropriate sleep duration was significantly increased in the 2-3 ACEs group and≥4 ACEs group, while s (95%s) were 1.26 (1.12-1.41) and 1.43 (1.23-1.66), respectively. The risk of poor sleep quality in the 2-3 ACEs group and≥4 ACEs group was also significantly higher than that in the 0 ACE group, while (95%) were 1.28 (1.12-1.46) and 1.53 (1.29-1.80), respectively. ACEs clustering in childhood could negatively affect sleep duration and quality in middle-aged and older Chinese adults.
探讨中国中老年人群童年期不良经历（ACEs）聚集与睡眠质量之间的关联。数据来自中国健康与养老追踪调查（CHARLS）2014年的生活史调查和2015年的第三次随访调查。本研究共纳入10824名年龄在45岁及以上的参与者。根据ACEs的数量，参与者被分为四组：0个、1个、2 - 3个和≥4个ACEs。采用多因素logistic回归模型分析ACEs聚集与中老年人群睡眠时长不当及睡眠质量差之间的关联。在10824名平均年龄为（60.83±9.06）岁的参与者中，5211名（48.14%）为男性。约6111名参与者（56.64%）存在睡眠时长不当的情况，3640名参与者（33.63%）存在睡眠质量差的情况。在调整了包括性别、年龄、居住地、婚姻状况、教育程度、家庭消费、体重指数、吸烟、饮酒和成年期抑郁等协变量后，与0个ACEs组相比，2 - 3个ACEs组和≥4个ACEs组睡眠时长不当的风险显著增加，其比值比（95%置信区间）分别为1.26（1.12 - 1.41）和1.43（1.23 - 1.66）。2 - 3个ACEs组和≥4个ACEs组睡眠质量差的风险也显著高于0个ACEs组，其比值比（95%置信区间）分别为1.28（1.12 - 1.46）和1.53（1.29 - 1.80）。童年期ACEs聚集会对中国中老年人群的睡眠时长和质量产生负面影响。
