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印度45岁及以上人群睡眠障碍的患病率及其与各种职业的关联:来自印度纵向老龄化研究(LASI)的见解。

Prevalence of sleep disorders and association with various occupations among Indian population aged ≥ 45 years: Insight from Longitudinal Ageing Study in India (LASI).

作者信息

Sreepada Sai SreeValli Sarma, Halder Pritam, Amudhamozhi K S, Soni Vaishali, Sharma Hitendra, Rathor Shivani

机构信息

Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Zoology, Delhi University, Delhi, India.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4208-4216. doi: 10.4103/jfmpc.jfmpc_167_24. Epub 2024 Oct 18.

Abstract

INTRODUCTION

By scrutinizing the impact of job schedules, workplace culture and stress levels, our study aims to determine the prevalence of sleep disorders among various occupations and its associated factors. The findings promise to enhance the overall well-being, sleep quality and productivity in various occupational settings.

METHODS

This is an analytical cross-sectional study involving secondary data from the nationally representative Longitudinal Ageing Study in India (LASI Wave I 2017-18) of 35 Indian states and union territories with exception of Sikkim. The study included 59441 Indian volunteers who older than 45 years. Multivariable logistic regression analysis was conducted to study the association of sleep disorders among various occupations while accounting for other associated factors.

RESULTS

Prevalence of sleep disorders was higher among the females (12.66%), unemployed (13.34%), ≥ 60-yr age group (13.45%), those who lived in rural areas (12.35%), those who were illiterate (12.80%) and reported themselves to be widowed, separated or divorced (14.54%), people with no health insurance (11.74%), smokers (12.11%), without physical activity (12.67%) and also rated themselves as poor in the self-rated health status (26.77%). Alcohol consumption was not statistically significant factor for sleep disorders.

CONCLUSIONS

There is an emerging need for targeted screening, prompt detection and early management of insomnia and other sleep disorders among the high-risk groups. Provision of accessible and affordable screening tools, training skills for early diagnosis at primary care level and/or proper referral services to higher centres form the cornerstone for adequate management of sleep disorders.

摘要

引言

通过仔细研究工作时间表、工作场所文化和压力水平的影响,我们的研究旨在确定不同职业中睡眠障碍的患病率及其相关因素。研究结果有望提高各种职业环境中的整体幸福感、睡眠质量和生产力。

方法

这是一项分析性横断面研究,涉及来自印度全国代表性纵向老龄化研究(2017 - 18年第一波印度老龄化研究)的二手数据,该研究涵盖印度除锡金邦外的35个邦和联邦属地。该研究纳入了59441名年龄超过45岁的印度志愿者。进行多变量逻辑回归分析,以研究不同职业中睡眠障碍的关联,同时考虑其他相关因素。

结果

女性(12.66%)、失业者(13.34%)、60岁及以上年龄组(13.45%)、居住在农村地区的人(12.35%)、文盲(12.80%)、报告自己丧偶、分居或离婚的人(14.54%)、没有医疗保险的人(11.74%)、吸烟者(12.11%)、缺乏体育活动的人(12.67%)以及自我评定健康状况较差的人(26.77%)中睡眠障碍的患病率较高。饮酒不是睡眠障碍的统计学显著因素。

结论

迫切需要对高危人群中的失眠和其他睡眠障碍进行有针对性的筛查、及时检测和早期管理。提供可及且负担得起的筛查工具、在初级保健层面进行早期诊断的培训技能和/或向更高层级中心提供适当的转诊服务,是充分管理睡眠障碍的基石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6615/11610827/f47a04343280/JFMPC-13-4208-g001.jpg

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