Liu Yanhong, Zhang Lei, Yao Meng, Li Yanrou, Cao Kang, Deng Yongzheng
Shenzhen Bao'an Center for Chronic Disease Control, Shenzhen, Guangdong, China.
Front Public Health. 2025 Jun 16;13:1564292. doi: 10.3389/fpubh.2025.1564292. eCollection 2025.
Evidence suggests a potential association between alcohol consumption and sleep quality. However, knowledge of this association among adolescents in China is limited. Thus, this study aims to investigate the association between alcohol consumption and sleep quality in a group of adolescents in China.
A cross-sectional survey was conducted in Shenzhen, Guangdong Province in China from October 2021 to December 2021. Alcohol consumption refers to drinking more than half a bottle/a can of beer, a small cup of white wine/foreign wine and a glass of wine/rice wine/fruit wine/highland wine at a time in the past year. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a cutoff >5 indicating sleep disturbance. Multivariable logistic regression models were utilized to estimate the association.
A total of 2,505 adolescents were included in the analysis. Among them, the mean age was 14.36 years (SD 1.74); 58.08% were male, and 41.92% were female. The overall drinking rate was 26.07%, and the median score of PSQI was 5. The interquartile distance of the PSQI global score was 4. Multivariable logistic regression illustrated that alcohol consumption exhibited positive significant associations with poor PSQI scores (OR = 1.89, 95% CI: 1.52-2.35) compared with good scores.
Alcohol consumption is associated with poor sleep quality in adolescents in China accounting for socioeconomic contexts and psychosocial stressors. The findings underscore the public health urgency of addressing alcohol drinking behaviors to mitigate sleep disturbances in adolescents. Further studies need to be performed to explore the causality between alcohol consumption and sleep quality in adolescents. Frequency and dosage of alcohol consumption need to be considered to explore dose-response relationships.
有证据表明饮酒与睡眠质量之间可能存在关联。然而，中国青少年中这种关联的相关知识有限。因此，本研究旨在调查中国一组青少年饮酒与睡眠质量之间的关联。
2021年10月至2021年12月在中国广东省深圳市进行了一项横断面调查。饮酒是指在过去一年中一次饮用超过半瓶/罐啤酒、一小杯白酒/洋酒以及一杯葡萄酒/米酒/果酒/青稞酒。使用匹兹堡睡眠质量指数（PSQI）测量睡眠质量，临界值>5表明存在睡眠障碍。采用多变量逻辑回归模型来估计这种关联。
共有2505名青少年纳入分析。其中，平均年龄为14.36岁（标准差1.74）；58.08%为男性，41.92%为女性。总体饮酒率为26.07%，PSQI的中位数得分为5。PSQI全球得分的四分位间距为4。多变量逻辑回归表明，与得分良好相比，饮酒与PSQI得分不佳呈显著正相关（比值比=1.89，95%置信区间：1.52 - 2.35）。
在中国青少年中，饮酒与睡眠质量差有关，这考虑了社会经济背景和心理社会压力源。这些发现强调了解决饮酒行为以减轻青少年睡眠障碍的公共卫生紧迫性。需要进一步开展研究以探索青少年饮酒与睡眠质量之间的因果关系。需要考虑饮酒的频率和剂量以探索剂量反应关系。
