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宁夏地区成人失眠现况及影响因素分析

An Investigation of Insomnia Status and the Risk Factors in Ningxia

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目的 了解宁夏地区成人失眠现况及其影响因素,为开展失眠社区干预提供参考.方法 采用概率比例规模抽样方法,在宁夏地区随机抽取18岁及以上居民5880人,采用复合型国际诊断交谈表-计算机辅助中文版入户进行面对面的访谈,危险因素分析采用非条件Logistic 逐步回归模型.结果 共有5208人完成调查,满足失眠诊断标准者651人,检出率12.50%,其中男性检出率为13.69%,女性检出率为11.68%,检出率差异有统计学意义(χ2=4.81,P=0.028);回族检出率为11.90%,汉族检出率为12.64%,差异无统计学意义;山区居民检出率为11.34%,川区居民检出率为13.43%,检出率差异有统计学意义(χ2=5.22,P=0.022).Logistic回归分析显示:进入方程的变量有年龄组(OR=1.01)、婚姻状况(OR=1.10)、地区(OR=1.25)、户籍(OR=1.26)、性别(OR=0.80)、文化程度(OR=0.91)、是否移民(OR=0.79).结论 宁夏地区成人失眠检出率与周边地区人群接近,影响人群失眠的因素是多方面的.
Objective To investigate the prevalence and predictors of insomnia in adults of Ningxia, and to provide the reference for insomnia intervention program. Methods Using PPS sampling, 5580 residents aged 18 and over were sampled. Face to face interviews were conducted by Chinese version of the WHO Composite International Diagnostic Interview. The influence factors were analyzed by Logistic regression model. Results The authors found that there were 5208 subjects finished the study, an estimate proportion of 12. 50% respondents met the diagnostic criteria for insomnia, 13. 69% in males and 11. 68% in females respectively ( χ2 =4.81 ,P =0.028 ) , 11.55% in Hui ethnicities and 13. 16% in Han ethnicities, 11.08% in mountain area residents and 13. 65% in plant area residents. Significant difference between mountain area residents and plant area residents in the prevalence of insomnia was found(χ2 =5. 22 ,P =0. 022 ). Logistic regression analysis showed that elder, divorced/widowed , plant area and rural residents were the risk factors( OR = 1. 01 , 1. 10,1.25,1.26 ), and female, low educational level and non -migrant were the protective factors ( OR = 0. 80 ,0. 91 0. 79 ). Conclusion The survey showed that the insomnia detection rate was similar with the rate reported and multiple factors influenced the insomnia in Ningxia.

insomniaepidemiologyrisk factorsadultsNingxia

王志忠、王俊峰、张毓洪、余白露、孙艳莉

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宁夏医科大学公共卫生学院流行病与卫生统计学系,银川,750004

失眠 流行病学 影响因素 成人 宁夏

国家自然科学基金CMB项目

810602422011-063

2013

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2013.35(9)
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