朱俊伟,王丹,洪阳
ZHU Junwei,WANG Dan,HONG Yang

• 1:贵州医科大学
• 2:贵州省疾病预防控制中心
• 3:贵阳市卫生健康局

摘要(Abstract)：

目的:探讨睡眠质量自评与慢性非传染性疾病(慢性病)的关系。方法:选取2017年贵阳市居民疾病谱调查项目数据中35岁及以上居民42 175名,采用自评形式评价自我夜间睡眠质量,将睡眠质量分为好、一般、差3个等级;分析不同年龄、性别、民族、婚姻、职业、经济收入等一般人口学特征下人群的睡眠质量状况;采用二分类非条件Logistic回归分析睡眠质量自评与慢性病的关系,并对关联强度进行排序。结果:35岁及以上居民中认为其睡眠质量好的有64.5%、睡眠质量一般有26.7%,睡眠质量差有8.8%;不同性别、年龄段、职业人群及婚姻状况被调查人群睡眠质量自评结果比较,差异有统计学意义(P<0.05);35岁及以上居民慢性病总患病率为30.3%,患1种慢性病人数8 101人、患病率为19.2%,患两种及以上者4 704人,患病率为11.15%,单病种慢性病疾病谱前5位分别是高血压(160.17‰)、糖尿病(45.69‰)、腰椎间盘疾病(30.42‰)、消化道结石(17.83‰)和骨质增生(18.47‰);睡眠质量自评结果与主要慢性病关系最为密切的前5种疾病为慢性胃炎、颈椎间盘疾病、腰椎间盘疾病、冠心病及泌尿系统结石。结论:贵阳市居民慢性病患病率相对较低,睡眠质量总体相对较好,睡眠质量自评结果与多种慢性病关系密切。
Objective: To explore the relationship between self-rating of sleep quality and chronic non-communicable diseases(chronic diseases) and provide scientific basis for the prevention and control of chronic diseases. Methods: The data were collected from the disease spectrum survey project of Guiyang residents aged 35 and over in 2017. A total of 42 175 subjects were analyzed. Binary unconditional logistic regression analysis was taken to reveal the relationship between the prevalence of chronic diseases and self-rating sleep quality, and the correlation strength was ranked. Results: The total prevalence of chronic diseases was 30.3% among people aged 35 and over in Guiyang City, Guizhou China. The top five chronic diseases prevailing in Guiyang residents were hypertension(160.17‰), diabetes(45.69‰), lumbar disc disease(30.42‰), calculus of digestive duct(17.83‰) and hyperosteogeny(18.47‰). There are 64.5% of residents with good sleep quality, 26.7% with general sleep quality, and 8.8% with poor sleep quality. The top five most closely related diseases include chronic gastritis, cervical intervertebral disc disease, lumbar intervertebral disc disease, coronary heart disease and urinary calculi. Conclusion: The prevalence of chronic diseases is not so high and the sleep quality is good. Self-rating of sleep quality is closely related to various chronic diseases, and sleep health education should be further strengthened.

关键词(KeyWords)： 慢性病;睡眠质量;自评;疾病谱;贵阳市
chronic diseases;sleep quality;self-assessment;disease spectrum;Guiyang city

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 朱俊伟,王丹,洪阳
ZHU Junwei,WANG Dan,HONG Yang

DOI: 10.19367/j.cnki.1000-2707.2019.09.011

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