女性性服务工作者睡眠及心理状况调查研究

Survey of female sex worker's sleep quality and psychological status

目的调查珠海市女性性服务工作者(FSW)的睡眠、心理状况及其影响因素。方法以2013年1月至2014年12月在珠海市某性病监测点就诊的151例FSW为观察组,同期以148例社区健康女性居民为对照组,采用匹兹堡睡眠质量指数量表(PSQI)评估两组被调查者近1个月的睡眠情况。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估其心理状况。并对影响观察组睡眠质量及心理状况的因素进行Pearson相关性分析。结果观察组PSQI平均总分[(11.81±3.59)分]明显高于对照组[(4.26±1.74)分],差异有统计学意义(P<0.01);同时,观察组的SDS和SAS评分[(62.37±36.49)、(61.84±31.75)分]均明显高于对照组[(46.38±27.42)、(48.32±24.52)分],差异有统计学意义(P<0.05)。低收入、经常饮酒、服用精神活性物质、患感染性性传播疾病的FSW睡眠差,焦虑、抑郁情况更严重。结论 FSW的睡眠质量差,并伴明显的焦虑和抑郁状态,尤其是低收入、经常饮酒、服用精神活性物质或患感染性性传播疾病的调查对象。

Objective To survey the sleep quality,psychological status of female sex workers（FSW） and their influence factors. Methods Totally 151 FSW were selected from a monitoring point of venereal diseases from January 2013 to December2014 as the observation group and at the same time 148 healthy community females as the control group. The Pittsburgh Sleep Quality Index（PSQI） scale was adopted to evaluate the near 1-month sleep quality and the Self-rating Depression Scale（SDS）and Self-rating Anxiety Scale（SAS） were used to evaluate the psychological status. The factors influencing the sleep quality in the observation group were performed the Pearson correlation analysis. Results The PSQI total score in the observation group was（11.81±3.59） points,which was significantly higher than（4.26±1.74） points in the control group, the difference was statistically significant（P〈0.01）;Meanwhile,the SDS and SAS scores in the observation group were（62.37±36.49）points and（61.84±31.75）points,which were also markedly higher than（46.38±27.42） points and（48.32±24.52）points in the control group,and the differences were statistically significant（P〈0.05）. FSW with low income,frequently drinking,taking psychoactive substance or suffering from infectious sexually transmitted diseases had poor sleep quality,seriously anxiety and depression related with sleep and mental status. Conclusion FSW have poor sleep quality complicating obvious anxiety and depression status,especially those with low income,frequently drinking,taking psychoactive substance or suffering from infectious sexually transmitted diseases.