河北省成年居民失眠及危险因素现况调查

A cross-sectional study of current status and risk factors of insomnia among adult residents in Hebei Province

目的:了解河北省成年居民失眠现状及其危险因素。方法:采用分层、整群随机抽样方法对河北省成年居民进行睡眠障碍流行病学调查。用一般情况调查表记录一般人口学资料和生活饮食方式,用阿森斯失眠量表、睡眠呼吸暂停-柏林问卷、快动眼睡眠行为障碍问卷等量表分别评估有无失眠症状、睡眠呼吸暂停、快动眼睡眠行为障碍。结果:共纳入居民21242例,失眠症状的加权检出率为12.0%。年龄偏大、女性、教育程度低、独居者、低收入、体育锻炼较少者的失眠症状检出率较高(均P<0.05)。有失眠症状者中其他可疑睡眠障碍(快速动眼期行为障碍、不宁腿综合征、发作性睡病)检出率高于无失眠症状者(均P<0.05)。结论:河北省失眠症状很常见,年龄偏大、女性、教育程度低、独居者、低收入、体育锻炼较少是失眠症状的危险因素。

Objective:To describe the current situation of adult residents’ insomnia symptoms in Hebei Province, and to explore related risk factors.Methods:Stratified and cluster random sampling method was used to investigate the prevalence of insomnia symptoms among adults in Hebei Province.General demographic data and lifestyle were recorded with general information questionnaire, evaluation of insomnia symptoms with the Athens Insomnia Scale.Sleep Apnea Berlin questionnaire, rapid eye movement sleep behavior disorder questionnaire and other scales were used to evaluate whether they were high-risk group of sleep apnea syndrome and high-risk group of rapid eye movement sleep behavior disorder.Results:Totally 21 242 subjects were included in the final statistical analysis.The weighted detection rate of insomnia symptoms was 12.0%.The detection rates of insomnia symptoms were higher in those with older age, beingfemale, with low education level, living alone, with low income, with less physical exercise(Ps<0.05).The detection rate of suspicious sleep disorders(REM behavior disorder, restless legs syndrome, narcolepsy) in insomnia symptoms group was significantly higher than that in no sleep symptom group(Ps<0.05).Conclusion:Insomnia symptoms is common in Hebei Province.Older age, being female, lower education level, living alone, low-income, less physical exercise are risk factors of insomnia symptoms.