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西藏自治区藏族居民社会资本与睡眠障碍关系

付瑶 次德吉 尼玛曲措 王勤俭 余宛琪 杨淑娟

付瑶, 次德吉, 尼玛曲措, 王勤俭, 余宛琪, 杨淑娟. 西藏自治区藏族居民社会资本与睡眠障碍关系[J]. 中国公共卫生, 2022, 38(11): 1401-1407. doi: 10.11847/zgggws1135906
引用本文: 付瑶, 次德吉, 尼玛曲措, 王勤俭, 余宛琪, 杨淑娟. 西藏自治区藏族居民社会资本与睡眠障碍关系[J]. 中国公共卫生, 2022, 38(11): 1401-1407. doi: 10.11847/zgggws1135906
FU Yao, Cideji, Nima Qucuo, . Association of social capital with sleep disorders among adult Tibetan residents in Tibet Autonomous Region, China[J]. Chinese Journal of Public Health, 2022, 38(11): 1401-1407. doi: 10.11847/zgggws1135906
Citation: FU Yao, Cideji, Nima Qucuo, . Association of social capital with sleep disorders among adult Tibetan residents in Tibet Autonomous Region, China[J]. Chinese Journal of Public Health, 2022, 38(11): 1401-1407. doi: 10.11847/zgggws1135906

西藏自治区藏族居民社会资本与睡眠障碍关系

doi: 10.11847/zgggws1135906
基金项目: 国家重点研发计划(2017YFC0907305)
详细信息
    作者简介:

    付瑶(1998 – ),女,辽宁沈阳人,硕士在读,研究方向:儿少卫生与妇幼保健

    通讯作者:

    杨淑娟,E-mail:rekiny@126.com

  • 中图分类号: R 195.4

Association of social capital with sleep disorders among adult Tibetan residents in Tibet Autonomous Region, China

  • 摘要:   目的   了解中国西藏自治区藏族居民社会资本对睡眠障碍的影响,为改善其睡眠质量提供依据。  方法  于2018年5月 — 2019年9月,采用多阶段分层整群抽样方法,抽取7 737名西藏藏族居民进行问卷调查,分析其睡眠障碍以及健康相关社会资本(家庭资本和社区/社会资本)情况,应用多因素logistic回归探究西藏藏族居民社会资本对其睡眠障碍的影响。  结果  西藏藏族居民睡眠障碍发生率为31.41 %(2 430/7 737),家庭社会资本和社区/社会资本得分均值分别为8.2和10.0分。在控制人口学特征及健康危险因素的情况下,家庭社会资本越多的西藏藏族居民睡眠障碍发生风险越低(OR = 0.97,95 % CI = 0.95~0.99);社区/社会资本对睡眠障碍的影响无统计学意义(P > 0.05)。按年龄分层后, ≥ 50岁西藏藏族居民的家庭社会资本越多,睡眠障碍的发生风险越低(OR = 0.95,95 % CI = 0.92~0.99);而 < 50岁西藏藏族居民中的家庭社会资本和社区/社会资本对睡眠障碍的影响均无统计学意义(P > 0.05)。  结论  西藏藏族居民的社会资本与睡眠障碍具有相关性,应增加其社会资本以改善睡眠质量。
  • 表  1  不同年龄对象睡眠障碍单因素分析

    因素 < 50岁(n = 1 185人) ≥ 50岁(n = 1 245人)
    睡眠障碍人数%χ2 P 睡眠障碍人数%χ2 P
    性别34.70.000056.50.0000
     男性41635.140432.4
     女性76964.984167.6
    户口54.20.000043.10.0000
     城镇16313.825620.6
     农村102286.298979.4
    婚姻状况1246.40.0000
    15.70.0004
     未婚14111.9211.7
     分居/离异,丧偶413.516112.9
     已婚/同居100384.6106385.4
    教育程度0.60.4300
    0.20.6240
     小学及以下83170.1115792.9
     初中及以上35429.9887.1
    家庭年收入(元)323.20.000079.60.0000
      < 12 00029524.933727.1
     12 000~59 99972160.868254.8
     60 000~99 999958.11149.2
     ≥ 100 000746.21118.9
    职业3200.40.0000790.20.0000
     农林牧渔947.912610.1
     在业59750.418514.9
     家务及其他48340.878262.9
     离退休110.915012.1
    是否购买商业保险9.60.0020
    11.10.0009
     否111293.9118094.9
     是726.1635.1
    吸烟状况2832.30.00001145.00.0000
     从不吸烟90276.1102782.5
     既往吸烟(已戒烟)262.2745.9
     吸烟25721.714411.6
    饮酒状况1880.90.00001496.80.0000
     从不饮酒106690.0113090.8
     偶尔饮酒554.6413.3
     饮酒645.4745.9
    体质指数(BMI)1199.30.0000
    487.30.0000
     < 2431533.126623.8
     24~27.947650.160053.6
     ≥ 2816016.825322.6
    自报高血压6.20.01290.90.3500
     否106089.583667.1
     是12510.540932.9
    自报糖尿病0.60.43210.50.4699
     否116998.6119796.1
     是161.4483.9
    抑郁症状阳性23.60.00002.40.1202
     否117399.0123599.2
     是121.0100.8
    焦虑症状阳性29.20.00006.80.0091
     否117198.8123499.1
     是141.2110.9
    下载: 导出CSV

    表  2  家庭社会资本和社区/社会资本为主要预测变量的2组模型中影响因素与睡眠障碍的关系

    变量参照家庭社会资本作为主要预测变量社区/社会资本作为主要预测变量
    < 50岁 ≥ 50岁 < 50岁 ≥ 50岁
    OR 95 % CIOR 95 % CIOR 95 % CIOR 95 % CI
    家庭社会资本 0.99 0.95~1.02 0.95 0.92~0.99 a
    社区/社会资本 1.00 0.96~1.04 0.98 0.94~1.02
    性别
     女性 男性 0.46 0.36~0.59 b 0.73 0.56~0.96 b 0.46 0.36~0.59 b 0.73 0.56~0.96 b
    户口
     农村 城镇 1.48 1.19~1.84 b 1.56 1.28~1.90 a 1.48 1.19~1.84 b 1.56 1.28~1.90 a
    婚姻状况
     分居/离异,丧偶 未婚 1.19 0.72~1.97 3.09 1.65~5.78 b 1.20 0.72~1.98 2.98 1.60~5.57 b
     已婚/同居 1.21 0.93~1.58 2.66 1.48~4.76 b 1.21 0.93~1.58 2.56 1.43~4.57 b
    教育程度
     小学 小学及以下 0.84 0.69~1.01 0.79 0.66~0.95 a 0.83 0.69~1.00 0.79 0.66~0.95 a
     初中及以上 0.92 0.75~1.14 0.76 0.54~1.07 0.92 0.75~1.13 0.76 0.54~1.07
    家庭年收入(元)
     12000~59999 < 12000 0.74 0.61~0.90 b 0.82 0.68~1.00 0.74 0.61~0.90 b 0.82 0.68~0.99
     60000~99999 0.84 0.61~1.15 0.90 0.65~1.24 0.83 0.61~1.14 0.90 0.65~1.24
     ≥ 100000 0.63 0.44~0.91 a 0.89 0.63~1.25 0.62 0.43~0.90 a 0.90 0.63~1.27
    职业
     在业 农林牧渔 1.10 0.83~1.48 1.02 0.74~1.41 1.11 0.83~1.48 1.03 0.74~1.42
     家务及其他 1.35 1.01~1.80 b 0.92 0.70~1.20 1.35 1.01~1.80 a 0.92 0.71~1.20
     离退休 2.18 0.75~6.32 1.49 0.98~2.27 2.19 0.75~6.34 1.50 0.99~2.29
    是否购买商业医疗保险
     是 1.68 1.19~2.38 1.72 1.13~2.61 a 1.66 1.18~2.35 b 1.70 1.12~2.58 a
    吸烟状况
     既往吸烟(已戒烟) 从不吸烟 0.87 0.53~1.42 0.97 0.69~1.36 0.87 0.53~1.43 0.98 0.70~1.38
     吸烟 0.86 0.68~1.10 0.74 0.57~0.96 a 0.86 0.68~1.10 b 0.75 0.58~0.97 a
    饮酒状况
     偶尔饮酒 从不饮酒 1.80 1.20~2.70 b 1.07 0.67~1.72 1.79 1.19~2.69 1.08 0.67~1.73
     饮酒 1.28 0.89~1.85 0.74 0.55~1.02 1.28 0.89~1.85 0.75 0.55~1.02
    焦虑症状阳性
     是 6.27 0.60~65.31 4.81 1.27~18.18 a 6.35 0.61~66.31 5.01 1.32~19.04 a
      注:a P < 0.05,b P < 0.01。
    下载: 导出CSV
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  • 收稿日期:  2021-06-17
  • 网络出版日期:  2022-09-17
  • 刊出日期:  2022-11-30

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