2024年重庆市15岁及以上人群睡眠障碍影响因素分析

Analysis of Influencing Factors for Sleep Disorders among Residents Aged 15 and above in Chongqing in 2024

摘要: 目的：了解重庆市2024年15岁及以上人群睡眠障碍现状并探讨其影响因素，为制定针对性干预措施、提高居民睡眠质量和促进公共健康提供依据。方法：采用多阶段分层整群概率抽样法，抽取重庆市10个区县共6132名居民完成相关调查问卷。采用多因素Logistic回归模型，对15岁及以上人群睡眠障碍现状及相关因素进行分析。结果：2024年重庆市15岁及以上人群睡眠障碍检出率为24.087%，Logistic回归结果显示，女性、年龄较年长(以15~40岁人群为参照，41~60岁，61岁以上)、BMI偏低、饮酒、患有焦虑症、患有抑郁症、患有高血压及或患有糖尿病均与患睡眠障碍风险增加有关(OR值分别为1.726，2.293，3.292，1.365，1.442，2.264，6.007，1.353，1.365，P值均小于0.05)，而学历较高(以小学及以下人群为参照，初高中及中专，大专及以上)则是睡眠障碍的保护因素(OR值分别为0.775，0.614，P值均小于0.05)。结论：重庆市15岁及以上人群睡眠障碍患病率较高，应有针对性采取措施，改善居民睡眠质量，促进公共健康。

Abstract: Objective: To investigate the current status of sleep disorders and analyze the influencing factors among residents aged 15 and above in Chongqing in 2024, thereby providing a basis for developing targeted interventions, improving sleep quality, and promoting public health. Methods: A multi-stage stratified cluster probability sampling method was used to recruit a total of 6132 residents from 10 districts and counties in Chongqing, who completed relevant questionnaires. Multivariate Logistic regression analysis was employed to examine the status of sleep disorders and associated factors in the population aged 15 and above. Results: The detection rate of sleep disorders among residents aged 15 and above in Chongqing in 2024 was 24.087%. Logistic regression results indicated that female gender, older age (using the 15~40 age group as reference: 41~60 years, ≥61 years), low BMI, alcohol consumption, anxiety disorder, depression, hypertension, and diabetes were associated with an increased risk of sleep disorders (OR = 1.726, 2.293, 3.292, 1.365, 1.442, 2.264, 6.007, 1.353, 1.365, respectively; all P-values < 0.05). In contrast, higher education levels (using primary school or below as reference: junior/senior high school or technical secondary school, college or above) served as protective factors against sleep disorders (OR = 0.775, 0.614, respectively; all P-values < 0.05). Conclusion: The prevalence of sleep disorders among residents aged 15 and above in Chongqing is relatively high. Targeted measures should be implemented to improve residents’ sleep quality and promote public health.