摘要
目的对浙江省中学生睡眠不足流行特征及其影响因素进行分析,为制定防治策略及评估干预效果提供依据。方法采用多阶段分层整群抽样和自我管理式问卷调查方法,于2022年4—6月对浙江省30个县(市、区)376所学校的28043名中学生采用统一的健康危险因素调查问卷进行匿名调查。影响因素分析采用基于复杂抽样设计的多因素logistic回归模型。结果最终纳入分析的26594名中学生中,男生13711人(52.57%),女生12883人(47.43%);年龄(15.75±1.73)岁。采用美国睡眠医学学会的标准,44.56%[95%置信区间(CI):42.45%~46.66%]的中学生存在睡眠不足,其中男生和女生发生率分别为39.92%(95%CI:37.76%~42.08%)和49.70%(95%CI:47.33%~52.06%),女生高于男生(χ^(2)=129.361,P<0.001)。城市和农村发生率分别为47.84%(95%CI:44.21%~51.47%)和42.76%(95%CI:39.78%~45.73%),城市高于农村(χ^(2)=3.843,P=0.049);初中、普通高中和非普通高中学生的发生率分别为39.97%(95%CI:36.90%~43.05%),64.90%(95%CI:61.79%~68.00%)和31.27%(95%CI:29.04%~33.51%)。不同学校类型学生睡眠不足发生率差异有统计学意义(χ^(2)=265.62,P<0.001)。logistic多因素分析显示,年龄、性别、地区、学校类型、父母文化程度、家庭经济状况、学习成绩、体育活动、水果摄入、吃早餐、自评健康状况、孤独、悲伤是睡眠不足的影响因素。结论浙江省中学生普遍存在睡眠不足。改善中学生睡眠不足应结合理膳食、加强锻炼及心理卫生干预等措施。
Objective To analyze the epidemiological characteristics of insufficient sleep and influencing factors in middle and high school students in Zhejiang province,and provide evidence for the development of prevention and treatment strategy and the evaluation of intervention measures.Methods Through a multi-stage stratified cluster sampling design,a total of 28043 students in 376 middle and high schools in 30 counties in Zhejiang were recruited for an anonymous self-administered questionnaire survey between April and June,2022.The factors associated with the prevalence of insufficient sleep in the students were identified by using multivariate logistic regression model for complex sampling design.Results In 26594 students included in the final analysis,there were 13711 boys and 12883 girls.The mean age of the students was(15.75±1.73)years.According to diagnostic criteria recommended by the American Academy of Sleep Medicine,the overall prevalence rate of insufficient sleep in the students was 44.56%(95%CI:42.45%–46.66%),and it was higher in girls(49.70%,95%CI:47.33%–52.06%)than in boys(39.92%,95%CI:37.76%–42.08%)(χ^(2)=129.361,P<0.001),and it was higher in students living in urban area(47.84%,95%CI:44.21%–51.47%)than in those living in rural area(42.76%,95%CI:39.78%–45.73%)(χ^(2)=3.843,P=0.049).The prevalence rate of insufficient sleep in junior high school students,senior high school students,and vocational high school students were 39.97%(95%CI:36.90%–43.05%),64.90%(95%CI:61.79%–68.00%)and 31.27%(95%CI:29.04%–33.51%),respectively,the differences were significant(χ^(2)=265.62,P<0.001).Multivariate logistic regression analysis indicated that age,sex,living area,type of school,paternal and maternal education attainments,family economic status,academic performance,physical activity,fruit intake,eating breakfast,selfreported health status and feeling of loneliness and sadness were significantly associated with the prevalence insufficient sleep in the students.Conclusion Insufficient sleep was common
作者
王浩
李娜
关云琦
戴品远
潘劲
钟节鸣
俞敏
Wang Hao;Li Na;Guan Yunqi;Dai Pinyuan;Pan Jin;Zhong Jieming;Yu Min(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2023年第5期616-621,共6页
Disease Surveillance
基金
浙江省统计研究课题(No.22TJZZ12)
浙江省社会科学界联合会研究课题(No.2023B095)。
关键词
睡眠不足
调查
青少年
影响因素
Insufficient sleep
Survey
Adolescent
Influencing factor
