湖北省青壮年人群亚健康状况及其与睡眠和性格之间的关系研究

目的 了解湖北省城乡青壮年亚健康状况,探索个人性格与睡眠质量对亚健康的影响程度.方法 采用中国医学科学院开发的<个人健康状况调查表>对湖北省18～55岁3187名青壮年的健康状况进行问卷调查.结果 性别、文化程度、婚姻状况、年龄和职业为亚健康的影响因素.在城市和乡镇人群中,女性比男性亚健康程度严重(均P＜0.0001).分居、离婚和丧偶人群的亚健康状况比已婚和未婚人群严重(P=0.0006,P=0.0102).在城市人群中,30～55岁是亚健康高发年龄(P=0.0197);在乡镇,小学文化程度以下者亚健康最严重(P=0.0003);农民工和专业技术人员的亚健康状况比其他职业人群严重(P=0.0043).结构方程模型显示,睡眠质量和性格对亚健康的影响有统计学意义(P＜0.01).结论 在湖北省不同人口学特征的青壮年人群中存在一定程度的亚健康问题,与睡眠质量和个人性格关系较大,可通过改善睡眠质量和完善个人性格等途径预防亚健康.

Sub-health status of the young and middle-aged populations and the relationships among sub-health, sleep ness and personality in Hubei province, China

Objective To investigate the epidemiological condition of the sub-health status of the young and middle-aged persons in urban and rural areas of Hubei province, and to explore the relationships among personality, quality of sleep and sub-health status. Methods Purposive sampling method and Personal Health Status Questionnaire developed by Chinese Academy of Medical Sciences were used to investigate the sub-healthy status of 3187 subjects aged 18-55 and evaluate the relationships among sub-health status, personality and the quality of sleep with structural equation model. Results Gender, education, marriage, age and occupation were factors influencing the status of sub-health. Among all of the subjects, sub-health status of females were more serious than that of males (P＜0.0001 of all). The divorced, separated and widowed ones were more likely to experience sub-health than other status of marriage (P= 0.0006, P=0.0102). The sub-health status of the subjects aged 30-55 in the urban (P=0.0197)and low-literacy residents in rural (P=0.0003)were among the worst. The condition of the sub-health in migrant workers and professional were worse compared to other occupational groups (P=0.0043). Structural equation model analysis revealed that sub-health status associated with the quality of sleep and the type of characteristics (P＜0.01 ). Conclusion Sub-health status did exist among the young and middle-aged persons and was influenced by the quality of sleep and personality. However, it could be adjusted by improving the quality of sleep and personality to prevent sub-health.