云南省宁洱县农村老年人睡眠障碍现状及社会经济差异分析

目的 分析云南省宁洱县≥60岁农村老年人睡眠障碍现状及其社会经济差异。方法 采用多阶段分层随机抽样方法，抽取宁洱县1 629例≥60岁农村老年人进行问卷调查。结果 云南省宁洱县≥60岁农村老年女性的睡眠障碍患病率高于男性（χ2 = 32.928，P＜0.001）；受教育程度越低、家庭财产越低和医疗服务可及性越差的老年人，其患睡眠障碍的可能性越高（教育程度为初中及以上OR = 0.801，95%CI:0.635～1.010；家庭财产中等OR = 0.659，95%CI:0.497～0.874；家庭财产好OR = 0.675，95%CI:0.527～0.865；医疗服务可及性好OR = 0.670，95%CI:0. 539～0.832）。结论 云南省宁洱县农村老年人的睡眠障碍患病率存在显著的社会经济差异。应加强受教育程度低、家庭财产低和医疗服务可及性差的农村老年人的睡眠健康教育，以提高其睡眠质量。

Analysis of socioeconomic differences for prevalence of sleep disorder among rural elder adults in Ninger county of Yunnan province

Objective The aim of this study was to analyze socioeconomic differences for prevalence of sleep disorder among elder adults aged over 60 years old in Ninger county, Yunnan province. Methods A total of 1629 people aged over 60 years old in Ninger county were selected by multistage stratified random sampling method, and questionnaire survey was conducted for each participant. Results Among the study population, female had higher prevalence of sleep disorder than male(χ2=32.928, P<0.001). The elderly with lower education level, lower family property and worse access to medical services were likely to suffer from sleep disorder than their counterparts.(Junior high school and above OR=0.801, 95%CI: 0.635-1.010; Medium family property OR=0.659, 95%CI: 0.497-0.874; Good family property OR=0.675, 95%CI: 0.527-0.865; Good accessibility of medical services OR=0.670, 95%CI: 0.539-0.832). Conclusion There were obviously socioeconomic differences for prevalence of sleep disorder among the elderly in Ninger county of Yunnan province. It is suggested to enhance sleep health education for the rural elder adults with lower education level, lower family property and worse access to medical services, so as to improve their sleep quality.