家庭因素对居民睡眠质量的影响——基于湖北省城乡比较的实证研究

目的 分析家庭因素对城乡居民睡眠质量的影响.方法 本次调查采用挨家挨户、面对面访谈进行调查,睡眠质量采用匹兹堡睡眠质量指数中的主观睡眠自评指标;家庭因素包括家庭结构、家庭经济状况、家庭成员支持;社会人口学因素作为控制变量.结果 23.64％的调查人群报告睡眠质量差,且城乡差异具有统计学意义(P<0.05).多因素Logistic回归分析表明,家庭经济状况对城乡居民睡眠质量的影响差异均具有统计学意义;家庭结构只对农村居民睡眠质量的影响差异有统计学意义,其中相对主干/联合家庭而言,农村核心家庭居民睡眠障碍较低(OR:0.47;95％CI:0.26～0.83);相对子女全力支持而言,子女无支持/很少/一般支持的城市居民睡眠障碍较低(OR:0.23;95％CI:0.07～0.76);相对弟兄姐妹全力支持而言,无弟兄姐妹的城市居民睡眠障碍较高(OR:2.21;95％CI:1.40～3.49).家庭成员支持对农村居民睡眠质量的影响差异均无统计学意义.结论 城乡居民睡眠质量总体比较差,特别是农村居民.家庭结构与家庭成员支持对城乡居民睡眠障碍的影响可能与人们的家庭价值观有关,如何面对社会转型所带来的家庭因素改变及其对居民睡眠的影响值得后续深入研究.

Effect of Family Factors on Sleep Quality of Residents:an Urban-rural Difference Analysis in Hubei Province,China

Objectives To analyze the effect of family factor on sleep quality of urban and rural residents,and to provide evidence and suggest for improving sleep quality.Methods A cross-sectional survey was conducted door-to-door and face-to-face in Hubei province,central China.The independent variables were family economic,family structure and the support of family members.The dependent variables were self-reported sleep quality from Pittsburgh Sleep quality Index.Socio-demographic variables and health status were used as control variables.Results Self-reported sleep quality with"bad"by the urban and rural residents were 21.56% and 26.33%,respectively,and the urban-rural difference was statistically significant.Logistic regression analysis showed that the impact of family economic status had significant on sleep quality among urban and rural residents.The effects of family structure was significant only on rural residents' sleep quality(OR:0.47;95% CI:0.26~0.83);compared with the full support of their children,those without or fewer support had lower sleep disorder(OR:0.23;95% CI:0.07~0.76);compared with the full support of brothers and sisters,those without or fewer support had higher sleep disorder(OR:2.21;95% CI:1.40~3.49).Conclusions Overall,sleep quality of residents is poor,especially in rural.The effects of family structure and the support of family members on sleep quality may be related to Chinese family culture and values,which is worth further study.