The association between sleep problems and perceived health status: A Japanese nationwide general population survey
The association between sleep problems and perceived health status: A Japanese nationwide general population survey
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DOI：
10.1016/j.sleep.2012.03.011
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发表时间：
2012-08-01
期刊：
影响因子：
4.8
通讯作者：
Akashiba, Tsuneto
中科院分区：
文献类型：
--
作者：
Furihata, Ryuji;Uchiyama, Makoto;Akashiba, Tsuneto
目的：睡眠问题严重影响人类的日常生活，并与健康密切相关。为了研究个人睡眠问题对身心健康的影响，我们在全国范围内进行了流行病学调查，并对睡眠问题与自觉健康状况之间的关系进行了研究。方法：作为日本大学睡眠与心理健康流行病学研究项目（NUSMEP）的一部分，于2009年8月和9月进行了横断面调查和面对面访谈。分析了2559名20岁或以上的人的数据（应答率54.0%）。参与者完成了一份关于身体和精神健康状况的问卷，以及睡眠问题，包括是否存在失眠症状（即，睡眠启动困难[DIS]、睡眠维持困难[DMS]和早醒[EMA]）、白天过度嗜睡（EDS）、睡眠质量差（PSQ）、睡眠持续时间短（SSD）和睡眠持续时间长（LSD）。DIS、DMS和EMA的患病率分别为14.9%、26.6%和11.7%，32.7%的样本报告至少有一种。在投诉水平，EDS、PSQ SSD和LSD的患病率分别为1.4%、21.7%、4.0%和3.2%。多元Logistic回归分析显示，DMS，PSQ SSD和LSD是独立相关的不良感知的身体健康状况; DIS，EDS和PSQ是独立相关的不良感知的心理健康状况。结论：这项研究表明，睡眠问题具有个体意义方面的感知的身体或心理健康状况。(C)2012爱思唯尔有限公司版权所有。
Objective: Sleep problems in humans have been reported to impact seriously on daily function and to have a close association with well-being. To examine the effects of individual sleep problems on physical and mental health, we conducted a nationwide epidemiological survey and examined the associations between sleep problems and perceived health status.Methods: Cross-sectional surveys with a face-to-face interview were conducted in August and September, 2009, as part of the Nihon University Sleep and Mental Health Epidemiology Project (NUSMEP). Data from 2559 people aged 20 years or older were analyzed (response rate 54.0%). Participants completed a questionnaire on perceived physical and mental health statuses, and sleep problems including the presence or absence of insomnia symptoms (i.e., difficulty initiating sleep [DIS] difficulty maintaining sleep [DMS], and early morning awakening [EMA]), excessive daytime sleepiness (EDS), poor sleep quality (PSQ), short sleep duration (SSD), and long sleep duration (LSD).Results: The prevalence of DIS, DMS, and EMA was 14.9%, 26.6%, and 11.7%, respectively, and 32.7% of the sample reported at least one of them. At the complaint level, the prevalence of EDS, PSQ SSD, and LSD was 1.4%, 21.7%, 4.0%, and 3.2%, respectively. Multiple logistic regression analyses revealed that DMS, PSQ SSD, and LSD were independently associated with poor perceived physical health status; DIS, EDS, and PSQ were independently associated with poor perceived mental health status.Conclusions: This study has demonstrated that sleep problems have individual significance with regard to perceived physical or mental health status. (C) 2012 Elsevier B.V. All rights reserved.