Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition *
Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition *
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DOI：
10.1097/00042192-200301000-00005
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发表时间：
2003-01
期刊：
影响因子：
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通讯作者：
H. Kravitz;P. Ganz;J. Bromberger;L. Powell;K. Sutton-Tyrrell;P. Meyer
中科院分区：
文献类型：
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作者：
H. Kravitz;P. Ganz;J. Bromberger;L. Powell;K. Sutton-Tyrrell;P. Meyer
目的比较绝经过渡期各阶段睡眠困难患病率的年龄调整和种族差异，并确定其他因素（包括血管紧张症状、社会人口统计学、心理和身体健康因素）对中年妇女自我报告的睡眠困难的相对贡献。1995年11月至1997年10月，在美国7个参与全国妇女健康研究的地点进行了一项以社区为基础的妇女健康和更年期症状调查。将12，603名年龄在40至55岁的白人、非洲裔美国人、中国人、日本人和西班牙裔女性的多种族样本分为6组：绝经前、围绝经期早期、围绝经期晚期、自然绝经后、手术绝经后和接受激素替代治疗的绝经后。这些女性被问及在过去的两周内是否经历过睡眠困难。结果38%的人报告睡眠困难。绝经后期（45.4%）和手术绝经后（47.6%）组的绝经调整率最高。在种族群体中，这一比例从日本女性的28%到高加索女性的40%不等。在多变量分析中，绝经状态与睡眠困难显著相关。种族，血管和心理症状，自我感知的健康和健康行为，关节炎和教育也与睡眠困难显着相关。这些结果表明，绝经过渡期的阶段，独立于其他潜在的解释因素，与自我报告的睡眠困难。老年本身与睡眠困难没有显著相关性。
Objective To compare age-adjusted and ethnic differences in prevalences of sleep difficulty at various stages of the menopausal transition and to determine the relative contribution of other factors, including vasomotor symptoms, sociodemographics, and psychological and physical health factors, to self-reported sleep difficulty in middle-aged women. Design A community-based survey of women's health and menopausal symptoms was conducted between November 1995 and October 1997 at each of the seven US sites participating in the Study of Women's Health Across the Nation. A multiethnic sample of 12,603 Caucasian, African American, Chinese, Japanese, and Hispanic women aged 40 to 55 years was categorized into six groups: premenopausal, early perimenopausal, late perimenopausal, naturally postmenopausal, surgically postmenopausal, and postmenopausal receiving hormone replacement therapy. The women were asked whether they had experienced difficulty sleeping in the past 2 weeks. Results Difficulty sleeping was reported by 38%. Age-adjusted rates were highest in the late perimenopausal (45.4%) and surgically postmenopausal (47.6%) groups. Among ethnic groups, rates ranged from 28% in Japanese women to 40% in Caucasian women. In the multivariate analysis, menopausal status was significantly associated with difficulty sleeping. Ethnicity, vasomotor and psychological symptoms, self-perceived health and health behaviors, arthritis, and education also were significantly associated with difficulty sleeping. Conclusions These results suggest that stage of the menopausal transition, independent of other potential explanatory factors, is associated with self-reported sleep difficulty. Older age per se was not significantly associated with difficulty sleeping.