Co-occurrence of chronic pain, depressive symptoms, and poor sleep quality in a health check-up population in China:A multicenter survey
Co-occurrence of chronic pain, depressive symptoms, and poor sleep quality in a health check-up population in China:A multicenter survey
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中国健康体检人群慢性疼痛、抑郁症状与睡眠质量差的共现：多中心调查
DOI：
10.1016/j.jad.2020.11.060
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发表时间：
2021-01-20
影响因子：
6.6
通讯作者：
Zhou, Jiansong
中科院分区：
文献类型：
--
作者：
Cao, Xia;Chen, Zhiheng;Zhou, Jiansong
目的：本研究旨在调查中国全国健康体检人群中慢性疼痛（CP）、抑郁症状和睡眠质量差的患病率及其相关因素。方法：这项多中心横断面调查于2017年进行。结果：132,444人完成了在线调查，CP总患病率为11.0%，三种症状总患病率为11.0%（95%置信区间[95% CI]：10.8-11.1）和2.7%（95% CI：2.6-2.8）。所有三种症状的共同发生率随年龄的增长而增加，女性、丧偶、失业和教育水平较低的群体中更高。有多种症状的受访者报告自我评价的健康状况较差。二元逻辑回归分析确定了女性（调整的比值比[aOR]：1.51; 95% CI：1.42-1.62），丧偶状态（aOR：1.39; 95% CI：1.04-1.84），教育水平较低（aOR范围为1.46 - 2.47）和患有一种或多种慢性疾病（aOR范围为1.43 - 2.02）与报告所有三种症状显著相关（均P
Objectives: This study aimed to investigate the cooccurrence of chronic pain (CP), depressive symptoms, and poor sleep quality in terms of prevalence and associated factors in a nationwide health check-up population in China.Methods: This multicenter cross-sectional survey was performed in 2017. All the participants aged >= 18 years from eight health check-up institutions in 6 provinces and cities were invited to complete a self-report health questionnaire through online resources.Results: 132,444 participants completed the online survey and the overall prevalence of CP and that of the three symptoms were 11.0% (95% confidence interval [95% CI]: 10.8-11.1) and 2.7% (95% CI: 2.6-2.8), respectively. The cooccurrence of all three symptoms increased with age, being higher in the female, widowed, unemployed, and lower education level groups. The respondents with multiple symptoms reported poorer self-rated health. Binary logistic regression analyses identified female sex (adjusted odds ratio [aOR]: 1.51; 95% CI: 1.42-1.62), a widowed status (aOR: 1.39; 95% CI: 1.04-1.84), a lower education level (aORs ranging from 1.46 to 2.47), and having one or more chronic diseases (aORs ranging from 1.43 to 2.02) to be significantly associated with reporting all three symptoms (all P