Insomnia and total sleep time in France: Prevalence and associated socio-demographic factors in a general population survey

Insomnia and total sleep time in France: Prevalence and associated socio-demographic factors in a general population survey
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DOI:
10.1016/j.neurol.2013.02.011
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发表时间:
2013-12-01
期刊:
影响因子:
3
通讯作者:
Leger, D.
Leger, D.
中科院分区:
医学4区
文献类型:
--
作者:
Beck, F.;Richard, J-B;Leger, D.

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睡眠被认为是良好健康和生活质量的主要保护因素。慢性失眠症和其他睡眠障碍的流行病学最近在法国得到了发展。这项研究的目的是评估15至85岁的普通人群的总睡眠时间和慢性失眠症的患病率。研究还旨在调查与睡眠障碍有关的因素。在“2010年健康晴雨表”这一法国普通人口调查的框架内,对27,653名15至85岁的人进行了健康行为和态度调查,特别是关于他们的睡眠时间和习惯。15岁至85岁人群的平均睡眠时间为7小时13分钟。女性高于男性(7小时18分钟vs 7小时07分钟,P < 0.001),而15.8%的人群有慢性失眠的标准,女性为19.3%,男性为11.9% (P < 0.001)。慢性失眠症的患病率随着年龄的增长在女性中保持稳定,约为19%,而男性则从15-19岁年龄段的3%上升到45-54岁年龄段的18%,65岁以后下降到8%。慢性失眠还被发现与不稳定的情况和生活中的一些困难事件有关,如暴力或长期酗酒,而在对社会人口统计学特征进行逻辑回归调整后,发现与吸烟的关系不再存在。自1990年代初以来,在《健康晴雨表》中提出了关于“最近8天内出现的睡眠问题”的单一问题调查。自1995年以来,相关人群的患病率有所上升,自2000年以来,患病率稳定在较高水平。-根据这些数据,我们认为对睡眠障碍的监测是一个重要的公共卫生问题,应该在一般人群中发起预防和健康教育倡议,以促进更好的睡眠质量。(C) 2013 Elsevier Masson SAS。版权所有。
Introduction, - Sleep is considered as a major protective factor for good health and quality of life. The epidemiology of chronic insomnia and other sleep disorders has recently been developed in France. The aim of this study was to evaluate total sleep time and the prevalence of chronic insomnia in the general population aged 15 to 85 years. It was also to investigate factors associated with sleep disorders.Methods. - Within the framework of the Health Barometer 2010, a French general population survey, 27,653 15 to 85-year-old individuals were questioned about their health behaviors and attitudes, in particular about their sleeping time and habits.Results. - The average sleeping time of the 15 to 85-year-old was 7 hours 13 minutes. It was higher for women than for men (7 hours 18 minutes vs 7 hours 07 minutes; P < 0.001), whereas 15.8 % of the population presented criteria for chronic insomnia, 19.3 % of women and 11.9 % of men (P < 0.001). The prevalence of chronic insomnia was stable with age among women, around 19 %, whereas it increased for men from 3 % in the 15-19-year age range to 18 % in the 45-54-year age range, before decreasing to 8 % beyond 65 years. Chronic insomnia was also found to be related to precarious situations and to several difficult events of life such as violence or chronic alcohol abuse, whereas the relationship observed with tobacco smoking was no longer found after logistic regression adjustment for socio-demographic characteristics. Since the beginning of 1990s, a single-question inquiry on "sleeping problems present during the last 8 days" has been asked in the Health Barometer. The rate of subjects concerned increased from 1995, with a prevalence stabilized at a high level since 2000.Conclusions. - Based on these data, we think that the surveillance of sleep disorders is an important public health issue and that prevention and health educational initiatives should be launched in the general population to promote a better quality of sleep. (C) 2013 Elsevier Masson SAS. All rights reserved.