【摘要】 目的:探究社区老年人睡眠习惯及其与主观睡眠质量的关系。方法:本研究数据来源于2011年开展的天津市精神障碍流行病学调查项目。该项目采取多阶段与规模成比例的概率抽样方法在天津市16个区县随机抽取100个村/居委会中的15538名≥18周岁的居民作为调查对象。其中调查时≥60周岁的3272名老年人作为本研究的研究对象。由经过培训的精神科医生入户完成面对面访谈。采用匹兹堡睡眠指数（PSQI）问卷测量主观睡眠质量,自编睡眠行为调查表测查睡眠习惯。结果:社区老年人睡眠潜伏期中位数为20 min（0,360）;平均睡眠时长为（7.2±1.4）h。Logistic回归模型分析显示:六点前起床（参照组:06∶00前起床）[06∶00⁰7∶59（OR=1.46,95%CI=1.03².07）;8∶00⁹∶59（OR=2.58,95%CI:1.27⁵.28）;10∶00^{OR=12.84,95%CI:2.1775.84}]、睡眠潜伏期短（参照组:0¹5min）[16³0 min（OR=6.06,95%CI:3.54¹0.37）;31⁶0 min（OR=52.21,95%CI:30.1⁹0.54）;60 min以上（OR=138.14,95%CI:73.96²58.04）]和睡眠时间长（参照组:7 h以上）[6⁷h（OR=3.32,95%CI:2.26⁴.88）;5⁶ h（OR=10.72,95%CI:6.83¹6.83）;0⁵ h（OR=43.97,95%CI=23.7⁸1.39）]是主观睡眠质量的保护性因素;而滞床时间长（参照组:0¹5min）[31⁶0 min（OR=3.53,95%CI:2.31⁵.37）;61 min以上（OR=12.80,95%CI:6.93²3.65）]和近1月睡眠不规律天数多（OR=1.29,95%CI:1.07¹.57）是主观睡眠质量的危险因素。结论:社区老年人睡眠习惯随着不同性别、年龄段而变化,多种睡眠习惯与主观睡眠质量密切相关。更多还原

【Abstract】 Objective: To investigate the sleep habits among the community-dwelled elderly in Tianjin and to explore the sleep habits associated to subjective sleep quality in this population. Methods: The data came from the Tianjin mental health survey project( TM HS) w hich had been accomplished in 2011. Totally 15538 participants aged 18 and over w ere sampled from 100 neighborhoods or villages distributed in 16 districts or counties in Tianjin w ith multistage Probability Proportionate to Size Sampling method. Among all participants,the data of 3272 individuals aged 60 years and over w ere analyzed. The participants w ere interview ed face-to-face by the trained psychia-trists w ith the Pittsburgh Sleep Quality Index( PSQI) and sleep habits questionnaire. Subject sleep quality w as evaluated w ith PSQI and the sleep habits questionnaire w as used to measures the sleep behavior. Results: For the community dw elled elderly,the median of sleep latency w as 20 min(0,360) and average sleep duration w as(7. 2 ±1. 4) h. The results of logistic regression analysis show ed that the protectors to subjective sleep quality w ere to get up before 6 Am( reference group:- 06∶ 00) [06∶ 00- 07∶ 59( OR = 1. 46,95% CI = 1. 03- 2. 07); 08∶ 00- 09∶ 59( OR = 2. 58,95% CI: 1. 27- 5. 28); 10∶ 00-( OR = 12. 84,95% CI: 2. 17- 75. 84)],shorter sleep latency( reference group: 0- 15 min) [16- 30min:( OR = 6. 06,95% CI: 3. 54- 10. 37); 31- 60min:( OR= 52. 21,95% CI: 30. 1- 90. 54); 60min-( OR = 138. 14,95% CI: 73. 96- 258. 04)],and longer sleep duration( reference group: 7h ~) [6- 7h( OR = 3. 32,95% CI; 2. 26- 4. 88); 5- 6h( OR = 10. 72,95% CI;6. 83- 16. 83); 0- 5h:( OR = 43. 97,95% CI = 23. 7- 81. 39)]. On the contrary,risk factors included longer duration of lying on bed after w aking up( ref: 0- 15min) [31- 60min( OR = 3. 53,95% CI: 2. 31- 5. 37);61 min-( OR = 12. 80,95% CI: 6. 93- 23. 65)] and more days w ith irregular sleep in last month( OR = 1. 29,95% CI: 1. 07- 1. 57). Conclusion: It suggests that sleep habits in elderly vary w ith different sex and age. The subjective sleep quality is related to sleep habits.更多还原