摘要目的 调查新疆博州地区成人失眠的患病率及其影响因素,分析成人失眠与睡眠卫生习惯的相关性.方法 采用多阶段分层随机抽样方法抽取新疆博州地区≥18岁调查者803名,面对面问卷调查进行AIS失眠量表和睡眠卫生习惯量表评分,分析调查者的失眠情况及影响因素.结果 803名被调查者中失眠者192例(23.9％),失眠的主要表现为对总体睡眠质量不满意、总睡眠时间不足(＜6.5 h/夜)、比期望的时间早醒；女性的失眠率(98/354,27.7％)高于男性(94/449,20.9％),职业中军人失眠的患病率(37/99,37.3％)最高,其次为个体户/临时工(55/181,30.4％),差异均有统计学意义(P＜0.05)；调查者睡眠卫生习惯量表中服用催眠药物、睡觉饥饿、喝酒助睡眠、睡前担心睡眠和白天担心睡眠的分值与AIS总分均呈正相关关系(P＜0.05),午睡或打盹的分值与AIS总分呈负相关关系(P＜0.05).结论 博州地区军人、个体户/临时工易失眠.服用催眠药物、睡觉饥饿、喝酒助睡眠、睡前或白天担心睡眠的人容易失眠.

abstractsObjective To investigate the prevalence rate of insomnia and its influence factor in adults from Bozhou region,and determine the correlation of sleep hygiene with insomnia in adult population.Methods Eight hundred and three subjects were recruited in the study by multi-stage stratified random sampling from people aged 18 years or more than 18 years.Athens Insomnia Scale (AIS)and sleep hygiene practices scale were used to evaluate the insomnia and its related factors.Results One hundred and ninety-two adults(23.9％)were identified as insomnia with dissatisfaction of sleep quality,shortage of sleep time(＜56.5 h/night)and earlier wake-up than expectation as its main manifestations; and the prevalence rate ofinsomnia in females(98/354,27.7 ％)was significantly higher as compared with that in males(94/449,20.9％,P＜0.05); prepared military personnel enjoyed the highest insomnia rate(37/99,37.3％),followed by freelance/temporaries(55/181,30.4％)with significant difference between these 2 groups(P＜0.05).The correlation analysis between the total scores of AIS and problems of sleep hygiene indicated that such factors as prescription of sleep medication,hunger at bed,drinking in purpose of helping sleeping,and worry about insomnia beofore sleep or at daytime were positively related to the total scores ofAIS(P＜0.05); nap or snooze was negatively related to the total scores of AIS(P＜0.05).Conclusion There is a high proportion of insomnia in prepared military personnel and freelance/temporaries from Bozhou region; poor sleep hygiene habits as prescription of sleep medication,hunger at bed,drinking in purpose of helping sleeping,and worry about insomnia beofore sleep or at daytime can induce insomnia.