中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
2期
129-133
,共5页
陈静%万宇辉%孙莹%陶芳标
陳靜%萬宇輝%孫瑩%陶芳標
진정%만우휘%손형%도방표
自杀行为%睡眠问题%中学生
自殺行為%睡眠問題%中學生
자살행위%수면문제%중학생
Suicidal behaviors%Sleep problems%Adolescents
目的 了解中学生睡眠问题和自杀行为的发生情况并分析两者的相关性.方法 采用整群抽样方法,在沈阳、新乡、重庆、广州市抽取中学生13 817人为研究对象,调查内容包括一般人口统计学指标、睡眠问题(匹兹堡睡眠质量指数量表,PSQI)、心理病理状态(青少年亚健康多维问卷,MSQA)和自杀行为等.比较不同特征的中学生睡眠问题、自杀行为检出率的差异,建立多因素logistic回归模型,分析睡眠问题对自杀行为的影响.结果 中学生睡眠问题检出率为26.5％,女生(28.2％)高于男生(24.8％),初中生(17.9％)低于高中生(35.2％),差异有统计学意义(P＜0.001).自杀意念、自杀计划、自杀未遂的检出率分别为16.6％、9.6％、4.7％,女生自杀意念的检出率高于男生,差异有统计学意义(P＜0.001),而自杀计划和自杀未遂检出率的性别差异无统计学意义.x2检验显示,有睡眠问题的学生其自杀行为检出率显著高于无睡眠问题者;PSQI高得分组、睡眠时间≤5 h/d的学生自杀行为检出率高,差异有统计学意义.多因素logistic回归分析发现,存在睡眠问题是自杀行为发生的独立影响因素,且随PSQI得分的增加,发生自杀行为的风险呈上升趋势;而睡眠时间≤5 h/d组自杀行为的发生风险高于其他睡眠时间组.结论 中学生睡眠问题是影响自杀行为发生的重要因素,改善其睡眠质量、合理安排睡眠时间对自杀行为的防控具有重要意义.
目的 瞭解中學生睡眠問題和自殺行為的髮生情況併分析兩者的相關性.方法 採用整群抽樣方法,在瀋暘、新鄉、重慶、廣州市抽取中學生13 817人為研究對象,調查內容包括一般人口統計學指標、睡眠問題(匹玆堡睡眠質量指數量錶,PSQI)、心理病理狀態(青少年亞健康多維問捲,MSQA)和自殺行為等.比較不同特徵的中學生睡眠問題、自殺行為檢齣率的差異,建立多因素logistic迴歸模型,分析睡眠問題對自殺行為的影響.結果 中學生睡眠問題檢齣率為26.5％,女生(28.2％)高于男生(24.8％),初中生(17.9％)低于高中生(35.2％),差異有統計學意義(P＜0.001).自殺意唸、自殺計劃、自殺未遂的檢齣率分彆為16.6％、9.6％、4.7％,女生自殺意唸的檢齣率高于男生,差異有統計學意義(P＜0.001),而自殺計劃和自殺未遂檢齣率的性彆差異無統計學意義.x2檢驗顯示,有睡眠問題的學生其自殺行為檢齣率顯著高于無睡眠問題者;PSQI高得分組、睡眠時間≤5 h/d的學生自殺行為檢齣率高,差異有統計學意義.多因素logistic迴歸分析髮現,存在睡眠問題是自殺行為髮生的獨立影響因素,且隨PSQI得分的增加,髮生自殺行為的風險呈上升趨勢;而睡眠時間≤5 h/d組自殺行為的髮生風險高于其他睡眠時間組.結論 中學生睡眠問題是影響自殺行為髮生的重要因素,改善其睡眠質量、閤理安排睡眠時間對自殺行為的防控具有重要意義.
목적 료해중학생수면문제화자살행위적발생정황병분석량자적상관성.방법 채용정군추양방법,재침양、신향、중경、엄주시추취중학생13 817인위연구대상,조사내용포괄일반인구통계학지표、수면문제(필자보수면질량지수량표,PSQI)、심리병리상태(청소년아건강다유문권,MSQA)화자살행위등.비교불동특정적중학생수면문제、자살행위검출솔적차이,건립다인소logistic회귀모형,분석수면문제대자살행위적영향.결과 중학생수면문제검출솔위26.5％,녀생(28.2％)고우남생(24.8％),초중생(17.9％)저우고중생(35.2％),차이유통계학의의(P＜0.001).자살의념、자살계화、자살미수적검출솔분별위16.6％、9.6％、4.7％,녀생자살의념적검출솔고우남생,차이유통계학의의(P＜0.001),이자살계화화자살미수검출솔적성별차이무통계학의의.x2검험현시,유수면문제적학생기자살행위검출솔현저고우무수면문제자;PSQI고득분조、수면시간≤5 h/d적학생자살행위검출솔고,차이유통계학의의.다인소logistic회귀분석발현,존재수면문제시자살행위발생적독립영향인소,차수PSQI득분적증가,발생자살행위적풍험정상승추세;이수면시간≤5 h/d조자살행위적발생풍험고우기타수면시간조.결론 중학생수면문제시영향자살행위발생적중요인소,개선기수면질량、합리안배수면시간대자살행위적방공구유중요의의.
Objective To understand the epidemiological characteristics and possible associations between sleeping problems and suicidal behaviors among middle school students.Methods A total of 13 817 middle school students were selected in Shenyang,Xinxiang,Chongqing and Guangzhou cities and cluster sampling method was used.Questionnaires would include information on demographics,quality of sleep,psychopathological status and suicidal behaviors.Pittsburgh Sleep Quality index (PSQI)and Adolescent Multidimensional Sub-health Questionnaire (MSQA) were used to assess the quality of sleep and psychosomatic symptoms,respectively.Rates on sleeping problems and suicidal behaviors were compared in students with specific characteristics.Effects related to sleeping problems and suicidal behaviors were analyzed,using the multivariate logistic regression model.Results The overall prevalence of problems related to sleeping among middle school students was 26.5％.28.2％ of the girls and 35.2％ of senior students reported as having more sleeping problems.Rates on suicide related ideation,planning and attempts were 16.6％,9.6％ and 4.7％,respectively.Girls reported more suicide ideation than boys.However,no gender differences were found in suicide planning or attempted suicide.It also suggested that the incidence of the suicidal behavior among students with sleeping problems was significantly higher than students without sleeping problems.Data from Multivariable logistic regression analysis showed that sleeping problems appeared as independent risk factors on suicidal behavior.Higher PSQI scores seemed coincide with the increased risk of suicidal behaviors.Students having sleeping time less than 5 hours per day showed higher risk of suicidal behaviors.Conclusion Problems on sleeping seemed a strong risk factor for suicidal behaviors among middle school students.Improvement on the quality of sleep and reasonable arrangement of sleeping time could help prevent related suicidal behaviors among middle school students.
