文章摘要
蔡姝雅,冯雅慧,王雅文,吴散散,湛永乐,马帅,沈忠周,石英杰,陈云利,马良坤,江宇.我国孕妇孕早、中期睡眠质量及其影响因素[J].中华流行病学杂志,2020,41(5):711-715
我国孕妇孕早、中期睡眠质量及其影响因素
Factors associated with sleep quality during first and second trimester in Chinese pregnant woman
收稿日期:2019-08-01  出版日期:2020-05-12
DOI:10.3760/cma.j.cn112338-20190801-00572
中文关键词: 妊娠;孕早期;孕中期;睡眠质量;匹斯堡睡眠指数自评量表
英文关键词: Pregnancy;First trimester;Second trimester;Sleep quality;Pittsburgh sleep quality index
基金项目:中国医学科学院医学与健康科技创新工程(2016-I2M-1-008)
作者单位E-mail
蔡姝雅 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
冯雅慧 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
王雅文 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
吴散散 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
湛永乐 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
马帅 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
沈忠周 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
石英杰 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
陈云利 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730  
马良坤 中国医学科学院/北京协和医学院北京协和医院, 北京 100730 maliangkun@pumch.cn 
江宇 中国医学科学院/北京协和医学院公共卫生学院, 北京 100730 jiangyu@pumc.edu.cn 
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中文摘要:
      目的 了解我国孕妇孕早、中期睡眠质量和变化及其影响因素,为有针对性地提高孕妇睡眠质量和健康水平提供科学依据。方法 选取中国孕产妇队列研究·协和(CPWCS)孕早、中期孕妇数据。问卷调查获取一般人口学特征、怀孕意向、健康相关行为、抑郁和睡眠质量信息。描述孕早期、孕中期睡眠质量并比较其在不同人群特征下的分布情况,logistic回归探究孕早、中期睡眠质量的影响因素。结果 共调查3 618名孕妇,孕早、中期睡眠障碍发生率为28.2%和28.7%;13.0%的孕妇在孕早、中期持续存在睡眠障碍,15.2%的孕妇睡眠质量下降。睡眠质量差、入睡时间长、存在睡眠障碍、日间困倦是我国孕妇睡眠的主要问题。孕早期规律饮食(OR=0.75,95% CI:0.62~0.92)、孕期在业(OR=0.84,95% CI:0.71~0.99)是孕妇睡眠质量的保护因素;孕妇年龄≥ 30岁(OR=1.19,95% CI:1.03~1.37)、孕早期被动烟草暴露(OR=1.18,95% CI:1.02~1.36)、抑郁症状(OR=2.25,95% CI:1.95~2.61)是孕妇睡眠质量的危险因素。结论 我国孕妇孕早期、孕中期睡眠障碍发生率较高,部分孕妇存在孕早、中期睡眠质量下降或持续存在睡眠障碍的情况。关注高龄孕妇、鼓励孕妇规律饮食、减少被动吸烟,减轻抑郁症状可能有助于孕妇睡眠质量的提高。
英文摘要:
      Objective To investigate sleep quality in pregnant women during their first and second trimester and to identify risk factors. Methods Data was from the Chinese Pregnant Women Cohort Study. A total of 3 618 pregnant women were included, with the exclusion 346 women who had missing information. Sociodemographic, health-related behavior, depression and sleep quality information were collected and analyzed. Logistic regression analysis were used to explore the influencing factors of sleep quality in pregnant women. Results Among the 3 618 pregnant woman 28.2% had poor sleep quality in their first trimester and 28.7% in the second trimester. 15.2% pregnant women had progressively worse sleep and 13.0% had persistently poor sleep had pregnant women were generally suffered from poor sleep quality, difficulty falling asleep, sleep disorders and daily fatigue. Regular diet (OR=0.75, 95%CI:0.62-0.92) and work (OR=0.84,95%CI:0.71-0.99) in the first trimester were protective factors of sleep quality in pregnant women. Age ≥ 30 year old (OR=1.19,95%CI:1.03-1.37), passive smoking (OR=1.18, 95%CI:1.02-1.36) and depression (OR=2.25, 95%CI:1.95-2.61) in the first trimester were risk factors. Conclusions The rate of poor sleep quality are high among Chinese pregnant woman during their first and second trimester. The risk factors of sleep quality are multiple. Regular diet and work, reduction of tobacco exposure, alleviation of depression symptom may help improve sleep quality among pregnant women.
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