中国健康与营养调查:9个项目调查省份人群睡眠状况变化趋势分析

金东辉; 杜树发; 陈碧云; 刘加吾; 付中喜; 王慧君

Abstract

金东辉,杜树发,陈碧云,刘加吾,付中喜,王慧君.中国健康与营养调查:9个项目调查省份人群睡眠状况变化趋势分析[J].Chinese journal of Epidemiology,2016,37(10):1366-1369

中国健康与营养调查:9个项目调查省份人群睡眠状况变化趋势分析

Changes on patterns of sleep duration:findings from China Health and Nutrition Survey in population in 9 provinces

Received:March 22, 2016

DOI：10.3760/cma.j.issn.0254-6450.2016.10.010

KeyWord: 睡眠时间中国健康与营养调查

English Key Word: Sleep duration China Health and Nutrition Survey

FundProject:

Author Name	Affiliation	E-mail
Jin Donghui	Department of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China
Du Shufa	the University of North Carolina at Chapel Hill, Chapel Hill 27516-2524, NC, USA
Chen Biyun	Department of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China
Liu Jiawu	Department of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China
Fu Zhongxi	Department of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China
Wang Huijun	National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China	wanghj128@gmail.com

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Abstract:

目的分析中国健康与营养调查中9个项目省队列人群睡眠状况的变化趋势，发现睡眠不足和睡眠过多重点干预人群。方法利用9个项目省队列人群2004-2011年四轮调查数据，以城乡、性别作为分层因素，分析≥3岁各年龄段人群睡眠不足和睡眠过多的变化趋势。结果 2004、2006、2009、2011年分别调查3～5岁儿童274、281、329和304人；6～12岁儿童874、806、768和742人；13～17岁儿童789、529、426和367人；≥18岁成年人9 568、9 530、9 942和9 609人。各年度城乡及不同性别3～17岁学龄前和学龄儿童睡眠不足率最低为53.9%（200/371，为2006年13～17岁农村儿童），最高达77.2%（44/57，2004年3～5岁城市儿童）；农村3～5岁儿童睡眠不足率逐年上升。≥18岁成年人睡眠不足率为4.2%（82/1 954，2009年女性）～20.8%（211/1 015，2011年城市）；45～59岁以及≥60岁年龄组无论城乡、男女性别，其睡眠不足率均逐年上升。各年度城乡以及不同性别3～17岁儿童睡眠过多率处于较低水平，各轮调查结果差异无统计学意义。成年人睡眠过多率为18.4%（569/3 093，2011年城市人群）～32.5%（1 617/4 969，2004年女性人群），有逐年下降趋势。结论未成年人睡眠不足率高，农村3～5岁儿童、45～59岁以及≥60岁人群睡眠不足率逐年上升，应引起重视。

English Abstract:

Objective To understand the changes on patterns of sleep duration of the China Health and Nutrition Survey (CHNS) cohort in 9 provinces from 2004 to 2011. Methods Four rounds of CHNS data were used. Urban/rural, age and gender specific insufficient sleeping rates and excessive sleeping rates were analyzed. Results In 2004, 2006, 2009 and 2011, a total of 274, 281, 329 and 304 children aged 3-5 years; 874, 806, 768 and 742 children aged 6-12 years; 789, 529, 426 and 367 children aged 13-17 years; 9 568, 9 530, 9 942 and 9 609 adults aged ≥18 years were surveyed respectively. The lowest insufficient sleeping rate was 53.9% (200/371) in 3-17 years old children in rural area in 2006, the highest insufficient sleeping rate was 77.2% (44/57) in 3-5 years old children in urban area in 2004. The insufficient sleeping rate increased in rural 3-5 years old children from 2004 to 2011. For the adults aged ≥18 years, the insufficient sleeping rate ranged from 4.2% (82/1 954) in females aged 18-44 years in 2004 and 2009 to 20.8% (211/1 015) in urban residents aged >60 years in 2011. The insufficient sleeping rate in age-groups 44-59 years and ≥60 years increased in both males and females and in both urban area and rural area from 2004 to 2011. The gender specific excessive sleeping rate in 3-17 years old children was very low in both urban area and rural area and no difference was found in different rounds of survey. The excessive sleeping rate in adults ranged from 18.4% (569/3 093) in urban population in 2011 to 32.5% (1 617/4 969) in females in 2004. The excessive sleeping rate of adult decreased from 2004 to 2011. Conclusion We should pay attention to the fact that the insufficient sleeping rate in adolescents is high and in increase in rural 3-5 years old children and adults aged ≥45 years.

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