| Objective:This study investigated the sleep quality status of Hunan civil servants and analyzed its influencing factors,so as to provide suggestions of countermeasure to improve sleep quality of this population.Methods :The current situation research method was used to select survey objects.From March to October 2021,all eligible civil servants who underwent physical examinations in the hospitals’ health examination centers were surveyed.The questionnaire included basic information such as general sociodemographic characteristics,Pittsburgh Sleep Quality Index(PSQI),Generalized Anxiety Disorder Scale(GAD-7)and 2-item Patient Health Questionnaire(PHQ-2).The physical examinations included mandatory and special inspection items,and its results were diagnosed by clinicians to obtain the prevalence of hypertension,diabetes,coronary heart disease and other diseases.The sleep quality,sleep disorders and its influencing factors were analyzed for all respondents,in-service civil servants and retired civil servants.Two independent sample t-test,analysis of variance or Kruskal Wallis H test were used for group comparison of measurement data,and chi-square test or Fisher exact probability method were used for group comparison of count data.Multivariate logistic regression analysis was used to analyze the influencing factors of sleep disorders.SPSS 22.0 software was used for data analysis,and P<0.05 was the statistical significance margin.Results :(1)A total of 1,525 civil servants were investigated while1,434 questionnaires were included with a recovery rate of 94.03%.Among 1434 civil servants,there are 606 in-service and 828 retired.(2)The PSQI score of all respondents was 5.65±3.22,that of 606in-service civil servants was 5.27±2.92,that of 828 retired civil servants was 5.93±3.39,which was significantly higher than the national norm(t=20.83,11.67,17.41,P<0.001).The prevalence of sleep disorder was 24.76%,of which 15.62% were mild,8.51% were moderate and0.63% were severe.The prevalence of sleep disorder in in-service civil servants was 19.80%,of which 13.53% were mild,6.11% were moderate and 0.17% were severe.The prevalence of sleep disorder in retired civil servants was 28.38%,of which 17.15% were mild,10.27% were moderate and 0.97% were severe.Among 7 factors of PSQI,more than50% of the respondents showed disorders in sleep time,sleep disturbance,daytime dysfunction and sleep latency.The average sleep time of all respondents was 6.41±1.02 hours,85.63% of the respondents slept less than 7 hours,45.12% slept less than 6 hours,and 9.00% need more than30 minutes to fall asleep.The average sleep time of in-service civil servants was 6.47±0.88 hours,87.95% slept less than 7 hours,43.40%slept less than 6 hours,and 6.60% need more than 30 minutes to fall asleep.The average sleep time of retired civil servants was 6.37±1.13 hours,83.94% slept less than 7 hours,46.38% slept less than 6 hours,and10.75% need more than 30 minutes to fall asleep.(3)Multivariate logistic regression analysis showed that for in-service civil servants,sleep disorder were corrected with aged 60 and above(compared with under 50 years old,OR=2.56,95%CI:1.09～6.03),habit of playing mobile phones before going to bed(OR=2.88,95%CI:1.70～4.89),long-term use of medicines or health products(OR=1.92,95%CI:1.24～2.97),anxiety(OR=6.07,95%CI:3.39～10.89).For retired civil servants,sleep disorder were corrected with women(OR=1.77,95%CI:1.12～2.80),aged 60～69 years(compared with aged 70 and above(OR=0.70,95%CI:0.51～0.97),anxiety(OR=5.88,95%CI:3.31～10.45),depression(OR=10.57,95%CI:2.22～50.18).Conclusion:The prevalence of sleep disorder among all respondents was 24.76%,in-service civil reservants was 19.80% and retired civil reservants was 28.38%,sleep quality was worse than that of national norm.Sleep disorder of in-service civil reservants were corrected with age,habit of playing mobile phones before going to bed,long-term use of medicines or health products and anxiety.Sleep disorder of retired civil reservants were corrected with women,age,anxiety and depression. |
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