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中国四年级学生的睡眠状况及身心影响因素

唐丽娜 刘金宝 时嘉豪 李佳芮 盖琴宝 胡以松 汪媛

唐丽娜, 刘金宝, 时嘉豪, 李佳芮, 盖琴宝, 胡以松, 汪媛. 中国四年级学生的睡眠状况及身心影响因素[J]. 中华疾病控制杂志, 2024, 28(8): 896-902. doi: 10.16462/j.cnki.zhjbkz.2024.08.005
引用本文: 唐丽娜, 刘金宝, 时嘉豪, 李佳芮, 盖琴宝, 胡以松, 汪媛. 中国四年级学生的睡眠状况及身心影响因素[J]. 中华疾病控制杂志, 2024, 28(8): 896-902. doi: 10.16462/j.cnki.zhjbkz.2024.08.005
TANG Lina, LIU Jinbao, SHI Jiahao, LI Jiarui, GAI Qinbao, HU Yisong, WANG Yuan. Sleep status of Chinese fourth-grade primary school students and its physical and psychological factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 896-902. doi: 10.16462/j.cnki.zhjbkz.2024.08.005
Citation: TANG Lina, LIU Jinbao, SHI Jiahao, LI Jiarui, GAI Qinbao, HU Yisong, WANG Yuan. Sleep status of Chinese fourth-grade primary school students and its physical and psychological factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 896-902. doi: 10.16462/j.cnki.zhjbkz.2024.08.005

中国四年级学生的睡眠状况及身心影响因素

doi: 10.16462/j.cnki.zhjbkz.2024.08.005
基金项目: 

中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目成果 10XNN002

详细信息
    通讯作者:

    汪媛,E-mail: wangyuan@ncncd.chinacdc.cn

  • 中图分类号: R179

Sleep status of Chinese fourth-grade primary school students and its physical and psychological factors

Funds: 

the Fundamental Research Funds for the Central Universities, and the Research Funds of Renmin University of China 10XNN002

More Information
  • 摘要:   目的   了解我国四年级学生睡眠量与质的状况及群体差异,探索影响学生睡眠时长和质量的身心因素。   方法   选取2018年中国教育追踪调查(China education panel survey, CEPS)数据库中重要变量完整的23 717名年龄为10~11岁的学生作为研究对象,分别采用多元线性回归模型和多因素logistic回归分析模型分析具体睡眠时长和自评睡眠质量的身心影响因素。   结果   我国四年级学生的睡眠时长均值为9.26 h,自评睡眠质量为好的学生占88.56%。BMI分类、生病频率、抑郁程度、吸烟、饮酒、食用烧烤/膨化/西式快餐食品、饮用含糖/碳酸饮料和吃早饭频率会影响睡眠时长(均P < 0.05)。而性别、自评健康等级、生病频率、饮酒、饮用含糖/碳酸饮料和吃早饭是影响学生睡眠质量的因素(均P < 0.05)。   结论   我国学生中有一部分睡眠平均时长<10 h,但大部分自评睡眠质量良好,不同的身心因素与健康行为对睡眠时长和睡眠质量的影响效应存在差异化。
  • 表  1  不同一般情况的学生自评睡眠质量的比较

    Table  1.   Comparison of self-rated sleep quality among school students with different general conditions

    变量 Variable 睡眠质量好  Students of good sleep 睡眠质量差   Students of bad sleep χ2值  value P值  value 日均睡眠时间/h   Average daily sleep duration /h t/F值  value P值  value
    性别 Gender 92.377 < 0.001 10.28 0.001
      男 Male 10 712(86.65) 1 650(13.35) 9.29±1.06
      女  Female 10 291(90.63) 1 064(9.37) 9.24±1.17
    BMI分类  Classify/(kg·m-2) 13.749 < 0.001 3.03 0.048
      正常  Normal 15 948(88.99) 1 973(11.01) 9.27±1.10
      超重  Overweight 29 75(87.09) 441(12.91) 9.23±1.17
      肥胖  Obesity 20 80(87.39) 300(12.61) 9.23±1.20
    吸烟 Smoking 83.287 < 0.001 0.35 0.555
      有  Yes 2 620(96.54) 94(3.46) 9.30±1.78
      无 No 20 747(98.78) 256(1.22) 9.26±1.11
    饮酒 Drinking 295.824 < 0.001 89.03 < 0.001
      有  Yes 3 875(81.46) 882(18.54) 9.13±1.29
      无 No 17 128(90.34) 1 832(9.66) 9.30±1.07
    自评健康等级 Self-rated health rating 1 100.000 < 0.001 17.90 < 0.001
      很不好  Very poor 197(63.96) 111(36.04) 9.13±1.65
      不太好 Poor 879(68.56) 403(31.44) 9.07±1.36
      一般  Not so good 3 474(82.19) 753(17.81) 9.22±1.17
      比较好  Good 6 213(90.34) 664(9.66) 9.25±1.05
      很好 Very good 10 077(93.05) 753(6.95) 9.32±1.09
    生病频率  Frequency of illness 771.677 < 0.001 41.77 < 0.001
      从不  Never 3 013(92.03) 261(7.97) 9.32±1.13
      很少  Seldom 12 060(91.29) 1 151(8.71) 9.31±1.07
      有时  Sometimes 4 617(86.93) 782(13.07) 9.20±1.12
      经常  Often 908(80.04) 339(19.96) 9.06±1.32
      总是  Always 259(70.30) 156(29.70) 8.76±1.54
    食用烧烤/膨化/西式快餐食品频率  Frequency of eating barbecue/puffing/western food 258.664 < 0.001 72.28 < 0.001
      从不 Never 3 435(90.59) 357(9.41) 9.44±1.13
      很少  Seldom 11 173(90.02) 1 239(9.98) 9.30±1.07
      有时  Sometimes 5 175(86.93) 778(13.07) 9.15±1.11
      经常  Often 802(80.04) 200(19.96) 8.99±1.25
      总是  Always 277(70.30) 117(29.70) 8.80±1.57
    饮用含糖/碳酸饮料频率  Frequency of drinking consumption of sugar/carbonated beverages 354.428 < 0.001 91.67 < 0.001
      从不  Never 2 707(90.87) 272(9.13) 9.46±1.10
      很少 Seldom 10 438(90.66) 1 075(9.34) 9.32±1.06
      有时  Sometimes 5 876(87.51) 839(12.49) 9.17±1.12
      经常  Often 1 300(80.85) 308(19.15) 9.03±1.24
      总是  Always 418(70.73) 173(29.27) 8.75±1.58
    抑郁得分 Depression score -0.063 < 0.001 9.26±1.12 14.08 < 0.001
    注:①以人数(占比/%)或x±s表示。
    Note: ① Number of people (proportion/%) or x±s.).
    下载: 导出CSV

    表  2  学生睡眠时间影响因素的多元线性回归分析

    Table  2.   Multivariate regression analysis on sleep time among school students

    自变量 Independent variable 非标准化β值 value (95% CI) sx 标准化β值 value t值 value P值 value
    性别 Gender
      男  Male -0.001(-0.032~0.030) 0.016 0 -0.06 0.950
      女 Female 0
    BMI分类  Classify/(kg·m-2)
      正常  Normal 0
      超重 Overweight -0.044(-0.087~-0.001) 0.022 -0.014 -2.00 0.046
      肥胖  Obesity -0.059(-0.109~-0.008) 0.026 -0.016 -2.26 0.024
    自评健康等级  Self-rated health rating
      很不好  Very poor 0
      不太好  Poor -0.033(-0.181~0.115) 0.075 -0.007 -0.44 0.663
      一般  Not so good -0.010(-0.150~0.129) 0.071 -0.004 -0.15 0.885
      比较好  Good 0.008(-0.131~0.147) 0.071 0.003 0.12 0.908
      很好  Very good 0.032(-0.107~0.170) 0.071 0.014 0.45 0.655
    生病频率  Frequency of illness
      从不 Never 0
      很少 Seldom 0.030(-0.016~0.076) 0.023 0.014 1.29 0.196
      有时  Sometimes -0.004(-0.058~0.050) 0.028 -0.002 -0.15 0.878
      经常 Often -0.087(-0.168~-0.006) 0.041 -0.018 -2.11 0.035
      总是  Always -0.321(-0.448~-0.193) 0.065 -0.037 -4.94 < 0.001
    抑郁得分  Depression score -0.004(-0.005~-0.003) 0.000 -0.072 -9.56 < 0.001
    吸烟  Smoking
      否 No 0
      是  Yes 0.176(0.037~0.316) 0.071 0.018 2.48 0.013
    饮酒  Drinking
      否  No 0
      是  Yes -0.111(-0.150~-0.072) 0.020 -0.039 -5.61 < 0.001
    食用烧烤/膨化/西式快餐食品频率 Frequency of eating barbecue/puffing/western food
      从不  Never 0
      很少  Seldom -0.020(-0.065~0.025) 0.023 -0.009 -0.86 0.389
      有时  Sometimes -0.063(-0.116~-0.009) 0.027 -0.025 -2.30 0.021
      经常  Often -0.134(-0.223~-0.045) 0.046 -0.024 -2.95 0.003
      总是  Always -0.183(-0.318~-0.047) 0.069 -0.021 -2.65 0.008
    饮用含糖/碳酸饮料频率  Frequency of drinking consumption of sugar/carbonated beverages
      从不  Never 0
      很少  Seldom -0.092(-0.142~-0.043) 0.025 -0.042 -3.66 < 0.001
      有时 Sometimes -0.195(-0.251~-0.139) 0.028 -0.080 -6.86 < 0.001
      经常  Often -0.264(-0.342~-0.187) 0.040 -0.060 -6.67 < 0.001
      总是  Always -0.524(-0.642~-0.407) 0.060 -0.072 -8.74 < 0.001
    吃早饭频率  Frequency of having breakfast
      每天都吃  Everyday 0
      偶尔不吃  Often -0.137(-0.180~-0.094) 0.022 -0.044 -6.20 < 0.001
      有时不吃  Sometimes -0.008(-0.066~0.050) 0.030 -0.002 -0.27 0.787
      经常不吃 Seldom -0.155(-0.253~-0.057) 0.050 -0.022 -3.11 0.002
      几乎从来不吃 Never -0.025(-0.131~0.080) 0.054 -0.003 -0.47 0.638
    下载: 导出CSV

    表  3  学生睡眠质量影响因素的多因素logistic回归分析模型

    Table  3.   Multivariate logistic regression analysis on sleep time among school students

    变量 Variable OR值  value (95% CI) P值  value
    性别  Gender
      女  Female 1.000
      男 Male 1.329(1.203~1.467) < 0.001
    BMI分类  Classify/(kg·m-2)
      正常  Normal 1.000
      超重  Overweight 1.092(0.956~1.248) 0.194
      肥胖  Obesity 0.986(0.841~1.155) 0.858
    自评健康等级  Self-rated health rating
      很不好  Very poor 1.000
      不太好  Poor 1.006(0.726~1.393) 0.971
      一般  Not so good 0.662(0.484~0.903) 0.009
      比较好  Good 0.436(0.318~0.597) < 0.001
      很好  Very good 0.361(0.264~0.495) < 0.001
    生病频率  Frequency of illness
      从不  Never 1.000
      很少  Seldom 0.961(0.813~1.136) 0.639
      有时  Sometimes 1.148(0.956~1.379) 0.138
      经常  Often 1.635(1.306~2.047) < 0.001
      总是 Always 2.012(1.485~2.726) < 0.001
    抑郁得分  Depression score 1.024(1.022~1.026) < 0.001
    吸烟  Smoking
      否  No 1.000
      是 Yes 1.026(0.722~1.457) 0.887
    饮酒  Drinking
      否  No 1.000
      是  Yes 1.429(1.281~1.595) < 0.001
    食用烧烤/膨化/西式快餐食品频率  Frequency of eating barbecue/puffing/western food
      从不 Never 1.000
      很少  Seldom 1.023(0.875~1.197) 0.776
      有时 Sometimes 1.048(0.879~1.249) 0.600
      经常  Often 1.141(0.885~1.469) 0.309
      总是  Always 1.412(1.012~1.970) 0.042
    饮用含糖/碳酸饮料频率  Frequency of drinking consumption of sugar/carbonated beverages
      从不 Never 1.000
      很少  Seldom 0.860(0.725~1.020) 0.084
      有时  Sometimes 0.944(0.785~1.135) 0.540
      经常  Often 1.136(0.902~1.430) 0.278
      总是  Always 1.623(1.205~2.185) 0.001
    吃早饭频率  Frequency of having breakfast
      每天都吃  Everyday 1.000
      偶尔不吃  Often 1.532(1.354~1.734) < 0.001
      有时不吃  Sometimes 1.620(1.387~1.893) < 0.001
      经常不吃 Seldom 1.662(1.292~2.137) < 0.001
      几乎从来不吃  Never 1.744(1.326~2.294) < 0.001
    下载: 导出CSV
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出版历程
  • 收稿日期:  2024-01-17
  • 修回日期:  2024-07-15
  • 网络出版日期:  2024-09-29
  • 刊出日期:  2024-08-10

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