Prevalence of insomnia and associations with depression, anxiety among adults in guangdong, China: A large-scale cross-sectional study

Shan，Wei1,2; Peng，Xiaodong2; Tan，Wenyan3; Zhou，Zhijian1,2; Xie，Haiyan1,2; Wang，Shi Bin3,4

2024-03-01

10.1016/j.sleep.2024.01.023

Sleep Medicine   影响因子和分区

1389-9457

1878-5506

Objective: Insomnia is a common sleep disorder, often associated with some mental disorders or mental health concerns, especially when accompanied by depression or anxiety, but very limited research has been reported in China. The purpose of this study was to investigate the prevalence of insomnia and associations with depression, anxiety in Chinese adults. Methods: We conducted this large-sample cross-sectional study (51774 adults) in Guangdong province from October to December 2022. We used multistage stratified equal-volume random sampling under a complex sampling design to select the sample and standardized structured questionnaires to collect the necessary information. Descriptive analysis and logistic regression model were used for statistical analysis. Results: The weighted prevalence of insomnia was 24.8 %. Insomnia was significantly associated with depression (OR:11.29, 95 %CI: 9.58–13.29), and anxiety (OR:10.98, 95 %CI: 8.78–13.72). Risk factors as being associated with insomnia were female, higher years of education, suffering from chronic diseases, previous drinking and current drinking, while protective factors were living in a rural area, married or cohabited, divorce or separation and being older. Risk factors as being associated with depression in the insomnia group included 10–16 years of education and suffering from chronic diseases, while protective factors were being older, married or cohabited, and normal BMI. Risk factors associated with anxiety in the insomnia group included 7–12 years of education and suffering from chronic diseases, while protective factors were being older, married or cohabited, and having a normal BMI. Conclusions: Insomnia is associated with the development of depression and anxiety. Women and unhealthy lifestyle were at high risk for insomnia, had chronic diseases is an important factor, and insomnia with depression or anxiety.

Anxiety Depression Insomnia Mental health Risk factors

SCI

英语

第一

NEUROSCIENCE & BEHAVIOR

2-s2.0-85184520045

Scopus

1.Affiliated Mental Health Center,Southern University of Science and Technology,China
2.Department of Public Health,Shenzhen Mental Health Center,Shenzhen Kangning Hospital,Shenzhen,Guangdong,China
3.Guangdong Mental Health Center,Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences),Southern Medical University,China School of Health,Zhuhai College of Science and Technology,Zhuhai,Guangzhou,China
4.School of Health,Zhuhai College of Science and Technology,Zhuhai,China

Shan，Wei,Peng，Xiaodong,Tan，Wenyan,et al. Prevalence of insomnia and associations with depression, anxiety among adults in guangdong, China: A large-scale cross-sectional study[J]. Sleep Medicine,2024,115:39-47.

Shan，Wei,Peng，Xiaodong,Tan，Wenyan,Zhou，Zhijian,Xie，Haiyan,&Wang，Shi Bin.(2024).Prevalence of insomnia and associations with depression, anxiety among adults in guangdong, China: A large-scale cross-sectional study.Sleep Medicine,115,39-47.

Shan，Wei,et al."Prevalence of insomnia and associations with depression, anxiety among adults in guangdong, China: A large-scale cross-sectional study".Sleep Medicine 115(2024):39-47.