Can social factors explain sex differences in insomnia? Findings from a National Survey in Taiwan

被引:74
作者
Chen, YY
Kawachi, I
Subramanian, SV
Acevedo-Garcia, D
Lee, YJ
机构
[1] Taipei City Psychiat Ctr, Taipei 110, Taiwan
[2] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Cambridge, MA 02138 USA
[3] Natl Taiwan Univ, Coll Med, Taipei, Taiwan
关键词
D O I
10.1136/jech.2004.020511
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Study objective: To examine sociological explanations for the higher level of insomnia in women, including social roles and socioeconomic status (SES). Design: Cross sectional survey research Setting: Taiwanese 2001 "social trend survey'' Participants: A nationally representative sample of 39 588 citizens aged 15 years or older living in Taiwan. Main results: On average, women scored 1.25 points higher than men on the insomnia inventory ( p< 0.001) but after controlling for social roles, the sex discrepancy in insomnia decreased slightly. SES did not, however, explain women's higher levels of insomnia. Subscale analysis showed an association between the role of homemaker and increased night time sleep disturbance and decreased daytime sequelae of poor sleep while higher educational attainment was related only to more severe daytime sequelae. Conclusion: The sex discrepancy in insomnia narrowed slightly after taking social role factors into consideration but was not explained by SES. The persistent sex gap in insomnia warrants further investigation.
引用
收藏
页码:488 / 494
页数:7
相关论文
共 29 条
[1]  
BIXLER EO, 1979, AM J PSYCHIAT, V136, P1257
[2]  
CAMPBELL SS, 1989, SLEEP, V12, P529
[3]   ADJUSTMENT DISORDERS OF SLEEP - THE SLEEP EFFECTS OF A MAJOR STRESSFUL EVENT AND ITS RESOLUTION [J].
CARTWRIGHT, RD ;
WOOD, E .
PSYCHIATRY RESEARCH, 1991, 39 (03) :199-209
[4]  
CLARK R, 1979, JAPANESE CO
[5]  
CULEBRAS A, 1996, SLEEP DISORDER
[6]  
*DIR GEN BUDG ACC, 2000, NAT STAT
[7]  
*DIR GEN BUDG ACC, 2002, REP SOC TREND SURV H
[8]  
Doi Y, 2000, J Epidemiol, V10, P79
[9]  
*EUR COMM DIR GEN, 2000, GEND US TIM 3 EUR ST
[10]   EPIDEMIOLOGIC-STUDY OF SLEEP DISTURBANCES AND PSYCHIATRIC-DISORDERS - AN OPPORTUNITY FOR PREVENTION [J].
FORD, DE ;
KAMEROW, DB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (11) :1479-1484