Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China

Abstract Background Data on the prevalence of insomnia symptoms in medical outpatient clinics in China are lacking. This study examined the prevalence of insomnia symptoms and their socio-demographic correlates in patients treated at medical outpatient clinics affiliated with four general hospitals...

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Main Authors: Wei Zheng, Xin-Ni Luo, Hai-Yan Li, Xiao-Yin Ke, Qing Dai, Chan-Juan Zhang, Chee H. Ng, Gabor S. Ungvari, Yu-Tao Xiang, Yu-Ping Ning
Format: Article
Language:English
Published: BMC 2018-07-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-018-1808-6
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author Wei Zheng
Xin-Ni Luo
Hai-Yan Li
Xiao-Yin Ke
Qing Dai
Chan-Juan Zhang
Chee H. Ng
Gabor S. Ungvari
Yu-Tao Xiang
Yu-Ping Ning
author_facet Wei Zheng
Xin-Ni Luo
Hai-Yan Li
Xiao-Yin Ke
Qing Dai
Chan-Juan Zhang
Chee H. Ng
Gabor S. Ungvari
Yu-Tao Xiang
Yu-Ping Ning
author_sort Wei Zheng
collection DOAJ
description Abstract Background Data on the prevalence of insomnia symptoms in medical outpatient clinics in China are lacking. This study examined the prevalence of insomnia symptoms and their socio-demographic correlates in patients treated at medical outpatient clinics affiliated with four general hospitals in Guangzhou, a large metropolis in southern China. Method A total of 4399 patients were consecutively invited to participate in the study. Data on insomnia and its socio-demographic correlates were collected with standardized questionnaires. Results The prevalence of any type of insomnia symptoms was 22.1% (95% confidence interval (CI): 20.9–23.3%); the prevalence of difficulty initiating sleep was 14.3%, difficulty maintaining sleep was 16.2%, and early morning awakening was 12.4%. Only 17.5% of the patients suffering from insomnia received sleeping pills. Multiple logistic regression analysis revealed that male gender, education level, rural residence, and being unemployed or retired were negatively associated with insomnia symptoms, while lacking health insurance, older age and more severe depressive symptoms were positively associated with insomnia symptoms. Conclusions Insomnia symptoms are common in patients attending medical outpatient clinics in Guangzhou. Increasing awareness of sleep hygiene measures, regular screening and psychosocial and pharmacological interventions for insomnia are needed in China. Trial registration ChiCTR-INR-16008066. Registered 8 March 2016.
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spelling doaj.art-5fe56c91013a46d38a61d06d727e59e52022-12-21T18:54:33ZengBMCBMC Psychiatry1471-244X2018-07-011811710.1186/s12888-018-1808-6Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, ChinaWei Zheng0Xin-Ni Luo1Hai-Yan Li2Xiao-Yin Ke3Qing Dai4Chan-Juan Zhang5Chee H. Ng6Gabor S. Ungvari7Yu-Tao Xiang8Yu-Ping Ning9The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)Department of Psychiatry, University of MelbourneUniversity Notre Dame AustraliaUnit of Psychiatry, Faculty of Health Sciences, University of MacauThe Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)Abstract Background Data on the prevalence of insomnia symptoms in medical outpatient clinics in China are lacking. This study examined the prevalence of insomnia symptoms and their socio-demographic correlates in patients treated at medical outpatient clinics affiliated with four general hospitals in Guangzhou, a large metropolis in southern China. Method A total of 4399 patients were consecutively invited to participate in the study. Data on insomnia and its socio-demographic correlates were collected with standardized questionnaires. Results The prevalence of any type of insomnia symptoms was 22.1% (95% confidence interval (CI): 20.9–23.3%); the prevalence of difficulty initiating sleep was 14.3%, difficulty maintaining sleep was 16.2%, and early morning awakening was 12.4%. Only 17.5% of the patients suffering from insomnia received sleeping pills. Multiple logistic regression analysis revealed that male gender, education level, rural residence, and being unemployed or retired were negatively associated with insomnia symptoms, while lacking health insurance, older age and more severe depressive symptoms were positively associated with insomnia symptoms. Conclusions Insomnia symptoms are common in patients attending medical outpatient clinics in Guangzhou. Increasing awareness of sleep hygiene measures, regular screening and psychosocial and pharmacological interventions for insomnia are needed in China. Trial registration ChiCTR-INR-16008066. Registered 8 March 2016.http://link.springer.com/article/10.1186/s12888-018-1808-6Insomnia symptoms-medical outpatients-China
spellingShingle Wei Zheng
Xin-Ni Luo
Hai-Yan Li
Xiao-Yin Ke
Qing Dai
Chan-Juan Zhang
Chee H. Ng
Gabor S. Ungvari
Yu-Tao Xiang
Yu-Ping Ning
Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
BMC Psychiatry
Insomnia symptoms-medical outpatients-China
title Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
title_full Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
title_fullStr Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
title_full_unstemmed Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
title_short Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China
title_sort prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in guangzhou china
topic Insomnia symptoms-medical outpatients-China
url http://link.springer.com/article/10.1186/s12888-018-1808-6
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