Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study

Objective This study was conducted to explore the prevalence and associated factors of anxiety disorder among the population in an urban area of China.Design A cross-sectional study.Setting The study was conducted in Shanghai, China.Participants Residents aged 30–70 years who have lived for over 6 m...

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Main Authors: Peng Zhang, Fei Zhao, Qingqing Wang, Juhua Zhang, Huiqing Yao, Pengfei Jin
Format: Article
Language:English
Published: BMJ Publishing Group 2022-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/11/e062431.full
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author Peng Zhang
Fei Zhao
Qingqing Wang
Juhua Zhang
Huiqing Yao
Pengfei Jin
author_facet Peng Zhang
Fei Zhao
Qingqing Wang
Juhua Zhang
Huiqing Yao
Pengfei Jin
author_sort Peng Zhang
collection DOAJ
description Objective This study was conducted to explore the prevalence and associated factors of anxiety disorder among the population in an urban area of China.Design A cross-sectional study.Setting The study was conducted in Shanghai, China.Participants Residents aged 30–70 years who have lived for over 6 months in Shanghai from December 2018 to April 2019 were included in the study.Outcome measures The main study outcome was the prevalence of anxiety. The association of demographic information, medical expenses, living habits and sleep conditions with anxiety was also evaluated based on the collected data using structured questionnaires.Results Among 5063 participants, 498 (9.84%, 95% CI: 9.02% to 10.66%) suffered from anxiety. The female sex, age 60–70 years old, lower educational level, partly self-expenses, higher family medical expenses in the past year, stroke history, hypertension history, dyslipidaemia history, diabetes history, drinking, sleeping on average <6 hours per day and waking up suffocating during sleep were associated with a higher prevalence of anxiety (p<0.05). Multivariate logistic regression analysis showed that age, gender, type of medical expenses, family medical expenses, hours of sleep and waking up suffocating were related to anxiety (p<0.05).Conclusions Our findings showed an alarmingly high prevalence of anxiety in the population living in an urban area of China. Sleep time <6 hours and waking up suffocating had a significant association with anxiety. These findings suggest that future anxiety prevention programmes in urban areas should incorporate interventions targeted at these factors, such as improving residents’ sleep quality.
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spelling doaj.art-819e0cc925704bfa9b0fd51bfff8290b2022-12-22T04:13:44ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-062431Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional studyPeng Zhang0Fei Zhao1Qingqing Wang2Juhua Zhang3Huiqing Yao4Pengfei Jin5School of Clinical Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, People`s Republic of ChinaDepartment of Pharmacy; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Science; Beijing Key Laboratory of Drug Clinical Risk and Personalized Medication Evaluation, Beijing Hospital, Beijing, People`s Republic of ChinaClinical Trial Center; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Science; Beijing Key Laboratory of Drug Clinical Risk and Personalized Medication Evaluation, Beijing Hospital, Beijing, People`s Republic of ChinaDepartment of Integrated Traditional Chinese and Western Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, ChinaClinical Trial Center; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Science; Beijing Key Laboratory of Drug Clinical Risk and Personalized Medication Evaluation, Beijing Hospital, Beijing, People`s Republic of ChinaDepartment of Pharmacy; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Science; Beijing Key Laboratory of Drug Clinical Risk and Personalized Medication Evaluation, Beijing Hospital, Beijing, People`s Republic of ChinaObjective This study was conducted to explore the prevalence and associated factors of anxiety disorder among the population in an urban area of China.Design A cross-sectional study.Setting The study was conducted in Shanghai, China.Participants Residents aged 30–70 years who have lived for over 6 months in Shanghai from December 2018 to April 2019 were included in the study.Outcome measures The main study outcome was the prevalence of anxiety. The association of demographic information, medical expenses, living habits and sleep conditions with anxiety was also evaluated based on the collected data using structured questionnaires.Results Among 5063 participants, 498 (9.84%, 95% CI: 9.02% to 10.66%) suffered from anxiety. The female sex, age 60–70 years old, lower educational level, partly self-expenses, higher family medical expenses in the past year, stroke history, hypertension history, dyslipidaemia history, diabetes history, drinking, sleeping on average <6 hours per day and waking up suffocating during sleep were associated with a higher prevalence of anxiety (p<0.05). Multivariate logistic regression analysis showed that age, gender, type of medical expenses, family medical expenses, hours of sleep and waking up suffocating were related to anxiety (p<0.05).Conclusions Our findings showed an alarmingly high prevalence of anxiety in the population living in an urban area of China. Sleep time <6 hours and waking up suffocating had a significant association with anxiety. These findings suggest that future anxiety prevention programmes in urban areas should incorporate interventions targeted at these factors, such as improving residents’ sleep quality.https://bmjopen.bmj.com/content/12/11/e062431.full
spellingShingle Peng Zhang
Fei Zhao
Qingqing Wang
Juhua Zhang
Huiqing Yao
Pengfei Jin
Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
BMJ Open
title Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
title_full Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
title_fullStr Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
title_full_unstemmed Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
title_short Prevalence and associated factors of anxiety among the population in an urban area of China: a cross-sectional study
title_sort prevalence and associated factors of anxiety among the population in an urban area of china a cross sectional study
url https://bmjopen.bmj.com/content/12/11/e062431.full
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