王子云, 胡瑾, 杨婷婷, 蒋芝月, 刘丽, 范丽丽, 马欣茹, 汪俊华, 刘海燕, 陈丽娟, 张爱华, 杨敬源. 贵州省典型温泉地区温泉泡浴行为与高血压患病的关联性及睡眠的中介效应分析[J]. 上海预防医学, 2021, 33(S1): 33-39. DOI: 10.19428/j.cnki.sjpm.2021.21094
引用本文: 王子云, 胡瑾, 杨婷婷, 蒋芝月, 刘丽, 范丽丽, 马欣茹, 汪俊华, 刘海燕, 陈丽娟, 张爱华, 杨敬源. 贵州省典型温泉地区温泉泡浴行为与高血压患病的关联性及睡眠的中介效应分析[J]. 上海预防医学, 2021, 33(S1): 33-39. DOI: 10.19428/j.cnki.sjpm.2021.21094
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WANG Zi-yun, HU Jin, YANG Ting-ting, JIANG Zhi-yue, LIU Li, FAN Li-li, MA Xin-ru, WANG Jun-hua, LIU Hai-yan, CHEN Li-juan, ZHANG Ai-hua, YANG Jing-yuan. Association between hot spring bathing behavior and hypertension and the mediating effect of sleep quality problems in typical hot spring areas of Guizhou Province[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 33-39. DOI: 10.19428/j.cnki.sjpm.2021.21094
Citation: WANG Zi-yun, HU Jin, YANG Ting-ting, JIANG Zhi-yue, LIU Li, FAN Li-li, MA Xin-ru, WANG Jun-hua, LIU Hai-yan, CHEN Li-juan, ZHANG Ai-hua, YANG Jing-yuan. Association between hot spring bathing behavior and hypertension and the mediating effect of sleep quality problems in typical hot spring areas of Guizhou Province[J]. Shanghai Journal of Preventive Medicine, 2021, 33(S1): 33-39. DOI: 10.19428/j.cnki.sjpm.2021.21094
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贵州省典型温泉地区温泉泡浴行为与高血压患病的关联性及睡眠的中介效应分析

Association between hot spring bathing behavior and hypertension and the mediating effect of sleep quality problems in typical hot spring areas of Guizhou Province

    摘要
  • 摘要:
    目的探索普通居民日常温泉泡浴行为与高血压患病的相关性及睡眠质量问题在二者关联性中的中介作用。
    方法采用自行设计的健康状况调查表，对贵州省5个温泉地区的30~65岁成年人进行横断面调查，共回收3 708份有效调查问卷。本文中温泉泡浴分为3类：从不泡浴、偶尔泡浴和经常泡浴。按照性别、睡眠质量问题分层，采用二分类logistics回归模型分析不同温泉泡浴行为与高血压自我报告患病的关联性; 使用中介效应模型分析睡眠质量问题在温泉泡浴与高血压患病关联性中的作用。
    结果女性人群中，不泡浴组(13.7%)、偶尔泡浴组(9.4%)和经常泡浴组(8.5%)之间的高血压自报率差异具有统计学意义(χ2=10.460，P=0.005)。然而，男性人群中各温泉泡浴组高血压患病率差异无统计学意义。多因素分析进一步发现，与从不泡浴相比，女性人群偶尔泡浴(OR=0.692)和经常泡浴(OR=0.594)组高血压患病率相对较低。其中，睡眠问题阳性人群偶尔泡浴和经常泡浴与高血压关联的OR值更小(OR=0.571和0.406)。纳入睡眠质量问题后，偶尔泡浴、经常泡浴与高血压关联的OR值分别为0.723和0.611，女性人群睡眠质量问题在温泉泡浴与高血压的关联中发挥了部分中介效应，对偶尔泡浴、经常泡浴与高血压关联的相对中介效应均具有统计学意义(Zm=-2.022和-1.995，P < 0.05)，其在总效应中占比分别为34.34%和30.15%。
    结论规律温泉泡浴或可作为高血压防治的辅助措施，对女性人群(尤其是存在睡眠质量问题的人群)防治效果更佳; 睡眠质量问题或能解释女性人群温泉泡浴与高血压关联的部分机制。

     

    Abstract:
    ObjectiveTo investigate the association between hot spring bathing behavior and hypertension and understand the mediation effect of sleep quality problems on the association.
    MethodsA cross-sectional survey was conducted among adults aged 30 to 65 living and working around five hot springs in Guizhou Province, employing a self-designed questionnaire on the health status and hot spring bathing, and 3 708 qualified questionnaires were collected. Participants were divided into three groups according to their frequency of hot spring bathing: never, occasionally, and frequently. Stratified via sex and sleep quality, the binary logistic regression model was used to analyze the association between different hot spring bathing frequencies and self-reported hypertension.
    ResultsSignificant difference was detected in the self-reported hypertension between groups who never bathe(13.7%), who occasional bathe(9.4%)and who frequently bathe(8.5%)among female participants(χ2=10.460, P=0.005). However, no significant difference was found among different bathing groups in males. Furthermore, multivariate analysis showed that compared with no bathing, occasional(OR=0.692)and frequent (OR=0.594)hot spring bathing were associated with lower hypertension prevalence among female population, and female groups of occasional and frequent bathing with sleep quality problems had smaller OR(OR=0.571 and 0.406, respectively). After sleep quality problems were included, hot spring bathing was still associated with lower hypertension risk, and the OR values of occasional bathing and frequent bathing groups were 0.723 and 0.611, respectively. The sleep quality problems of female population played a partial mediating role in the association between hot spring bathing and hypertension, and the relative mediating effects of occasional bathing and frequent bathing with hypertension were both statistically significant(Zm=-2.022 and -1.995, P < 0.05), which accounted for 34.34% and 30.15% of the total effects, respectively.
    ConclusionRegular hot spring bathing may play an auxiliary role in the prevention of hypertension, and it may provide a stronger protection for women, and especially those with sleep quality problems. Sleep quality problems may explain part of the association between hot spring bathing and hypertension in female population.

     

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