Association between depressive symptoms and poor sleep quality among Han and Manchu ethnicities in a large, rural, Chinese population

Autoři: Ru-Qing Liu aff001;  Michael S. Bloom aff001;  Qi-Zhen Wu aff001;  Zhi-Zhou He aff001;  Zhengmin Qian aff004;  Katherine A. Stamatakis aff004;  Echu Liu aff005;  Michael Vaughn aff006;  Wayne R. Lawrence aff003;  Mingan Yang aff007;  Tao Lu aff008;  Qian-Sheng Hu aff001;  Guang-Hui Dong aff001
Působiště autorů: Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China aff001;  Department of Environmental Health Sciences, University at Albany, State University of New York, Rensselaer, New York, United States of America aff002;  Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Rensselaer, New York, United States of America aff003;  Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, United States of America aff004;  Department of Health Management & Policy, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, United States of America aff005;  School of Social Work, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, United States of America aff006;  Department of Biostatistics and Epidemiology, Graduate School of Public Health, San Diego State University, San Diego, California, United States of America aff007;  Department of Mathematics and Statistics, University of Nevada, Reno, Nevada, United States of America aff008
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article



To estimate the relationship between sleep quality and depression, among Han and Manchu ethnicities, in a rural Chinese population.


A sample of 8,888 adults was selected using a multistage cluster and random sampling method. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Depressive symptoms were assessed via the Center for Epidemiological Survey, Depression Scale (CES-D). Logistic regression was conducted to assess associations between sleep quality and depression.


The prevalence of poor sleep quality and depression in the Manchus (20.74% and 22.65%) was significantly lower than that in the Hans (29.57% and 26.25%), respectively. Depressive participants had higher odds ratios of global and all sub PSQI elements than non-depressive participants, both among the Hans and the Manchus. Additive interactions were identified between depressive symptoms and ethnicity with global and four sub-PSQI elements, including subjective sleep quality, sleep disturbance, use of sleep medication and daytime dysfunction.


The findings revealed that the prevalence of poor sleep quality and depression among the Hans was greater than among the Manchus. Depression was associated with higher odds of poor sleep quality.

Klíčová slova:

Depression – Ethnic epidemiology – Ethnicities – Han Chinese people – Chinese people – Rural areas – Sleep – Sleep disorders


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2019 Číslo 12
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