基于STRAW十1O分期女性睡眠健康研究

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[中图分类号]R173

[文献标识码]A [文章编号]1673—5293（2026）02—0001—08

Sleephealthinwomenacrossreproductiveaging：aSTRAW +10 -basedstudy

YANGYilin，WANGJie²，YANGYehuan，YANGLi，ZHAOYanxia³， LUO Xiaomin³，YONG Zhenghua4，ZHENG Ruimin³

（1.Chinese Center forDiseaseControlandPrevention，BeijingO22Oo，China;2.Beijing Chao-Yang Hospital，Capital

Medical University，Beijing1OOO2o，China;3.National Center for Women and Children's Health，NHC，PRC，Beijing 100081，China;4.Women's Hospital Schoolof Medicine Zhejiang University，Zhejiang Hangzhou 31ooo6，China）

[Abstract]ObjectiveToinvestigatetheoccurrencecharacteristicsandchangingtrendsofsleepproblemsamong womenatdierent stagesofreproductiveaginginChina.Methods Thisnationwidecrosssectional studyemployedamultistagestratifiedrandom samplingmethodtorecruit womenaged35-6Oyearsfrom12provincesand26districts/countiesacros China.Data werecolected via an electronic survey system，and sleepqualitywasassessed using the Pitsburgh Slee Quality Index （PSQI.Participants were categorized according to the STRAW+10 criteria for reproductive aging. The overall prevalence of sleep problems and the distributionof specific sleep dimensions werecompared across reproductivestages.Trendsinslpdurationandsleponset latency across stages were analyzed. Results The overall prevalence of sleep problems was 37.51% ，with low sleep efficiency （47.55% ） and prolonged sleep onset latency （36.64% ）being the most common issues. Sleep problems were most prevalent during the late menopausal transition （-1 stage，42.64%）and early postmenopause （+1astage，42.82%） ，while the lowest prevalence was observed in late reproductive stage （ -3 stage）women 35.93% .Both overall and dimension-specific sleep problems increased progressively with reproductive aging，peaking during the late menopausal transition （-1 stage），followed by a decline and stabilization.Sleepproblems manifestedasacomplexcomorbidity/co-occurrencenetworkacrossmultipledimensions.Conclusion Sleepdisturbancesamong womenexhibitanincreasing-thendecreasing paternduringreproductiveaging，withthelate menopausal transitionandearlypostmenopauserepresenting high-riskperiods.Prolongedsleeponsetandreducedslepeficiencyarethe primarymanifestations.Perimenopausal women shouldbeprioritizedinsleep health management，andearlyidentificationwith targeted interventionsis recommended. [Key words]woman;sleep disorder;STRAW staging;women’s health;pitsburghsleequality index;distributioncharacteristic

女性的生殖周期通常分为三个阶段：生育期、绝经过渡期和绝经后期。（剩余9921字）