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Insomnia and its association with hypertension in a community-based population in China: a cross-sectional study

Objective To investigate the prevalence of hypertension and its association with insomnia in a community-based population in China. Methods A cross-sectional study which recruited 10 054 participants aged ≥18 years was conducted in Beijing. The association between self-reported insomnia and hypertension was determined by multiple logistic regression models. Age, gender, education, obesity, body mass index, physical activity, current smoking, current drinking, work stress, diabetes and dyslipidaemia were adjusted for as confounders. Prevalence ratios (PRs) with corresponding 95% CIs were reported as effect measurements. Results The number of subjects with no insomnia, occasional insomnia and frequent insomnia was 7632 (75.9%), 1545 (15.4%) and 877 (8.7%), respectively. The prevalence of hypertension in those with no insomnia, occasional insomnia and frequent insomnia was 37.3%, 43.0% and 48.0%. Compared with subjects with no insomnia, the multivariate adjusted PRs and 95% CIs for those with occasional insomnia and frequent insomnia were 1.01 (0.91 to 1.12) and 0.92 (0.83 to 1.03) for men and 1.08 (1.00 to 1.16) and 1.12 (1.02 to 1.22) for women. Conclusions Self-reported insomnia is associated with a higher risk of hypertension in women.