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第4期 总第135期 南京医科大学学报（社会科学版）京医科大学学报（社会科学版） ·
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2026年8月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 411
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ties and multimorbidities according to sex：National （本文编辑：姜 鑫）

Association between sleep quality and comorbidity of chronic disease

in patients with hypertension

1 2 3 4 1，5
Lu Chenggong ，Zhao Yunwu ，Xie Ruijin ，Hou Fangfang ，Wang Heng
1. School of Health Management，Anhui Medical University，Hefei 231200；2. Party Committee Organization Department，the
First Affiliated Hospital of Anhui Medical University，Hefei 230022；3. General Administration，Anhui University of Chinese
Medicine，Hefei 230012；4. School of Public Health，5. Dean’s Office，Anhui Medical University，Hefei 230032，China
Abstract：This study enrolled patients with hypertension who visited the Shushan District Community
Health Service Center in Hefei City in 2025. Data were collected using convenience sampling. Sleep quality was
assessed using the Pittsburgh Sleep Quality Index，and comorbidity information was obtained through medical
history surveys. A binary logistic regression analysis was employed to examine the association between sleep
quality and comorbidities among community ⁃ based hypertensive patients. The results showed the comorbidity
detection rate among patients with hypertension was 75.41%. After adjusting for confounding factors，patients
with poor or very poor sleep quality exhibited higher comorbidity risks compared to those with excellent sleep
quality. A linear increasing trend was observed between sleep quality and comorbidity risk. The findings indicate
that poorer sleep quality is associated with higher comorbidity risks among patients with hypertension. Therefore，

strengthening sleep management，enhancing awareness of healthy sleep practices，and promptly identifying
patients with hypertension who have sleep abnormalities are essential measures to reduce comorbidity risk.
Key words：sleep quality；comorbidity of chronic diseases；hypertension