The prevalence of poor sleep quality in the general population in China: a meta-analysis of epidemiological studies.
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| Title: | The prevalence of poor sleep quality in the general population in China: a meta-analysis of epidemiological studies. |
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| Authors: | Chen, Pan (AUTHOR), Lam, Mei Ieng (AUTHOR), Si, Tong Leong (AUTHOR), Zhang, Ling (AUTHOR), Balbuena, Lloyd (AUTHOR), Su, Zhaohui (AUTHOR), Cheung, Teris (AUTHOR), Ungvari, Gabor S. (AUTHOR), Sha, Sha (AUTHOR), Xiang, Yu-Tao (AUTHOR) |
| Source: | European Archives of Psychiatry & Clinical Neuroscience. Oct2024, Vol. 274 Issue 7, p1-14. 14p. |
| Subjects: | Sleep quality, Sleep duration, Population of China, Comorbidity, Reference values |
| Abstract: | Background: The high prevalence of poor sleep quality (PSQ) in the general population leads to negative health outcomes. Since estimates of PSQ prevalence in the Chinese general population vary widely, this meta-analysis aimed to refine these estimates and to identify moderating factors. Methods: A comprehensive literature search was undertaken in both international (PubMed, PsycINFO, Web of Science, and EMBASE) and Chinese (Wanfang, and the China National Knowledge Infrastructure databases) databases from inception to 23 November 2023. Studies were required to have used standard scales such as the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). The pooled prevalence of PSQ and 95% confidence intervals (CIs) were calculated using a random-effects model. Subgroup and meta-regression analyses were performed to identify sources of heterogeneity. Results: In 32 studies with a combined 376,824 participants, the pooled prevalence of PSQ was 19.0% (95% CI 15.8–22.8%; range 6.6–43.6%). Across 22 studies that reported PSQI data, the pooled mean score was 4.32 (95%CI 3.82–4.81; SD = 0.502). The pooled mean sleep duration across 8 studies was 7.62 (95% CI 7.23–8.00; SD = 0.194) hours. Subgroup analyses showed that lower education (Q = 4.12, P = 0.042), living in less developed regions (Q = 60.28, P < 0.001), and lower PSQI cutoff values (Q = 9.80, P = 0.007) were significantly associated with PSQ. Meta-regression analyses showed that study quality was inversely associated with estimated PSQ prevalence (β = − 0.442, P = 0.004). Limitations: Although measures such as subgroup and meta-regression analyses were performed, substantial heterogeneity remained. Information related to sleep quality, such as comorbid physical diseases or psychiatric disorders, substance use, occupational types, and employment status, were not reported in most studies. Conclusion: One in five people in the general population of China may have PSQ and people with lower education or living in western regions may be more susceptible. [ABSTRACT FROM AUTHOR] |
| Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 179814764 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The prevalence of poor sleep quality in the general population in China: a meta-analysis of epidemiological studies. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Chen%2C+Pan%22">Chen, Pan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lam%2C+Mei+Ieng%22">Lam, Mei Ieng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Si%2C+Tong+Leong%22">Si, Tong Leong</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+Ling%22">Zhang, Ling</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Balbuena%2C+Lloyd%22">Balbuena, Lloyd</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Su%2C+Zhaohui%22">Su, Zhaohui</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cheung%2C+Teris%22">Cheung, Teris</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ungvari%2C+Gabor+S%2E%22">Ungvari, Gabor S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sha%2C+Sha%22">Sha, Sha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xiang%2C+Yu-Tao%22">Xiang, Yu-Tao</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Oct2024, Vol. 274 Issue 7, p1-14. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+duration%22">Sleep duration</searchLink><br /><searchLink fieldCode="DE" term="%22Population+of+China%22">Population of China</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Reference+values%22">Reference values</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: The high prevalence of poor sleep quality (PSQ) in the general population leads to negative health outcomes. Since estimates of PSQ prevalence in the Chinese general population vary widely, this meta-analysis aimed to refine these estimates and to identify moderating factors. Methods: A comprehensive literature search was undertaken in both international (PubMed, PsycINFO, Web of Science, and EMBASE) and Chinese (Wanfang, and the China National Knowledge Infrastructure databases) databases from inception to 23 November 2023. Studies were required to have used standard scales such as the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). The pooled prevalence of PSQ and 95% confidence intervals (CIs) were calculated using a random-effects model. Subgroup and meta-regression analyses were performed to identify sources of heterogeneity. Results: In 32 studies with a combined 376,824 participants, the pooled prevalence of PSQ was 19.0% (95% CI 15.8–22.8%; range 6.6–43.6%). Across 22 studies that reported PSQI data, the pooled mean score was 4.32 (95%CI 3.82–4.81; SD = 0.502). The pooled mean sleep duration across 8 studies was 7.62 (95% CI 7.23–8.00; SD = 0.194) hours. Subgroup analyses showed that lower education (Q = 4.12, P = 0.042), living in less developed regions (Q = 60.28, P < 0.001), and lower PSQI cutoff values (Q = 9.80, P = 0.007) were significantly associated with PSQ. Meta-regression analyses showed that study quality was inversely associated with estimated PSQ prevalence (β = − 0.442, P = 0.004). Limitations: Although measures such as subgroup and meta-regression analyses were performed, substantial heterogeneity remained. Information related to sleep quality, such as comorbid physical diseases or psychiatric disorders, substance use, occupational types, and employment status, were not reported in most studies. Conclusion: One in five people in the general population of China may have PSQ and people with lower education or living in western regions may be more susceptible. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=179814764 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00406-024-01764-5 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 1 Subjects: – SubjectFull: Sleep quality Type: general – SubjectFull: Sleep duration Type: general – SubjectFull: Population of China Type: general – SubjectFull: Comorbidity Type: general – SubjectFull: Reference values Type: general Titles: – TitleFull: The prevalence of poor sleep quality in the general population in China: a meta-analysis of epidemiological studies. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Chen, Pan – PersonEntity: Name: NameFull: Lam, Mei Ieng – PersonEntity: Name: NameFull: Si, Tong Leong – PersonEntity: Name: NameFull: Zhang, Ling – PersonEntity: Name: NameFull: Balbuena, Lloyd – PersonEntity: Name: NameFull: Su, Zhaohui – PersonEntity: Name: NameFull: Cheung, Teris – PersonEntity: Name: NameFull: Ungvari, Gabor S. – PersonEntity: Name: NameFull: Sha, Sha – PersonEntity: Name: NameFull: Xiang, Yu-Tao IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09401334 Numbering: – Type: volume Value: 274 – Type: issue Value: 7 Titles: – TitleFull: European Archives of Psychiatry & Clinical Neuroscience Type: main |
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