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Prevalence of sleep disturbances and associated factors among Chinese residents

A web-based empirical survey of 2019

Bibliographic Data

ID19551908
AuthorsJing Wang (0000-0002-7594-8539), Jianxiong Wu (0000-0001-5767-264X), Jiaming Liu (0000-0001-6749-404X), Yuan Meng (0000-0002-0963-0581), Meng Yuan (0000-0001-9706-3814), Jinxi Li (0000-0002-1366-9593), Pengfei Zhou (0000-0003-1053-9029), Minzhi Xu (0000-0001-5222-3685), Alice Yan (0000-0002-3162-3687), Qin Yan (0000-0003-4502-0446), Qinnan Li, X Yin (0000-0002-5020-2984), Yanhong Gong (0000-0002-7838-1996)
Year2023
Volume13
Pages04071-04071
Publication date2023-08-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Global Health (JOURNAL)
Journal identifiersISSN: 2047-2978 • E-ISSN: 2047-2986
PublisherInternational Society of Global Health (PUBLISHER • GB)
DOI10.7189/jogh.13.04071
PMID37539543
OpenAlexW4385563796
LanguageEN
Citations received1
References cited26

Background: To identify the prevalence of sleep disorders in China through a large sample study. To explore the relevant social determinants affecting residents' sleep status at both individual and provincial levels based on the theoretical framework of the Dahlgren-Whitehead model. Methods: A nationwide cross-sectional web-based survey was conducted from January 20 to February 28, 2019 across 31 provinces of China. The Pittsburgh Sleep Quality Index was used to evaluate residents' sleep quality. Multilevel linear regression analysis was used to analyse the influencing factors of sleep disorder. Results: A sample of 107 650 residents completed the survey, and 94 454 questionnaires were included in the final analysis. The crude incidence rate and the age-adjusted rate of sleep disorder in Chinese residents were 19.16% and 21.25%, respectively. Those who were older, female, smokers, drinkers, married, divorced, or widowed, retired, more educated (regression coefficient (b) = 0.172, P < 0.05), had worse self-perceived economic status, and lived far away from community health services (b = 0.758, P < 0.05) were more likely to have sleep problems. Physical exercise, social support (b = -1.705, P < 0.05), and greening coverage of residential areas (b = -1.769, P < 0.05) were protective factors for residents' sleep quality. Conclusions: Sleep disorders are prevalent in the Chinese population, with varying incidence rates across provinces. To improve sleep quality, the Chinese government and health management departments should pay more attention to vulnerable groups and promote healthy lifestyles through education. Additionally, the social network can be utilized to provide social support. Improving the ecological environment and daily living environment is also essential

China · Environmental health · Geography · Insomnia · Multilevel model · Pittsburgh Sleep Quality Index · Psychiatry · Sleep quality · Demography · Medicine · Obstructive Sleep Apnea Research · Sleep and related disorders · Sleep and Work-Related Fatigue · Gerontology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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