Factors associated with sleep quality among “left-behind women” in rural China: a cross-sectional study

Wang, Yu; Cui, Chunying; Zhang, Ying; Wang, Lie

doi:10.1007/s11325-020-02212-z

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Women, especially those left behind in rural areas, are more likely to experience depression and loneliness because of their trivial life and life burden, leading to a significant decline in sleep quality and affecting their physical and mental health. [39,40] The study participants who were engaged in mental labor and labor both physically and mentally were associated with poor sleep quality compared with those who were engaged in physical labor (AOR = 1.639; 95% CI:1.03-2.611 and AOR = 1.632; 95% CI: 1.030-2.584) respectively. Work stress may be an important factor leading to this difference, [41,42] Compared with participants who were mainly engaged in physical labor, those who were engaged in mental labor or both mental and physical labor had greater work pressure.…”

Section: Discussionmentioning

confidence: 97%

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Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

2023

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Hypertension is a leading cause of death worldwide. Hypertension is associated with poor sleep quality, which adversely affects physical and mental health, and can increase the incidence rate and mortality of cardiovascular disease, cancer, and depression. This study aimed to investigate the prevalence of the factors related to poor sleep quality in hypertensive patients in Shandong Province, China. This cross-sectional study of adult patients with hypertension from August 2020 to February 2021was conducted in 10 cooperative hospitals in Shandong Province, China. Information was collected in the form of a questionnaire. In this study, Pittsburgh sleep quality index was used to evaluate sleep quality. A multivariate logistic regression model was used to analyze the risk of poor sleep quality. Variables with a P value < 0.05 and a 95% confidence interval (CI) were considered statistically significant. A total of 528 patients with hypertension were included, ranging in age from 31 to 90 years old. The prevalence of poor sleep quality among study participants with hypertension was 319 (60.4%) (95% CI: 0.562–0.646). Female gender (adjusted odds ratios [AOR] = 3.231; 95% CI: 2.194–4.757), stage III blood pressure (AOR = 2.142; 95% CI: 1.108–4.141), mental labor, and labor both physical and mental (AOR = 1.639; 95% CI:1.03–2.611 and AOR = 1.632; 95% CI: 1.030–2.584), unstable marriage (AOR = 3.203; 95% CI: 1.026–9.997) and the very Low-density Lipoprotein (odds ratios = 0.776; 95% CI: 0.649–0.928) were significantly associated with poor sleep quality. This study preliminarily showed that poor sleep quality was a common problem in hypertensive patients, and more than half of the hypertensive patients had poor sleep quality. Poor sleep quality was significantly correlated with gender, hypertension level, occupation, marital status, and the very Low-density Lipoprotein. Considering the negative impact of sleep quality, appropriate strategies should be developed to prevent and treat poor sleep quality in hypertensive patients.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

2023

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“…In our sample, the majority of primary caregivers are female (most likely mothers or grandmothers), which is another similarity to other samples in rural China. Previous studies in rural China have demonstrated high quantities of left-behind children and female caregivers, who are financially supported by caregivers who migrate away from home to find work outside the household [ 50 – 52 ]. Thus, many female primary caregivers in rural China are solely responsible for looking after children and managing household affairs [ 53 ], while other household members work outside the home to financially support the family [ 54 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

The association between micronutrient powder delivery patterns and caregiver feeding behaviors in rural China

Liu

Wang

et al. 2022

BMC Public Health

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Background High adherence and proper usage of micronutrient powder (MNP) influence child nutritional outcomes, yet few studies explore the role of delivery patterns. This study explores the association between MNP delivery patterns and MNP feeding behaviors among Han and minority caregivers in rural Western China. Methods In August 2019, a total of 1021 caregiver-child pairs were selected through a four-stage cluster sampling process. A cross-sectional survey collected information on caregiver demographics, MNP delivery patterns (channel and frequency), and MNP feeding behaviors (proper usage and adherence). Using logistic regression, we examined which delivery channels and delivery frequencies were associated with proper usage and high adherence. Results The results indicated that minority caregivers had lower levels of proper MNP usage than did Han caregivers (89.2%), with Tibetan caregivers’ reporting the lowest rates of adherence (32.6%). Logistic regression revealed that that township-based channel was significantly correlated with proper usage among Tibetan and Yi caregivers (Odds Ratio, OR = 2.0, p < 0.01; and OR = 3.5, p < 0.001). Overall, the township-based and home-visit channels were significantly correlated with high adherence (OR = 1.7 and OR = 2.3, respectively; p < 0.001); delivery frequency was significantly correlated with high adherence (2 months: OR = 2.2, p < 0.001 and ≤ 1 month: OR = 3.5, p < 0.001) but not correlated with proper usage among the whole sample and individual ethnic groups. Conclusions In conclusion, the study finds evidence of a correlation between MNP delivery channel and both proper usage and high adherence as well as a correlation between MNP delivery frequency and high adherence.

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“…The higher the total score, the higher the level of resilience of the patients. CD-RISC has been translated into many languages and validated in previous studies, including Chinese populations [ 36 ]. In this study, the Cronbach’s α was 0.934.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and associated factors of depression and anxiety among Chinese diabetic retinopathy patients: A cross-sectional study

et al. 2022

PLoS ONE

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The purposes of this study were to evaluate the mental health among patients with diabetic retinopathy (DR) and to explore its’ influencing factors. A cross-sectional survey was conducted in Liaoning Province, China. A total of 200 patients volunteered to participate in the survey. Psycho-social variables included stress, self-efficacy, resilience, and social support. logistic regression analysis was used to explore the effect of psycho-social factors on depression and anxiety in DR patients. The prevalence of depression and anxiety was 25% and 13.5% among DR patients. Regression analysis showed that social support had a significant protective effect on depression (95%CI 0.931–0.997) and anxiety (95%CI 0.900–0.995). Stress had a significant acceleration of depression (95%CI 1.055–1.253) and anxiety (95%CI 1.120–1.457). Family history of diabetes (95%CI 1.856–18.057) and other chronic diseases (95%CI 1.485–12.508) were risk factors for anxiety. The high prevalence of depression (25.0%) and anxiety (13.5%) among DR patients should receive more attention in Chinese medical settings. Stress, social support, family history of diabetes and other chronic diseases seemed to be crucial in relation to depressive symptoms. Efficient interventions such as improving social support and decreasing stress with patients should be considered by health administrators aiming at alleviating depressive and anxiety among Chinese DR patients.

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Factors associated with sleep quality among “left-behind women” in rural China: a cross-sectional study

Cited by 6 publications

References 28 publications

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

The association between micronutrient powder delivery patterns and caregiver feeding behaviors in rural China

Prevalence and associated factors of depression and anxiety among Chinese diabetic retinopathy patients: A cross-sectional study

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