Relationships between the changes in sleep patterns and sleep quality among Chinese people during the 2019 coronavirus disease outbreak

Lin, Yanmei; Liu, Shuai; Li, Shuangyan; Zuo, Heming; Zhang, Bin

doi:10.1016/j.sleep.2021.01.021

Cited by 22 publications

(21 citation statements)

References 43 publications

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“…In this study, respondents with self-reported moderate/poor health status had higher odds of poor sleep quality than those who reported good health status, consistent with a previous Bangladeshi study ( 43 ) and global studies ( 63 – 65 ). This finding also agrees with a Chinese study conducted during the COVID-19 pandemic using similar methods ( 66 ). Patients with underlying health conditions such as chronic respiratory diseases, renal problems, and diabetes appear to be at a greater risk of morbidity or mortality from COVID-19 ( 66 – 68 ).…”

Section: Discussionsupporting

confidence: 92%

“…This finding also agrees with a Chinese study conducted during the COVID-19 pandemic using similar methods ( 66 ). Patients with underlying health conditions such as chronic respiratory diseases, renal problems, and diabetes appear to be at a greater risk of morbidity or mortality from COVID-19 ( 66 – 68 ). So, poor health status may lead to poor sleep quality.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Investigating Poor Sleep Quality and Associated Factors During the COVID-19 Pandemic: A Population-Based Survey in Bangladesh

Islam

Rahman

Zubayer

et al. 2021

Front. Public Health

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Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected the sleep quality of individuals, and is a poorly investigated area. This study aimed to investigate the prevalence estimate of poor sleep quality and its associated factors among Bangladeshi residents during the COVID-19 pandemic.Methods: An online cross-sectional survey was carried out from July 20 to August 5, 2020, involving 975 Bangladeshi residents (male: 54.2%; mean age: 26.7 ± 9.4 years; age range: 18–75 years). A self-reported questionnaire was answered by the respondents, covering information on demographic characteristics, perceived physical health status, COVID-19-related factors, COVID-19-induced anxiety assessment, and sleep quality. To assess sleep quality, the Bangla version of the Pittsburgh Sleep Quality Index was used. Logistic regression models were performed to analyze the factors associated with sleep quality.Results: The prevalence estimate of poor sleep quality was 55.1% among the Bangladeshi people during the COVID-19 pandemic. As per the multiple regression analysis, poor sleep quality was significantly higher among respondents who reported female gender, moderate/poor health status, indirect contact with COVID-19 infected patients, decreased household income due to the COVID-19 pandemic, fear of infection, and COVID-19-induced anxiety.Conclusion: Poor sleep quality was slightly prevalent among general people in Bangladesh during the COVID-19 pandemic. The findings indicate an immediate response for this vulnerable group to improve the sleep quality during the public health emergency of COVID-19.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Investigating Poor Sleep Quality and Associated Factors During the COVID-19 Pandemic: A Population-Based Survey in Bangladesh

Islam

Rahman

Zubayer

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

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“…In comparison to the other situation in Mainland China and other countries ( Jokela et al, 2020 ; Lin et al, 2021 ; Wu et al, 2020 ), the results of this cross-sectional study showed that the general mental health status and sleep quality of college students in Macao were basically good during the COVID-19 pandemic. Only 11.77% of the participants were rated as having bad general mental health status.…”

Section: Discussioncontrasting

confidence: 52%

A cross-sectional study for the mental health status and sleep quality among college students in Macao during the COVID-19 pandemic

Tao

Chen

et al. 2021

PeerJ

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Objectives The main focus of this study was to investigate the effect of the coronavirus disease (COVID-19) pandemic on the mental health condition and sleep quality of college students in Macao. In addition, the students’ behaviours during the pandemic, such as drinking alcohol, taking sleeping pills, and seeking psychological counselling were analyzed. Method A cross-sectional survey of mental health and sleep quality status, as well as the possible behavioral risk factors, was conducted among the college students of Macao in August, 2020 during the COVID-19 pandemic. An online self-report questionnaire survey method was applied to assess the general demographics and related lifestyle behaviors of students. The general mental health condition and sleep quality were evaluated through the General Health Questionnaire (GHQ-12) and Pittsburgh Sleep Quality Index (PSQI) questionnaires, respectively. The main statistical methods included the Chi-square test, Bonferroni correction, and Pearson correlation. Data analysis was performed using SPSS Version 24.0. Results A total of 980 students were investigated in the study, of which 977 completed the survey. During the COVID-19 pandemic period, overall college students in Macao were psychologically well adjusted and reported good quality of sleep. However, female students were in poorer psychological condition than males (P < 0.05). Moreover, the students over 20 years of age had poorer sleep quality than students aged less than or equal to 20 (P < 0.05). The significant differences were found among the students in different study majors for the mental health status and sleep quality (both P < 0.05), which were associated with certain behaviors, such as drinking alcohol, taking sleeping pills, and seeking for help in psychological counselling during the COVID-19 pandemic period. Conclusions Poor mental health status could be either the consequence or cause of sleep disturbance, which might further affected physical health. Therefore, regular assessment of mental health condition and sleep quality of college students is particularly necessary during public health emergencies, such as the COVID-19 pandemic, and appropriate intervention should be provided to the students.

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“…Internationally, sleep and mental health have deteriorated throughout the pandemic. Large international datasets have demonstrated increased time in bed and a delayed sleep phase in pandemic-impacted countries, such as China [ 17 ], Italy [ 7 , 8 ], Germany [ 18 ], and the United States of America [ 19 ]. Despite an increased opportunity for sleep, self-reported sleep quality has deteriorated, with increased reports of poor sleep quality [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Home-Based Sleep Sensor Measurements in an Older Australian Population: Before and during a Pandemic

Kholghi

Ellender

Zhang

et al. 2021

Sensors

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Older adults are susceptible to poor night-time sleep, characterized by short sleep duration and high sleep disruptions (i.e., more frequent and longer awakenings). This study aimed to longitudinally and objectively assess the changes in sleep patterns of older Australians during the 2020 pandemic lockdown. A non-invasive mattress-based device, known as the EMFIT QS, was used to continuously monitor sleep in 31 older adults with an average age of 84 years old before (November 2019–February 2020) and during (March–May 2020) the COVID-19, a disease caused by a form of coronavirus, lockdown. Total sleep time, sleep onset latency, wake after sleep onset, sleep efficiency, time to bed, and time out of bed were measured across these two periods. Overall, there was no significant change in total sleep time; however, women had a significant increase in total sleep time (36 min), with a more than 30-min earlier bedtime. There was also no increase in wake after sleep onset and sleep onset latency. Sleep efficiency remained stable across the pandemic time course between 84–85%. While this sample size is small, these data provide reassurance that objective sleep measurement did not deteriorate through the pandemic in older community-dwelling Australians.

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Relationships between the changes in sleep patterns and sleep quality among Chinese people during the 2019 coronavirus disease outbreak

Cited by 22 publications

References 43 publications

Investigating Poor Sleep Quality and Associated Factors During the COVID-19 Pandemic: A Population-Based Survey in Bangladesh

Investigating Poor Sleep Quality and Associated Factors During the COVID-19 Pandemic: A Population-Based Survey in Bangladesh

A cross-sectional study for the mental health status and sleep quality among college students in Macao during the COVID-19 pandemic

Home-Based Sleep Sensor Measurements in an Older Australian Population: Before and during a Pandemic

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