Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta-analysis
Open Access
- 4 March 2021
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 16 (3), e0247333
- https://doi.org/10.1371/journal.pone.0247333
Abstract
Objectives: To review cross-sectional studies on the prevalence of sleep disturbance in Chinese adolescents and use a meta-analysis to explore the factors that may explain the heterogeneity between estimates of the prevalence. Methods: We followed the Preferred Reporting Items for Systematic Review and Meta-analysis and searched the PubMed, Embase, Cochrane Library, PsycINFO, Scopus, Web of Science, SinoMed, Chinese National Knowledge Infrastructure (CNKI), WanFang, and VIP Database for Chinese Technical Periodicals databases from their inception through June 30, 2020. Analysis of the abstract, full-text, and data were conducted independently with uniform standards. Sub-group analyses and meta-regression analyses were performed to explore the associations between prevalence and gender, sex ratio, mean age, area, studying stage, sample size, survey time, response rate, assessment tools, PSQI cut-off, and quality score of the study. Results: A total of 63 studies (64 groups of outcomes) were included in our analysis, covering 430,422 adolescents across China, of which 104,802 adolescents had sleep disturbances. The overall pooled prevalence was 26% (95% CI: 24–27%). Adolescents in senior high school (28%, 95% CI: 24–31%, ppp<0.001). The prevalence of sleep disturbances was not affected by other factors. Conclusion: This systematic review and meta-analysis revealed that sleep disturbances are common in Chinese adolescents, and effective psychological and behavior intervention may be needed to help adolescents solve their sleep problems.Keywords
This publication has 29 references indexed in Scilit:
- Sleep patterns, insomnia, and daytime sleepiness between Guangdong and Macau Chinese adolescents: a cross-cultural comparison studyBiological Rhythm Research, 2012
- Sleep quality of Chinese adolescents: Distribution and its associated factorsJournal of Paediatrics and Child Health, 2011
- The effects of insomnia and internet addiction on depression in Hong Kong Chinese adolescents: an exploratory cross-sectional analysisJournal of Sleep Research, 2010
- Smoking and sleep disorders in Chinese adolescentsSleep Medicine, 2010
- Sleep, circadian rhythms, and delayed phase in adolescenceSleep Medicine, 2007
- The Interpretation of Random-Effects Meta-Analysis in Decision ModelsMedical Decision Making, 2005
- Can social factors explain sex differences in insomnia? Findings from a national survey in TaiwanJournal of Epidemiology and Community Health, 2005
- Measuring inconsistency in meta-analysesBMJ, 2003
- The Pittsburgh sleep quality index: A new instrument for psychiatric practice and researchPsychiatry Research, 1989