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The Prevalence of Sleep Disturbances and Sleep Quality in Older Chinese Adults: A Comprehensive Meta-Analysis
Li Lu1; Shi-Bin Wang1,2; Wenwang Rao1,3; Qinge Zhang4; Gabor S. Ungvari5; Chee H. Ng6; Changgui Kou3; Fu-Jun Jia2; Yu-Tao Xiang1
AbstractObjective: This is a meta-analysis of the pooled prevalence of insomnia-specific sleep disturbances (sleep disturbances thereafter) and sleep quality in older Chinese adults. Method: Both English (PubMed, Embase and PsycINFO) and Chinese (Chinese National Knowledge Infrastructure [CNKI], WanFang and SinoMed) databases were systematically searched. Data extraction and quality assessment were independently performed by two investigators. Random-effects model was performed to pool the prevalence of sleep disturbances and sleep quality. Subgroup and meta-regression analyses were performed to explore the source of heterogeneity. Funnel plots, Egger’s regression model, and Begg’s test were used to assess publication bias. Results: A total of 47 studies were included. The pooled prevalence of sleep disturbances was 35.9% (95% CI: 30.6%–41.2%). Older adults in rural areas had higher prevalence of sleep disturbances than their counterparts in urban areas. Sleep quality was measured by the Pittsburgh Sleep Quality Assessment (PSQI) in all studies with available data. In the 27 studies with available data, the pooled mean PSQI total score was 6.64 (95% CI: 6.14–7.13). There was no significant difference between genders and between rural and urban areas. Compared to men, women had higher mean scores in sleep latency (Q = 23.62, p < 0.001), sleep efficiency (Q = 12.08, p = 0.001), and use of sleep-promoting medications (Q = 4.07, p = 0.044). Conclusion: Sleep disturbances are common in older Chinese adults, particularly in older women.
Indexed BySCIE
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000488468500001
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Cited Times [WOS]:17   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Guangdong Mental Health Center, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China
3.Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
4.The National Clinical Research Center for Mental Disorders, China & Center of Depression, Beijing Institute for Brain Disorders & Mood Disorders Center, Beijing Anding Hospital, Capital Medical University, Beijing, China
5.University Notre Dame Australia, Graylands Hospital, Perth, Australia
6.Department of Psychiatry, University of Melbourne, Melbourne, Australia
First Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Li Lu,Shi-Bin Wang,Wenwang Rao,et al. The Prevalence of Sleep Disturbances and Sleep Quality in Older Chinese Adults: A Comprehensive Meta-Analysis[J]. BEHAVIORAL SLEEP MEDICINE,2019,17(6):683-697.
APA Li Lu,Shi-Bin Wang,Wenwang Rao,Qinge Zhang,Gabor S. Ungvari,Chee H. Ng,Changgui Kou,Fu-Jun Jia,&Yu-Tao Xiang.(2019).The Prevalence of Sleep Disturbances and Sleep Quality in Older Chinese Adults: A Comprehensive Meta-Analysis.BEHAVIORAL SLEEP MEDICINE,17(6),683-697.
MLA Li Lu,et al."The Prevalence of Sleep Disturbances and Sleep Quality in Older Chinese Adults: A Comprehensive Meta-Analysis".BEHAVIORAL SLEEP MEDICINE 17.6(2019):683-697.
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