ArticleSleep medicine2018
Characteristics and correlates of sleep duration, daytime napping, snoring and insomnia symptoms among 0.5 million Chinese men and women.
Article in Sleep medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review and Meta-Analysis of the Prevalence and Risk Factors of Depression in Type 2 Diabetes Patients in China.Frontiers in medicine · 2022Pooled it
- Effect of a Tailored eHealth Physical Activity Intervention on Physical Activity and Depression During Postpartum: Randomized Controlled Trial (The Postpartum Wellness Study).JMIR mental health · 2025Trial
- Daytime napping and nighttime sleep in pregnant individuals with insomnia disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Trial
- Sleep quality and psychological resilience: a cross-sectional study of community-dwelling adults in China.BMJ open · 2026Article
- Intermediate- and Long-Term Exposure to PMToxics · 2026Article
- Sleep Patterns of Chinese Aged 15 and Above with Different Characteristics - China, 2024.China CDC weekly · 2026Article
- Associations between daytime napping and parameters of ovarian reserve among women undergoing assisted reproductive technology.BMC women's health · 2026Article
- Sleep Health Inequities: Sociodemographic, Psychosocial, and Structural Determinants of Short Sleep in U.S. Adults.Clocks & sleep · 2025Article
- Sleep patterns, genetic susceptibility, and gastrointestinal cancer mortality: a large-scale prospective cohort study.Sleep & breathing = Schlaf & Atmung · 2025Observational
- The influence of common exercise on the prevalence of hypertension.BMC public health · 2025Article
- Altered Insula Functional Connectivity Correlates to Cognitive Flexibility in Insomnia.Brain topography · 2025Article
- Limited effect of sleep education among rural middle-school students in eastern China: a 4-month intervention study.Sleep and biological rhythms · 2025Article
- Associations of reallocating sedentary leisure-time to alternative discretionary movement behaviours with incident cardiometabolic diseases in 0.5 million Chinese adults.The Lancet regional health. Western Pacific · 2025Article
- The diverse sleep structure of mid-day nap in college students.Sleep and biological rhythms · 2025Article
- Associations Between Sleep Duration and Activity of Daily Living Disability Among Older Adults in China: Cross-Sectional Study.Interactive journal of medical research · 2025Article
- Urban-rural differences in the prevalence and influencing factors of insomnia: a cross-sectional study in Foshan, China.Frontiers in psychiatry · 2025Article
- Insomnia and sleep duration for kidney function: Mendelian randomization study.Renal failure · 2024Article
- Disease Modules Associated with Unfavorable Sleep Patterns and Their Genetic Determinants: A Prospective Cohort Study of the UK Biobank.Phenomics (Cham, Switzerland) · 2024Article
- Prevalence and associated factors of napping among older adults in the Philippines.Sleep & breathing = Schlaf & Atmung · 2024Article
- Sleep, anxiety, depression, and stress in critically ill patients: a descriptive study in a Portuguese intensive care unit.Acute and critical care · 2024Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundInadequate sleep duration and insomnia can affect both physical and mental health. There is limited evidence, however, on characteristics and correlates of sleep patterns and insomnia in urban and rural China.
methodsThis cross-sectional study, involving 512,891 adults aged 30-79 years from ten (five urban and five rural) diverse areas in China, recorded detailed information, using interviewer-administered laptop-based questionnaires, on sleep patterns (duration, daytime napping and snoring) and insomnia symptoms. Logistic regression was used to examine the associations of sleep patterns and insomnia symptoms with a range of socio-economic, lifestyle, behaviour and health-related factors.
resultsOverall, the mean (SD) sleep duration was 7.38 (1.37) h, with 23% reporting short (≤6 h) and 16% reporting long (≥9 h) sleep duration, 21% taking daytime naps and 22% having frequent snoring. Overall, 17% reported having insomnia symptoms, with a higher proportion in women than in men (19% vs 13%), in rural than in urban residents (19% vs 15%), and in individuals who were living alone (23%). The adjusted odds ratios (ORs) of having insomnia symptoms were significantly higher among people with major depressive episodes (6.10, 95% CI: 5.69-6.55), generalised anxiety disorders (7.46, 6.65-8.37) and any chronic diseases (1.46; 1.44-1.49). In contrast, the ORs of insomnia symptoms were significantly lower among those reporting napping (0.77, 0.75-0.78) and frequent snoring (0.86, 0.84-0.87).
conclusionsAmong Chinese adults, sleep patterns varied greatly by socio-economic, lifestyle and health-related factors. The risk of insomnia symptoms was associated with both poor mental and physical health status.
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