ArticleSleep2018
Association between long-term exposure to air pollution and sleep disorder in Chinese children: the Seven Northeastern Cities study.
Article in Sleep, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Do green spaces protect night sleep duration and sleep quality in children and adolescents? Evidence from 10 observational studies.BMC public health · 2025Pooled it
- Neighborhood environments and sleep among children and adolescents: A systematic review.Sleep medicine reviews · 2021Pooled it
- Air pollution exposure and adverse sleep health across the life course: A systematic review.Environmental pollution (Barking, Essex : 1987) · 2020Pooled it
- Article
- Article
- Article
- Ambient PMBMC public health · 2026Article
- Pollution-Induced Allergy Skews Metabolism Toward Obesity-A Conceptual Review.Current issues in molecular biology · 2026Review
- Health, wealth, and nature in harmony? a method of moments quantile regression approach to the obesity-income-environment trinity in the G7 panel.Journal of health, population, and nutrition · 2025Article
- The mediation effect of sleep quality on the association between ambient air pollution and type 2 diabetes among UK adults: a population-based cohort study.BMC public health · 2025Article
- Early-life NOThe Lancet regional health. Western Pacific · 2025Article
- Effects of Cognitive Behavioral Therapy-Based Educational Intervention Addressing Fine Particulate Matter Exposure on the Mental Health of Elementary School Children.Children (Basel, Switzerland) · 2025Article
- Air pollution exposures and adverse childhood experiences in relation to sleep health in middle childhood.International journal of hygiene and environmental health · 2025Article
- Association of exposure to ambient Ozone with sleep quality in pregnant women.BMC pregnancy and childbirth · 2025Article
- Effects of Particulate Matter on Obstructive Sleep Apnea and Obesity.Journal of rhinology : official journal of the Korean Rhinologic Society · 2025Review
- Pathways to the Brain: Impact of Fine Particulate Matter Components on the Central Nervous System.Antioxidants (Basel, Switzerland) · 2025Review
- Effect of indoor air quality on potential risk of obstructive sleep apnea: results from Korea National Health and Nutrition Examination Survey.BMC public health · 2025Article
- Association of long-term exposure to PMSleep medicine · 2024Article
- The Association between Short-Term Exposure to PMToxics · 2024Article
- Analysis of the relationship between sleep-related disorders and cadmium in the US population.Frontiers in public health · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
14 authors at 7 institutions in 3 countries.
Funding
Abstract
Study Objectives: There is limited knowledge regarding the effects of air pollution on sleep disorders, particularly in children. The aim of this study is to investigate this association in Chinese children. Methods: During 2012-2013, 59754 children aged 2-17 years were randomly selected from 27 districts in seven northeastern Chinese cities. All participants' sleep was evaluated with the Sleep Disturbance Scale for Children. Four year average concentrations of pollutants were calculated for particles with an aerodynamic diameter of ≤1 µm (PM1), ≤2.5 µm (PM2.5) from a spatial statistical model, and ≤10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) from monitoring stations. To examine the effects, two-level regression analysis was used, controlling for covariates. Results: We observed that sleep disorder was generally associated with all air pollutants, with the highest odds among PM1 exposure for male (odds ratio [OR] 1.55; 95% confidence interval [95% CI] 1.36-1.76) and female (OR 1.50; 95% CI 1.30-1.72) children. The overall strongest association with sleep disorder symptom was exposure to PM1 and Disorders of Excessive Somnolence (OR 1.43; 95% CI 1.30-1.58). PM1 and PM2.5 were strongly associated with all sleep disorder symptoms in females (ORs ranged for PM1 from 1.19 to 1.49; and PM2.5 1.18 to 1.44). The association between air pollutants and total sleep score was generally greater in female than in male children. Conclusions: Our findings suggest that exposure to air pollutants increases the odds of sleep disorder in children and point to the need to make reducing exposure to air pollutants a public health priority.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.