ArticleBMJ open2019
Sleep problems of healthcare workers in tertiary hospital and influencing factors identified through a multilevel analysis: a cross-sectional study in China.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Disrupting the clock: meta-analysis of irregular night shifts and migraine, proposing shift work migraine disorder with chronobiology strategies.Frontiers in neurology · 2025Pooled it
- Mental Health in COVID-19 Pandemic: A Meta-Review of Prevalence Meta-Analyses.Frontiers in psychology · 2021Pooled it
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- Prevalence and associated factors of chronic pain among nurses: a national cross-sectional study.BMC nursing · 2025Article
- Association of leisure-time physical activity and sleep quality among healthcare workers in China: a cross-sectional study.BMC public health · 2025Article
- Support measures and demand among healthcare workers during the COVID-19 pandemic: a survey in high-workload provinces of China, 2023.BMJ open · 2025Article
- Factors associated with sleep quality among medical students in Vietnam: a national cross-sectional study.BMJ open · 2025Article
- Medical insurance-related professionals' identification of the benefits of the medical insurance system in Northeast China: a cross-sectional study.BMC health services research · 2025Article
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- Sleep quality and related factors among healthcare workers in designated quarantine hospital site in post-pandemic based on the health ecological model: a cross-sectional study in Nanjing, China.Frontiers in public health · 2024Article
- The Relationship Between Poor Sleep and Memory Impairment Among Shift Nurses in China: A Cross-Sectional Study.Nature and science of sleep · 2024Article
- Poor sleep quality and associated factors among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.Frontiers in psychiatry · 2024Article
- Sleep disorders and exercise: a mini-review.Journal of thoracic disease · 2023Review
- Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Impact of a medical supply bulk-buy program on treatment of patients with coronary artery disease in China: A single-center study.PloS one · 2023Article
- Article
- Article
- Influence of Prolonged Visual Display Terminal Use on Physical and Mental Conditions among Health Care Workers at Tertiary Hospitals, Taiwan.International journal of environmental research and public health · 2022Article
- Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health.International journal of environmental research and public health · 2022Article
- Sleep disturbances in nurse managers during the early and late stages of the COVID-19 pandemic.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSleep problems are common among healthcare workers, especially among those who work in tertiary hospitals; however, studies focusing on healthcare workers in tertiary hospitals in China are limited. Therefore, we aimed to examine the prevalence of sleep problems among tertiary hospital employees in China and identify associated factors.
designCross-sectional questionnaire survey study.
settingThe study was conducted in 317 departments at 33 tertiary hospitals in the Heilongjiang Province, China.
participantsThe study included a representative sample of 4007 healthcare workers, including clinicians, medical technicians and office workers, who were selected using a multistage cluster sampling method. Ultimately, 3810 participants completed valid questionnaires, yielding a response rate of 95%. PRIMARY AND SECONDARY OUTCOME MEASURES: Participants completed a structured questionnaire which collected data regarding demographics, sleep problems, employment, chronic pain and health-related behaviours. A two-level logistic regression model was constructed to examine determinants of sleep problems.
resultsWe found that nearly half of the respondents reported experiencing sleep problems. The two-level logistic model suggested a positive association of sleep problems with headache (OR=2.64, 95% CI=2.27 to 3.07), working hours (OR=1.41, 95% CI=1.20 to 1.66) and night shifts (OR=1.43, 95% CI=1.21 to 1.69). In contrast, regular diet (OR=0.44, 95% CI=0.36 to 0.53) and exercise (OR=0.65, 95% CI=0.53 to 0.80) protected the study population against sleep problems.
conclusionsWe found that sleep problems are prominent among tertiary hospital employees in China. The risk factor most strongly associated with sleep problems was headaches. To alleviate sleep problems in this population, medical institutions and health policy makers should establish reasonable working schedules and night-shift work systems, while the healthcare workers themselves should pay attention to their chronic pain problems and engage in regular diet and exercise.
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