Evidence map›Paper›PMID 34329443›Full record

ArticleJournal of tropical pediatrics2021

The Influencing Factors of Sleep Quality Among Chinese Junior and Senior High School Adolescents During the COVID-19 Pandemic.

Xiaobing Zhai, Jing Zeng, Ehab S Eshak, Yanan Zhang, Mei Yang, Lihua Di, Bing Xiang, Jinhong Cao

Abstract read
In one paragraph

Article in Journal of tropical pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Sleep Quality, Depression, and the Risk of Anaemia in Adolescents Aged 10-19 Years During One Year of the COVID-19 Pandemic in Indonesia.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. A narrative review into the impact of COVID-19 pandemic on senior high school adolescent mental health.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2022
    Review
  10. Article
  11. Article
  12. Adolescent sleep - lessons from COVID-19.Clinical child psychology and psychiatry · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Xiaobing ZhaiChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Jing ZengChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Ehab S EshakPublic Health and Community Medicine, Faculty of Medicine, Minia University, Main road Shalabyland, 61519, Minia, Egypt.
Yanan ZhangChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Mei YangChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Lihua DiChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Bing XiangChild and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, China.ORCID 0000-0003-0925-7104
Jinhong CaoDepartment of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, 430071, China.

Funding

National Social Science Fund of China in 2015 15BSH057
6 · The paper itself

Abstract

backgroundSince coronavirus disease 2019 (COVID-19) outbreak, its terrible infectiousness has caused great panic, anxiety and poor sleep quality to the vulnerable adolescent populations.

methodsThis cross-sectional online survey recruited 10 569 Chinese junior and senior high school adolescents during 31 January to 9 February 2020. Basic socio-demographic information, Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale (SAS) and Fear of negative evaluation (FNE) were included in the survey. The χ2 and logistic regression analyses were used to identify factors correlated with poor sleep quality.

resultsThe prevalence of poor sleep quality was 18.6% in the Chinese adolescent population. The average score of PSQI was 3.39 (SD = 2.64), which was significantly correlated with scores for anxiety (r = 0.50, p < 0.01), and FNE (r = 0.36, p < 0.01). Adjusted logistic regression indicated that gender (females) and education (senior high school) were associated with poor sleep quality, while living in Hubei Province and time spent on the COVID-19 information were inversely associated with poor sleep quality. Having a family member or friend infected/suspected and spending time on electronics were associated with higher odds of having poor sleep quality. Adolescents with anxiety were 8 times, and those with FNE were three times more likely than ones without anxiety or FNE to have poor sleep quality. In addition, the number of meals, exercise time and diet quality were also significantly associated with sleep quality. (p < 0.05).

conclusionsPoor sleep quality was common during the COVID-19 pandemic in Chinese adolescents. Understanding several factors associated with the poor sleep quality will offer some important insights into determining potential interventions to improve sleep quality during the COVID-19 pandemic.

Indexed as

COVID-19PandemicsAdolescentChinaCross-Sectional StudiesFemaleHumansSARS-CoV-2SchoolsSleepSurveys and QuestionnairesadolescentsCOVID-19poor sleep qualityprevalencerisk factors

Identifiers

PMID34329443
PMCPMC8385850

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.