ArticleBMJ open2022
Sleep-related healthcare use prevalence among adults with insomnia symptoms in Hebei, China: a population-based cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- The Prevalence of Insomnia Disorder in the General Population: A Meta-Analysis.Journal of sleep research · 2025Pooled it
- Sleep hygiene practices and excessive fatigue among nurses working at comprehensive specialized hospitals in Northwest, Ethiopia.Sleep medicine: X · 2026Article
- Sleep duration associated with acute care utilization: Revisiting Andersen's Behavioral Model of Health Services Use.Sleep health · 2025Article
- Sleep-related drugs utilization and suicide behaviors: a population-based study in China.BMC public health · 2025Article
- The sleep quality and influencing factors among midwives in China: a cross-sectional study.Frontiers in public health · 2025Article
- Utilization, user evaluation, and associated factors of Traditional Chinese Medicine techniques for insomnia symptoms among Chinese community-dwelling older adults: a cross-sectional study.Frontiers in public health · 2025Article
- Article
- Insomnia symptom prevalence in England: a comparison of cross-sectional self-reported data and primary care records in the UK Biobank.BMJ open · 2024Article
- Clinical insomnia among elderly primary care attenders in Wuhan, China: A multicenter cross-sectional epidemiological study.Frontiers in public health · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study investigated the prevalence of sleep-related healthcare use and the factors associated with it among adults with different insomnia symptoms. DESIGN AND
settingThis was a population-based study with a cross-sectional design conducted in Hebei province, China.
participantsParticipants were community residents aged 18 years and above; a total of 21 376 valid questionnaires were analysed. PRIMARY AND SECONDARY OUTCOME MEASURES: The Athens Insomnia Scale (AIS) was used to evaluate participants' insomnia symptoms. Variables such as sleep-related healthcare use, chronic disease, living alone and sociodemographics were assessed for all the participants.
resultsAmong adults with any insomnia symptoms, only 2.1% used sleep-related healthcare in the past year. Even for adults with insomnia, the prevalence of sleep-related healthcare use was only 6.2%. Furthermore, the prevalence rates of sleep-related healthcare use among adults with sleep induction, night awakenings, earlier awakening, sleep duration, sleep quality, daytime well-being, daytime functioning, and daytime sleepiness were 3.1%, 2.9%, 3.6%, 3.4%, 3.9%, 4.9%, 4.6% and 2.8%, respectively. The following factors were associated with sleep-related healthcare use among adults with insomnia: male (adjusted OR (aOR)=0.52, p<0.01), younger age (aOR=1.02, p<0.01), rural region (aOR=0.45, p<0.001) and AIS score (aOR=1.23, p<0.001). The same factors were also associated with sleep-related healthcare use among adults with insomnia symptoms.
conclusionsThe prevalence of sleep-related healthcare use among adults with insomnia symptoms is very low. Young men from rural areas with insomnia symptoms tend not to use healthcare. As such, it is necessary to form policies and strategies to promote sleep-related healthcare use among rural young men with insomnia symptoms.
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