ArticleSleep & breathing = Schlaf & Atmung2023
Investigating sleep quality and sleep hygiene awareness among Chinese adults: an association and network analysis study.
Article in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- Efficacy of a video game for promoting active and healthy aging (Initial Version): a randomized controlled trial.BMC public health · 2025Trial
- Central and Bridge Symptoms of Internet Gaming Disorder, Social Jet Lag, and Insomnia Among College Students: Cross-Sectional Network Analysis.JMIR serious games · 2026Article
- Sleep quality and its relationship with physical activity and frailty syndrome among hospitalized older adults in North Iran.African health sciences · 2026Article
- Mental health and the knowledge and attitude towards insomnia among medical staff in China: a cross-sectional study.BMJ open · 2026Article
- Exploring the relationship between sleep quality, anxiety, depression and frailty in older adults with stroke: a latent profile and mediation analysis.BMC geriatrics · 2025Article
- Mapping Connection and Direction Among Symptoms of Sleep Disturbance and Perceived Stress in Firefighters: Embracing the Network Analysis Perspective.Nature and science of sleep · 2025Article
- Sleep quality, sleep hygiene practices and their influencing factors among Malaysian university students: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Article
- Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study.Sleep & breathing = Schlaf & Atmung · 2024Article
- Classification of Sleeping Position Using Enhanced Stacking Ensemble Learning.Entropy (Basel, Switzerland) · 2024Article
- Effects of sleep quality in early pregnancy on pregnancy outcomes and mood state.Sleep & breathing = Schlaf & Atmung · 2024Article
- Knowledge, attitude, and practice toward sleep hygiene and cardiovascular health: a cross-sectional survey among healthcare workers.Frontiers in public health · 2024Article
- Better characterizing sleep beliefs for personalized sleep health promotion: the French sleep beliefs scale validation study.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe relationships between sleep quality and sleep hygiene awareness in the Chinese population were unclear. We aimed to investigate the associations and related factors between sleep quality and sleep hygiene awareness in adults and to identify the most central domain for sleep quality using network analysis.
methodsA cross-sectional survey was conducted from April 22 to May 5, 2020. Adults (18 years old or above) who had access to smartphones were invited to participate in this survey. The Pittsburg Sleep Quality Index (PSQI) and the Sleep Hygiene Awareness and Practice Scale (SHAPS) were used to evaluate the sleep quality and sleep hygiene awareness of the participants. Propensity score matching (PSM) was used as sensitivity analysis to reduce the confounding effects. Multiple logistic regression was performed to evaluate the associations. The R packages "bootnet" and "qgraph" were used to estimate the connection and calculate the network centrality indices between good and poor sleepers.
resultsIn total, 939 respondents were included in the analysis. Of them, 48.8% (95% CI: 45.6-52.0%) were identified as poor sleepers. Participants with nervous system diseases, psychiatric diseases, and psychological problems were more likely to have poor sleep quality. The notion that using sleep medication regularly was beneficial to sleep was associated with poor sleep quality. Similarly, the notion that waking up at the same time each day disrupted sleep was also associated with poor sleep quality. The findings were consistent before and after PSM. Subjective sleep quality was the most central domain for sleep quality in good and poor sleepers.
conclusionPoor sleep quality was positively associated with certain sleep hygiene notions in Chinese adults. Effective measures such as self-relief, sleep hygiene education, and cognitive behavioral treatment may have been needed to improve sleep quality, especially during the COVID-19 outbreak.
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