Evidence map›Paper›PMID 42165074›Full record

ArticleNature and science of sleep2026

The Sleep Quality of Han Chinese and Tibetan Firefighters at High Altitude: A Field Study.

Xugang Tang, Luxun Tang, Shuang Li, Xuedong Gu, Xue Li, Xiaoyu Li, Wen Jiang, Qiang Wang, Yongjian Yang

Abstract read
In one paragraph

Article in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xugang TangDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Luxun TangDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Shuang LiDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Xuedong GuDepartment of Anesthesiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Xue LiDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Xiaoyu LiDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Wen JiangDepartment of Outpatient, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Qiang WangDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.
Yongjian YangDepartment of Cardiology, The General Hospital of Western Theater Command, Chengdu, 610083, People's Republic of China.ORCID 0000-0002-2278-9212

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The sleep quality of Han Chinese and Tibetan firefighters at high altitude remains poorly understood. This study investigates the prevalence of sleep disturbances in these groups and whether ethnicity affects sleep quality in these two populations. Methods: Male firefighters were recruited from China Fire and Rescue stations at high altitude of 500 m, 2570 m, and 4509 m in Southwest China. The Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality, considering scores >5 as poor sleep quality. Symptoms of anxiety and depression were evaluated using the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9). Results: As altitude increased, the total PSQI scores of Han Chinese firefighters showed a non-statistically significant rise: 4 (2-5) at 500 m, 4 (3-6.75) at 2570 m, and 5 (2.75-6) at 4509 m. Poor sleep quality prevalence also rose: 23%, 31%, and 44%, respectively. In contrast, the sleep quality of Tibetan firefighters remained relatively stable and was better than that of their Han Chinese counterparts. Furthermore, the GAD-7 and PHQ-9 scores were higher in Han Chinese firefighters compared to Tibetan firefighters. The PSQI score was positively correlated with GAD-7 scores ( Conclusion: This study suggests that Han Chinese firefighters in this field sample across these stations are at greater risk of poor sleep quality than Tibetan firefighters, with elevated GAD-7 scores being a potential contributing factor for poor sleep quality.

Indexed as

anxietyethnicityfirefighterHan Chinesehigh altitudesleep

Identifiers

PMID42165074
PMCPMC13185950

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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.