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关于手机成瘾与睡眠障碍关系的荟萃分析更新

An updated of meta-analysis on the relationship between mobile phone addiction and sleep disorder.

作者信息

Zhang Jianghui, Zhang Xueqing, Zhang Kexin, Lu Xiaoyan, Yuan Guojing, Yang Huayu, Guo Haiyun, Zhu Zhihui, Wang Tianli, Hao Jiahu, Sun Ying, Su Puyu, Yang Linsheng, Zhang Zhihua

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui 230032, China.

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.

出版信息

J Affect Disord. 2022 May 15;305:94-101. doi: 10.1016/j.jad.2022.02.008. Epub 2022 Feb 9.

Abstract

BACKGROUND

To conduct a meta-analysis to quantitatively assess the association between mobile phone addiction (MPA) and sleep disorder (SD) by reviewing current evidence from observational studies.

METHODS

The meta-analysis was conducted by searching Pubmed, Embase, Scopus, and Web of science using a retrieval strategy related to MPA and SD. Pooled Odds ratios and Pearson's correlation coefficients were calculated by R software using a random effects model.

RESULTS

29 studies including a total of 20041 participants were identified. We found that MPA was significantly associated with an increased risk of adolescents having SD (OR = 2.25, 95%CI= 1.72-2.94). Additionally, the findings also demonstrated that weak-to-moderate positive correlations were found between MPA and SD (summary r = 0.30, 95%CI= 0.25-0.34). The meta-regression analysis and subgroup analysis suggested that the geographic location and the measurement of MPA might be the sources of heterogeneity, and the robustness of the findings was confirmed by sensitivity analysis.

LIMITATIONS

The information collected was self-reported, and the recall bias was inevitable.

CONCLUSIONS

This study updated the findings of the association between MPA and SD from the previous reviews and was also the first meta-analysis to assess the association between MPA and SD using Odds Radios and correlation coefficients concurrently. The result of this study re-emphasized that paying more attention to the public health concerns of MPA and SD is needed in the future, whether implementation more relevant researches or developing targeted policies.

摘要

背景

通过回顾观察性研究的现有证据,进行一项荟萃分析,以定量评估手机成瘾(MPA)与睡眠障碍(SD)之间的关联。

方法

通过使用与MPA和SD相关的检索策略,在PubMed、Embase、Scopus和Web of science中进行检索,从而开展荟萃分析。使用R软件通过随机效应模型计算合并比值比和皮尔逊相关系数。

结果

共纳入29项研究,总计20041名参与者。我们发现,MPA与青少年患SD风险增加显著相关(OR = 2.25,95%CI = 1.72 - 2.94)。此外,研究结果还表明,MPA与SD之间存在弱至中度的正相关(汇总r = 0.30,95%CI = 0.25 - 0.34)。荟萃回归分析和亚组分析表明,地理位置和MPA的测量方法可能是异质性的来源,敏感性分析证实了研究结果的稳健性。

局限性

收集的信息为自我报告,回忆偏倚不可避免。

结论

本研究更新了以往综述中关于MPA与SD关联的研究结果,也是第一项同时使用比值比和相关系数评估MPA与SD关联的荟萃分析。本研究结果再次强调,未来需要更加关注MPA和SD的公共卫生问题,无论是开展更多相关研究还是制定针对性政策。

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