Kantor Jonathan, Kantor Bella Nichole, Fortgang Rebecca G, Pace-Schott Edward F
Center for Global Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Front Public Health. 2022 Jul 15;10:819231. doi: 10.3389/fpubh.2022.819231. eCollection 2022.
The COVID-19 pandemic has been associated with sleep quality impairment and psychological distress, and the general public has responded to the pandemic and quarantine requirements in a variety of ways. We aimed to investigate whether sleep quality is low during a short-term (circuit break) quarantine restriction, and whether sleep quality is associated with respondents' overall attitudes to the pandemic using a validated scale.
Online cross-sectional study in England in November 2020.
The study included 502 respondents over the age of 18.
Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and pandemic attitudes were assessed using the Oxford Pandemic Attitudes Scale-COVID-19 (OPAS-C), a validated 20-item, 7-domain scale that assesses pandemic-related stress, fear, loneliness, sense of community, sense of exaggerated concern, non-pharmaceutical interventions, and vaccine hesitancy. Unadjusted and multivariable logistic regression odds ratios of association were assessed between the dependent variable of poor sleep quality (PSQI>5) and risk factors, including OPAS-C score, age, sex, educational status, and income.
The mean (SD) PSQI score was 7.62 (3.49). Overall, 68.9% of respondents met criteria for poor sleep quality using the PSQI cutoff of >5. The mean (SD) OPAS-C score was 60.3 (9.1). There was a significantly increased odds of poor sleep quality in the highest vs. lowest OPAS-C quartiles (OR 4.94, 95% CI [2.67, 9.13], < 0.0001). Age, sex, income, political leaning, employment status, and education attainment were not associated with poor sleep quality.
More than two-thirds of respondents met criteria for poor sleep quality. The odds of poor sleep quality increased in a dose-response relationship with pandemic attitudes (such as higher levels of pandemic-related stress, fear, or loneliness). The association between poor sleep quality and pandemic attitudes suggests opportunities for public health and sleep medicine interventions, and highlights the need for further research.
2019冠状病毒病大流行与睡眠质量受损和心理困扰有关，公众对大流行和隔离要求有多种反应。我们旨在调查在短期（断路）隔离限制期间睡眠质量是否较低，以及使用经过验证的量表，睡眠质量是否与受访者对大流行的总体态度相关。
2020年11月在英国进行的在线横断面研究。
该研究纳入了502名18岁以上的受访者。
使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，使用牛津大流行态度量表-2019冠状病毒病（OPAS-C）评估对大流行的态度，这是一个经过验证的包含20个项目、7个领域的量表，用于评估与大流行相关的压力、恐惧、孤独感、社区感、过度担忧感、非药物干预措施和疫苗犹豫情况。在睡眠质量差（PSQI>5）这一因变量与包括OPAS-C评分、年龄、性别、教育程度和收入在内的危险因素之间，评估未调整和多变量逻辑回归的关联比值比。
PSQI评分的平均值（标准差）为7.62（3.49）。总体而言，68.9%的受访者使用PSQI临界值>5符合睡眠质量差的标准。OPAS-C评分的平均值（标准差）为60.3（9.1）。在OPAS-C最高四分位数与最低四分位数中，睡眠质量差的几率显著增加（比值比4.94，95%置信区间[2.67，9.13]，P<0.0001）。年龄、性别、收入、政治倾向、就业状况和教育程度与睡眠质量差无关。
超过三分之二的受访者符合睡眠质量差的标准。睡眠质量差的几率与对大流行的态度呈剂量反应关系增加（如更高水平的与大流行相关的压力、恐惧或孤独感）。睡眠质量差与对大流行的态度之间的关联表明了公共卫生和睡眠医学干预的机会，并突出了进一步研究的必要性。
