对29个国家12至15岁青少年中焦虑引起的睡眠不足患病率的时间趋势进行的汇总分析。
A pooled analysis of temporal trends in the prevalence of anxiety-induced sleep loss among adolescents aged 12-15 years across 29 countries.
作者信息
Xu Guodong, Li Lian, Yi Lijuan, Li Tao, Chai Qiongxia, Zhu Junyang
机构信息
Ningbo Medical Center Lihuili Hospital, Zhejiang, China.
Department of Psychiatry, Ningbo Kangning Hospital & Affiliated Mental Health Centre, Ningbo University, Zhejiang, China.
出版信息
Front Psychiatry. 2023 Oct 4;14:1259442. doi: 10.3389/fpsyt.2023.1259442. eCollection 2023.
BACKGROUND
Previous studies examining trends in sleep loss among adolescents have mainly focused on single countriy and region. This study aims to analyze temporal trends in the prevalence of anxiety-induced sleep loss among adolescents from 29 countries in five regions.
METHODS
This study used data from the Global School-based Student Health Survey 2003-2018, which surveyed 215,380 adolescents from 29 countries with at least two cross-sectional surveys per country. The weighted country-specific prevalence of anxiety-induced sleep loss and trends across the survey years were evaluated. Random- or fixed-effects meta-analyses were used to calculate pooled prevalence and temporal trends across 29 countries.
RESULTS
Temporal variations in anxiety-induced sleep loss across countries were identified. Increasing (Suriname, Vanuatu, and Myanmar), decreasing (Namibia, Jamaica, the Philippines, Samoa, and Indonesia), and stable (all other countries) trends in anxiety-induced sleep loss were noted. The pooled weighted prevalence of anxiety-induced sleep loss was 11.35 and 10.67% in the first and last surveys, respectively. There was no meaningful change in the propensity to have anxiety-related sleep disorders over time, with the reduction and OR of these two surveys being 0.54 (-0.53-1.61) and 0.98 (0.88-1.10). For subgroup analyses, no significant differences in pooled anxiety-induced sleep loss trends were seen between the two surveys for different sexes, regions, incomes, survey years in the first wave, survey periods, or number of surveys.
CONCLUSION
Trends in the prevalence of anxiety-induced sleep loss in adolescents varied significantly across different countries. Generally, a stable trend was observed in 21 of the 29 countries surveyed. Our study provides data that can aid policymakers in establishing country-specific strategies for reducing anxiety-induced sleep loss in adolescents.
背景
以往关于青少年睡眠不足趋势的研究主要集中在单个国家和地区。本研究旨在分析五个地区29个国家青少年焦虑性失眠患病率的时间趋势。
方法
本研究使用了2003 - 2018年全球学校学生健康调查的数据，该调查对29个国家的215,380名青少年进行了调查，每个国家至少有两次横断面调查。评估了焦虑性失眠的加权国家特定患病率以及调查年份的趋势。采用随机效应或固定效应荟萃分析来计算29个国家的合并患病率和时间趋势。
结果
确定了各国焦虑性失眠的时间变化。注意到焦虑性失眠呈上升趋势（苏里南、瓦努阿图和缅甸）、下降趋势（纳米比亚、牙买加、菲律宾、萨摩亚和印度尼西亚）和稳定趋势（所有其他国家）。在第一次和最后一次调查中，焦虑性失眠的合并加权患病率分别为11.35%和10.67%。随着时间的推移，患焦虑相关睡眠障碍的倾向没有有意义的变化，这两次调查的降低率和比值比分别为0.54（-0.53 - 1.61）和0.98（0.88 - 1.10）。对于亚组分析，在不同性别、地区、收入、第一波调查年份、调查时期或调查次数的两次调查之间，合并焦虑性失眠趋势没有显著差异。
结论
不同国家青少年焦虑性失眠患病率的趋势差异显著。一般来说，在接受调查的29个国家中有21个观察到稳定趋势。我们的研究提供的数据可帮助政策制定者制定针对特定国家的策略，以减少青少年焦虑性失眠。
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