Way Joshua A H, Ucak Seren, Martinez Chloe-Anne, Sutherland Kate, Cook Kristina M, Cistulli Peter A, Bin Yu Sun
Sleep Research Group, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Sleep Adv. 2024 Aug 23;5(1):zpae062. doi: 10.1093/sleepadvances/zpae062. eCollection 2024.
The aims of this review were to identify existing national surveillance systems monitoring one or more domains of sleep health in adults, and to describe the specific sleep health indicators used.
We systematically searched the gray and peer-reviewed literature for routinely conducted cross-sectional and longitudinal nationally representative health surveys that included the assessment of at least one domain of sleep health. The methodology involved: (1) targeted searches of the websites of national and international health agencies and statistics departments for 199 countries, (2) country-specific customized internet searches, and (3) country-specific electronic database searches of PubMed.
A total of 19 762 records were identified from both the gray and peer-reviewed literature. Sleep health surveillance at the national level was conducted by 51 countries (25.6%) across 69 national health surveys. Sleep quality (96.1% of countries that surveilled sleep) was the most frequently assessed followed by sleep duration (27.5%), sleep medication use (25.5%), sleep disorders (17.6%), daytime alertness (15.7%), sleep satisfaction (15.7%), and sleep timing (7.8%). Additionally, 34.8% of the surveys utilized multiple sleep health indicators.
This study identified three significant gaps in the coverage of sleep health within national surveillance systems. Limited population sleep data in low- and middle-income countries, inconsistent use of sleep-related items in surveys and questionnaires, and substantial variability in the definitions of sleep health indicators. Advocacy for the inclusion of sleep health within national surveillance systems may be warranted given the important role sleep plays in public health.
本综述旨在识别监测成年人睡眠健康一个或多个领域的现有国家监测系统，并描述所使用的具体睡眠健康指标。
我们系统地检索了灰色文献和同行评审文献，以查找常规开展的具有全国代表性的横断面和纵向健康调查，这些调查包括对至少一个睡眠健康领域的评估。该方法包括：（1）对199个国家的国家和国际卫生机构及统计部门网站进行定向搜索；（2）针对特定国家的定制互联网搜索；（3）对PubMed进行特定国家的电子数据库搜索。
从灰色文献和同行评审文献中总共识别出19762条记录。51个国家（占25.6%）通过69项全国健康调查开展了国家层面的睡眠健康监测。睡眠质量（在监测睡眠的国家中占96.1%）是最常评估的指标，其次是睡眠时间（27.5%）、助眠药物使用情况（25.5%）、睡眠障碍（17.6%）、日间警觉性（15.7%）、睡眠满意度（15.7%）和睡眠时间（7.8%）。此外，34.8%的调查使用了多个睡眠健康指标。
本研究发现国家监测系统在睡眠健康覆盖方面存在三个重大差距。低收入和中等收入国家的人群睡眠数据有限，调查和问卷中与睡眠相关项目的使用不一致，以及睡眠健康指标定义存在很大差异。鉴于睡眠在公共卫生中发挥的重要作用，可能有必要倡导将睡眠健康纳入国家监测系统。
