Regional contextual influences on short sleep duration: a 50 universities population-based multilevel study in China.

Background: Ecological models have emphasized that short sleep duration (SSD) is influenced by both individual and environmental variables. However, few studies have considered the latter. Objectives: The present study explores the influence of urban and regional contextual factors, net of individua...

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Publicado en:Global Health Action Vol. 11; no. 1; pp. 1 - 2
Autores principales: Yang, Tingzhong, Peng, Sihui, Barnett, Ross, Zhang, Chichen
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2018
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/16549716.2018.1442684
        133674130
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        atl: Regional contextual influences on short sleep duration: a 50 universities population-based multilevel study in China.
      aug:
        au:
          Yang, Tingzhong
          Peng, Sihui
          Barnett, Ross
          Zhang, Chichen
        affil: Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, China
      sug:
        subj:
          Sleep Deprivation Epidemiology
          Students, College Psychosocial Factors
          Geographic Factors
          Human
          China
          Questionnaires
          Confidence Intervals
          Multiple Logistic Regression
          Surveys
          Ecology
          Young Adult
      ab: Background: Ecological models have emphasized that short sleep duration (SSD) is influenced by both individual and environmental variables. However, few studies have considered the latter. Objectives: The present study explores the influence of urban and regional contextual factors, net of individual characteristics, on the prevalence of SSD among university students in China. Methods: Participants were 11,954 students, who were identified through a multistage survey sampling process conducted in 50 universities. Individual data were obtained through a self-administered questionnaire, and contextual variables were retrieved from a national database. Multilevel logistic regression models were used to examine urban and regional variations in high and moderate levels of SSD. Results: Overall the prevalence of high SSD (<6 hours sleep duration) was 2.8% (95% CI: 1.7%,3.9%) and moderate SSD (<7 hours) 24.7% (95% CI: 19.5%, 29.8%). Multilevel logistic regressions confirmed that home region gross domestic product (GDP) and the university regional unemployment rate were associated with SSD, net of other individual- and city-level covariates. Students attending high-level universities also recorded the highest levels of SSD. Of the individual characteristcs, only mother's occupation and student mental health status were related to SSD. Conclusions: The results of this study add important insights about the role of contextual factors affecting SSD among young adults and indicate the need to take into account both past, as well as present, environmental influences to control SSD.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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