Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19

BackgroundMarital status is a robust sociodemographic predictor of sleep. Having to live apart from spouse may have different implications than those of cohabitants or singles, especially in military personnel. Further research on this group will help provide knowledge in advance and facilitate earl...

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Main Authors: Xin Guo, Yao Meng, Hao Lian, Yinan Li, Ying Xu, Ruike Zhang, Jingzhou Xu, Hao Wang, Shuyu Xu, Wenpeng Cai, Lei Xiao, Tong Su, Yunxiang Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1178235/full
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author Xin Guo
Yao Meng
Yao Meng
Hao Lian
Yinan Li
Ying Xu
Ruike Zhang
Jingzhou Xu
Hao Wang
Shuyu Xu
Wenpeng Cai
Lei Xiao
Tong Su
Yunxiang Tang
author_facet Xin Guo
Yao Meng
Yao Meng
Hao Lian
Yinan Li
Ying Xu
Ruike Zhang
Jingzhou Xu
Hao Wang
Shuyu Xu
Wenpeng Cai
Lei Xiao
Tong Su
Yunxiang Tang
author_sort Xin Guo
collection DOAJ
description BackgroundMarital status is a robust sociodemographic predictor of sleep. Having to live apart from spouse may have different implications than those of cohabitants or singles, especially in military personnel. Further research on this group will help provide knowledge in advance and facilitate early targeted interventions.MethodsAn online questionnaire study was conducted from July to November 2021. A total of 1,832 male military personnel completed the questionnaire. The marital status was measured by a self-reported single choice question. Pittsburgh sleep quality index (PSQI), Epworth Sleepiness Scale (ESS) and The Dysfunctional Beliefs and Attitudes about sleep scale (DBAS-16) were used to measure sleep-related outcomes. Inverse probability weighting (IPW) was applied to reduce the effects of confounding. Logistic regression was used to analyze the relationship between marital status and sleep and explore the impact of living together or not.ResultsAfter inverse probability weighting, the prevalence of poor sleep quality, sleepiness and dysfunctional beliefs were 16.1, 20.1 and 7.1%, respectively. One-way ANOVA results for the means of both groups were statistically significantly different, except for the sleep latency and sleep disturbance dimensions of PSQI. Participants who were married were more likely to have poor sleep quality (OR: 1.408, 95% CI: [1.10, 1.80]), to have daytime sleepiness (OR: 1.560, 95% CI: [1.27, 1.92]) and to develop dysfunctional beliefs and attitudes (OR: 2.497, 95% CI: [1.65, 3.80]) than those who were unmarried. Further analysis showed that the odds of developing poor sleep quality and DBAS in participants who married but living apart were significantly bigger than those unmarried (OR: 1.548 and 3.991, respectively.), while there were no significant differences in the odds of daytime sleepiness (OR: 0.738, p = 0.050). Age was a protective factor for the development of bad sleep outcomes, while family economic was an independent risk factor.ConclusionMarital status appear important for sleep quality, daytime sleepiness and sleep beliefs. The effect of living apart or not should be considered separately as an important predictor of sleep.
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spelling doaj.art-1687f778ad5240e39b4dd6a54afd295f2023-07-27T09:15:01ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-07-011410.3389/fpsyt.2023.11782351178235Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19Xin Guo0Yao Meng1Yao Meng2Hao Lian3Yinan Li4Ying Xu5Ruike Zhang6Jingzhou Xu7Hao Wang8Shuyu Xu9Wenpeng Cai10Lei Xiao11Tong Su12Yunxiang Tang13Department of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Diving and Hyperbaric Medical Research, Naval Medical Center, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaDepartment of Medical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, ChinaFaculty of Psychology, Naval Medical University, Shanghai, ChinaFaculty of Psychology, Naval Medical University, Shanghai, ChinaBackgroundMarital status is a robust sociodemographic predictor of sleep. Having to live apart from spouse may have different implications than those of cohabitants or singles, especially in military personnel. Further research on this group will help provide knowledge in advance and facilitate early targeted interventions.MethodsAn online questionnaire study was conducted from July to November 2021. A total of 1,832 male military personnel completed the questionnaire. The marital status was measured by a self-reported single choice question. Pittsburgh sleep quality index (PSQI), Epworth Sleepiness Scale (ESS) and The Dysfunctional Beliefs and Attitudes about sleep scale (DBAS-16) were used to measure sleep-related outcomes. Inverse probability weighting (IPW) was applied to reduce the effects of confounding. Logistic regression was used to analyze the relationship between marital status and sleep and explore the impact of living together or not.ResultsAfter inverse probability weighting, the prevalence of poor sleep quality, sleepiness and dysfunctional beliefs were 16.1, 20.1 and 7.1%, respectively. One-way ANOVA results for the means of both groups were statistically significantly different, except for the sleep latency and sleep disturbance dimensions of PSQI. Participants who were married were more likely to have poor sleep quality (OR: 1.408, 95% CI: [1.10, 1.80]), to have daytime sleepiness (OR: 1.560, 95% CI: [1.27, 1.92]) and to develop dysfunctional beliefs and attitudes (OR: 2.497, 95% CI: [1.65, 3.80]) than those who were unmarried. Further analysis showed that the odds of developing poor sleep quality and DBAS in participants who married but living apart were significantly bigger than those unmarried (OR: 1.548 and 3.991, respectively.), while there were no significant differences in the odds of daytime sleepiness (OR: 0.738, p = 0.050). Age was a protective factor for the development of bad sleep outcomes, while family economic was an independent risk factor.ConclusionMarital status appear important for sleep quality, daytime sleepiness and sleep beliefs. The effect of living apart or not should be considered separately as an important predictor of sleep.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1178235/fulldaytime sleepinessdysfunctional sleep beliefsmarital statusmilitary personnelsleep quality
spellingShingle Xin Guo
Yao Meng
Yao Meng
Hao Lian
Yinan Li
Ying Xu
Ruike Zhang
Jingzhou Xu
Hao Wang
Shuyu Xu
Wenpeng Cai
Lei Xiao
Tong Su
Yunxiang Tang
Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
Frontiers in Psychiatry
daytime sleepiness
dysfunctional sleep beliefs
marital status
military personnel
sleep quality
title Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
title_full Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
title_fullStr Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
title_full_unstemmed Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
title_short Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19
title_sort marital status and living apart affect sleep quality in male military personnel a study of the china s navy during covid 19
topic daytime sleepiness
dysfunctional sleep beliefs
marital status
military personnel
sleep quality
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1178235/full
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