Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong
Objectives To highlight the prevalence of sleep problems and identify associated risk factors among a representative sample recruited from the general population of Hong Kong.Design, setting and participants Participants included 12 022 individuals (aged 15 or above) who took part in the Population...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e058169.full |
| _version_ | 1811182324650344448 |
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| author | Tingting Wu Carlos King Ho Wong Esther Yee Tak Yu Cindy Lo Kuen Lam Emily Tsui Yee Tse Amy Pui Pui Ng Bernard Man Yung Cheung Eric Ho Man Tang Weinan Dong Laura Elizabeth Bedford |
| author_facet | Tingting Wu Carlos King Ho Wong Esther Yee Tak Yu Cindy Lo Kuen Lam Emily Tsui Yee Tse Amy Pui Pui Ng Bernard Man Yung Cheung Eric Ho Man Tang Weinan Dong Laura Elizabeth Bedford |
| author_sort | Tingting Wu |
| collection | DOAJ |
| description | Objectives To highlight the prevalence of sleep problems and identify associated risk factors among a representative sample recruited from the general population of Hong Kong.Design, setting and participants Participants included 12 022 individuals (aged 15 or above) who took part in the Population Health Survey 2014/15, a territory-wide survey conducted by the Department of Health of the Government of the Hong Kong Special Administrative Region.Primary and secondary outcome measures Outcomes were the prevalence of (1) insufficient sleep (<6 hours sleep per day) and (2) any sleep disturbance (difficulty initiating sleep, intermittent awakenings, early awakening) ≥3 times per week in the past 30 days. Multivariable logistic regression identified associations between sleep problems and sociodemographic, clinical and lifestyle factors.Results 9.7% of respondents reported insufficient sleep and 10.5% reported sleep disturbances ≥3 times a week. Female gender, monthly household income <$12 250 (Hong Kong dollar), lower education level, mental health condition and physical health condition were significantly associated with both insufficient and disturbed sleep (all p<0.05). Unemployment, homemaker, insufficient physical activity, current/former smoking status and harmful alcohol consumption were associated with sleep disturbances only (all p<0.01).Conclusions Sleep problems are highly prevalent in Hong Kong. As such problems are associated with a range of health conditions, it is important to facilitate improvements in sleep. Our results show that harmful alcohol consumption, insufficient physical activity and current smoking are modifiable risk factors for sleep disturbances. Public health campaigns should focus on these risk factors in order to promote a healthy lifestyle and ultimately reduce sleep disturbances. Targeted interventions for high-risk groups may also be warranted, particularly for those with doctor-diagnosed physical and mental health conditions. |
| first_indexed | 2024-04-11T09:30:42Z |
| format | Article |
| id | doaj.art-ebe39d7d30c34455b60ca4cec0474d01 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T09:30:42Z |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ebe39d7d30c34455b60ca4cec0474d012022-12-22T04:31:54ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2021-058169Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong KongTingting Wu0Carlos King Ho Wong1Esther Yee Tak Yu2Cindy Lo Kuen Lam3Emily Tsui Yee Tse4Amy Pui Pui Ng5Bernard Man Yung Cheung6Eric Ho Man Tang7Weinan Dong8Laura Elizabeth Bedford9Department of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong KongObjectives To highlight the prevalence of sleep problems and identify associated risk factors among a representative sample recruited from the general population of Hong Kong.Design, setting and participants Participants included 12 022 individuals (aged 15 or above) who took part in the Population Health Survey 2014/15, a territory-wide survey conducted by the Department of Health of the Government of the Hong Kong Special Administrative Region.Primary and secondary outcome measures Outcomes were the prevalence of (1) insufficient sleep (<6 hours sleep per day) and (2) any sleep disturbance (difficulty initiating sleep, intermittent awakenings, early awakening) ≥3 times per week in the past 30 days. Multivariable logistic regression identified associations between sleep problems and sociodemographic, clinical and lifestyle factors.Results 9.7% of respondents reported insufficient sleep and 10.5% reported sleep disturbances ≥3 times a week. Female gender, monthly household income <$12 250 (Hong Kong dollar), lower education level, mental health condition and physical health condition were significantly associated with both insufficient and disturbed sleep (all p<0.05). Unemployment, homemaker, insufficient physical activity, current/former smoking status and harmful alcohol consumption were associated with sleep disturbances only (all p<0.01).Conclusions Sleep problems are highly prevalent in Hong Kong. As such problems are associated with a range of health conditions, it is important to facilitate improvements in sleep. Our results show that harmful alcohol consumption, insufficient physical activity and current smoking are modifiable risk factors for sleep disturbances. Public health campaigns should focus on these risk factors in order to promote a healthy lifestyle and ultimately reduce sleep disturbances. Targeted interventions for high-risk groups may also be warranted, particularly for those with doctor-diagnosed physical and mental health conditions.https://bmjopen.bmj.com/content/12/9/e058169.full |
| spellingShingle | Tingting Wu Carlos King Ho Wong Esther Yee Tak Yu Cindy Lo Kuen Lam Emily Tsui Yee Tse Amy Pui Pui Ng Bernard Man Yung Cheung Eric Ho Man Tang Weinan Dong Laura Elizabeth Bedford Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong BMJ Open |
| title | Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong |
| title_full | Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong |
| title_fullStr | Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong |
| title_full_unstemmed | Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong |
| title_short | Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong |
| title_sort | who reports insufficient and disturbed sleep results from a representative population based health survey in hong kong |
| url | https://bmjopen.bmj.com/content/12/9/e058169.full |
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