Quality of Sleep, Health and Well-being in a Population-based Study

Overview

Journal Rev Saude Publica

Specialty Public Health

Date 2019 Oct 3

PMID 31576942

Citations 26

Authors

Marilisa Berti de Azevedo Barros

Margareth Guimaraes Lima

Maria Filomena Ceolim

Edilson Zancanella

Tania Aparecida Marchiori de Oliveira Cardoso

Affiliations

Soon will be listed here.

Abstract

Objective: To estimate the prevalence of poor self-rated sleep and to identify the population subgroups most susceptible to the problem.

Methods: This is a cross-sectional, population-based study developed with data from the Health Survey conducted in the city of Campinas (ISACamp 2014/2015). Data from a sample of 1,998 individuals aged 20 years or older were analyzed. The self-rated quality of sleep was analyzed according to socio-demographic characteristics, morbidities, health behaviors and feeling of well-being. The association of sleep quality with different complaints and characteristics of sleep was also analyzed. Adjusted prevalence ratios were estimed using Poisson multiple regression model allowing for the sample weights.

Results: Prevalence of poor self-rated sleep was 29.1% and showed to be significantly higher in women, in individuals aged from 40 to 50 years, migrants, without occupation, physically inactive in leisure context, with common mental disorder (PR = 1.59), with greater number of health problems (PR = 2.33), poor self-rated health (PR = 1.61), and life dissatisfaction. Poor sleep was strongly associated with reports of difficulty in initiating sleep (PR = 4.17), in maintaining sleep (PR = 4.40) and with never or almost never feeling well when waking up (PR = 4.52).

Conclusions: The results identify the population subgroups with poor quality of sleep that deserve greater attention. It also highlight the need to consider, in addition to the presence of comorbidities, mental health and the feeling of well-being in the care of patients with sleep problems and in the interventions planed for promoting healthy sleep.

Citing Articles

Association Between Insomnia and Healthcare Utilization: A Scoping Review of the Literature.

Olatunde K, Patton S Am J Lifestyle Med. 2025; 19(3):403-418.

PMID: 40041311 PMC: 11873877. DOI: 10.1177/15598276231164953.

Sleep quality and associated factors in adults living in the southern Brazil: A population-based study.

Helena E, Machado N, Sakae R, Sousa C, Nunes C, Volzke H Sleep Med X. 2024; 8:100133.

PMID: 39583303 PMC: 11584591. DOI: 10.1016/j.sleepx.2024.100133.

Isotemporal substitution analysis of time between sedentary behavior, and physical activity on sleep quality in younger adults: a multicenter study.

de Menezes-Junior L, Barbosa B, de Paula W, Ferreira A, Cardoso C, de Freitas E BMC Public Health. 2024; 24(1):2460.

PMID: 39256733 PMC: 11384703. DOI: 10.1186/s12889-024-19995-5.

Combined association of insufficient physical activity and sleep problems with healthcare costs: a longitudinal study.

Kikuti-Koyama K, Lemes I, de Morais L, Monteiro H, Turi-Lynch B, Fernandes R Sao Paulo Med J. 2024; 142(6):e2023241.

PMID: 38896745 PMC: 11185864. DOI: 10.1590/1516-3180.2023.0241.R2.25032024.

Sleep Habits and Disturbances Among Tunisian Adults: A Cross-Sectional Online Survey.

Msaad S, Ketata N, Kammoun N, Gargouri R, Khemakhem R, Abid S Nat Sci Sleep. 2024; 16:675-698.

PMID: 38854484 PMC: 11162229. DOI: 10.2147/NSS.S456879.

References

Troxel W, Buysse D, Matthews K, Kip K, Strollo P, Hall M . Sleep symptoms predict the development of the metabolic syndrome. Sleep. 2010; 33(12):1633-40. PMC: 2982733. DOI: 10.1093/sleep/33.12.1633. View

Harvey A, Stinson K, Whitaker K, Moskovitz D, Virk H . The subjective meaning of sleep quality: a comparison of individuals with and without insomnia. Sleep. 2008; 31(3):383-93. PMC: 2276747. DOI: 10.1093/sleep/31.3.383. View

Mari J, Williams P . A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. Br J Psychiatry. 1986; 148:23-6. DOI: 10.1192/bjp.148.1.23. View

Soldatos C, Allaert F, Ohta T, Dikeos D . How do individuals sleep around the world? Results from a single-day survey in ten countries. Sleep Med. 2005; 6(1):5-13. DOI: 10.1016/j.sleep.2004.10.006. View

Swinbourne R, Gill N, Vaile J, Smart D . Prevalence of poor sleep quality, sleepiness and obstructive sleep apnoea risk factors in athletes. Eur J Sport Sci. 2015; 16(7):850-8. DOI: 10.1080/17461391.2015.1120781. View

Baker F, Wolfson A, Lee K . Association of sociodemographic, lifestyle, and health factors with sleep quality and daytime sleepiness in women: findings from the 2007 National Sleep Foundation "Sleep in America Poll". J Womens Health (Larchmt). 2009; 18(6):841-9. DOI: 10.1089/jwh.2008.0986. View

Ohayon M, Zulley J . Correlates of global sleep dissatisfaction in the German population. Sleep. 2001; 24(7):780-7. View

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Appleton S, Gill T, Lang C, Taylor A, McEvoy R, Stocks N . Prevalence and comorbidity of sleep conditions in Australian adults: 2016 Sleep Health Foundation national survey. Sleep Health. 2018; 4(1):13-19. DOI: 10.1016/j.sleh.2017.10.006. View

10.

Lima C, Freire A, Silva A, Teixeira R, Farrell M, Prince M . Concurrent and construct validity of the audit in an urban brazilian sample. Alcohol Alcohol. 2005; 40(6):584-9. DOI: 10.1093/alcalc/agh202. View

11.

Idler E, Benyamini Y . Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997; 38(1):21-37. View

12.

Gottlieb D, Ellenbogen J, Bianchi M, Czeisler C . Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Med. 2018; 16(1):44. PMC: 5859531. DOI: 10.1186/s12916-018-1025-7. View

13.

Doi Y, Minowa M, Uchiyama M, Okawa M . Subjective sleep quality and sleep problems in the general Japanese adult population. Psychiatry Clin Neurosci. 2001; 55(3):213-5. DOI: 10.1046/j.1440-1819.2001.00830.x. View

14.

Lau E, Hui C, Cheung S, Lam J . Bidirectional relationship between sleep and optimism with depressive mood as a mediator: A longitudinal study of Chinese working adults. J Psychosom Res. 2015; 79(5):428-34. DOI: 10.1016/j.jpsychores.2015.09.010. View

15.

Buysse D . Sleep health: can we define it? Does it matter?. Sleep. 2014; 37(1):9-17. PMC: 3902880. DOI: 10.5665/sleep.3298. View

16.

Lo K, Woo B, Wong M, Tam W . Subjective sleep quality, blood pressure, and hypertension: a meta-analysis. J Clin Hypertens (Greenwich). 2018; 20(3):592-605. PMC: 8031314. DOI: 10.1111/jch.13220. View

17.

Falk H, Skoog I, Johansson L, Guerchet M, Mayston R, Horder H . Self-rated health and its association with mortality in older adults in China, India and Latin America-a 10/66 Dementia Research Group study. Age Ageing. 2017; 46(6):932-939. PMC: 5860352. DOI: 10.1093/ageing/afx126. View

18.

Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S . Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: results from a population-based survey. Sleep Med. 2010; 11(4):366-71. DOI: 10.1016/j.sleep.2009.05.021. View

19.

Lacruz M, Schmidt-Pokrzywniak A, Dragano N, Moebus S, Deutrich S, Mohlenkamp S . Depressive symptoms, life satisfaction and prevalence of sleep disturbances in the general population of Germany: results from the Heinz Nixdorf Recall study. BMJ Open. 2016; 6(1):e007919. PMC: 4716226. DOI: 10.1136/bmjopen-2015-007919. View

20.

Munoz-Pareja M, Loch M, Geremias Dos Santos H, Bortoletto M, Gonzalez A, de Andrade S . [Factors associated with poor sleep quality in the Brazilian population ≥ 40 years of age: VIGICARDIO Study]. Gac Sanit. 2016; 30(6):444-450. DOI: 10.1016/j.gaceta.2016.04.011. View