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Li S, Fong DYT, Wang YZ, Lin Z, Shang XC, Gong WJ. Nonrestorative sleep and its associated factors in Chinese adolescents and the moderation effects of coffee or tea consumption. BMC Public Health 2024; 24:2398. [PMID: 39227890 PMCID: PMC11373256 DOI: 10.1186/s12889-024-19936-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Accepted: 08/29/2024] [Indexed: 09/05/2024] Open
Abstract
BACKGROUND Nonrestorative sleep (NRS) is related to numerous adverse outcomes. There is rare evidence of its associated factors, especially in Chinese adolescents. This study aimed to explore the factors associated with NRS in Chinese adolescents and the potential moderation effects of coffee or tea consumption. METHODS This cross-sectional study invited adolescents attending Grades 7-11 in Nanjing, China, to complete a self-administered questionnaire, including their NRS, stress, anxiety, physical symptoms, depression, sociodemographics, and lifestyles. Linear regressions were applied to investigate the associated factors of their NRS, with the moderation effects of coffee or tea consumption and other characteristics being tested by additionally including their interactions. RESULTS Totally 481 adolescents (49% male, age 15.5 ± 1.5 years) were enrolled, with the average global NRS score of 42.16 ± 7.57. Higher family income (β = 2.01, P = 0.007), longer sleep duration (β = 2.33, P = 0.011), and moderate after-class activity (β = 1.50, P = 0.044) contributed less NRS, while higher educational level (β = -2.60, P = 0.033), more coffee or tea consumption (β = -1.68, P = 0.013), physical symptoms (β = -3.85, P < 0.001), stress (β = -0.23, P = 0.005), anxiety (β = -1.54, P = 0.045), and depression (β = -0.13, P = 0.014) contributed more NRS. Females (β = 0.82, P = 0.005), older age (β = -0.46, P = 0.029), and higher education level (β = -1.68, P < 0.001) contributed less refreshment from sleep, more physical/medical symptoms of NRS, and less daytime function, respectively. Coffee or tea consumption moderated the associations of somatic symptoms (β = 0.25, P = 0.021), stress (β = 0.29, P = 0.022), anxiety (β = 0.27, P = 0.005), and depression (β = 0.17, P = 0.021) with NRS. CONCLUSIONS Longer sleep duration, moderate after-class activity, reduced coffee or tea consumption, and promotion of physical and mental health may help reduce adolescents' NRS. Coffee or tea consumption may help buffer the negative associations of somatic symptoms, stress, anxiety, and depression with NRS.
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Affiliation(s)
- Sha Li
- School of Nursing, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu, 211166, China
| | - Daniel Yee Tak Fong
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3 Sassoon Road, Pokfulam, Hong Kong SAR, 999077, China
| | - Yan Zhe Wang
- School of Nursing, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu, 211166, China
| | - Zheng Lin
- School of Nursing, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu, 211166, China
| | - Xing Chen Shang
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3 Sassoon Road, Pokfulam, Hong Kong SAR, 999077, China.
- School of Nursing & School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, Jiangsu, 225009, China.
| | - Wei Jie Gong
- South China Hospital, Medical School, Shenzhen University, 1 Fuxin Road, Shenzhen, Guangdong, 518111, China.
- Department of Family Medicine, Medical School, Shenzhen University, 1066 Xueyuan Road, Shenzhen, Guangdong, 518055, China.
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Coronel-Oliveros C, Medel V, Whitaker GA, Astudillo A, Gallagher D, Z-Rivera L, Prado P, El-Deredy W, Orio P, Weinstein A. Elevating understanding: Linking high-altitude hypoxia to brain aging through EEG functional connectivity and spectral analyses. Netw Neurosci 2024; 8:275-292. [PMID: 38562297 PMCID: PMC10927308 DOI: 10.1162/netn_a_00352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 11/17/2023] [Indexed: 04/04/2024] Open
Abstract
High-altitude hypoxia triggers brain function changes reminiscent of those in healthy aging and Alzheimer's disease, compromising cognition and executive functions. Our study sought to validate high-altitude hypoxia as a model for assessing brain activity disruptions akin to aging. We collected EEG data from 16 healthy volunteers during acute high-altitude hypoxia (at 4,000 masl) and at sea level, focusing on relative changes in power and aperiodic slope of the EEG spectrum due to hypoxia. Additionally, we examined functional connectivity using wPLI, and functional segregation and integration using graph theory tools. High altitude led to slower brain oscillations, that is, increased δ and reduced α power, and flattened the 1/f aperiodic slope, indicating higher electrophysiological noise, akin to healthy aging. Notably, functional integration strengthened in the θ band, exhibiting unique topographical patterns at the subnetwork level, including increased frontocentral and reduced occipitoparietal integration. Moreover, we discovered significant correlations between subjects' age, 1/f slope, θ band integration, and observed robust effects of hypoxia after adjusting for age. Our findings shed light on how reduced oxygen levels at high altitudes influence brain activity patterns resembling those in neurodegenerative disorders and aging, making high-altitude hypoxia a promising model for comprehending the brain in health and disease.
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Affiliation(s)
- Carlos Coronel-Oliveros
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Global Brain Health Institute (GBHI), University of California, San Francisco (UCSF), San Francisco, CA, USA and Trinity College Dublin, Dublin, Ireland
- Centro Interdisciplinario de Neurociencia de Valparaíso (CINV), Universidad de Valparaíso, Valparaíso, Chile
| | - Vicente Medel
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Brain and Mind Centre, The University of Sydney, Sydney, Australia
- Department of Neuroscience, Universidad de Chile, Santiago, Chile
| | - Grace Alma Whitaker
- Advanced Center for Electrical and Electronics Engineering (AC3E), Federico Santa María Technical University, Valparaíso, Chile
- Chair of Acoustics and Haptics, Technische Universität Dresden, Dresden, Germany
| | - Aland Astudillo
- Centro Interdisciplinario de Neurociencia de Valparaíso (CINV), Universidad de Valparaíso, Valparaíso, Chile
- Centro de Investigación y Desarrollo en Ingeniería en Salud, Universidad de Valparaíso, Valparaíso, Chile
- NICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia
| | - David Gallagher
- School of Psychology, Liverpool John Moores University, Liverpool, England
| | - Lucía Z-Rivera
- Advanced Center for Electrical and Electronics Engineering (AC3E), Federico Santa María Technical University, Valparaíso, Chile
| | - Pavel Prado
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Escuela de Fonoaudiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Wael El-Deredy
- Advanced Center for Electrical and Electronics Engineering (AC3E), Federico Santa María Technical University, Valparaíso, Chile
- Centro de Investigación y Desarrollo en Ingeniería en Salud, Universidad de Valparaíso, Valparaíso, Chile
| | - Patricio Orio
- Centro Interdisciplinario de Neurociencia de Valparaíso (CINV), Universidad de Valparaíso, Valparaíso, Chile
- Instituto de Neurociencia, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| | - Alejandro Weinstein
- Advanced Center for Electrical and Electronics Engineering (AC3E), Federico Santa María Technical University, Valparaíso, Chile
- Centro de Investigación y Desarrollo en Ingeniería en Salud, Universidad de Valparaíso, Valparaíso, Chile
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Chen L, Li H, Zhao L, Tian F, Tian S, Shao J. The effect of job satisfaction regulating workload on miners' unsafe state. Sci Rep 2022; 12:16375. [PMID: 36180557 PMCID: PMC9525713 DOI: 10.1038/s41598-022-20673-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 09/16/2022] [Indexed: 11/09/2022] Open
Abstract
Miners’ unsafe behavior is the main cause of accidents in coal mines, and unsafe state have an important influence on unsafe behavior among miners. To minimize accidents from the source of accident chain, we evaluated the impact of workload on miners’ unsafe state. It is important for coal enterprises to monitor miners’ unsafe state and to prevent unsafe accidents. Workload is divided into two dimensions: work time and work demand. Meanwhile, we introduced job satisfaction as a moderating variable. Through empirical research methods, first-line employees from two coal mines in China were enrolled in the questionnaire survey. Regression analysis was used to verify the impact of workload and its various dimensions, job satisfaction, and miners’ unsafe state. We found that workload, work time and work demand have significant positive effects on miners’ unsafe state. Job satisfaction plays a moderating effect in the relationship between workload and miners’ unsafe state. To some extent, a higher job satisfaction was associated with reduced workload, reduced occurrence of miners’ unsafe state and minimal incidences of unsafe accidents. On this basis, measures were proposed to improve miners’ unsafe state in terms of workload and job satisfaction. This study informs the establishment of effective intervention measures to monitor miners’ unsafe state and is also beneficial to the improvement of coal mine safety.
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Affiliation(s)
- Lei Chen
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China. .,Institute of Safety and Emergency Management, Xi'an University of Science and Technology, Xi'an, 710054, China. .,School of Management, Henan Institute of Urban Construction, Pingdingshan, 467000, China.
| | - Hongxia Li
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China. .,Institute of Safety and Emergency Management, Xi'an University of Science and Technology, Xi'an, 710054, China. .,School of Management, Xi'an University of Science and Technology, Xi'an, 710054, China.
| | - Lin Zhao
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China.,Institute of Safety and Emergency Management, Xi'an University of Science and Technology, Xi'an, 710054, China
| | - Fangyuan Tian
- Institute of Safety and Emergency Management, Xi'an University of Science and Technology, Xi'an, 710054, China.,School of Management, Xi'an University of Science and Technology, Xi'an, 710054, China
| | - Shuicheng Tian
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China.,Institute of Safety and Emergency Management, Xi'an University of Science and Technology, Xi'an, 710054, China
| | - Jiang Shao
- School of Architecture & Design, China University of Mining and Technology, Xuzhou, 221116, China
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Li S, Fong DYT, Xu Y, Wilkinson K, Shapiro C, Wong JYH. Measurement properties of the simplified Chinese version of Nonrestorative Sleep Scale in adolescents. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:e299-e307. [PMID: 33756024 DOI: 10.1111/hsc.13354] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 11/12/2020] [Accepted: 02/23/2021] [Indexed: 06/12/2023]
Abstract
This study aimed to assess the measurement properties of a simplified Chinese version of the Nonrestorative Sleep Scale (NRSS) among adolescents. We obtained a simplified Chinese NRSS by the standard forward-backward translation procedures and administered it to 486 students who were attending Grade 7-11 in Nanjing, China. Furthermore, Pittsburgh Sleep Quality Index, Athens Insomnia Scale, Centre for Epidemiological Studies Depression Scale, and Toronto Hospital Alertness Test were also self-completed for measuring sleep quality, insomnia, depression and alertness respectively. The sample was randomly split into two halves, with the first half used to explore the scale structure by exploratory factor analysis (EFA), and the second half used to confirm the identified structure by confirmatory factor analysis (CFA). A total of 481 adolescents (49% male) with a mean age of 16 years (range: 13-18) completed this study. In the other half of 250 adolescents, the root mean square error of approximation (RMSEA), standardised root mean square residual, and comparative fit index (CFI) in CFA, which tested the four-factor structure obtained from EFA, were 0.062, 0.051 and 0.975, respectively. Convergent validity was demonstrated from a significant correlation of the simplified Chinese NRSS with sleep quality (r = -0.62), insomnia (r = -0.71), depression (r = -0.60) and alertness (r = 0.54). The internal consistency and test-retest reliability for the global scale were 0.83 and 0.86 respectively. Measurement invariance was established between males and females with the changes of both CFI and RMSEA < 0.01. The simplified Chinese NRSS is valid and reliable for measuring NRS among Chinese adolescents.
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Affiliation(s)
- Sha Li
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | | | - Yan Xu
- Jiangsu Luhe High School, Nanjing, China
| | - Kate Wilkinson
- Department of Psychiatry, University of Toronto, Toronto, Canada
| | - Colin Shapiro
- Department of Psychiatry, University of Toronto, Toronto, Canada
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Alhainen M, Härmä M, Pentti J, Ervasti JM, Kivimäki M, Vahtera J, Stenholm S. Sleep duration and sleep difficulties as predictors of occupational injuries: a cohort study. Occup Environ Med 2021; 79:224-232. [PMID: 34650000 DOI: 10.1136/oemed-2021-107516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 09/06/2021] [Indexed: 11/03/2022]
Abstract
STUDY OBJECTIVES To examine the association between sleep duration and sleep difficulties with different types and causes of workplace and commuting injuries. METHODS The data were derived from the Finnish Public Sector study including 89.543 participants (178.309 person-observations). Participants reported their sleep duration and sleep difficulties between 2000 and 2012. These were linked to occupational injury records from the national register maintained by the Federation of Accident Insurance Institutions. Risk of injuries was followed up 1 year after each study wave. Logistic regression analysis with generalised estimating equations (GEEs) was used to examine the association between sleep duration/difficulties and risk of injuries, and multinomial logistic regression with GEE was used to examine the association with injury types and causes. RESULTS Both sleep duration and difficulties were associated with injuries. Employees with short sleep (≤6.5 hours) had 1.07-fold odds of workplace injuries (95% CI 1.00 to 1.14) and 1.14 times higher odds of commuting injuries (95% CI 1.04 to 1.26) compared with employees with normal sleep duration. For employees with disturbed sleep, the corresponding ORs were 1.09-fold (95% CI 1.02 to 1.17) and 1.14-fold (95% CI 1.04 to 1.26) compared with those without sleep difficulties, respectively. The risk of commuting injuries was higher among those who had difficulty in falling asleep (OR 1.29, 95% CI 1.07 to 1.55), woke up too early (OR 1.11, 95% CI 1.00 to 1.23) or had non-restorative sleep (OR 1.18, 95% CI 1.05 to 1.33). CONCLUSIONS Short sleep duration and sleep difficulties are associated with slightly increased risk of workplace and commuting injuries.
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Affiliation(s)
- Maria Alhainen
- Department of Public Health, University of Turku, Turku, Finland .,Centre for Population Health Research, University of Turku, Turku, Finland
| | - Mikko Härmä
- Development of Work and Organizations, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Jaana Pentti
- Department of Public Health, University of Turku, Turku, Finland.,Centre for Population Health Research, University of Turku, Turku, Finland.,Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Jenni M Ervasti
- Work Organizations, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Mika Kivimäki
- Faculty of Medicine, University of Helsinki, Helsinki, Finland.,Finnish Institute of Occupational Health, Helsinki, Finland.,Department of Epidemiology and Public Health, University College London, London, UK
| | - Jussi Vahtera
- Department of Public Health, University of Turku, Turku, Finland.,Centre for Population Health Research, University of Turku, Turku, Finland
| | - Sari Stenholm
- Department of Public Health, University of Turku, Turku, Finland.,Centre for Population Health Research, University of Turku, Turku, Finland
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Association between Non-Restorative Sleep and Quality of Life in Chinese Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197249. [PMID: 33020371 PMCID: PMC7579314 DOI: 10.3390/ijerph17197249] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 09/29/2020] [Accepted: 09/30/2020] [Indexed: 02/08/2023]
Abstract
To examine non-restorative sleep and its impact on quality of life (QOL) in Chinese adolescents, this cross-sectional study included 2827 students aged 12–20 who were selected from 15 secondary schools in Hong Kong, China. Non-restorative sleep was assessed by a single item, rated on a 0–10 scale: “To what extent did you feel refreshed upon awakening over the past month?”. QOL was evaluated by the World Health Organization Quality of Life Measure—Abbreviated Version Hong Kong Chinese Version. Univariable and multivariable linear mixed-effects regressions were conducted to examine the influence of non-restorative sleep (NRS) on QOL. In the present sample, the mean overall QOL was 13.83, and the extent of feeling refreshed upon awakening was 4.75 on average. In multivariable linear mixed-effects regression, one unit feeling less refreshed upon awakening was associated with 0.37 units of poorer overall QOL after adjusting for age, gender, medical conditions, parental education and occupation, weekly hours of aerobic exercises, smoking and drinking habits. Additionally, adolescents with a significantly poorer overall QOL were more likely to be older, have medical problems, have parents with an educational level of primary school or below, have an unemployed father, engage in less weekly aerobic exercise, and be current smokers or former drinkers. Adolescents who experienced non-restorative sleep had a poorer QOL. Future studies are needed to alleviate non-restorative sleep to improve health outcomes in adolescents.
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Nonrestorative sleep scale: a reliable and valid short form of the traditional Chinese version. Qual Life Res 2020; 29:2585-2592. [PMID: 32418061 PMCID: PMC7434790 DOI: 10.1007/s11136-020-02523-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2020] [Indexed: 12/22/2022]
Abstract
Purpose Previous research has suggested the essential unidimensionality of the 12-item traditional Chinese version of the Nonrestorative Sleep Scale (NRSS). This study aimed to develop a short form of the traditional Chinese version of the NRSS without compromising its reliability and validity. Methods Data were collected from 2 cross-sectional studies with identical target groups of adults residing in Hong Kong. An iterative Wald test was used to assess differential item functioning by gender. Based on the generalized partial credit model, we first obtained a shortened version such that further shortening would result in substantial sacrifice of test information and standard error of measurement. Another shortened version was obtained by the optimal test assembly (OTA). The two shortened versions were compared for test information, Cronbach’s alpha, and convergent validity. Results Data from a total of 404 Chinese adults (60.0% female) who had completed the Chinese NRSS were gathered. All items were invariant by gender. A 6-item version was obtained beyond which the test performance substantially deteriorated, and a 9-item version was obtained by OTA. The 9-item version performed better than the 6-item version in test information and convergent validity. It had discrimination and difficulty indices ranging from 0.44 to 2.23 and − 7.58 to 2.13, respectively, and retained 92% of the test information of the original 12-item version. Conclusion The 9-item Chinese NRSS is a reliable and valid tool to measure nonrestorative sleep for epidemiological studies. Electronic supplementary material The online version of this article (10.1007/s11136-020-02523-4) contains supplementary material, which is available to authorized users.
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Study on the Relationship between Worker States and Unsafe Behaviours in Coal Mine Accidents Based on a Bayesian Networks Model. SUSTAINABILITY 2019. [DOI: 10.3390/su11185021] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Unsafe behaviours, such as violations of rules and procedures, are commonly identified as important causal factors in coal mine accidents. Meanwhile, a recurring conclusion of accident investigations is that worker states, such as mental fatigue, illness, physiological fatigue, etc., are important contributory factors to unsafe behaviour. In this article, we seek to provide a quantitative analysis on the relationship between the worker state and unsafe behaviours in coal mine accidents, based on a case study drawn from Chinese practice. Using Bayesian networks (BN), a graphical structure of the network was designed with the help of three experts from a coal mine safety bureau. In particular, we propose a verbal versus numerical fuzzy probability assessment method to elicit the conditional probability of the Bayesian network. The junction tree algorithm is further employed to accomplish this analysis. According to the BN established by expert knowledge, the results show that when the worker is in a poor state, the most vulnerable unsafe behaviour is violation, followed by decision-making error. Furthermore, insufficient experience may be the most significant contributory factor to unsafe behaviour, and poor fitness for duty may be the principal state that causes unsafe behaviours.
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Li S, Fong DYT, Wong JYH, Wilkinson K, Shapiro C, Choi EPH, McPherson B, Lam CLK, Ip MSM. Nonrestorative sleep scale: reliable and valid for the Chinese population. Qual Life Res 2019; 28:1685-1692. [PMID: 30767089 DOI: 10.1007/s11136-019-02134-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE To conduct a linguistic and psychometric evaluation of a Chinese version of the Nonrestorative Sleep Scale (NRSS). METHODS The Chinese NRSS was created from a standard forward-backward translation and trialed on 10 Chinese adults. Telephone interviews were then conducted with 100 adults, who completed the Chinese NRSS, the Pittsburgh Sleep Quality Index (PSQI), the Athens Insomnia Scale (AIS), the Center for Epidemiological Studies Depression Scale (CES-D), and the Toronto Hospital Alertness Test (THAT). A household survey was conducted with 20 subjects, followed by a confirmatory factor analysis (CFA), and a bifactor model was developed to evaluate the reliability and validity of the NRSS. RESULTS The bifactor model had the root mean square error of approximation (RMSEA), standardized root mean square residual (SRMR), and comparative fit index (CFI) of 0.06, 0.06, and 0.97, respectively. Convergent validity was shown from the moderate associations with PSQI (r = - 0.66, P < 0.01), AIS (r = - 0.65, P < 0.01), CES-D (r = - 0.54, P < 0.01), and THAT (r = 0.68, P < 0.01). The coefficient omega (0.92), omega hierarchical (0.81), factor determinacy (0.93), H value (0.91), explained common variance (0.63), and percentage of uncontaminated correlations (0.80) derived from the bifactor CFA supported the essential unidimensionality of NRSS. CONCLUSIONS The Chinese NRSS is a valid and reliable essential unidimensional tool for the assessment of nonrestorative sleep in the Chinese population.
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Affiliation(s)
- S Li
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China
| | - D Y T Fong
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China.
| | - J Y H Wong
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China
| | - K Wilkinson
- Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Canada
| | - C Shapiro
- Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Canada
| | - E P H Choi
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China
| | - B McPherson
- Division of Speech and Hearing Sciences, Faculty of Education, The University of Hong Kong, Pokfulam Road, Hong Kong, China
| | - C L K Lam
- Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China
| | - M S M Ip
- Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China
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Graves JM, Miller ME. Reduced sleep duration and history of work-related injuries among Washington State adolescents with a history of working. Am J Ind Med 2015; 58:464-71. [PMID: 25712405 DOI: 10.1002/ajim.22416] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/21/2014] [Indexed: 11/06/2022]
Abstract
BACKGROUND The relationship between sleep and occupational injury risk has not been adequately explored for working adolescents. METHODS Data were analyzed from the 2010 Washington State Healthy Youth Survey of 8th, 10th, and 12th grade public school students. Teens reported average school and weekend night sleep hours and history of work-related injury that received medical treatment. Multivariable logistic regression evaluated the association between sleep duration and occupational injury. RESULTS Of 4,144 working teens, 6.4% reported ever having an occupational injury. Teens who sleep ≤5 hr/school night had greater odds of a history of occupational injury than those sleeping 8 hr (OR:2.91, 95% CI:1.85-4.57). No significant association was observed for weekend night sleep duration. CONCLUSIONS Reduced school night sleep was associated with increased odds of work-related injury in adolescents. Long hours and late night schedules may contribute to decreased sleep time and potentially have other health and developmental impacts for youth.
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Affiliation(s)
- Janessa M. Graves
- College of Nursing (Spokane); Washington State University; Spokane Washington
| | - Mary E. Miller
- Washington State Department of Labor and Industries; Olympia Washington
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