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Zhou Y, Li Z, Li J, Wang X, Qi K, Zhang S, Zhou C. Sex Difference in the Association Between Sedentary Behavior and Sleep Quality: A Longitudinal Study Among Older Adults in Rural China. J Am Med Dir Assoc 2023; 24:1520-1526.e2. [PMID: 37105235 DOI: 10.1016/j.jamda.2023.03.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Revised: 03/15/2023] [Accepted: 03/15/2023] [Indexed: 04/29/2023]
Abstract
OBJECTIVES Sleep quality plays a vital role in maintaining health in older adults. Sedentary behavior may be a risk factor for poor sleep quality in older adults. This study aimed to explore the relationship between sedentary behavior and sleep quality among older adults in rural China and determine whether there is a sex difference in this association. DESIGN A longitudinal design. The data used in this study were obtained from the Shandong Rural Elderly Health Cohort (wave 1: 2019, wave 2: 2020). SETTING AND PARTICIPANTS Data were from 2731 individuals aged ≥60 years from rural areas in China. METHODS Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Sedentary behavior and control variables were measured using self-reported questions. Multivariable logistic regression and generalized estimating equations were used to assess the associations. RESULTS After full adjustment, the association between sedentary behavior and poor sleep quality was statistically significant [odds ratio (OR) 1.49, 95% CI 1.20-1.85]. Specifically, a longer sedentary time was associated with worse subjective sleep quality, less sleep latency, and lower habitual sleep efficiency (OR 1.39-1.58). A significant association was observed in women but not men. CONCLUSIONS AND IMPLICATIONS Older adults who spend more time engaging in sedentary activities have poorer sleep quality and more sleep problems. Prolonged sedentary time is more detrimentally associated with poor sleep quality in women than men. There is a need for tailored exercise prescriptions and guidelines to stimulate older adults of different sexes to change their sedentary behavior, which may improve sleep quality in older adults.
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Affiliation(s)
- Yanxin Zhou
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Zhixian Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Jie Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China; Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
| | - Xiyuan Wang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Kaili Qi
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Shimin Zhang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Chengchao Zhou
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China; Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China; Institute of Health and Elderly Care, Shandong University, Jinan, Shandong, China.
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Forte G, Favieri F, Tambelli R, Casagrande M. To Binge Watch TV Series: How a Leisure Activity May Affect Sleep, Mood and Quality of Life. Psychol Res Behav Manag 2023; 16:2395-2405. [PMID: 37416055 PMCID: PMC10321327 DOI: 10.2147/prbm.s407854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 06/12/2023] [Indexed: 07/08/2023] Open
Abstract
Objective New TV-watching patterns increased the practice of binge-watching (BW). Considering the adaptive-maladaptive continuum of BW, the relationship between BW and health outcomes is still unclear. This study aimed to analyze some features of BW related to quality of life, focusing on sleep quality. Methods Four-hundred eighty-two young adults were classified into four groups according to their BW approach. Then, sleep quality, mood, and quality of life were assessed. Results All the investigated variables were associated with problematic and moderate BW. No differences emerged between BW as a leisure activity and not watching TV series. Moreover, quality of life is directly affected by BW. Conclusion Accordingly, BW should be considered a continuum of behavioral patterns from a leisure activity characterized by positive outcomes to a maladaptive behavior characterized by negative outcomes for sleep, mood, and quality of life.
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Affiliation(s)
- Giuseppe Forte
- Department of Dynamic and Clinical Psychology and Health, “Sapienza” University of Rome, Rome, Italy
| | - Francesca Favieri
- Department of Dynamic and Clinical Psychology and Health, “Sapienza” University of Rome, Rome, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology and Health, “Sapienza” University of Rome, Rome, Italy
| | - Maria Casagrande
- Department of Dynamic and Clinical Psychology and Health, “Sapienza” University of Rome, Rome, Italy
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Zhang J, Yuan G, Guo H, Zhang X, Zhang K, Lu X, Yang H, Zhu Z, Jin G, Shi H, Du J, Hao J, Sun Y, Su P, Yang L, Zhang Z. Longitudinal association between problematic smartphone use and sleep disorder among Chinese college students during the COVID-19 pandemic. Addict Behav 2023; 144:107715. [PMID: 37059002 DOI: 10.1016/j.addbeh.2023.107715] [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: 12/09/2022] [Revised: 04/04/2023] [Accepted: 04/04/2023] [Indexed: 04/16/2023]
Abstract
BACKGROUND Problematic smartphone use (PSU) and sleep disorders (SD) are common public health problems among college students. While previous cross-sectional studies have found a relationship between PSU and SD, the causal direction of this relationship remains unclear. This study aims to examine the longitudinal changes of PSU and SD during the COVID-19 pandemic, determine the causal relationship between them, and identify confounding factors that affect this association. METHODS The study sample consisted of 1186 Chinese college students (47.7% male) with a mean age of 18.08 years. Participants completed the Smartphone Addiction Scale - Short Version (SAS-SV) and the Pittsburgh Sleep Quality Index (PSQI) at both baseline and follow-up surveys, conducted one year apart. The cross-lagged panel model (CLPM) was used to examine the causal relationship between PSU and SD, stratified by gender and duration of daily physical activity. The fixed effect panel regression was used to confirm the findings of CLPM. RESULTS The results of the CLPM analysis showed a significant bidirectional relationship between PSU and SD for the overall sample, which was consistent with the fixed effects model findings. However, subgroup analyses revealed that the bidirectional association disappeared among males or those who engaged in daily physical activity for more than 1 h. CONCLUSIONS Our study shows a significant bidirectional association between PSU and SD, with variations across gender and daily physical activity levels. Encouraging physical activity may serve as a potential intervention to disrupt the bidirectional association between PSU and SD, which has important implications for public health strategies aimed at reducing the negative consequences of PSU and SD.
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Affiliation(s)
- Jianghui Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Guojing Yuan
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Haiyun Guo
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Xueqing Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Kexin Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Xiaoyan Lu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Huayu Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Zhihui Zhu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Guifang Jin
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Haiyan Shi
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Jun Du
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Jiahu Hao
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Ying Sun
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Puyu Su
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Linsheng Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
| | - Zhihua Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China.
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Mengistu N, Habtamu E, Kassaw C, Madoro D, Molla W, Wudneh A, Abebe L, Duko B. Problematic smartphone and social media use among undergraduate students during the COVID-19 pandemic: In the case of southern Ethiopia universities. PLoS One 2023; 18:e0280724. [PMID: 36696412 PMCID: PMC9876348 DOI: 10.1371/journal.pone.0280724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 01/06/2023] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Smartphone and social media use are supposed to be integral parts of university students' daily lives. More specifically, smartphones and social media are frequently used for communication in daily life during the COVID-19 pandemic. Nonetheless, uninterrupted and persistent use of these technologies may lead to several psychological problems. Even though smartphones and social media were used more frequently during the pandemic, there is no evidence suggesting that the studies were not undertaken in low-income countries, including Ethiopia. Therefore, the current study aimed to assess problematic smartphone use and social media use among undergraduate university students in southern Ethiopia. METHODS A cross-sectional study was carried out among 1,232 university students using a simple random sampling technique. The Bergen Social Media Addiction Scale and Smartphone Application-Based Addiction Scale were used to collect data on social media and smartphone use, respectively. The Beck Depression Inventory, Generalized Anxiety Assessment Tool, Rosenberg Self-Esteem Scale, and Pittsburg Sleep Quality Index were standardized tools used to measure other independent variables. To identify factors, simple and multiple linear regression analyses were performed. A p-value of 0.05 was used to determine statistical significance. RESULTS The overall response rate was 95%. The mean scores for problematic smartphone and problematic social media use were 17 ± 3.3/36 and 12.7 ± 2.2/30, respectively. A linear regression model revealed that being female, first-year students and poor sleep quality were significantly associated with problematic smartphone use. Factors associated with problematic social media use (PSMU) were depression, substance use, and urban residence. CONCLUSIONS This study identified significant problems with smartphone and social media use among university students. Therefore, it is preferable to provide psychological counselling, educate students about safe, beneficial, and healthy internet use, and focus on recognized high-risk groups in order to give them special attention. It is also preferable to seek counselling about substance use. It is preferable to regularly screen and treat individuals with psychological problems in collaboration with stakeholders.
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Affiliation(s)
- Nebiyu Mengistu
- Department of Psychiatry, Dilla University, Dilla, Ethiopia
- * E-mail:
| | | | | | - Derebe Madoro
- Department of Psychiatry, Dilla University, Dilla, Ethiopia
| | | | | | - Lulu Abebe
- Department of Psychiatry, Dilla University, Dilla, Ethiopia
| | - Bereket Duko
- Curtin School of Population Health, Curtin University, Perth, WA, Australia
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Digital media use and sleep in late adolescence and young adulthood: A systematic review. Sleep Med Rev 2022; 68:101742. [PMID: 36638702 DOI: 10.1016/j.smrv.2022.101742] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 12/08/2022] [Accepted: 12/22/2022] [Indexed: 01/01/2023]
Abstract
Despite much attention on digital media use and young peoples' sleep, the literature on digital media and its impact on sleep in older adolescents and young adults remains to be synthesized. We conducted a systematic review of studies including young people aged 16-25 years. We searched Medline, Web of Science, and CINAHL for observational studies, identifying 60 studies. These studies were assessed for methodological quality. Only studies rated as moderate or high-quality studies were included (n = 42). A narrative synthesis summarized the impact of digital media use on eight sleep outcomes: Bedtime; Sleep onset latency or problems falling asleep; Sleep duration; Early awakening; Sleep disturbance; Daytime tiredness and function; Sleep deficits; Sleep quality. In summary, digital media use was associated to shorter sleep duration and poorer sleep quality. These associations were found for general screen use and use of mobile phone, computer, internet, and social media, but not for television, game console, and tablet use. Most studies investigating bedtime or nighttime use found associations to poor sleep outcomes. Later bedtime and daytime tiredness were associated with mobile phone use at night. Additional research is warranted to draw solid conclusions about the causal direction and to understand the underlying mechanisms.
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Moens E, Lippens L, Sterkens P, Weytjens J, Baert S. The COVID-19 crisis and telework: a research survey on experiences, expectations and hopes. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2022; 23:729-753. [PMID: 34761337 DOI: 10.2139/ssrn.3596696] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 10/06/2021] [Indexed: 05/22/2023]
Abstract
While a considerable number of employees across the globe are being forced to work from home due to the COVID-19 crisis, it is a guessing game as to how they are experiencing this current surge in telework. Therefore, we examined employee perceptions of telework on various life and career aspects, distinguishing between typical and extended telework during the COVID-19 crisis. To this end, we conducted a state-of-the-art web survey among Flemish employees. Notwithstanding this exceptional time of sudden, obligatory and high-intensity telework, our respondents mainly attribute positive characteristics to telework, such as increased efficiency and a lower risk of burnout. The results also suggest that the overwhelming majority of the surveyed employees believe that telework (85%) and digital conferencing (81%) are here to stay. In contrast, some fear that telework diminishes their promotion opportunities and weakens ties with their colleagues and employer.
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Affiliation(s)
- Eline Moens
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium.
| | - Louis Lippens
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium
| | | | | | - Stijn Baert
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium
- University of Antwerp, Antwerp, Belgium
- Université catholique de Louvain, Louvain-La-Neuve, Belgium
- GLO, Essen, Germany
- IZA, Bonn, Germany
- IMISCOE, Rotterdam, The Netherlands
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Moens E, Lippens L, Sterkens P, Weytjens J, Baert S. The COVID-19 crisis and telework: a research survey on experiences, expectations and hopes. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2022; 23:729-753. [PMID: 34761337 PMCID: PMC8580807 DOI: 10.1007/s10198-021-01392-z] [Citation(s) in RCA: 36] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 10/06/2021] [Indexed: 05/20/2023]
Abstract
While a considerable number of employees across the globe are being forced to work from home due to the COVID-19 crisis, it is a guessing game as to how they are experiencing this current surge in telework. Therefore, we examined employee perceptions of telework on various life and career aspects, distinguishing between typical and extended telework during the COVID-19 crisis. To this end, we conducted a state-of-the-art web survey among Flemish employees. Notwithstanding this exceptional time of sudden, obligatory and high-intensity telework, our respondents mainly attribute positive characteristics to telework, such as increased efficiency and a lower risk of burnout. The results also suggest that the overwhelming majority of the surveyed employees believe that telework (85%) and digital conferencing (81%) are here to stay. In contrast, some fear that telework diminishes their promotion opportunities and weakens ties with their colleagues and employer.
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Affiliation(s)
- Eline Moens
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium.
| | - Louis Lippens
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium
| | | | | | - Stijn Baert
- Ghent University, Sint-Pietersplein 6, 9000, Ghent, Belgium
- University of Antwerp, Antwerp, Belgium
- Université catholique de Louvain, Louvain-La-Neuve, Belgium
- GLO, Essen, Germany
- IZA, Bonn, Germany
- IMISCOE, Rotterdam, The Netherlands
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Olson JA, Sandra DA, Colucci ÉS, Al Bikaii A, Chmoulevitch D, Nahas J, Raz A, Veissière SP. Smartphone addiction is increasing across the world: A meta-analysis of 24 countries. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.107138] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Rozgonjuk D, Davis KL, Montag C. The Roles of Primary Emotional Systems and Need Satisfaction in Problematic Internet and Smartphone Use: A Network Perspective. Front Psychol 2021; 12:709805. [PMID: 34531797 PMCID: PMC8438112 DOI: 10.3389/fpsyg.2021.709805] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 07/19/2021] [Indexed: 12/31/2022] Open
Abstract
Problematic Internet and smartphone use (PIU and PSU, respectively) have received significant attention over the past years. In the current work, we studied the associations between PIU and PSU, primary emotional systems, and need satisfaction. The effective sample comprised 399 people who responded to scales measuring these variables. Bivariate correlation analysis showed that both PSU and PIU were positively associated with negative primary emotion traits (FEAR, ANGER, SADNESS) as well as lower scores on most of the need satisfaction factors. Network analysis showed that while PIU and PSU have a strong association with each other, in general, there were not many significant correlations between PSU, PIU, and other variables in the network. The associations being present were rather weak. Network analysis showed that PSU was positively associated with FEAR, ANGER, PLAY primary emotional systems. Both PSU and PIU had a negative association with safety and security and physiological needs satisfaction. Moreover, PSU had a positive link with belongingness need satisfaction, while higher PIU was associated with lower esteem and self-actualization need satisfaction. Addressing those unmet needs may be helpful in reducing problematic technology use, but further research testing this would be necessary.
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Affiliation(s)
- Dmitri Rozgonjuk
- Department of Molecular Psychology, University of Ulm, Ulm, Germany
- Institute of Mathematics and Statistics, University of Tartu, Tartu, Estonia
| | | | - Christian Montag
- Department of Molecular Psychology, University of Ulm, Ulm, Germany
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Lippens L, Moens E, Sterkens P, Weytjens J, Baert S. How do employees think the COVID-19 crisis will affect their careers? PLoS One 2021; 16:e0246899. [PMID: 33956808 PMCID: PMC8101726 DOI: 10.1371/journal.pone.0246899] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 01/27/2021] [Indexed: 12/28/2022] Open
Abstract
This study is the first in the world to investigate the expected impact of the COVID-19 crisis on career outcomes and career aspirations. To this end, high-quality survey research with a relevant sample of Flemish (Belgian) employees was conducted. About 21% of them fear losing their jobs due to the crisis—14% are concerned that they will even lose their jobs in the near future. In addition, 26% expect to miss out on promotions that they would have received had the COVID-19 crisis not occurred. This fear of a negative impact is higher in vulnerable groups, such migrants. In addition, we observe that many respondents believe they will look at the labour market differently and will have different work-related priorities in the future. In this respect, more than half of the respondents indicate that they have attached more importance to working conditions and work-life balance since the COVID-19 crisis.
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Affiliation(s)
- Louis Lippens
- Department of Economics, Ghent University, Ghent, Belgium
- * E-mail:
| | - Eline Moens
- Department of Economics, Ghent University, Ghent, Belgium
| | | | | | - Stijn Baert
- Department of Economics, Ghent University, Ghent, Belgium
- Department of Sociology, University of Antwerp, Antwerp, Belgium
- Department of Economics, Université catholique de Louvain, Louvain-la-neuve, Belgium
- IZA Institute of Labour Economics, Bonn, Germany
- Global Labour Organization, Maastricht, The Netherlands
- IMISCOE, Rotterdam, The Netherlands
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