About: Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort

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About: Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
Creator	Wang, Yan Wang, Fang Zhang, Haiqing Wang, Chongjian Niu, Miaomiao Abdulai, Tanko Li, Ruiying Luo, Zhicheng Mao, Zhenxing Shen, Jiali Wang, Yikang
Source	Medline; PMC
abstract	BACKGROUND: The epidemiological evidence on the association of sleep quality on anxiety symptoms has been inconclusive. This study aimed to explore the association between sleep quality and anxiety symptoms in rural Chinese population and investigate whether age, lifestyles, and chronic diseases modified this association. METHODS: A total of 27,911 participants aged 18–79 years from the Henan Rural Cohort Study were included in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. Poor sleep quality was defined as PSQI ≥6. Anxiety symptoms were evaluated with the two-item generalized anxiety disorder scale (GAD-2). Individual with score ≥ 3 was viewed as having anxiety symptoms. Logistic regression and restricted cubic spline were conducted to examine the association of sleep quality with anxiety symptoms. RESULTS: Altogether, 6087 (21.80%) participants were poor sleepers and 1557 (5.58%) had anxiety symptoms. The odds of anxiety were increased with increment of PSQI score after fitting restricted cubic splines. The poor sleep quality was associated with a higher possibility of anxiety symptoms [odd ratio (OR): 4.60, 95% confidence interval (CI): 3.70–5.72] in men, and (OR: 3.56, 95% CI: 3.10–4.09) in women for multivariable analysis. Further, stratified analyses showed that the effect of sleep quality on anxiety symptoms could be modified by age, marital status, smoking status, drinking status, hypertension, and type 2 diabetes mellitus. CONCLUSIONS: A dose-response association between PSQI score and anxiety symptoms was found. In addition, the relationship between poor sleep quality and greater anxiety symptoms was observed in this rural population, especially in participants aged ≥60 years and those with unhealthy habits or had a chronic disease. TRIAL REGISTRATION: The trial was prospectively registered on July 6, 2015 and available online at ClinicalTrials.gov ID: ChiCTR-OOC-15006699.
has issue date	2020-08-27(xsd:dateTime)
bibo:doi	10.1186/s12889-020-09400-2
bibo:pmid	32854672
has license	cc-by
sha1sum (hex)	7e476d85e9d1bbe32e5a88852b295a98ed258566
schema:url	https://doi.org/10.1186/s12889-020-09400-2
resource representing a document's title	Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
has PubMed Central identifier	PMC7450150
has PubMed identifier	32854672
schema:publication	BMC Public Health
resource representing a document's body	covid:7e476d85e9d1bbe32e5a88852b295a98ed258566#body_text
is schema:about of	named entity 'Chinese' named entity 'anxiety' named entity 'July 6' named entity 'symptoms' named entity 'Trial' named entity 'chronic diseases' named entity 'Chinese' named entity 'anxiety' named entity 'ODDS' named entity 'CONFIDENCE INTERVAL' named entity 'TYPE 2 DIABETES MELLITUS' named entity 'CHRONIC DISEASE' named entity 'CUBIC SPLINE' named entity 'POOR SLEEP' named entity 'POPULATION' named entity 'MARITAL STATUS' named entity 'AGED' named entity '2015' named entity 'EVIDENCE' named entity 'FOUND' named entity 'SMOKING STATUS' named entity 'MEN' named entity 'RURAL POPULATION' named entity 'anxiety' named entity 'Logistic regression' named entity 'population' named entity 'Poor' named entity 'Henan' named entity 'trial' named entity 'symptoms' named entity 'stratified' named entity 'symptoms' named entity 'anxiety' named entity 'symptoms' named entity 'addition' named entity 'analysis' named entity 'prospectively' named entity 'Henan' named entity 'generalized anxiety disorder' named entity 'epidemiological' named entity 'Anxiety' named entity 'Henan' named entity 'Logistic regression' named entity 'cubic splines' named entity 'confidence interval' named entity 'chronic disease' named entity 'PSQI' named entity 'anxiety' named entity 'anxiety' named entity 'score' named entity 'sleep onset latency' named entity 'SAS' named entity 'physiological' named entity 'sleep quality' named entity 'anxiety' named entity 'anxiety' named entity 'fatigue' named entity 'anxiety' named entity 'mental illness' named entity 'BMI' named entity 'anxiety disorders' named entity 'mental disorders' named entity '3.5' named entity 'T2DM' named entity 'lack of sleep' named entity 'psychological stress' named entity 'daytime sleepiness' named entity 'anxiety' named entity 'sleep quality' named entity 'PSQI' named entity 'symptom'

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