Sleeping when the world locks down: Correlates of sleep health during the COVID-19 pandemic across 59 countries.
Identifieur interne : 000023 ( Main/Exploration ); précédent : 000022; suivant : 000024Sleeping when the world locks down: Correlates of sleep health during the COVID-19 pandemic across 59 countries.
Auteurs : Dilara Yuksel [États-Unis] ; Grace B. Mckee [États-Unis] ; Paul B. Perrin [États-Unis] ; Elisabet Alzueta [Espagne] ; Sendy Caffarra [Espagne] ; Daniela Ramos-Usuga [Espagne] ; Juan Carlos Arango-Lasprilla [Espagne] ; Fiona C. Baker [Afrique du Sud]Source :
- Sleep health [ 2352-7226 ] ; 2021.
Abstract
OBJECTIVES
COVID-19 escalated into a global pandemic affecting countries around the world. As communities shut down to reduce disease spread, all aspects of life have been altered, including sleep. This study investigated changes in sleep patterns and correlates of sleep health in a global sample and examined relationships between sleep health and psychological distress.
DESIGN
Cross-sectional.
SETTINGS
Online survey distributed between April 19 and May 3, 2020.
PARTICIPANTS
Total 6882 participants (18-94 years) across 59 countries.
MEASUREMENTS
Sleep health (RU-SATED), demographics, pandemic-related factors, mood.
RESULTS
More than half the sample shifted their sleep toward later bed- and wake-times, and more than a third reported increased sleep disturbances during the pandemic. Older age, being partnered, and living in a higher income country were associated with better sleep health, while a stricter level of quarantine and pandemic-related factors (being laid off from job, financial strain, or difficulties transitioning to working from home) were associated with poorer sleep health. Domestic conflict was the strongest correlate of poorer sleep health. Poorer sleep health was strongly associated with greater depression and anxiety symptoms. Participants from Latin America reported the lowest sleep health scores.
CONCLUSIONS
COVID-19-associated factors have impacted sleep health on a global level. While our data are correlational, sleep health is strongly linked with mental health and could play a protective role against developing mental distress during pandemic-related isolation. Sleep health should be incorporated into public health messages aimed at helping people cope with the effects of a pandemic to maintain optimal mental and physical health.
DOI: 10.1016/j.sleh.2020.12.008
PubMed: 33509687
Affiliations:
- Afrique du Sud, Espagne, États-Unis
- Californie, Communauté de Madrid, Gauteng, Virginie
- Johannesbourg, Madrid
- Université du Witwatersrand
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Electronic address: dilara.yuksel@sri.com.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health Sciences, SRI International, Menlo Park, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Mckee, Grace B" sort="Mckee, Grace B" uniqKey="Mckee G" first="Grace B" last="Mckee">Grace B. Mckee</name><affiliation wicri:level="2"><nlm:affiliation>Advanced Fellowship Program in Mental Illness Research and Treatment, Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Central Virginia VA Health Care System, Richmond, Virginia, USA; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Advanced Fellowship Program in Mental Illness Research and Treatment, Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Central Virginia VA Health Care System, Richmond, Virginia, USA; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Perrin, Paul B" sort="Perrin, Paul B" uniqKey="Perrin P" first="Paul B" last="Perrin">Paul B. Perrin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA; Central Virginia VA Health Care System, Richmond, Virginia, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA; Central Virginia VA Health Care System, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Alzueta, Elisabet" sort="Alzueta, Elisabet" uniqKey="Alzueta E" first="Elisabet" last="Alzueta">Elisabet Alzueta</name><affiliation wicri:level="3"><nlm:affiliation>Center for Health Sciences, SRI International, Menlo Park, California, USA; Biological and Health Psychology Department, Autonomous University of Madrid, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Center for Health Sciences, SRI International, Menlo Park, California, USA; Biological and Health Psychology Department, Autonomous University of Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Caffarra, Sendy" sort="Caffarra, Sendy" uniqKey="Caffarra S" first="Sendy" last="Caffarra">Sendy Caffarra</name><affiliation wicri:level="1"><nlm:affiliation>Stanford University Graduate School of Education, Stanford, California, USA; Basque Center on Cognition, Brain and Language, Donostia-San Sebastián, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Stanford University Graduate School of Education, Stanford, California, USA; Basque Center on Cognition, Brain and Language, Donostia-San Sebastián</wicri:regionArea><wicri:noRegion>Donostia-San Sebastián</wicri:noRegion></affiliation></author><author><name sortKey="Ramos Usuga, Daniela" sort="Ramos Usuga, Daniela" uniqKey="Ramos Usuga D" first="Daniela" last="Ramos-Usuga">Daniela Ramos-Usuga</name><affiliation wicri:level="1"><nlm:affiliation>Biomedical Research Doctorate Program, University of the Basque Country, Leioa, Spain; Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Biomedical Research Doctorate Program, University of the Basque Country, Leioa, Spain; Biocruces Bizkaia Health Research Institute, Barakaldo</wicri:regionArea><wicri:noRegion>Barakaldo</wicri:noRegion></affiliation></author><author><name sortKey="Arango Lasprilla, Juan Carlos" sort="Arango Lasprilla, Juan Carlos" uniqKey="Arango Lasprilla J" first="Juan Carlos" last="Arango-Lasprilla">Juan Carlos Arango-Lasprilla</name><affiliation wicri:level="1"><nlm:affiliation>Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; IKERBASQUE. Basque Foundation for Science, Bilbao, Spain; Department of Cell Biology and Histology, University of the Basque Country, Leioa, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; IKERBASQUE. Basque Foundation for Science, Bilbao, Spain; Department of Cell Biology and Histology, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Fiona C" sort="Baker, Fiona C" uniqKey="Baker F" first="Fiona C" last="Baker">Fiona C. Baker</name><affiliation wicri:level="4"><nlm:affiliation>Center for Health Sciences, SRI International, Menlo Park, California, USA; School of Physiology, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Center for Health Sciences, SRI International, Menlo Park, California, USA; School of Physiology, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author></analytic><series><title level="j">Sleep health</title><idno type="eISSN">2352-7226</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>COVID-19 escalated into a global pandemic affecting countries around the world. As communities shut down to reduce disease spread, all aspects of life have been altered, including sleep. This study investigated changes in sleep patterns and correlates of sleep health in a global sample and examined relationships between sleep health and psychological distress.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Cross-sectional.</p></div><div type="abstract" xml:lang="en"><p><b>SETTINGS</b></p><p>Online survey distributed between April 19 and May 3, 2020.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Total 6882 participants (18-94 years) across 59 countries.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>Sleep health (RU-SATED), demographics, pandemic-related factors, mood.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>More than half the sample shifted their sleep toward later bed- and wake-times, and more than a third reported increased sleep disturbances during the pandemic. Older age, being partnered, and living in a higher income country were associated with better sleep health, while a stricter level of quarantine and pandemic-related factors (being laid off from job, financial strain, or difficulties transitioning to working from home) were associated with poorer sleep health. Domestic conflict was the strongest correlate of poorer sleep health. Poorer sleep health was strongly associated with greater depression and anxiety symptoms. Participants from Latin America reported the lowest sleep health scores.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>COVID-19-associated factors have impacted sleep health on a global level. While our data are correlational, sleep health is strongly linked with mental health and could play a protective role against developing mental distress during pandemic-related isolation. Sleep health should be incorporated into public health messages aimed at helping people cope with the effects of a pandemic to maintain optimal mental and physical health.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33509687</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2352-7226</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>09</Day></PubDate></JournalIssue><Title>Sleep health</Title><ISOAbbreviation>Sleep Health</ISOAbbreviation></Journal><ArticleTitle>Sleeping when the world locks down: Correlates of sleep health during the COVID-19 pandemic across 59 countries.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S2352-7218(20)30328-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.sleh.2020.12.008</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">COVID-19 escalated into a global pandemic affecting countries around the world. As communities shut down to reduce disease spread, all aspects of life have been altered, including sleep. This study investigated changes in sleep patterns and correlates of sleep health in a global sample and examined relationships between sleep health and psychological distress.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional.</AbstractText><AbstractText Label="SETTINGS" NlmCategory="METHODS">Online survey distributed between April 19 and May 3, 2020.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Total 6882 participants (18-94 years) across 59 countries.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Sleep health (RU-SATED), demographics, pandemic-related factors, mood.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">More than half the sample shifted their sleep toward later bed- and wake-times, and more than a third reported increased sleep disturbances during the pandemic. Older age, being partnered, and living in a higher income country were associated with better sleep health, while a stricter level of quarantine and pandemic-related factors (being laid off from job, financial strain, or difficulties transitioning to working from home) were associated with poorer sleep health. Domestic conflict was the strongest correlate of poorer sleep health. Poorer sleep health was strongly associated with greater depression and anxiety symptoms. Participants from Latin America reported the lowest sleep health scores.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">COVID-19-associated factors have impacted sleep health on a global level. While our data are correlational, sleep health is strongly linked with mental health and could play a protective role against developing mental distress during pandemic-related isolation. Sleep health should be incorporated into public health messages aimed at helping people cope with the effects of a pandemic to maintain optimal mental and physical health.</AbstractText><CopyrightInformation>Copyright © 2020 National Sleep Foundation. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yuksel</LastName><ForeName>Dilara</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Center for Health Sciences, SRI International, Menlo Park, California, USA. Electronic address: dilara.yuksel@sri.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McKee</LastName><ForeName>Grace B</ForeName><Initials>GB</Initials><AffiliationInfo><Affiliation>Advanced Fellowship Program in Mental Illness Research and Treatment, Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Central Virginia VA Health Care System, Richmond, Virginia, USA; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perrin</LastName><ForeName>Paul B</ForeName><Initials>PB</Initials><AffiliationInfo><Affiliation>Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA; Central Virginia VA Health Care System, Richmond, Virginia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alzueta</LastName><ForeName>Elisabet</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Center for Health Sciences, SRI International, Menlo Park, California, USA; Biological and Health Psychology Department, Autonomous University of Madrid, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caffarra</LastName><ForeName>Sendy</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Stanford University Graduate School of Education, Stanford, California, USA; Basque Center on Cognition, Brain and Language, Donostia-San Sebastián, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ramos-Usuga</LastName><ForeName>Daniela</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Biomedical Research Doctorate Program, University of the Basque Country, Leioa, Spain; Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arango-Lasprilla</LastName><ForeName>Juan Carlos</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; IKERBASQUE. Basque Foundation for Science, Bilbao, Spain; Department of Cell Biology and Histology, University of the Basque Country, Leioa, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baker</LastName><ForeName>Fiona C</ForeName><Initials>FC</Initials><AffiliationInfo><Affiliation>Center for Health Sciences, SRI International, Menlo Park, California, USA; School of Physiology, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Sleep Health</MedlineTA><NlmUniqueID>101656808</NlmUniqueID><ISSNLinking>2352-7218</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Mood</Keyword><Keyword MajorTopicYN="N">Psychological distress</Keyword><Keyword MajorTopicYN="N">Sleep disturbances</Keyword><Keyword MajorTopicYN="N">Sleep health</Keyword><Keyword MajorTopicYN="N">Social isolation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>09</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>12</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>12</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>29</Day><Hour>5</Hour><Minute>45</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33509687</ArticleId><ArticleId IdType="pii">S2352-7218(20)30328-4</ArticleId><ArticleId IdType="doi">10.1016/j.sleh.2020.12.008</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Espagne</li><li>États-Unis</li></country><region><li>Californie</li><li>Communauté de Madrid</li><li>Gauteng</li><li>Virginie</li></region><settlement><li>Johannesbourg</li><li>Madrid</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Yuksel, Dilara" sort="Yuksel, Dilara" uniqKey="Yuksel D" first="Dilara" last="Yuksel">Dilara Yuksel</name></region><name sortKey="Mckee, Grace B" sort="Mckee, Grace B" uniqKey="Mckee G" first="Grace B" last="Mckee">Grace B. Mckee</name><name sortKey="Perrin, Paul B" sort="Perrin, Paul B" uniqKey="Perrin P" first="Paul B" last="Perrin">Paul B. Perrin</name></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Alzueta, Elisabet" sort="Alzueta, Elisabet" uniqKey="Alzueta E" first="Elisabet" last="Alzueta">Elisabet Alzueta</name></region><name sortKey="Arango Lasprilla, Juan Carlos" sort="Arango Lasprilla, Juan Carlos" uniqKey="Arango Lasprilla J" first="Juan Carlos" last="Arango-Lasprilla">Juan Carlos Arango-Lasprilla</name><name sortKey="Caffarra, Sendy" sort="Caffarra, Sendy" uniqKey="Caffarra S" first="Sendy" last="Caffarra">Sendy Caffarra</name><name sortKey="Ramos Usuga, Daniela" sort="Ramos Usuga, Daniela" uniqKey="Ramos Usuga D" first="Daniela" last="Ramos-Usuga">Daniela Ramos-Usuga</name></country><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Baker, Fiona C" sort="Baker, Fiona C" uniqKey="Baker F" first="Fiona C" last="Baker">Fiona C. 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