Social capital and sleep disorders in Tibet, China.

Bibliographic Details
Title: Social capital and sleep disorders in Tibet, China.
Authors: Ciren W; Lhasa Chengguan District Center for Disease Control and Prevention, Lhasa, 850000, China., Yu W; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China., Nima Q; Center for Disease Control and Prevention of Tibet autonomous region, Lhasa, 850000, China. 1084790417@qq.com., Xiao X; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China., Zhou J; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China., Suolang D; Center for Disease Control and Prevention of Tibet autonomous region, Lhasa, 850000, China., Li Y; Center for Disease Control and Prevention of Tibet autonomous region, Lhasa, 850000, China., Zhao X; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China., Jia P; Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University, Hong Kong, China.; International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China., Yang S; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. rekiny@126.com.; International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China. rekiny@126.com.
Source: BMC public health [BMC Public Health] 2021 Mar 25; Vol. 21 (1), pp. 591. Date of Electronic Publication: 2021 Mar 25.
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
MeSH Terms: Sleep Wake Disorders*/epidemiology , Social Capital*, Aged ; China/epidemiology ; Female ; Health Status Disparities ; Humans ; Male ; Middle Aged ; Social Support ; Tibet
Abstract: Objective: Sleep plays an important role in the health and well-being of middle aged and elderly people, and social capital may be one of the important factors for sleep disorders. This study aimed to understand the relationship between social capital and sleep disorders in a unique region of China -Tibet that generally has the disadvantaged economic status compared to other parts of China.
Methods: The study was based on Tibetan data from The China Multi-Ethnic Cohort (CMEC) and was conducted from May 2018 to September 2019. A total of 3194 Tibetans aged > 50 were selected from the community population by multi-stage stratified cluster sampling. Social capital was measured using two validated health-related social capital scales, family/community and society.. Sleep disorders were measured as the presence of disorders of initiating and maintaining sleep, early morning awakening, or daytime dysfunction. Logistic regression models were applied to examine the association between social capital and sleep disorders.
Results: 39.9% (1271/3194) of the participants had sleep disorders. In addition, after controlling for all potential variables, family social capital was significantly negatively associated with sleep disorders (OR = 0.95, P < 0.05), while community and society social capital was not associated with sleep disorders. Then, when we did all the sex-stratified analyses, the significant association between social capital and sleep disorders was found only in women (OR = 0.94, P < 0.05), while no association was found in males; neither males nor females showed any association with community and society social capital.
Conclusion: Our study would help to better understand the extent of health inequality in China, and guide future interventions, strategies and policies to promote sleep quality in low-income areas, taking into account both the role of Tibetan specific cultural traditions, lifestyles and religious beliefs in social capital and the gender differences in social capital.
References: Medicine (Baltimore). 2020 Jun 12;99(24):e19963. (PMID: 32541447)
Res Gerontol Nurs. 2013 Apr;6(2):89-97. (PMID: 23330943)
Eur Heart J. 2019 May 21;40(20):1620-1629. (PMID: 30517670)
Environ Int. 2019 Dec;133(Pt B):105213. (PMID: 31654916)
Electron Physician. 2017 Dec 25;9(12):6027-6034. (PMID: 29560156)
Sleep Med Clin. 2017 Mar;12(1):1-22. (PMID: 28159089)
Diabetes Care. 2016 Apr;39(4):547-54. (PMID: 26868440)
J Adv Nurs. 2010 Jul;66(7):1565-72. (PMID: 20492021)
Lancet Psychiatry. 2020 Jul;7(7):628-637. (PMID: 32563308)
J Womens Health (Larchmt). 2014 Jul;23(7):553-62. (PMID: 24956068)
Health Place. 2020 Jan;61:102243. (PMID: 32329723)
Sleep Med. 2020 May;69:120-126. (PMID: 32062038)
PLoS One. 2014 Dec 05;9(12):e114742. (PMID: 25478876)
BMC Public Health. 2020 Apr 28;20(1):581. (PMID: 32345273)
Sleep Med. 2020 Jul;71:106-110. (PMID: 32505023)
J Clin Neurophysiol. 1995 Mar;12(2):139-46. (PMID: 7797628)
JAMA. 2000 Aug 16;284(7):861-8. (PMID: 10938176)
Int J Environ Res Public Health. 2019 Jul 11;16(14):. (PMID: 31336707)
J Psychosom Res. 2004 May;56(5):497-502. (PMID: 15172205)
BMC Public Health. 2018 Mar 12;18(1):343. (PMID: 29529998)
Int J Environ Res Public Health. 2020 Dec 03;17(23):. (PMID: 33287386)
Sleep Med Clin. 2016 Mar;11(1):115-26. (PMID: 26972038)
Circulation. 2016 Nov 1;134(18):e367-e386. (PMID: 27647451)
Int J Environ Res Public Health. 2016 Aug 18;13(8):. (PMID: 27548196)
Ecohealth. 2008 Jun;5(2):104-14. (PMID: 18787914)
Med Sci Monit. 2020 Mar 20;26:e923921. (PMID: 32194290)
Conserv Biol. 2009 Oct;23(5):1074. (PMID: 19765031)
Econ Hum Biol. 2014 Jul;14:22-32. (PMID: 24958451)
Sleep Med Rev. 2000 Aug;4(4):387-402. (PMID: 12531177)
Aging Dis. 2013 Dec 05;5(4):274-80. (PMID: 25110611)
Heart. 2015 Jul;101(13):1054-60. (PMID: 25953970)
Lancet Planet Health. 2019 Feb;3(2):e57-e59. (PMID: 30797406)
Exp Gerontol. 2018 Feb;102:133-144. (PMID: 29199121)
JAMA Intern Med. 2015 Apr;175(4):494-501. (PMID: 25686304)
Diabetes Care. 2012 Feb;35(2):313-8. (PMID: 22210572)
Sociol Health Illn. 2017 Jan;39(1):5-29. (PMID: 27813121)
Sleep Med. 2019 May;57:100-106. (PMID: 30954786)
J Psychosom Res. 2010 Nov;69(5):435-40. (PMID: 20955862)
Br J Sociol. 2016 Dec;67(4):719-746. (PMID: 27905103)
PLoS One. 2015 Mar 16;10(3):e0118329. (PMID: 25775258)
Neuropsychol Rev. 2011 Mar;21(1):41-53. (PMID: 21225347)
BMC Public Health. 2009 May 09;9:130. (PMID: 19426521)
Sleep Med. 2019 Aug;60:165-172. (PMID: 31175050)
J Affect Disord. 2018 Mar 15;229:120-124. (PMID: 29306691)
Int J Epidemiol. 2020 Nov 24;:. (PMID: 33232485)
Int J Epidemiol. 2017 Aug 1;46(4):1343-1344. (PMID: 28338734)
Environ Res. 2020 Jan;180:108843. (PMID: 31670082)
Int J Environ Res Public Health. 2018 Sep 19;15(9):. (PMID: 30235864)
Am J Geriatr Psychiatry. 2006 Feb;14(2):95-103. (PMID: 16473973)
Environ Health Perspect. 2019 Jul;127(7):74501. (PMID: 31271296)
J Youth Adolesc. 2018 Dec;47(12):2584-2595. (PMID: 30039509)
Grant Information: 2017YFC0907302 the National Key Research and Development Program of China; 2017YFC0907305 the National Key Research and Development Program of China
Contributed Indexing: Keywords: Middle aged and elderly people*; Sleep disorders*; Social capital*; Tibet*
Entry Date(s): Date Created: 20210326 Date Completed: 20210521 Latest Revision: 20210521
Update Code: 20210623
PubMed Central ID: PMC7992333
DOI: 10.1186/s12889-021-10626-x
PMID: 33765991
Published: 2021 Mar 25
Database: MEDLINE

Academic Journal