Social disparities in sleep health of African populations: A systematic review and meta-analysis of observational studies

Sosso, Faustin Armel Etindele; Matos, Elsa; Papadopoulos, Dimitrios

doi:10.1016/j.sleh.2023.08.021

Cited by 6 publications

(6 citation statements)

References 89 publications

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“…Females tended to suffer the worst from all psychopathologies we'd considered as a well-known vulnerable population, we find higher prevalences across the board [49][50][51][52], as did suffering a significant SES disadvantage. These findings are well in line with others in the same vein [53][54][55][56],…”

Section: Discussionsupporting

confidence: 93%

Psychological status of medical students and interns in the wake of the armed conflict of April 2023 in Sudan. A cross-sectional study

Abdulhamid,

Almokdad,

Ahmed

et al. 2024

Preprint

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The ongoing civil war in Sudan of April 2023 has erupted as two belligerent groups vie for the position of ruler in the country, resulting in severe detrimental effects throughout the population, from deaths to property losses to severe deterioration of the already strained infrastructures of the country, to the sheer psychological trauma from observing and suffering the ongoing dramatic events. A subgroup is the medical students and interns in Sudan, who suffered direct losses in every regard, from sheer psychological distress to deaths, with material losses and career disruptions. We believe this is a group that should be paid due attention. This study aims to determine whether certain elements can be viewed as correlates of the psychological disorders we expect to see prevalent and their prevalences. An online cross-sectional study was undertaken using several sampling methods to reach as far as we possibly could under the circumstances, with a structured questionnaire containing items divided between demographics, what we perceive to be factors, and scales (PHQ-9, GAD-7, AIS-8, and ITQ). The Survey was conducted from September 11th to 30th, 2023, resulting in 7306 responses, of which 665 were excluded. A sample of 6641 were included, of which 2370 (35.7%) were males and 4271 (64.3%) were females. We found prevalences of 33.7% for depression, 22.4% for anxiety, 13.6% for PTSD, and 59.5% for Insomnia, correlating with several factors, noted to impact the psychological health of our sample. Our findings suggest the need for purposeful, directed interventions to mitigate the impact of this conflict, and all that may follow.

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Section: Discussionsupporting

confidence: 93%

Psychological status of medical students and interns in the wake of the armed conflict of April 2023 in Sudan. A cross-sectional study

Abdulhamid,

Almokdad,

Ahmed

et al. 2024

Preprint

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“…This holds true not only for patients with MetS but also for those with OSA [30]. SES linked to education, occupation, and income contributes to social disparities in sleep health [30]. This study's results revealed that physical activity was a factor influencing QoL in the high-risk group.…”

Section: Discussionmentioning

confidence: 69%

“…On the contrary, individuals with lower incomes may face challenges in accessing such be benefits. This holds true not only for patients with MetS but also for those with OSA [30]. SES linked to education, occupation, and income contributes to social disparities in sleep health [30].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Metabolic Syndrome Patients Based on the Risk of Obstructive Sleep Apnea

Kim

2024

Behavioral Sciences

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Despite the impact of metabolic syndrome (MetS) and obstructive sleep apnea (OSA) on a sizeable proportion of the global population, the difference in the quality of life (QoL) between a group without risk factors for OSA and a group with risk factors for OSA among individuals with MetS is currently unclear. This study aimed to identify the determinants of QoL in patients with MetS with and without OSA risk factors and to analyze differences between these two groups. Data were extracted from the 2020 Korea National Health and Nutrition Examination Survey (KNHANES). The Rao–Scott χ2 test was performed to evaluate differences in baseline characteristics based on OSA risk factors. A t-test was performed to evaluate differences in the baseline QoL, and linear regression analysis was performed to identify the effect on the QoL of the two groups. The factors affecting QoL in the low-risk group included age, education level, and depression. The factors affecting QoL in the high-risk group were physical activity and depression. These results suggest that nursing interventions should be devised according to patients’ characteristics to help improve their QoL.

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“…Our suggestion for scientists is to not forget that cross-sectionals studies are often used to understand determinants of health and establish preliminary evidence [68]; however, they are useless when it is necessary to consider the correlation between theoretical determinants and health outcomes. This first meta-analysis on sleep determinants in Latin America highlighted the high quality of cross-sectional studies published, as well as the lack of systematic review and longitudinal studies, similar to what has been found recently with the African population [69]. To support public health strategies, randomized controlled trials and longitudinal studies are required with a broader objective related to the SES-sleep health gradient, including the role of unhealthy behaviors, chronic diseases, and psychological factors [68].…”

Section: Discussionmentioning

confidence: 72%

“…nants and health outcomes. This first meta-analysis on sleep determinants in Latin America highlighted the high quality of cross-sectional studies published, as well as the lack of systematic review and longitudinal studies, similar to what has been found recently with the African population [69]. To support public health strategies, randomized controlled trials and longitudinal studies are required with a broader objective related to the SESsleep health gradient, including the role of unhealthy behaviors, chronic diseases, and psychological factors [68].…”

Section: The Necessity Of a Multidimensional Sleep Managementmentioning

confidence: 72%

Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status—A Systematic Review and a Meta-Analysis

Etindele Sosso,

Torres Silva,

Queiroz Rodrigues

et al. 2023

JCM

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Background: The worldwide increase in the prevalence and incidence of sleep disturbances represents a major public health issue. Among multiple determinants affecting sleep health, an individual’s socioeconomic status (SES) is the most ignored and underestimated throughout the literature. No systematic review on the relation between SES and sleep health has been previously conducted in Latin America. Methods: PRISMA guidelines were used. Results: Twenty articles were included in the final sample (all cross-sectional studies), and twelve among them were rated as fair or poor quality. Among these studies, 80.0% (n = 16) were performed in Brazil, 10.0% (n = 2) were performed in Peru, 5.0% (n = 1) were performed in Chile, and 5.0% (n = 1) were multicentric (11 countries). The combined total number of participants was N = 128.455, comprising 3.7% (n = 4693) children, 16.0% (n = 20,586) adolescents, and 80.3% (n = 103,176) adults. The results show the following: (1) The sleep outcomes analyzed were sleep duration, sleep quality/sleep disturbance, insomnia, excessive daytime sleepiness (EDS), obstructive sleep apnea (OSA)/sleep-disordered breathing (SDB) symptoms, and bruxism. (2) The most used determinants were income, education level, employment status/occupation, wealth/assets, and composite indices. (3) Higher SES was associated with shorter sleep duration. (4) Lower SES was associated with a decrease in sleep quality, less frequent snoring, more prevalent EDS, and sleep bruxism. (5) Lower education was associated with insomnia. (6) Higher education was associated with more sleep bruxism. (7) The pooled prevalence using a meta-analysis of the random effects model was 24.73% (95%CI, 19.98–30.19), with high heterogeneity (I2 = 100%). (8) The prevalence of sleep disturbances decreased with high education (OR, 0.83; 95%CI, [0.69–0.99]; I2 = 79%), while it increased with low income (OR, 1.26; 95%CI, [1.12–1.42]; I2 = 59%), unemployment (OR, 2.84; 95%CI, [2.14–3.76]; I2 = 0%), and being a housewife (OR, 1.72; 95%CI, [1.19–2.48]; I2 = 55%). Discussion: This meta-analysis shows that lower SES (education, income, and work) was associated with sleep disturbances in Latin America. Therefore, sleep disturbance management should be addressed with a multidimensional approach, and a significant investment in targeted public health programs to reduce sleep disparities and support research should be made by the government before the situation becomes uncontrollable.

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Social disparities in sleep health of African populations: A systematic review and meta-analysis of observational studies

Cited by 6 publications

References 89 publications

Psychological status of medical students and interns in the wake of the armed conflict of April 2023 in Sudan. A cross-sectional study

Psychological status of medical students and interns in the wake of the armed conflict of April 2023 in Sudan. A cross-sectional study

Quality of Life in Metabolic Syndrome Patients Based on the Risk of Obstructive Sleep Apnea

Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status—A Systematic Review and a Meta-Analysis

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