Relationship of Sleep Duration with Sociodemographic Characteristics, Lifestyle, Mental Health, and Chronic Diseases in a Large Chinese Adult Population

J Clin Sleep Med. 2017 Mar 15;13(3):377-384. doi: 10.5664/jcsm.6484.


Study objectives: Pattern of sleep duration and its correlates have rarely been reported in China. This study examined the sleep duration and its relationship with sociodemographic variables, lifestyle, mental health, and chronic diseases in a large Chinese adult population.

Methods: This cross-sectional study used multistage stratified cluster sampling. A total of 17,320 participants from Jilin province were selected and interviewed using standardized assessment tools. Basic socio-demographic and clinical data were collected. Sleep duration was classified as short (< 7 h per day), long (> 9 h per day) and medium sleep (7-9 h per day).

Results: The mean age of the sample was 42.60 ± 10.60 y, with 51.4% being female. The mean sleep duration was 7.31 ± 1.44 h. Short and long sleepers accounted for 30.9% and 6.9% of the sample, respectively. Multinomial logistic regression analysis revealed that older age, current smoking, irregular meal pattern, lack of physical exercise, poor mental health, and chronic diseases or multimorbidity were positively associated with short sleep. Being married and living in rural areas were, however, negatively associated with short sleep. In addition, living in rural area, current smoking, current alcohol use and lack of physical exercise were positively associated with long sleep, while older age and lower education were negatively associated with long sleep.

Conclusion: Given the high frequency of short sleep and its negative effect on health, health professionals should pay more attention to sleep patterns in general health care. Nationwide epidemiologic surveys in China are needed to further explore the relationship between sleep duration and health.

Keywords: China; chronic disease; mental health; sleep duration.

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking / epidemiology
  • China / epidemiology
  • Chronic Disease / epidemiology*
  • Cluster Analysis
  • Comorbidity
  • Cross-Sectional Studies
  • Exercise
  • Female
  • Health Status
  • Health Surveys / methods
  • Health Surveys / statistics & numerical data*
  • Humans
  • Life Style*
  • Male
  • Mental Disorders / epidemiology*
  • Mental Health
  • Middle Aged
  • Rural Population / statistics & numerical data
  • Sleep
  • Sleep Deprivation / epidemiology*
  • Smoking / epidemiology
  • Socioeconomic Factors*
  • Time Factors
  • Young Adult