Individual, social and environmental determinants of sleep among women: protocol for a systematic review and meta-analysis

BMJ Open. 2017 Jun 14;7(6):e016592. doi: 10.1136/bmjopen-2017-016592.


Introduction: Sleep is important to promote optimal health and avoid negative health outcomes. Short-duration and low-quality sleep may be more common and more detrimental among women compared with men. Identifying the determinants of behaviour is one of the first steps in designing effective interventions. To our knowledge, no systematic review has identified the individual, social and environmental determinants of sleep among adult women.

Methods and analysis: Studies reporting data on adult women from 18 to 64 years of age will be included. On the basis of ecological models of health behaviour and sleep, the types of determinants that will be included in the review are individual (eg, demographic, psychological and behavioural), social (eg, family) and environmental (eg, physical environment and policies) determinants. Observational (cross-sectional and longitudinal) and experimental studies will be included. MEDLINE/PubMed, PsycINFO, CINAHL, EMBASE and Proquest Dissertations and Theses will be investigated. Data will be extracted independently by two reviewers using a standardised data extraction form. The quality of observational studies will be assessed using the National Institute of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and the quality of experimental studies will be assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Study. If there is a sufficient number of studies reporting data on a similar determinant among a similar population (k>5), a meta-analysis of the results will be performed with a random-effects model. If between-study heterogeneity is high (I2 ≥75%), it will be investigated through sensitivity analyses and meta-regression.

Ethics and dissemination: Formal ethical approval is not required as no primary data will be collected. The results will be published in a peer-reviewed journal. This review will provide valuable information to those interested in developing empirically based sleep interventions among women.

Prospero registration number: CRD42017056894.

Keywords: determinants; meta-analysis; sleep; systematic review; women.

Publication types

  • Meta-Analysis

MeSH terms

  • Adult
  • Family*
  • Female
  • Health Behavior*
  • Humans
  • Research Design
  • Sleep / physiology*
  • Social Environment*
  • Systematic Reviews as Topic

Grant support