Prevalence of poor sleep quality in the Ethiopian population: a systematic review and meta-analysis

Abstract

Background

Only a limited amount of data is available from lower-income countries regarding the prevalence of poor quality of sleep. This meta-analysis of the scientific literature was performed to estimate the pooled prevalence of poor sleep quality in the Ethiopian population.

Methods

The study protocol followed was the Preferred Reporting of Items for Systematic Review and meta-analysis (PRISMA) statement.

Results

The nine studies which met the inclusion criteria provided data based on a total of 9103 participants who were studied at various health and academic institutions. The incidences of self-reported poor sleep quality ranged from 26 to 66.2%. The pooled estimate of poor sleep quality was 53%.There was a high prevalence of reported poor quality of sleep among younger subjects and among those who were studied in community (noninstitutional) settings.

Conclusion

The pooled prevalence of poor sleep quality is quite high among Ethiopians.

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References

  1. 1.

    Manzar MD, Zannat W, Hussain ME (2015) Sleep and physiological systems: a functional perspective. Biol Rhythm Res 46:195–206. https://doi.org/10.1080/09291016.2014.966504

    Article  Google Scholar 

  2. 2.

    Goel N, Basner M, Hengyi Rao H, Dinges DF (2013) Circadian rhythms, sleep deprivation, and human performance. Prog Mol Biol Transl Sci 119:155–190. https://doi.org/10.1016/B978-0-12-396971-2.00007-5

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    Banks F, Dinges DF (2007) Behavioral and physiological consequences of sleep restriction. J Clin Sleep Med 15:519–528

    Article  Google Scholar 

  4. 4.

    Roth T (2007) Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med 15:S7–S10. https://doi.org/10.1016/S1098-3597(03)90031-7

    Article  Google Scholar 

  5. 5.

    Harvey AG, Stinson K, Whitaker KL, Moskovitz D, Virk H (2008) The subjective meaning of sleep quality: a comparison of individuals with and without insomnia. Sleep 31:383–393. https://doi.org/10.1093/sleep/31.3.383

    Article  PubMed  PubMed Central  Google Scholar 

  6. 6.

    CDC - Data and Statistics - Sleep and Sleep Disorders (n.d.). Retrieved December 31, 2018, from https://www.cdc.gov/sleep/data_statistics.html

  7. 7.

    Morin CM, LeBlanc M, Bélanger L, Ivers H, Mérette C, Savard J (2011) Prevalence of insomnia and its treatment in Canada. Can J Psychiatr 56:540–548. https://doi.org/10.1177/070674371105600905

    Article  Google Scholar 

  8. 8.

    Léger D, Poursain B, Neubauer D, Uchiyama M (2008) An international survey of sleeping problems in the general population. Curr Med Res Opin 24:307–317. https://doi.org/10.1185/030079907X253771

    Article  PubMed  Google Scholar 

  9. 9.

    Stranges S, Tigbe W, Gómez-Olivé FX, Thorogood M, Kandala NB (2012) Sleep problems: an emerging global epidemic? Findings from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia. Sleep. 35:1173–1181. https://doi.org/10.5665/sleep.2012

    Article  PubMed  PubMed Central  Google Scholar 

  10. 10.

    Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, PRISMA-P Group (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 4:1. https://doi.org/10.1186/2046-4053-4-1

    Article  PubMed  PubMed Central  Google Scholar 

  11. 11.

    Salahuddin M, Maru TT, Kumalo A, Pandi-Perumal SR, Bahammam AS, Manzar MD (2017) Validation of the Pittsburgh sleep quality index in community dwelling Ethiopian adults. Health Qual Life Outcomes 15(1):58. https://doi.org/10.1186/s12955-017-0637-5

    Article  PubMed  PubMed Central  Google Scholar 

  12. 12.

    Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213. https://doi.org/10.1016/0165-1781(89)90047-4

    CAS  Article  Google Scholar 

  13. 13.

    Gelaye B, Lohsoonthorn V, Lertmeharit S, Pensuksan WC, Sanchez SE, Lemma S, Berhane Y, Zhu X, Vélez JC, Barbosa C, Anderade A, Mahlet G, Tadesse MG, Williams AM (2014) Construct validity and factor structure of the Pittsburgh sleep quality index and Epworth sleepiness scale in a multi-national study of African, south east Asian and south American college students. PLoS One 9(12):e116383. https://doi.org/10.1371/journal.pone.0116383

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  14. 14.

    Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, Bahammam AS, Hussain ME (2015) Validity of the Pittsburgh sleep quality index in Indian university students. Oman Med J 30:193–2012. https://doi.org/10.5001/omj.2015.41

    Article  PubMed  PubMed Central  Google Scholar 

  15. 15.

    Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 12(355):i4919. https://doi.org/10.1136/bmj.i4919

    Article  Google Scholar 

  16. 16.

    Gelaye B, Okeiga J, Ayantoye I, Berhane HY, Berhane Y, Williams MA (2016) Association of suicidal ideation with poor sleep quality among Ethiopian adults. Sleep Breath 20:1319–1324. https://doi.org/10.1007/s11325-016-1418-9

    Article  PubMed  PubMed Central  Google Scholar 

  17. 17.

    Berhanu H, Mossie A, Tadesse S, Geleta D (2018) Prevalence and associated factors of sleep quality among adults in Jimma town, Southwest Ethiopia: a community-based cross-sectional study. Sleep Disorders 2018:1–10. https://doi.org/10.1155/2018/8342328

    Article  Google Scholar 

  18. 18.

    Manzar MD, Salahuddin M, Maru TT, Dadi TL, Abiche MG, Abateneh DD, Pandi-Perumal SR, Bahammam AS (2017) Sleep correlates of substance use in community-dwelling Ethiopian adults. Sleep Breath 21:1005–1011. https://doi.org/10.1007/s11325-017-1567-5

    Article  PubMed  Google Scholar 

  19. 19.

    Morgan I, Eguia F, Gelaye B, Peterlin BL, Tadesse MG, Lemma S, Berhane Y, Williams MA (2015) Sleep disturbances and quality of life in sub-Saharan African migraineurs. J Headache Pain 16:1–8. https://doi.org/10.1186/s10194-015-0504-x

    CAS  Article  Google Scholar 

  20. 20.

    Byrd K, Gelaye B, Tadesse GM, Williams MA, Lemma S, Berhanec Y (2014) Sleep disturbances and common mental disorders in college students. Health Behav Policy Rev 1(3):229–237. https://doi.org/10.14485/HBPR.1.3.7

    Article  PubMed  PubMed Central  Google Scholar 

  21. 21.

    Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA (2012) Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC Psychiatry 12. https://doi.org/10.1186/1471-244X-12-237

  22. 22.

    Lemma S, Patel SV, Tarekegn YA, Tadesse MG, Berhane Y, Gelaye B, Williams MA (2012) The epidemiology of sleep quality, sleep patterns, consumption of caffeinated beverages, and khat use among Ethiopian college students. Sleep Disorders 2012:1–11. https://doi.org/10.1155/2012/583510

    Article  Google Scholar 

  23. 23.

    Haile YG, Alemu SM, Habtewold TD (2017) Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia. Int J Ment Heal Syst 11(34):1–11. https://doi.org/10.1186/s13033-017-0142-6

    Article  Google Scholar 

  24. 24.

    Nyaga VN, Arbyn M, Aerts M (2014) Metaprop: a Stata command to perform meta-analysis of binomial data. Arch Public Health 72(39):1–10. https://doi.org/10.1186/2049-3258-72-39

    Article  Google Scholar 

  25. 25.

    Cao XL, Wang SB, Zhong BL, Zhang L, Ungvari GS, Ng CH, Li L, Chiu HF, Lok GK, Lu JP, Jia FJ, Xiang YT (2017) The prevalence of insomnia in the general population in China: a meta-analysis. PLoS One 12(2):1–11. https://doi.org/10.1371/journal.pone.0170772

    CAS  Article  Google Scholar 

  26. 26.

    Simonelli G, Marshall NS, Grillakis A, Miller CB, Hoyos CM, Glozier N (2018) Sleep health epidemiology in low and middle-income countries: a systematic review and meta-analysis of the prevalence of poor sleep quality and sleep duration. Sleep Health 4(3):239–250. https://doi.org/10.1016/j.sleh.2018.03.001

    Article  PubMed  Google Scholar 

  27. 27.

    Schlarb AA, Claßen M, Hellmann SM, Vögele C, Gulewitsch MD (2017) Sleep and somatic complaints in university students. J Pain Res 18:1188–1119. https://doi.org/10.2147/JPR.S125421

    Article  Google Scholar 

  28. 28.

    Manzar MD, Salahuddin M, Alamri M, Maru TT, Pandi-Perumal SR, Bahammam AS (2018) Poor sleep in concurrent users of alcohol, khat, and tobacco smoking in community-dwelling Ethiopian adults. Ann Thorac Med 13:220–225. https://doi.org/10.4103/atm.ATM_36_18

    Article  PubMed  PubMed Central  Google Scholar 

  29. 29.

    Manzar MD, Sony P, Salahuddin M, Kumalo A, Geneto M, Pandi-Perumal SR, Moscovitch A, BaHammam AS (2017) Electrolyte imbalance and sleep problems during anti-retroviral therapy: an under-recognized problem. Sleep Sci 10:64–67. https://doi.org/10.5935/1984-0063.20170011

    Article  PubMed  PubMed Central  Google Scholar 

  30. 30.

    Darve R, Gelaye B, Tadesse MG, Williams MA, Lemma S, Berhane Y (2014) Daytime sleepiness, circadian preference, caffeine consumption and khat use among college students in Ethiopia. J Sleep Disord Treat Care 3(1):202–210. https://doi.org/10.4172/2325-9639.1000130

    Article  Google Scholar 

  31. 31.

    Harbord RM, Egger M, Sterne JAC (2006) A modified test for small-study effects in meta-analyses of controlled trials with binary endpoints. Stat Med 25:3443–3457. https://doi.org/10.1002/sim.2380

    Article  PubMed  Google Scholar 

  32. 32.

    Chattu V, Manzar M, Kumary S, Burman D, Spence D, Pandi-Perumal SR (2019) The global problem of insufficient sleep and its serious public health implications. Healthcare 20(7):1. https://doi.org/10.3390/healthcare7010001

    Article  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

This work is supported by the Deanship of Scientific Research at Majmaah University under project number no. 1440-17.

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Correspondence to Majumi M. Noohu.

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Manzar, M.D., Bekele, B.B., Noohu, M.M. et al. Prevalence of poor sleep quality in the Ethiopian population: a systematic review and meta-analysis. Sleep Breath 24, 709–716 (2020). https://doi.org/10.1007/s11325-019-01871-x

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Keywords

  • Epidemiology
  • Ethiopian
  • Low-income countries
  • Meta-analysis
  • Sleep disorders
  • Sleep quality
  • Systematic review