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Title: Gender-specific estimates of sleep problems during the COVID-19 pandemic : systematic review and meta-analysis
Authors: Alimoradi, Z
Gozal, D
Tsang, HWH 
Lin, CY
Broström, A
Ohayon, MM
Pakpour, AH
Issue Date: 2021
Source: Journal of sleep research, 2021, e13432, Early View, https://doi.org/10.1111/jsr.13432
Abstract: The outbreak of the novel coronavirus disease 2019 (COVID-19) changed lifestyles worldwide and subsequently induced individuals’ sleep problems. Sleep problems have been demonstrated by scattered evidence among the current literature on COVID-19; however, little is known regarding the synthesised prevalence of sleep problems (i.e. insomnia symptoms and poor sleep quality) for males and females separately. The present systematic review and meta-analysis aimed to answer the important question regarding prevalence of sleep problems during the COVID-19 outbreak period between genders. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline and Newcastle–Ottawa Scale checklist, relevant studies with satisfactory methodological quality searched for in five academic databases (Scopus, PubMed Central, ProQuest, Web of Science, and EMBASE) were included and analysed. The protocol of the project was registered in the International Prospective Register of Systematic Reviews (PROSPERO; identification code CRD42020181644). A total of 54 papers (N = 67,722) in the female subgroup and 45 papers (N = 45,718) in the male subgroup were pooled in the meta-analysis. The corrected pooled estimated prevalence of sleep problems was 24% (95% confidence interval [CI] 19%–29%) for female participants and 27% (95% CI 24%–30%) for male participants. Although in both gender subgroups, patients with COVID-19, health professionals and general population showed the highest prevalence of sleep problems, it did not reach statistical significance. Based on multivariable meta-regression, both gender groups had higher prevalence of sleep problems during the lockdown period. Therefore, healthcare providers should pay attention to the sleep problems and take appropriate preventive action.
Keywords: COVID-19
Gender
Insomnia
Prevalence
Sleep
Publisher: John Wiley & Sons
Journal: Journal of sleep research 
ISSN: 0962-1105
DOI: 10.1111/jsr.13432
Rights: © 2021 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society
This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
The following publication Alimoradi, Z., Gozal, D., Tsang, H. W., Lin, C. Y., Broström, A., Ohayon, M. M., & Pakpour, A. H. (2021). Gender‐specific estimates of sleep problems during the COVID‐19 pandemic: Systematic review and meta‐analysis. Journal of sleep research, e13432 is available at https://doi.org/10.1111/jsr.13432
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