Systematic review: Individual-level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease.
Linda Yoo, Chi-Shan Tsai, Margaret Heitkemper and 1 others
PMID 36756952WHAT IT FOUND
Sleep health in IBD was mostly examined through individual factors.
Nine studies examined social factors, 6 found no clear link; in the few with links, minority patients had more broken sleep and pandemic worries related to disturbed sleep.
Key findings
0145 studies, including 13,089 participants with IBD, were reviewed, and thirty-six examined individual-level factors while nine examined social determinants.
02Among the nine studies that examined social determinants, 6 found no significant association with sleep outcomes.
03In the few studies with significant social determinant findings, minority patients had poorer sleep efficiency and fragmentation, and perceived pandemic harm was associated with greater sleep disturbances.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a narrative systematic review, not a meta-analysis, so it cannot give a single pooled effect for any factor. Most included studies were cross-sectional, so they show association rather than cause. Fewer than half of the studies identified confounders, and even fewer accounted for them. Only ten studies had all eight high-quality elements. Only nine studies examined social determinants, and no study explored all social determinant domains. Most participants were recruited from a clinic or hospital (82%), and among studies reporting race, 80% had predominantly white samples. Some studies excluded shift workers, which may limit relevance for patients with nonstandard work schedules.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this review as proof that asking about social factors improves sleep in IBD. The review describes what was studied, not a tested intervention, and most social determinant variables were not clearly linked to sleep.