About the ACROSS study
Cross-cultural differences in sleep patterns and problems in Asian school-aged adolescents: the ACROSS study
Sleep problems are common in adolescents. Studies have consistently demonstrated that sleep disturbances are prevalent, affecting up to 50% of this population. The situation is worrying as an expanding body of evidence has demonstrated the close relationship between inadequate sleep and daytime impairment, obesity, diabetes, cardiovascular complications, disruptive behaviors, mental health and poor academic performance. There are multiple factors that contribute to sleep problems in adolescents including biological, social and cultural factors. Although we understand that geographical and cultural factors play a significant role in sleep-wake pattern differences, there are limited cross-cultural studies exploring how risk factors and barriers to sleep in adolescents differ across different cultures. Most existing studies are country specific which limit adequate cross-cultural comparisons as they utilize different inventories, age groups, and measurement methods. The variability in methodology makes it difficult to make accurate comparisons across different cultures. Identifying similarities and differences in sleep patterns/problems as well as associated factors across various regions will allow us to have more thorough understanding of adolescent sleep, which is important step in sharpening strategies to remedy this concerning situation.
Aims
Study objectives of the ACROSS study:
1. To survey sleep in Asian adolescents
2. To explore the Cultural differences in sleep patterns and problems
3. To evaluate the Risk factors associated with sleep problems
4. To understand Obstacles to obtaining adequate sleep
5. To eventually foster healthy Sleep in Schools
We aim to map out sleep patterns, risk factors, and obstacles for sleep in adolescents across Asia, capturing the diversity of societal factors (e.g. geographical, cultural, religious factors) that shape the sleeping habits of adolescents in our region.
How will we do this?
We aim to recruit school-aged adolescents (aged 12-18 years old) from secondary schools to fill in the questionnaire covering their sleep-wake patterns, sleep problems, mood, behavioral, daytime functioning and their attitude and perception towards sleep. To allow a good representation, we aim to have at least N=1000 respondents per participating centre (representing their city/area/country). The questionnaire can be delivered online or in written format.