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Associations of Sleep Duration and Social Jetlag with Dry Eye Disease in Chinese School-Aged Children and Adolescents

Yuzhu Luo, Yuting Gao, Zhong Guan, Heting Liu, Shuman Tao

Nature and Science of Sleep, 2025

4 citations

Abstract

Objective To investigate the prevalence of dry eye disease (DED) among children and adolescents aged 9 to 19 years in Fengyang County, and to explore the associations of sleep duration and social jetlag with DED, with the aim of providing scientific evidence for sleep-based interventions to prevent DED in this population. Methods Between November and December 2023, 14 primary and secondary schools were randomly selected in Fengyang County, Chuzhou City, Anhui Province, China. Students from Grade 4 to Grade 12 (aged 9–19 years) were invited to participate. A trained professional conducted clinical assessments to evaluate DED, and participants completed self-administered questionnaires to report their sleep behaviors. Sleep quality was assessed by an item from Pittsburgh Sleep Quality Index. Chi-square tests and independent-samples t-tests were used to compare sociodemographic characteristics between DED and non-DED groups. Logistic regression models were applied to examine the associations of sleep duration, social jetlag, and their interaction with DED after adjusting for potential confounders. Results The overall prevalence of DED among children and adolescents in Fengyang County was 51%. After adjusting for confounders, binary logistic regression analysis showed that students who slept less than 9 hours per night had a significantly higher likelihood of DED (OR = 1.37, 95% CI: 1.21–1.68), and those with social jetlag ≥1 hour also had an elevated risk of DED (OR = 1.28, 95%…

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