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Record W4410502990 · doi:10.1093/sleep/zsaf090.0383

0383 Associations Between Digital Technology and Sleep Health by Country, Age, and Sex

2025· article· en· W4410502990 on OpenAlex
Lauren Hale, Dimitri Christakis, Gina Marie Mathew, Isaac Rodriguez, Yasmin Aljedawi, Justin Thomas, Sahaab Alvi, Mamunar Rashid

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueSLEEP · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicMedical and Agricultural Research Studies
Canadian institutionsUniversity of TorontoConcordia University
Fundersnot available
KeywordsSleep (system call)MedicinePsychologyGerontologyDemographySociologyComputer science

Abstract

fetched live from OpenAlex

Abstract Introduction We investigated whether the widely-observed association between digital technology use and sleep health varied by country, age, and/or sex in a global sample of adults. Methods We used 2023 survey data from 35 countries (n=35,018, ~1000/country) to characterize the self-reported effects of digital technology on physical health, sleep quality, and tiredness (see https://sync.ithra.com/research). We examined whether responses varied by country, age, and sex. Results Participants from 35 countries (52.2% male) ranged from 18-99 years old (mean=38); 18.7% of respondents were between 18-24, and 8.0% were 65+. Unadjusted analyses showed that across all participants, 31.7% reported that digital technology reduced their physical health. Respondents in China had the lowest prevalence (11.8%) of digital media worsening physical health, while respondents in Estonia had the highest prevalence (56.4%). Younger respondents (18-24) were more likely to report that digital technology worsened physical health than older (65+) respondents (38.5% vs. 21.9%). Females were slightly more likely (33.7%) than males (30.0%) to report that digital media worsened physical health. When asked which physical conditions were experienced after using digital technology for longer than usual, 40.5% reported tiredness, and 39.0% reported decreased sleep quality. Out of all 35 countries, prevalence was lowest in Italy for both the symptoms of tiredness (22.1%) and decreased sleep quality (19.7%), while they were highest in Ghana (60.6%) for tiredness and Malaysia (57.3%) for decreased sleep quality. Among the youngest age group (18-24-year-olds), 48.4% and 47.1% reported tiredness and decreased sleep quality, respectively, compared to 22.4% and 16.1% for 65+. Females were more likely to report tiredness (42.3%) and decreased sleep quality (40.9%) as symptoms compared to males (38.8% and 37.8%, respectively). Conclusion These novel global results show that over one-third of adult respondents believe heavy use of digital technology leads to sleep-related symptoms, with larger effects for younger and female adults. Variation by country suggests that cultural factors may affect the association between digital technology use and sleep health. Support (if any) Aramco

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.736
Threshold uncertainty score0.554

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.340
Teacher spread0.323 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it