Sleep quality and its correlates among undergraduate students of a medical school in North Karnataka, India

Authors

  • Suhasini R. Kanyadi Department of Community Medicine, USM-KLE International Medical Programme, Belagavi, Karnataka, India
  • Shivalingappa B. Javali Department of Bio-statistics, USM-KLE International Medical Programme, Belagavi, Karnataka, India
  • Nabeel Ahmed Gadi Department of Community Medicine, USM-KLE International Medical Programme, Belagavi, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241280

Keywords:

Sleep quality, Medical students, Academic performance, Sleep hygiene, Technology use

Abstract

Background: Poor sleep quality is a global health concern and is fast becoming one of the silent epidemics. Sleep quality among medical students is of particular interest as they are considered high risk groups for developing sleep related issues because of their demanding schedules. This study aims to estimate the magnitude of poor sleep and its correlates among undergraduate medical students of a medical school in Belgaum, India.

Methods: An institutional based descriptive cross-sectional study was conducted among 293 undergraduate medical students using a self-administered questionnaire. Sleep quality was assessed using Pittsburgh sleep quality index (PSQI). The potential determinants of quality of sleep were identified using logistic regression. A p<0.05 was considered statistically significant and adjusted odds ratio with 95%CI was used to present the strength of association.

Results: The prevalence of poor sleep quality among medical students was 69.3%. Factors like gender, female students (AOR=2.381, 95%CI=1.359-4.172), being overweight or obese (AOR=2.499, 95%CI=1.297-4.817) were associated with poor sleep quality. Students with good sleep hygiene (AOR=0.415, 95%CI=0.231-0.745) and who did not use technology during bedtime (AOR=0.38, 95%CI=0.168-0.878) were less likely of having poor sleep quality at p<0.05.

Conclusions: Prevalence of poor sleep quality among substantial proportion of medical students in the current study is alarming. The already existing personal and professional development programme committee can conduct routine screening to assess sleep quality among students and focus on programmes to improve their sleep hygiene.

Metrics

Metrics Loading ...

References

Cheung V, Yuen VM, Wong GTC, Choi SW. The effect of sleep deprivation and disruption on DNA damage and health of doctors. Anaesthesia. 2019;74(4):434-40.

Noguti J, Alvarenga TA, Andersen ML, Tufik S, Oshima CT, Ribeiro DA. The influence of sleep deprivation on expression of apoptosis regulatory proteins p53, bcl-2 and bax following rat tongue carcinogenesis induced by 4-nitroquinoline 1-oxide. Dent Res J (Isfahan). 2013;10(2):247-53.

Skuladottir GV, Nilsson EK, Mwinyi J, Schiöth HB. One-night sleep deprivation induces changes in the DNA methylation and serum activity indices of stearoyl-CoA desaturase in young healthy men. Lipids Health Dis. 2016;15(1):137.

Nelson KL, Davis JE, Corbett CF. Sleep quality: An evolutionary concept analysis. Nurs Forum. 2022;57(1):144-51.

Javaheri S, Zhao YY, Punjabi NM, Quan SF, Gottlieb DJ, Redline S. Slow wave sleep is associated with incident hypertension: the sleep heart health study. Sleep. 2018;41(1):zsx179.

Hauri P. Sleep hygiene. Current Concepts: The Sleep Disorders. The Upjohn Company; Kalamazoo, MI. 1977;21-35.

Boudreau RL, Jiang P, Gilmore BL, Spengler RM, Tirabassi R, Nelson JA, et al. Transcriptome-wide discovery of microRNA binding sites in human brain. Neuron. 2014;81(2):294-305.

Subhaprada SC, Vijayakumari S, Rajasekhar T, Venkateswarlu U. An interventional study on sleep hygiene among medical students. Int J Community Med Public Health. 2017;4(2):352-6.

Azad MC, Fraser K, Rumana N, Ahmad FA, Nahid S, Patrick JH, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015;11(1):69-74.

Aloba OO, Adewuya AO, Ola BA, Mapayi BM. Validity of the Pittsburgh sleep quality index (PSQI) among Nigerian university students. Sleep Med. 2007;8(3):266-70.

Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the sleep hygiene index. J Behav Med. 2006;29(3):223-7.

Pan WH, Yeh WT. How to define obesity? Evidence-based multiple action points for public awareness, screening, and treatment: an extension of Asian-Pacific recommendations. Asia Pac J Clin Nutr. 2008;17(3):370-4.

Masalamany K, Ngu ST, Abd MananN, Adam SK. Sleep quality among pre-clinical medical students in Universiti Putra Malaysia and Universiti Malaya, Malaysia. Educ Med J. 2017;9(3):23-31.

Yazdi Z, Loukzadeh Z, Moghaddam P, Jalilolghadr S. Sleep hygiene practices and their relation to sleep quality in medical students of Qazvin university of medical sciences. J Caring Sci. 2016;5(2):153-60.

Shafique Z, Syed F, Naz S, Urooj S, Khan S, Javed S. Assessment of factors affecting the sleep hygiene of medical students in Bahawalpur, Pakistan: a cross-sectional study. Sleep Sci. 2021;14(3):273-9.

Wondie T, Molla A, Mulat H, Damene W, Bekele M, Madoro D, et al. Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: Cross-sectional study. Sleep Science and Practice. 2021;5(1):1-8.

Almojali AI, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Global Heal. 2017;7(3):169-74.

Gupta S, Bhardwaj A, Nadda A, Gill A, Mittal A, Gupta S. A comparative study of sleep quality in different phases of the medical course: A study from Haryana (North India). J Family Med Prim Care. 2020;9(4):2006-10.

Rao WW, Li W, Qi H, Hong L, Chen C, Li CY, et al. Sleep quality in medical students: a comprehensive meta-analysis of observational studies. Sleep Breath. 2020;24(3):151-65.

Ibrahim N, Badawi F, Mansouri Y, Ainousa A, Jambi S. Sleep quality among medical students at King Abdulaziz University: a cross-sectional study. J Community Med Health Educ. 2017;7(561):2161-711.

Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res. 2017;255:186-94.

Bahmman AS, Al-Khairy OK, Al-Taweel AA. Sleep habits and patterns among medical students. Neurosciences (Riyadh). 2005;10(2):159-62.

Suen LK, Tam WW, Hon KL. Association of sleep hygiene-related factors and sleep quality among university students in Hong Kong. Hong Kong Med J. 2010;16(3):180-8.

Brown FC, Buboltz WC, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behavioral Med. 2002;28(1):33-8.

Madhusudan M, Anaswara DU, Aiswarya E, Jose A, Dileep N, Paul KM, et al. Sleep quality, its determinants and its association with academic performance among the students of a medical college in Kerala. Ann Community Health. 2019;7(1):05-08.

Alqarni AB, Alzahrani NJ, Alsofyani MA, Almalki AA. The interaction between sleep quality and academic performance among the medical students in Taif University. Egypt J Hosp Med. 2018;70(12):2202-08.

Anuradha R, Hemachandran S, Aruna BP. Sleep Quality and Daytime Sleepiness among Medical Undergraduate Students in Tamil Nadu: A Cross-sectional Study. J Clin Diagnostic Res. 2022;16(7):LC18-23.

Basu M, Saha SK, Majumder S, Chatterjee S, Misra R. A study on sleeping pattern among undergraduate medical students of a tertiary care teaching hospital of Kolkata. Int J Med Pub Health. 2019;9(4):118-24.

Krističević T, Štefan L, Sporiš G. The Associations between Sleep Duration and Sleep Quality with Body-Mass Index in a Large Sample of Young Adults. Int J Environ Res Public Health. 2018;15(4):758.

Downloads

Published

2024-05-04

How to Cite

Kanyadi, S. R., Javali, S. B., & Gadi, N. A. (2024). Sleep quality and its correlates among undergraduate students of a medical school in North Karnataka, India. International Journal Of Community Medicine And Public Health, 11(6), 2247–2253. https://doi.org/10.18203/2394-6040.ijcmph20241280

Issue

Section

Original Research Articles