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Factors Associated with Poor Sleep among Young People in Mauritius: A Survey-Based Study

Authors

DOI:

https://doi.org/10.5195/ijms.2022.654

Keywords:

Sleep Quality, Global Health, Prevalence, Mauritius, Sleep Hygiene, Cross-Sectional Studies

Abstract

Background: Poor sleep quality in young people is a global concern. This study was conducted to explore sleep quality and its contributory factors in young people of Mauritius.

Methods: This cross-sectional study comprised 202 participants aged between 14 to 29 years. The Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS) and the Adolescent Sleep Hygiene Scale (ASHS) were used to measure sleep quality, daytime sleepiness, and sleep hygiene respectively. Chi-squared tests were conducted to evaluate relationships between the collected variables. Multivariate logistic regression was used to identify associated factors with poor sleep quality.

Results: The mean global PSQI was 4.81 (95%CI: 4.4, 5.22). Prevalence of poor sleep quality (global PSQI score > 5) was 30.7%. The male gender reported better sleep (p=0.008). Sleep quality was significantly associated with longer sleep duration (p<0.0001), pre-bedtime relaxing activities (p=0.01), and daytime physical exercise (p=0.001). In contrast, alcohol consumption after 18:00 (p<0.0001), tobacco smoking after 18:00 (p<0.0001), pre-bedtime awakening activities (p=0.001), and poor sleep environment (p<0.0001) negatively influenced sleep quality. Multivariate logistic regression confirmed that female gender and sleep environment factors were associated with higher likelihood of poor sleep quality, while participants with longer duration of sleep (>7 hours), cognitive/emotional and sleep stability factors were found to be less likely to have poor sleep quality.

Conclusion: This study showed that the prevalence of poor sleep in young people in Mauritius was 30.7%. Female gender and sleep environment factors were main contributory factors. These initial results can guide further research on sleep quality

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References

National Institute of Neurological Disorders and Stroke. Brain Basics: Understanding Sleep. Available from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Understanding-Sleep; Last updated August 13 2019; cited April 28, 2022.

Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep Health. 2017;3(1):6-19. DOI: https://doi.org/10.1016/j.sleh.2016.11.006

Lo HM, Leung JHY, Chau GKY, Lam MH, Lee KY, Ho A. Factors affecting sleep quality among adolescent athletes. Sports Nutr Ther. 2017;2(123).

Lee JE, Jang S-I, Ju YJ, Kim W, Lee HJ, Park E-C. Relationship between mobile phone addiction and the incidence of poor and short sleep among Korean adolescents: a longitudinal study of the Korean children & youth panel survey. J Korean Med Sci. 2017;32(7):1166-72. DOI: https://doi.org/10.3346/jkms.2017.32.7.1166

Kosticova M, Husarova D, Dankulincova Z. Difficulties in getting to sleep and their association with emotional and behavioural problems in adolescents: does the sleeping duration influence this association? Int J Environ Res Public Health. 2020;17(5):1691. DOI: https://doi.org/10.3390/ijerph17051691

Peltzer K, Pengpid S. Nocturnal sleep problems among university students from 26 countries. Sleep Breath. 2015;19(2):499-508. DOI: https://doi.org/10.1007/s11325-014-1036-3

Bruce ES, Lunt L, McDonagh JE. Sleep in adolescents and young adults. Clin Med (Lond). 2017;17(5):424-8. DOI: https://doi.org/10.7861/clinmedicine.17-5-424

Léger D, Bayon V, Ohayon MM, Philip P, Ement P, Metlaine A, et al. Insomnia and accidents: cross-sectional study (EQUINOX) on sleep-related home, work and car accidents in 5293 subjects with insomnia from 10 countries. J Sleep Res. 2014;23(2):143-52. DOI: https://doi.org/10.1111/jsr.12104

Vinstrup J, Jakobsen MD, Andersen LL. Poor sleep is a risk factor for low-back pain among healthcare workers: prospective cohort study. Int. J. Environ. Res. Public Health. 2020;17(3):996. DOI: https://doi.org/10.3390/ijerph17030996

Lunsford-Avery JR, Damme KSF, Engelhard MM, Kollins SH, Mittal VA. Sleep/wake regularity associated with default mode network structure among healthy adolescents and young adults. Sci Rep. 2020;10 (509). DOI: https://doi.org/10.1038/s41598-019-57024-3

Smiley A, Wolter S, Nissan D. Mechanisms of association of sleep and metabolic syndrome. J Med – Clin Res & Rev. 2019;3(3):1-9. DOI: https://doi.org/10.33425/2639-944X.1089

Knott M, Classen S, Krasniuk S, Tippett M, Alvarez L. Insufficient sleep and fitness to drive in shift workers: a systematic literature review protocol. Inj Prev. 2019;25(6):589-94. DOI: https://doi.org/10.1136/injuryprev-2018-042972

Milojevich HM, Lukowski AF. Sleep and mental health in undergraduate students with generally healthy sleep habits. PLoS One. 2016;11(6):e0156372. DOI: https://doi.org/10.1371/journal.pone.0156372

Almojali A, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Glob Health. 2017;7(3):169-74. DOI: https://doi.org/10.1016/j.jegh.2017.04.005

van der Heijden KB, Stoffelsen RJ, Popma A, Swaab H. Sleep, chronotype, and sleep hygiene in children with attention-deficit/hyperactivity disorder, autism spectrum disorder, and controls. Eur Child Adolesc Psychiatry. 2018;27(1):99-111. DOI: https://doi.org/10.1007/s00787-017-1025-8

Oliveira LMFT, Silva AO, Santos MAM, Ritti-Dias RM, Diniz PRB. Exercise or physical activity: which is more strongly associated with the perception of sleep quality by adolescents? Rev Paul Pediatr. 2018;36(3):322-8. DOI: https://doi.org/10.1590/1984-0462/;2018;36;3;00014

The Epworth Sleepiness Scale. About the ESS-CHAD. Available from: https://epworthsleepinessscale.com/about-the-ess-chad/ Last updated June 20, 2014; cited May 01, 2022.

Storfer-Isser A, Lebourgeois MK, Harsh J, Tompsett CJ, Redline S. Psychometric properties of the adolescent sleep hygiene scale. J Sleep Res. 2013;22(6):707-16. DOI: https://doi.org/10.1111/jsr.12059

Li Y, Bai W, Zhu B, Duan R, Yu X, Xu W, et al. Prevalence and correlates of poor sleep quality among college students: a cross-sectional survey. Health Qual Life Outcomes. 2020;18(1):210. DOI: https://doi.org/10.1186/s12955-020-01465-2

Galan-Lopez P, Domínguez R, Gísladóttir T, Sánchez-Oliver AJ, Pihu M, Ries F, et al. Sleep quality and duration in European adolescents (The AdolesHealth Study): A cross-Sectional, quantitative study. Children (Basel). 2021;8(3):188. DOI: https://doi.org/10.3390/children8030188

Robbins R, Affouf M, Seixas A, Beaugris L, Avirappattu G, Jean-Louis G. Four-year trends in sleep duration and quality: a longitudinal study using data from a commercially available sleep tracker. J Med Internet Res. 2020;22(2):e14735. DOI: https://doi.org/10.2196/14735

Fatima Y, Doi SAR, Najman JM, Mamun AA. Exploring gender difference in sleep quality of young adults: findings from a large population study. Clin Med Res. 2016;14(3-4):138-44. DOI: https://doi.org/10.3121/cmr.2016.1338

Tsai LL, Li SP. Sleep patterns in college students: gender and grade differences. J Psychosom Res. 2004;56(2):231-7. DOI: https://doi.org/10.1016/S0022-3999(03)00507-5

Thakkar MM, Sharma R, Sahota P. Alcohol disrupts sleep homeostasis. Alcohol. 2015;49(4):299-310. DOI: https://doi.org/10.1016/j.alcohol.2014.07.019

Zheng D, Yuan X, Ma C, Liu Y, VanEvery H, Sun Y, Wu S, Gao X. Alcohol consumption and sleep quality: a community-based study. Public Health Nutr. 2021;24(15):4851-8. DOI: https://doi.org/10.1017/S1368980020004553

Dugas EN, Sylvestre MP, O'Loughlin EK, Brunet J, Kakinami L, Constantin E, O'Loughlin J. Nicotine dependence and sleep quality in young adults. Addict Behav. 2017;65:154-160. DOI: https://doi.org/10.1016/j.addbeh.2016.10.020

Gillman AG, Kosobud AE, Timberlake W. Pre- and post-nicotine circadian activity rhythms can be differentiated by a paired environmental cue. Physiol Behav. 2008;93(1-2):337-50. DOI: https://doi.org/10.1016/j.physbeh.2007.09.013

Lund L, Sølvhøj IN, Danielsen D, Andersen S. Electronic media use and sleep in children and adolescents in western countries: a systematic review. BMC Public Health. 2021;21(1):1598. DOI: https://doi.org/10.1186/s12889-021-11640-9

Hale L, Kirschen GW, LeBourgeois MK, Gradisar M, Garrison MM, Montgomery-Downs H, Kirschen H, McHale SM, Chang AM, Buxton OM. Youth Screen Media Habits and Sleep: Sleep-Friendly Screen Behavior Recommendations for Clinicians, Educators, and Parents. Child Adolesc Psychiatr Clin N Am. 2018;27(2):229-45. DOI: https://doi.org/10.1016/j.chc.2017.11.014

Johnson DA, Billings ME, Hale L. Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health. Curr Epidemiol Rep. 2018;5(2):61-9. DOI: https://doi.org/10.1007/s40471-018-0139-y

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2022-08-17 — Updated on 2022-09-28

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Ramdhany, Y. D., Devi Goorah, S. S., Cheeneebash, J., & Niketan Oodun, R. (2022). Factors Associated with Poor Sleep among Young People in Mauritius: A Survey-Based Study. International Journal of Medical Students, 10(3), 236–242. https://doi.org/10.5195/ijms.2022.654

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Vol. 10 No. 3 (2022)

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Copyright (c) 2022 Yudisha Devi Ramdhany, Smita Sulackshana Devi Goorah , Jayrani Cheeneebash , Ritwij Niketan Oodun

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