Background
The sleep quality of undergraduates is considerably worse than that in general population, a cross sectional study was conducted to evaluate sleep quality and identify related factors.
Methods
All participants from the freshmen to senior were recruited by the stratified cluster sampling from December 1, 2018 to January 12, 2019. The questionnaire used in this research was primarily composed of three sections: demographic characteristics, Pittsburgh Sleep Quality Index (PSQI) questionnaire and influencing factors of sleep quality. The data were analyzed using SPSS 18.0.
Results
A total of 1,063 valid questionnaires were collected. Among them, 53.7% subjects suffered poor sleep quality. PSQI general score was 5.94 ± 2.73. There were significantly differences in sleep quality in sex, majors and grades. The survey reported that women suffered worse sleep quality than that of men, and medical students suffered worse sleep quality than non-medical students. Meanwhile, it also found that freshmen had better sleep quality than that of sophomores and juniors, sophomores suffered worst sleep quality. The logistic regression analysis showed that bad physical condition (OR (Odds ratio): 2.971 (2.034∼4.339)) and smoking (OR: 1.754 (1.258∼2.446)) were associated with poor sleep quality in males. However, more factors associated with poor sleep quality among females were found, including noisy dormitory environment (OR: 2.025 (1.354-3.030)), skipping breakfast more times per week (OR: 1.332 (1.031∼1.721)), drinking coffee before sleep (OR: 2.111 (1.155∼3.861)), playing with mobile phones for more than 45 minutes before sleep (OR: 1.745 (1.210∼2.515)), more time spent playing games per day (OR: 1.347 (1.048∼1.730)), bad physical condition (OR: 2.507 (1.797-3.497)), and severe academic stress (OR: 1.561 (1.126-2.166)).
Conclusion
About half of college students experienced poor sleep, and poor sleep quality was prevalent in women, medical students, and sophomores. Moreover, there were more risk factors associated with the poor sleep quality of women than with men. Health policymakers should fully consider these factors in improving the sleep quality of college students.
BackgroundPrenatal exposures to polybrominated diphenyl ethers (PBDEs) may affect fetal growth. Small for gestational age (SGA) is a measure based on birth weight and gestational age at birth and represents a good indicator of fetal growth but it has been used only in a small number of studies. The present study aimed to examine the associations between PBDEs exposure and the risk of SGA among participants from a birth cohort in Southwest China.MethodsThe concentrations of eight common PBDE congeners (BDE-28, BDE47, BDE-99, BDE-100, BDE-153, BDE-154, BDE-183, and BDE-209) in 996 human placental samples collected between May to October 2020 were determined. A questionnaire survey was administered regarding maternal characteristics. The outcome data of the newborns were obtained from the medical record. The Mann–Whitney U test and binomial logistic regression analysis were used to assess associations between PBDEs concentrations (as a continuous or categorical variable) and SGA.ResultsAll PBDE congeners were detected in more than 73% of samples. The median concentrations of ΣPBDEs were 10.08 ng/g lipid weight (lw). BDE-209 was the most abundant PBDE congener, contributed 28% to ΣPBDEs. There were 114 (11.4%) SGA infants. The levels of BDE-99, BDE-100, BDE-209, and the total levels of ΣPBDEs in the SGA group were significantly higher than those in the controls. When classifying the PBDEs concentrations as two categories: low and high, high level of ΣPBDEs was associated with increased risk of SGA [odds ratio (OR): 2.203, 95% confidence interval (CI): 1.453–3.340] after adjusting for potential covariates. The association remained significant when stratifying the data by gender of the newborn (OR: 2.572, 95% CI: 1.337–4.947 for boys; OR: 2.385, 95% CI: 1.315–4.325 for girls).ConclusionThe present study adds to the literature by using placenta to measure PBDEs exposure during pregnancy, and provides evidence that prenatal exposure to PBDEs may be associated with the risk of SGA, at least at the levels of exposure in our population.
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