Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross –sectional study

Abstract

Purpose Poor quality of sleep has a negative effect on academic performance of medical students. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities, poor academic performance and poor interpersonal relationship which predispose them to mental illnesses. This study is aimed to assess magnitude and correlates of sleep quality among medical students in Ethiopia. Method An institutional based cross-sectional study was conducted among 576 undergraduate medical students. Data was collected by using interviewer administered structured questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The collected data were entered in to Epi-data version 3.1and analyzed using SPSS version 20. Logistic regression was used to identify the potential determinants of quality of sleep among undergraduate medical students. P-values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I. Result The prevalence of poor sleep quality among undergraduate medical students was 62% (95%CI, 57.9, 65.3). The mean age (±SD) of the respondents was 21.5(±2.4), with age ranging from 18 to 28 and about 310 (53.8%) were males. Factors like, being depressed (AOR = 1.92,95%CI 1.16,3.19), poor social support (AOR = 5.39,95%CI 2.33,2.49), being stressed (AOR = 2.04,95%CI 1.26,3.31), and poor sleep hygiene (AOR = 3.01,95%CI 1.75,5.18) were associated with poor sleep quality at p-value < 0.05. Findings also showed that, one unit increase in grade point average was associated with 81.5% decrease (AOR = 0.185, 95%CI 0.13, 0.28) in poor sleep quality. Conclusion A substantial proportion of medical students are affected by poor sleep quality. Routine screening of sleep quality, sleep hygiene, depression and stress is warranted. Moreover, it is better to educating medical students about proper sleep hygiene and the consequences of poor sleep.

Sleep quality and its correlates among undergraduate medical students in Nepal: A cross-sectional study

“…The present study demonstrates a significant association between depression and poor sleep quality. Our study finding is compatible with the study conducted among undergraduate students in Nepal [19], Turkey [34], Ethiopia [35], Saudi Arabia [16], and Brazil [36]. A study from Brazil showed that sleep disruption, insomnia, or less than 7 hours of sleep manifests a cumulative risk ratio of 5.5 for minor psychiatric disorders among medical students [20].…”

Poor Sleep Quality and Factors Among Reproductive-Age Women in Southwest Ethiopia

“…Six hundred six reproductive age group women were enrolled in this study, which makes a 95.6% response rate. The study participants median (IQR) age was 25 (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) years and nearly half (45.7%) were in the age group of 24-33 years. Three hundred sixty (59.4%) of the participant were completed secondary or above education and the majority of the participants were located in the monthly income level of ≤1,500 ETB (Table 1).…”

“…Despite the growing evidences regarding sleep-related problems in a developed country among reproductive-aged women, the pieces of evidence on developing countries including Ethiopia are limited (32). Besides, most of the available evidences are limited to college students, the general population, pregnant and post-partum mothers (32)(33)(34)(35). Furthermore, to the best knowledge of the authors, there is no prior study, which examined the sleep quality of reproductive age group women in the study area.…”

Sleep quality and associated factors among undergraduate medical students during Covid-19 confinement

“…19 In another study conducted among undergraduate medical students in Ethiopia, the prevalence of poor sleep quality was found to be 62%. 20 Higher proportion (70.4%) of medical students of Abdulaziz University, Saudi Arabia were found to have poor sleep quality. 21 The variation between different studies might be influenced by variability in methodologies, different study locations, different socio-cultural habits, and different academic pressures among different population groups.…”