Relationship of sleep quality, smartphone dependence, and health-related behaviors in female junior college students

Abstract

Introduction Smartphone usage has become commonplace and impact on sleep quality among adolescents. Adolescent girls have a greater tendency toward sleep quality problems. However, relationship of sleep quality, smartphone dependence, and health-related behaviors in female junior college students has not been studied. Objectives This study had the two goals: to investigate the relationship between female college students' sleep quality, smartphone dependence, and health-related behaviors, and to identify predictors of sleep quality. Methods This study employed a cross-sectional research approach to gather 409 subjects at a junior college in southern Taiwan, and used a structured questionnaire to collect data. The questionnaire consisted of four parts: basic demographic data, the Pittsburgh Sleep Quality Index, assessment of smartphone dependence, and the Health Promoting Lifestyle Profile (HPLP). Logistic regression analysis was employed to check for any association between sleep quality and smartphone dependence or HPLP. Results Sleep quality was significantly associated with degree of smartphone dependence, total HPLP score, and scores on the four HPLP subscales of nutritional behavior, self-actualization, interpersonal support, and stress management behavior. The lower the subjects' degree of smartphone dependence was, the better their sleep quality was. Furthermore, the degree of smartphone dependence and total HPLP score were significant predictors of sleep quality. Conclusions Smartphone dependence is associated with poor sleep quality among female college students. Improving health-related behaviors (nutritional behavior, self-actualization, interpersonal support, and stress management behavior) can also promote improvement in sleep quality.

Psychological distress, drug use, and internet use: the association with poor sleep quality in a sample of secondary school students

“…Our ndings revealed that 12.2% of the participants rated themselves to have PSQ. Evidence from previous studies among adolescents, such as in the USA [5], Taiwan [7], Turkey, [29] and Nigeria [3,4] revealed higher rates, compared to the current report, which is higher than what was reported in India [30]. The disparity in rates may be related to the differences in research tools used to assess sleep quality, the de nition of terms, as well as the age of the participants.…”

“…Sleep problems are common among children and adolescents in Nigeria [3,4] and beyond [5][6][7], and they are associated with physical and mental health indices. For example, while poor quality of sleep is associated with obesity, impaired blood lipids in adolescents [8], reduced learning capacity, and academic performance [9]; it is also associated with psychological symptoms such as depression, anxiety disorders, and behavioral disorders in studies among adolescents [9][10][11].…”

“…Another survey involving 166 participants revealed that dependence on stimulants such as caffeine and nicotine was associated with poor quality of sleep and increased psychological distress [15]. Sleep problems have also been associated with internet use, another potentially addictive behavior, among adolescents and young adults [7,16]. In a study that examined the relationship between internet use and sleep-related problems in 1212 adolescents, using the Young Internet Addiction Scale, it was observed that the adolescents who had higher scores reported more problematic sleep habits and sleep problems [17].…”

Relationship between Internet addiction and sleep disturbance in high school students: a cross-sectional study

“…Therefore, it is important to investigate the relationship between sleep and IA. Some studies have reported an association between IA and depression and sleep disturbance [22,23], nighttime sleep duration and subjective insomnia [24], poor sleeping habits [25], smartphone dependence [26], and sleep quality [27].…”

Relationship between Internet addiction and sleep disturbance in high school students: a cross-sectional study

“…Therefore, it is necessary to investigate any relationships that exist between sleep and IA. Some studies have reported the relationship between IA and depression and sleep disturbance [22,23], nighttime sleep duration and subjective insomnia [24], poor sleeping habits [25], smartphone dependence [26], and sleep quality [27]. Sleeping habits are associated with other lifestyle habits, such as extracurricular activities and skipped meals [28,29].…”