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Prevalence and differences in habitual sleep efficiency, sleep disturbances, and using sleep medication: a national study of university students in Jordan

  • Epidemiology • Original Article
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Abstract

Background

Sleep quality has a significant impact on the physical and mental health of the young population.

Study aim

To evaluate sleep efficiency, sleep disturbances, and use of sleep medication among university students in Jordan and to examine differences in these problems in relation to selected demographic and health-risk behaviors.

Methods

The study used a cross-sectional design and a multi-stage sampling technique. Three public universities were randomly selected from three major governorates in Jordan. The Arabic version of the Pittsburgh Sleep Quality Index was used to measure sleep efficiency, sleep disturbances, and the use of sleep medication. Descriptive statistics and Kruskal-Wallis tests were used to analyze the data.

Results

Of 1308 students who participated in the study, 27% reported sleep efficiency less than 85%, 45% of the students reported nocturnal awakening, 30% reported getting up to use the bathroom, and 9% reported using medication to help sleep. Differences in sleep efficiency, sleep disturbances, and use of sleep medication were found in relation to students’ gender, income, marital status, smoking status, and academic achievement.

Conclusions

Poor sleep efficiency, sleep disturbances, and the use of sleep medications are significant problems affecting sleep quality among university students. Students’ gender, marital status, income, smoking status, and academic achievement are important factors associated with sleep quality.

Implications

Sleep screening among university students is required to identify and provide treatment for sleep problems. Furthermore, educating university students about the effects of smoking on health in general and on sleep in particular should be mandated.

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References

  1. Hershner SD, Chervin RD (2014) Causes and consequences of sleepiness among college students. Nature and science of sleep 6:73

    Article  Google Scholar 

  2. Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T (2012) Association between weight gain, obesity, and sleep duration: a large-scale 3-year cohort study. Sleep and Breathing 16(3):829–833

    Article  Google Scholar 

  3. Gaultney JF (2010) The prevalence of sleep disorders in college students: impact on academic performance. Journal of American College Health 59(2):91–97

    Article  Google Scholar 

  4. Patel M, Tran D, Chakrabarti A, Vasquez A, Gilbert P, Davidson T (2008) Prevalence of snoring in college students. Journal of American College Health 57(1):45–52

    Article  Google Scholar 

  5. Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research 28(2):193–213

    Article  CAS  Google Scholar 

  6. Reed DL, Sacco WP (2016) Measuring sleep efficiency: what should the denominator be? Journal of clinical sleep medicine 12(02):263–266

    Article  Google Scholar 

  7. Corrêa CDC, Oliveira FKD, Pizzamiglio DS, Ortolan EVP, Weber SAT (2017) Sleep quality in medical students: a comparison across the various phases of the medical course. Jornal Brasileiro de Pneumologia 43(4):285–289

    Article  Google Scholar 

  8. Lemma, S., Patel, S. V., Tarekegn, Y. A., Tadesse, M. G., Berhane, Y., Gelaye, B., & Williams, M. A. (2012). The epidemiology of sleep quality, sleep patterns, consumption of caffeinated beverages, and khat use among Ethiopian college students. Sleep disorders, 2012.

  9. Jehan S, Myers AK, Zizi F, Pandi-Perumal SR, Jean-Louis G, Singh N, Ray J, McFarlane SI (2018) Sleep health disparity: the putative role of race, ethnicity and socioeconomic status. Sleep medicine and disorders: international journal 2(5):127–133

    Google Scholar 

  10. Mallampalli MP, Carter CL (2014) Exploring sex and gender differences in sleep health: a Society for Women’s Health Research Report. Journal of women’s health 23(7):553–562

    Article  Google Scholar 

  11. Ficker JH, Wiest GH, Lehnert G, Meyer M, Hahn EG (1999) Are snoring medical students at risk of failing their exams? Sleep 22(2):205–209

    Article  CAS  Google Scholar 

  12. Medeiros ALD, Mendes DB, Lima PF, Araujo JF (2001) The relationships between sleep-wake cycle and academic performance in medical students. Biological Rhythm Research 32(2):263–270

    Article  Google Scholar 

  13. Tariq SH, Pulisetty S (2008) Pharmacotherapy for insomnia. Clinics in geriatric medicine 24(1):93–105

    Article  Google Scholar 

  14. Zhang B, Wing Y-K (2006) Sex differences in insomnia: a meta-analysis. Sleep 29(1):85–93

    Article  Google Scholar 

  15. Vargas PA, Flores M, Robles E (2014) Sleep quality and body mass index in college students: the role of sleep disturbances. Journal of American College Health 62(8):534–541

    Article  Google Scholar 

  16. Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, Gooneratne N (2010) Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep medicine 11(5):470–478

    Article  Google Scholar 

  17. Chong, Y., Fryar, C. D., & Gu, Q. (2013). Prescription sleep aid use among adults: United States, 2005-2010: US Department of Health and Human Services, Centers for Disease Control and ….

  18. Research, M. F. f. M. E. a. (2019). Sleep aids: understand over-the-counter options. from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/sleep-aids/art-20047860

  19. Shehnaz SI, Khan N, Sreedharan J, Issa KJ, Arifulla M (2013) Self-medication and related health complaints among expatriate high school students in the United Arab Emirates. Pharmacy practice 11(4):211–218

    Article  Google Scholar 

  20. Lohsoonthorn V, Khidir H, Casillas G, Lertmaharit S, Tadesse MG, Pensuksan WC, Rattananupong T, Gelaye B, Williams MA (2013) Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep and Breathing 17(3):1017–1028

    Article  Google Scholar 

  21. Prevention, C. f. D. a. (2017). Defining adult overweight and obesity. from https://www.cdc.gov/obesity/adult/defining.html

  22. Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J (2010) Translating the Pittsburgh sleep quality index into Arabic. Western Journal of Nursing Research 32(2):250–268

    Article  Google Scholar 

  23. IBM Corporation. (2012). IBM SPSS Statistics for Windows, V. N. I. C. (2012).

  24. Taylor DJ, Bramoweth AD (2010) Patterns and consequences of inadequate sleep in college students: substance use and motor vehicle accidents. Journal of Adolescent Health 46(6):610–612

    Article  Google Scholar 

  25. Sing C, Wong WS (2010) Prevalence of insomnia and its psychosocial correlates among college students in Hong Kong. Journal of American College Health 59(3):174–182

    Article  CAS  Google Scholar 

  26. Mahfouz MS, Ageely H, Al-Saruri SM, Aref LA, Hejje NH, Al-Attas SA, Bani I (2013) Sleep quality among students of the faculty of Medicinein Jazan University, Saudi Arabia. Middle-East Journal of Scientific Research 16(4):508–513

    Google Scholar 

  27. Lund HG, Reider BD, Whiting AB, Prichard JR (2010) Sleep patterns and predictors of disturbed sleep in a large population of college students. Journal of Adolescent Health 46(2):124–132

    Article  Google Scholar 

  28. Sweileh WM, Ali IA, Sawalha AF, Abu-Taha AS, Sa’ed HZ, Al-Jabi SW (2011) Sleep habits and sleep problems among Palestinian students. Child and adolescent psychiatry and mental health 5(1):25

    Article  Google Scholar 

  29. Alkaid Albqoor, M. (2017). Serious psychological distress and self-rated health of Arab immigrants in the United States. UCSF.

  30. Yousef A-MM, Al-Bakri AG, Bustanji Y, Wazaify M (2008) Self-medication patterns in Amman, Jordan. Pharmacy World & Science 30(1):24–30

    Article  Google Scholar 

  31. Lemma S, Berhane Y, Worku A, Gelaye B, Williams MA (2014) Good quality sleep is associated with better academic performance among university students in Ethiopia. Sleep and Breathing 18(2):257–263

    Article  Google Scholar 

  32. Gilbert SP, Weaver CC (2010) Sleep quality and academic performance in university students: a wake-up call for college psychologists. Journal of college student psychotherapy 24(4):295–306

    Article  Google Scholar 

  33. Gomes AA, Tavares J, de Azevedo MHP (2011) Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobiology International 28(9):786–801

    Article  Google Scholar 

  34. Alapin I, Fichten CS, Libman E, Creti L, Bailes S, Wright J (2000) How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate? Journal of psychosomatic research 49(5):381–390

    Article  CAS  Google Scholar 

  35. Mirghani, H. O., Mohammed, O. S., Almurtadha, Y. M., & Ahmed, M. S. (2015). Good sleep quality is associated with better academic performance among Sudanese medical students. BMC research notes. Retrieved 1, 8

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Funding

This study was funded by Deanship for Scientific Research—The University of Jordan.

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Authors and Affiliations

  1. Faculty of Nursing, The University of Jordan, Amman, 11942, Jordan

    Maha Alkaid Albqoor & Abeer M. Shaheen

Authors
  1. Maha Alkaid Albqoor
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  2. Abeer M. Shaheen
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Corresponding author

Correspondence to Abeer M. Shaheen.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

Ethical approval, including Institutional Review Board (IRB), was obtained from the University of Jordan Ethical Committee. Students who agreed to participate in the study signed an informed consent form that illustrated the study purpose, that participation in the study was voluntary, and students’ right to withdraw from the study any time.

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Albqoor, M.A., Shaheen, A.M. Prevalence and differences in habitual sleep efficiency, sleep disturbances, and using sleep medication: a national study of university students in Jordan. Sleep Breath 25, 1127–1134 (2021). https://doi.org/10.1007/s11325-020-02174-2

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  • DOI: https://doi.org/10.1007/s11325-020-02174-2

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