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Sleep medicine knowledge, attitudes, and practices among medical students in Guangzhou, China

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Abstract

Purpose

This study aimed to describe the knowledge, attitudes, and practices of Chinese medical students towards sleep medicine.

Methods

The authors surveyed medical students at Southern Medical University in 2009. Students completed a questionnaire before and after attending a 3-h sleep disorders course.

Results

All 324 questionnaires were returned. Less than one half of the students were aware that restless legs syndrome, somniloquy, and teeth grinding are sleep disorders. Only a small percentage of students knew that sleep disorders are related to diabetes, anemia, hyperlipidemia, and attention deficit syndrome. After the 3-h sleep disorders course, the percentage of students who regarded snoring, restless legs syndrome, nightmares, and somniloquy as sleep disorders increased from 64.9 to 92.7 %, 40.8 to 64.4 %, 48.0 to 60.3 %, and 33.5 to 59.9 % (P < 0.001), respectively. Sleep problems were considered to be a significant issue by 93.8 % of the students. The students thought that people with sleep disorders should seek treatment. Of the students, 81.3 % were interested in sleep medicine. The students considered that it is necessary to set up specialized sleep medicine departments to manage sleep disorders. Of the students, 76.8 % thought they or their friends had sleep problems, and 44.8 % consulted physicians about sleep problems. Greater than two thirds of the students (67.1 %) did not have formal education about sleep medicine. Few students were aware of medical schools offering a course in sleep medicine. Most of the students liked learning in the form of elective courses, lectures, or online course. The students also realized that having sleep medicine knowledge is needed as a physician.

Conclusions

Chinese medical students attached importance to sleep disorders, but knew little about sleep disorders. Knowledge of sleep medicine can be improved with a short training course.

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References

  1. Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342(19):1378–1384. doi:10.1056/nejm200005113421901

    Article  PubMed  CAS  Google Scholar 

  2. Chaput JP, Despres JP, Bouchard C, Tremblay A (2008) The association between sleep duration and weight gain in adults: a 6-year prospective study from the Quebec family study. Sleep 31(4):517–523

    PubMed  Google Scholar 

  3. Arzt M, Young T, Finn L, Skatrud JB, Bradley TD (2005) Association of sleep-disordered breathing and the occurrence of stroke. Am J Respir Crit Care Med 172(11):1447–1451. doi:10.1164/rccm.200505-702OC

    Article  PubMed  Google Scholar 

  4. Gottlieb DJ, Punjabi NM, Newman AB, Resnick HE, Redline S, Baldwin CM, Nieto FJ (2005) Association of sleep time with diabetes mellitus and impaired glucose tolerance. Arch Intern Med 165(8):863–868. doi:10.1001/archinte.165.8.863

    Article  PubMed  Google Scholar 

  5. Newman AB, Spiekerman CF, Enright P, Lefkowitz D, Manolio T, Reynolds CF, Robbins J, Cardiovascular Hlth Study Res G (2000) Daytime sleepiness predicts mortality and cardiovascular disease in older adults. J Am Geriatr Soc 48(2):115–123

    PubMed  CAS  Google Scholar 

  6. Akerstedt T, Fredlund P, Gillberg M, Jansson B (2002) A prospective study of fatal occupational accidents—relationship to sleeping difficulties and occupational factors. J Sleep Res 11(1):69–71. doi:10.1046/j.1365-2869.2002.00287.x

    Article  PubMed  CAS  Google Scholar 

  7. Hillman DR, Murphy AS, Antic R, Pezzullo L (2006) The economic cost of sleep disorders. Sleep 29(3):299–305

    PubMed  Google Scholar 

  8. Colten HR, Altevogt BM (2006) Sleep disorders and sleep deprivation: an unmet public health problem. National Academies Press, Atlanta

    Google Scholar 

  9. Zhao LQ, Hu FY (2011) Prevalence of sleep disorders among 3173 elderly in Taiyuan city: a cross-sectional study. Zhonghua Liu Xing Bing Xue Za Zhi 32(3):260–263

    PubMed  Google Scholar 

  10. Huang S-G, Li Q-Y, Sleep Respiratory Disorder Study Group Respiratory Disease Branch Shanghai Medical A (2003) Prevalence of obstructive sleep apnea-hypopnea syndrome in Chinese adults aged over 30 yr in Shanghai. Chin J tuberculosis and Respir Dis 26(5):268–272

    CAS  Google Scholar 

  11. Wang M, Zuo LM, Niu WQ, Wang CL, Xu RM, Song LX, Wei L, Li SR (2005) Survey on prevalence of 1526 children with sleep disturbances in age of 2 to 12 years old in Chengdu. Zhonghua Yu Fang Yi Xue Za Zhi 39(6):400–402

    PubMed  Google Scholar 

  12. Kirsch DB (2011) There and back again: a current history of sleep medicine. Chest 139(4):939–946. doi:10.1378/chest.10-1235

    Article  PubMed  Google Scholar 

  13. Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT (2004) Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med 169(3):361–366. doi:10.1164/rccm.200306-752OC

    Article  PubMed  Google Scholar 

  14. Giles TL, Lasserson TJ, Smith BJ, White J, Wright J, Cates CJ (2006) Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database of Systematic Reviews (3). doi:Cd00110610.1002/14651858.CD001106.pub3

  15. Nowell PD, Mazumdar S, Buysse DJ, Dew MA, Reynolds CF, Kupfer DJ (1997) Benzodiazepines and zolpidem for chronic insomnia—a meta-analysis of treatment efficacy. JAMA-J Am Med Assoc 278(24):2170–2177. doi:10.1001/jama.278.24.2170

    Article  CAS  Google Scholar 

  16. Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE (2001) Cognitive behavioral therapy for treatment of chronic primary insomnia—a randomized controlled trial. JAMA-J Am Med Assoc 285(14):1856–1864. doi:10.1001/jama.285.14.1856

    Article  CAS  Google Scholar 

  17. Ip M, Chung KF, Chan KN, Lam SP, Lee K (1999) Previously unrecognized obstructive sleep apnea in Chinese subjects with essential hypertension. Lung 177(6):391–400. doi:10.1007/pl00007656

    Article  PubMed  CAS  Google Scholar 

  18. Lamberg L (2000) Sleep disorders, often unrecognized, complicate many physical illnesses. JAMA: J Am Med Assoc 284(17):2173–2175. doi:10.1001/jama.284.17.2173

    Article  CAS  Google Scholar 

  19. Rosen RC, Zozula R, Jahn EG, Carson JL (2001) Low rates of recognition of sleep disorders in primary care: comparison of a community-based versus clinical academic setting. Sleep Med 2(1):47–55

    Article  PubMed  Google Scholar 

  20. Papp KK, Penrod CE, Strohl KP (2002) Knowledge and attitudes of primary care physicians toward sleep and sleep disorders. Sleep Breath 6(3):103–109. doi:10.1007/s11325-002-0103-3

    Article  PubMed  Google Scholar 

  21. Rosen R, Zozula R (2000) Education and training in the field of sleep medicine. Curr opin pulm med 6(6):512–518. doi:10.1097/00063198-200011000-00009

    Article  PubMed  CAS  Google Scholar 

  22. Rosen R, Mahowald M, Chesson A, Doghramji K, Goldberg R, Moline M, Millman R, Zammit G, Mark B, Dement W (1998) The Taskforce 2000 survey on medical education in sleep and sleep disorders. Sleep 21(3):235–238

    PubMed  CAS  Google Scholar 

  23. Teodorescu MC, Avidan AY, Teodorescu M, Harrington JJ, Artar AO, Davies CR, Chervin RD (2007) Sleep medicine content of major medical textbooks continues to be underrepresented. Sleep Med 8(3):271–276. doi:j.sleep.2006.09.001/j.sleep.2006.09.001

    Article  PubMed  Google Scholar 

  24. Wang CL, Li XZ, Cai XL, Pan XL, Min J (2012) Anesthesiologist's knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath 16(1):41–46. doi:10.1007/s11325-011-0482-4

    Article  PubMed  Google Scholar 

  25. Southwell C, Moallem M, Auckley D (2008) Cardiologist's knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath 12(4):295–302. doi:10.1007/s11325-008-0170-1

    Article  PubMed  Google Scholar 

  26. Bian H (2004) Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath 8(02):85–90

    Article  PubMed  Google Scholar 

  27. Papp KK, Penrod CE, Strohl KP (2002) Knowledge and attitudes of primary care physicians toward sleep and sleep disorders. Sleep Breath 06(03):103–110

    Article  Google Scholar 

  28. Kovacic Z, Marendic M, Soljic M, Pecotic R, Kardum G, Dogas Z (2002) Knowledge and attitude regarding sleep medicine of medical students and physicians in Split, Croatia. Croat Med J 43(1):71–74

    PubMed  Google Scholar 

  29. Mahendran R, Subramaniam M, Chan YH (2004) Medical students' behaviour, attitudes and knowledge of sleep medicine. Singap Med J 45(12):587–589

    CAS  Google Scholar 

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Correspondence to Yuan Feng.

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Luo, M., Feng, Y. & Li, T. Sleep medicine knowledge, attitudes, and practices among medical students in Guangzhou, China. Sleep Breath 17, 687–693 (2013). https://doi.org/10.1007/s11325-012-0743-x

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  • DOI: https://doi.org/10.1007/s11325-012-0743-x

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