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Introduction: Women and men experience sleep differently and the difference in intrinsic desire for sleep might underlie some of the observed male-female differences. The objective of this crosssectional questionnaire study of university students was to determine male-female differences in self-reported sleepiness and sleep-wake patterns. Methods: Five questionnaires were completed by 1650 students at four Russian universities. Results: Compared to male students, female students reported a lower subjective sleep quality score, had a higher morning sleepability score and lower nighttime and daytime wakeability scores. They more often reported excessive daytime sleepiness and expected to be sleepier at any time of the day with the largest male-female difference around the times of sleep onset and offset. On free days, they reported a longer sleep duration and an earlier sleep onset. Free-weekday difference was larger for sleep duration and smaller for sleep onset. Such male-female differences showed similarity to the differences observed in university and high school students from different countries around the globe. There was no signiicant male-female difference in weekly averaged sleep duration, weekday sleep duration, hours slept, midpoint of sleep on free days, freeweekday difference in sleep offset, social jetlag, and morningness-eveningness score. Therefore, when studies rely on these self-reports, the most salient male-female differences might not be immediately evident. Conclusions: It seems that the intrinsic desire for longer sleep duration might contribute to a higher susceptibility of female students to weekday sleep loss. Among these students, negative effects of reduced sleep duration might be more common and more detrimental.

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There was an increase in the number of respondents with higher anxiety, higher scores of psychoticism and neuroticism. According to the self-assessment of sleep, a statistically significant decrease in the quality of sleep hygiene was shown. Biochemical parameters of the saliva differed significantly only in the morning hours: the increase in cortisol and decrease in the antioxidant activity were observed. The results suggest the possibility of asymptomatic development of emotional disorders and metabolic disorders in people with occasional night shift work.

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