Constructs of poor sleep quality in adolescents: associated factors

Abstract

This study aims to evaluate factors associated with sleep quality (overall and by domains) in adolescents. A cross-sectional study. This study was conducted with 1,296 first-year high school students from public schools in the Northern Region of the State of Pernambuco, Brazil. Demographic, socioeconomic, and behavioral data were obtained with a questionnaire. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) Body mass index (BMI) was calculated based on the ratio of weight and height squared. Multilevel linear and logistic regressions evaluated factors associated with sleep quality. We observed 53% of adolescents reported poor sleep quality. Adolescents at higher risk of clinical depression were 3.45 times more likely to have poor sleep quality (95%CI: 2.04; 5.81), and each additional unit in the social anxiety score presented 1.03 (95%CI: 1.01; 1.05) higher odds of adolescents having poor sleep quality. Adolescents with depressive symptoms had higher sleep latency, greater sleep disturbance, and greater daytime sleep dysfunction. Social anxiety was associated with sleep latency, sleep disturbance, and daytime sleep dysfunction. Higher risk of clinical depression was associated with all domains related to sleep quality. Negative health perception was associated with sleep disturbance, and physical inactivity was associated with daytime sleep dysfunction. Social anxiety and especially higher risk of clinical depression were determinants of poor sleep quality. Changes in sleep latency, sleep disturbance and daytime sleep dysfunction seems to be relevant to poor sleep quality.

Status and Influence Factors of Sleep Quality in Adolescents with Mixed Anxiety and Depression Disorder: A Cross-Sectional Study

“…Assignment speci cation study phase 0 = senior high school, 1 = junior high school sex 0 = male, 1 = female family type nuclear family (Z 1 = 0, Z 2 = 0, Z 3 = 0, Z 4 = 0), single-parent family (Z 1 = 0, Z 2 = 1, Z 3 = 0, Z 4 = 0), three-generation family (Z 1 = 0, Z 2 = 0, Z 3 = 1, Z 4 = 0), reconstituted family (Z 1 = 0, Z 2 = 0, Z 3 = 0, Z 4 = 1) burden of medical expenses non or slight burden of medical expenses(Z 1 = 0, Z 2 = 0, Z 3 = 0), medium burden of medical expenses (Z 1 = 0, Z 2 = 1, Z 3 = 0), heavy burden of medical expenses (Z 1 = 0, Z 2 = 0, Z [34]. Another study of 1296 Portuguese adolescents with an average age of 15.02 reported that 53% of them had a poor sleep [35]. In this study, the incidence and severity of sleep quality were higher than those in previous studies on adolescents and children, primarily because the participants were diagnosed with MADD, which can signi cantly impact the sleep quality due to anxiety and depressive symptoms.…”

Prevalence of Overweight and Obesity among Adolescents: A School-Based Preliminary Cross-Sectional Study

“…9 Currently, lifestyle of the adolescents is a major issue; lifestyle choices adopted during adolescent time continue into adulthood. 10 The WHO estimates 2 million deaths/year are caused by physical inactivity and unhealthy eating habits. 11 Lifestyle has long been associated with the development of many chronic diseases and NCDs.…”

“…11 Lifestyle has long been associated with the development of many chronic diseases and NCDs. 10 Obesity is an important risk factor for NCDs. 11 Many studies in India have reported that hypertension caused cardiovascular diseases beginning in the age group of children and adolescents.…”

Asociación entre hábitos alimentarios, actividad física y calidad de sueño en adolescentes mujeres de una institución educativa pública de Lima, 2021

“…del 2021, se encontró que adolescentes brasileros presentaban una prevalencia de 53% de mala calidad de sueño (90).…”

“…El ser mujer podría ser un factor de predisposición a presentar mala calidad de sueño, debido a que algunos estudios afirman que las adolescentes mujeres son más propensas a presentar mala calidad de sueño por tener una menor duración del sueño por ser más susceptibles a problemas de comportamiento y emocionales (59,91,92). De igual manera el estrés, la ansiedad y los síntomas depresivos son factores asociadas a la mala calidad de sueño en los adolescentes (90).…”