Sleep quality and its association with substance abuse among university students

Navarro-Martínez, Rut; Chover-Sierra, Elena; Colomer-Pérez, Natura; Vlachou, Eugenia; Andriuseviciene, Virginija; Cauli, Omar

doi:10.1016/j.clineuro.2019.105591

Cited by 40 publications

(19 citation statements)

References 46 publications

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“…Another recent study with Brazilian students found that binge drinkers had higher scores on the Insomnia Severity Index than non-drinkers, although this relationship was observed only in the female sex (Silva-Fonseca et al, 2021). In contrast with our findings, studies using mixed methods of alcohol consumption assessment did not find significant associations with self-rated sleep quality as measured with the PSQI (Araujo et al, 2014;Mesquita et al, 2010;Velez et al, 2013) or the Athens Insomnia Scale (Navarro-Martinez et al, 2020). One of the main factors that could help to understand these discrepancies is the variety of methodological approaches used to assess both potentially abusive alcohol consumption and impaired sleep parameters.…”

Section: Discussioncontrasting

confidence: 99%

“…Furthermore, the use of alcohol for sleep aid by college students has been associated with negative drinking consequences and insomnia symptoms (Goodhines et al, 2019). In contrast, no significant association with sleep parameters was found in other studies in college students from different countries (Araujo et al, 2014;Mesquita et al, 2010;Navarro-Martinez et al, 2020). Last, a study found that binge drinking was associated with more insomnia symptoms in girls but not in boys (Silva-Fonseca et al, 2021), and another study found that high-risk alcohol consumption was associated with 55% lower odds of poor sleep efficiency, but no relationship was found with the other parameters of sleep duration and sleep quality (Velez et al, 2013).…”

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confidence: 99%

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The Association Between Alcohol-Related Problems and Sleep Quality and Duration Among College Students: a Multicountry Pooled Analysis

Sirtoli

Balboa-Castillo

Fernández-Rodríguez

et al. 2022

Int J Ment Health Addiction

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Alcohol consumption and sleep disorders are both prevalent and relevant problems among college students, but the relationship between these conditions is unclear. This study aimed to analyze the association between alcohol-related problems and sleep in first-year college students from Brazil, Chile, and Spain. Cross-sectional analyses were performed with data from three independent studies with first-year college students from each country. The risk of alcohol-related problems (RARP) and sleep quality and duration were self-reported using mixed methods. Pooled odds ratios (p-OR) and 95% confidence intervals (95% CI) of suboptimal sleep quality and of short (< 7 h) and long (> 8 h) sleep duration were estimated according to RARP adjusting for the main confounders. Of the 1830 students included (31.2% Brazilian, 42.2% Chilean, and 26.6% Spanish), 61.6% were female, and the mean age was 20.0 ± 3.6 years. Overall, 25.0% and 9.9% of the students were classified as intermediate and high RARP, respectively. In the combined results for the three countries, intermediate-to-high RARP was associated with a higher likelihood of suboptimal sleep quality (p-OR: 1.24; 95% CI: 1.00 to 1.52; I 2 heterogeneity statistics: 43.0%), regardless of sociodemographic and lifestyle covariates and of self-rated health. The frequency of alcohol consumption was not associated with sleep quality or sleep duration. In this multicountry pooled analysis, first-year college students at risk of alcohol-related problems were more likely to report worse sleep quality. The coexistence of alcohol-related problems and sleep disorders could potentiate its adverse health effects among these young adults. Keywords Alcohol use • Sleep • College students • International study • EpidemiologyAlcohol consumption is a widely spread practice around the world. Approximately half of the global adult population is currently drinker, especially in the Americas and Europe, where prevalence rates are 54.1% and 59.9%, respectively (WHO, 2018). Although young people's drinking reflects the drinking behavior of the adult population, the prevalence * Teresa Balboa-Castillo

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Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

The Association Between Alcohol-Related Problems and Sleep Quality and Duration Among College Students: a Multicountry Pooled Analysis

Sirtoli

Balboa-Castillo

Fernández-Rodríguez

et al. 2022

Int J Ment Health Addiction

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“…Sleep quality is a high prevalence problem among university students. Studies from the literature showed an inverse association between higher insomnia symptoms and illicit drug abuse; good sleep quality is a protective factor against problematic illicit drug use [44]. Alcohol and illicit drug use are positively associated with sleep problems in a dose-dependent manner.…”

Section: Sleep Qualitymentioning

confidence: 95%

Is Alcohol Consumption Related to Lifestyle Factors in Romanian University Students?

Năsui

Ungur

Talaba

et al. 2021

IJERPH

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Poor eating habits and substance abuse are major public health concerns among young adults transitioning into university life. This study's objective was to assess Romanian students' alcohol consumption and correlate it with other lifestyle factors. We performed a cross-sectional study of 1212 students with a mean age of 21.1 ± 2.4 years. We applied a valid online questionnaire to evaluate and statistically analyze the interrelation between alcohol consumption and lifestyle factors by multivariate statistical analysis. The prevalence of alcohol consumption among the student population enrolled in the study was 79.9%. Multiple regression showed that alcohol consumption was positively associated with gender (p < 0.001), level of physical activity (p = 0.009), number of cigarettes (p < 0.001), and fast-food consumption (p < 0.001), and negatively associated with sleep (p = 0.012) and study hours (p < 0.001). The study revealed a high prevalence (18%) of binge drinking among males. The frequent use of illicit drugs is associated with alcohol consumption (p < 0.001) but present at low levels (1.6%). The study evidenced a high prevalence of alcohol consumption in students, especially in males, and poor food behavior related to the intake of vegetables and fruits. Health promotion campaigns regarding the harmful effects of alcohol, smoking, poor nutrition, and ongoing illicit drug prevention campaigns are needed to improve students' performances.

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“…Sleep disorders (Sateia, 2014) may impact academic success through excessive daytime sleep propensity, irritability, poorer HRQoL, lower motivation, or decreased executive function (Hershner, 2020). Further, poor sleep quality is associated with excessive substance use in students (Navarro-Martínez et al, 2020), and a recent review of 17 studies (Russell et al, 2019), suggests that poor sleep (e.g., insomnia symptoms) is associated with increased suicide/self-harm risk in university undergraduates. In the Norwegian SHOT study, a significant increase in sleep problems from 2010 to 2018 was observed, corresponding with a high prevalence of mental problems such as anxiety and depression, especially among female students (34%) (Sivertsen, Råkil, et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

What is Known About Students and Sleep: Systematic Review and Evidence Map

et al. 2021

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Higher education students are considered to belong to a population susceptible to poor sleep health; however, there is a lack of broader evidence reviews. This systematic review aims to map out and categorize the existing literature related to higher education students and sleep. The present evidence map is based on a comprehensive systematic literature search of ten electronic databases, which resulted in 15,286 unique citations. After title/abstract, and full-text screening: 515 studies were included in the final map. Most of the studies were cross-sectional ( n = 357, 69%), while 77 (15%) studies assessed the effectiveness of an intervention. Sixty-eight (13%) studies followed a cohort prospectively over time, and 8 (2%) studies utilized a qualitative design. The most frequent outcome was the proportion of sleep problems, which was reported in 226 (44%) studies. Weekday sleep duration was reported in 156 (30%) studies. Results from this mapping process suggest that evidence about students` sleep health is emerging; however, the evidence base is mostly quantitative and descriptive, and there is a lack of sleep health programs designed for students.

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Sleep quality and its association with substance abuse among university students

Cited by 40 publications

References 46 publications

The Association Between Alcohol-Related Problems and Sleep Quality and Duration Among College Students: a Multicountry Pooled Analysis

The Association Between Alcohol-Related Problems and Sleep Quality and Duration Among College Students: a Multicountry Pooled Analysis

Is Alcohol Consumption Related to Lifestyle Factors in Romanian University Students?

What is Known About Students and Sleep: Systematic Review and Evidence Map

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