ArticleNature and science of sleep2020
Sleep Quality of Students from Elementary School to University: A Cross-Sectional Study.
Article in Nature and science of sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Sleep quality and its relationship to mental health, physical health and health behaviours among young adults with serious mental illness enrolled in a lifestyle intervention trial.Early intervention in psychiatry · 2022Trial
- Grade-specific associations between insomnia and depressive symptoms in adolescents: a cross-lagged panel network analysis.Child and adolescent psychiatry and mental health · 2026Article
- From Brain Networks to Sleep Perception: EEG-Derived Global Efficiency is Associated with Subjective Sleep Quality in University Students.Nature and science of sleep · 2026Article
- Sleep, Physical Activity, and Executive Functions in Students: A Narrative Review.Clocks & sleep · 2025Review
- Relationship of fat mass index and fat free mass index with body mass index and association with sleeping patterns and physical activity in Saudi young adults women.Journal of health, population, and nutrition · 2025Article
- Secondhand smoke exposure and sleep disturbances among Korean adolescents: A nationally representative cross-sectional study.Tobacco induced diseases · 2025Article
- The relationship between physical activity and sleep disorders in adolescents: a chain-mediated model of anxiety and mobile phone dependence.BMC psychology · 2024Article
- The Links Among Cumulative Ecological Risk and Smartphone Addiction, Sleep Quality in Chinese University Freshmen: A Two-Wave Study.Psychology research and behavior management · 2024Article
- Study on anxiety, depression, and sleep conditions and their interrelations among vocational college students during the COVID-19 pandemic management normalization.Frontiers in public health · 2024Article
- A prospective study of sleep status, anxiety, and depression levels of college students at a university in Shandong Province, China.Frontiers in psychology · 2024Article
- Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students.Behavioral sciences (Basel, Switzerland) · 2023Article
- A Moderated Mediation Model of the Relationship between Family Dynamics and Sleep Quality in College Students: The Role of Big Five Personality and Only-Child Status.International journal of environmental research and public health · 2022Article
- Physical activity, sleep quality and life satisfaction in adolescents: A cross-sectional survey study.Frontiers in public health · 2022Article
- Sleep disturbance and quality of life among university freshmen in Qinghai-Tibet Plateau of China.Frontiers in psychiatry · 2022Article
- Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality.Frontiers in public health · 2022Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep affects a wide array of health outcomes and is associated with the quality of life. Among students, sleep quality is affected by school stage and grade; however, data regarding the different sleep-related problems students experience at different school stages are limited. In this study, we aimed to explore sleep quality among a student sample ranging from elementary school to university level.
methodsOverall, data were examined for 9392 subjects aged 9-22 years. Information on sociodemographic characteristics and other variables were collected through self-administered questionnaires. Sleep quality on school nights was evaluated using the standard Pittsburgh Sleep Quality Index; global score >5 was classified as poor sleep quality. For the high school sample, logistic regression analysis was used to estimate associations between sleep quality and certain factors.
resultsOf the elementary school, middle school, vocational high school, senior high school, and university students, 7.5%, 19.2%, 28.6%, 41.9%, and 28.5%, respectively, showed poor sleep quality. The high school students reported the highest prevalence of shorter sleep duration (70.8%), day dysfunction (84.7%), and subjective poor sleep quality (17.2%). The elementary school students showed the highest prevalence of poor sleep efficiency (17.9%). The university students showed the highest prevalence of sleep medication use (6.4%). The vocational high school students reported the highest prevalence of sleep latency (6.3%) and sleep disturbance (7.4%). Logistic regression modeling indicated that sleep quality is positively associated with school stage, grade, family atmosphere, academic pressure, and number of friends.
conclusionSleep quality and sleep features change greatly from elementary school to university. Interventions to improve sleep quality should consider targeting the specific issues students experience at each school stage. Alarmed by the high prevalence of poor sleep quality among high school students, it is recommended that high school students should be informed of their sleep matter and the consequences.
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