ArticleBMC medical education2025
Restless nights, demanding days: assessment of the prevalence and associated factors of poor sleep quality among medical students in Mogadishu, Somalia.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep is a fundamental biological process essential for cognitive performance, emotional regulation, and academic functioning. Medical students are particularly vulnerable to poor sleep quality due to demanding coursework, irregular schedules, and heightened psychological stress. Although global studies have documented a high prevalence of sleep disturbances in this group, evidence from low-resource educational settings such as Somalia remains limited. This study aimed to determine the prevalence of poor sleep quality, identify associated factors, and evaluate whether depressive symptoms mediate the relationship between social support and sleep quality among medical students in Mogadishu.
methodsA multicenter cross-sectional study was conducted between July and August 2025 among 272 medical students from four universities in Mogadishu. Data were collected electronically using a structured questionnaire on sociodemographic, academic, behavioral, and psychosocial characteristics, along with validated instruments: the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire-9 (PHQ-9), and the Oslo Social Support Scale-3 (OSSS-3). Descriptive statistics summarized participant characteristics, while logistic regression identified independent predictors of poor sleep quality. Spearman’s rank-order correlations and Hayes’ PROCESS macro (Model 4) were used to explore associations and mediation effects. Statistical significance was set at p < 0.05.
resultsThe prevalence of poor sleep quality among medical students was 41.5% (95% CI: 35.6–47.6). Poor sleep predictors included nighttime screen use (AOR = 2.71, 95% CI: 1.24–5.95), stressful life events (AOR = 2.05, 95% CI: 1.12–3.77), physical inactivity (AOR = 2.70, 95% CI: 1.20–6.10), depressive symptoms (AOR = 2.73, 95% CI: 1.51–4.91), and poor social support (AOR = 2.30, 95% CI: 1.04–5.10). Mediation analysis indicated that depressive symptoms fully mediated the association between social support and sleep quality, implying that lower social support may contribute to poorer sleep primarily through its influence on depressive symptomatology.
conclusionPoor sleep quality affects more than two-fifths of medical students in Mogadishu and is linked to key behavioral and psychosocial factors relevant to student well-being. Institutional strategies promoting healthy digital habits, regular physical activity, and psychosocial support are needed to enhance student well-being and educational success.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.