ArticleFrontiers in sleep2026
Association between meeting sleep guidelines and anxiety symptoms among Physician assistants in Ghana: a cross-sectional study.
Article in Frontiers in sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sleep is an important determinant of mental health, yet evidence among healthcare professionals in sub-Saharan Africa remains limited. This study examined the association between adherence to recommended sleep duration guidelines and anxiety symptoms among Physician Assistants in Ghana. Methods: We conducted a secondary analysis of primary data collected from 439 Physician Assistants in Ghana between October and December 2024. Anxiety symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS), with scores ≥8 indicating anxiety symptoms. Sleep duration was self-reported and categorized as meeting (7-9 h/night) or not meeting (< 7 h/night) recommended sleep guidelines. Multivariable logistic regression was used to examine associations while adjusting for sociodemographic, behavioral, environmental, and climatic factors. Results: Overall, 31.9% of participants met the recommended sleep duration guideline, while 23.5% reported anxiety symptoms. In adjusted analyses, meeting the recommended sleep guidelines (aOR = 0.45, 95% Conclusions: Adequate sleep may be an important modifiable factor associated with mental health among Physician Assistants in Ghana. Efforts to support healthy sleep behaviors and create supportive environments may contribute to improved mental health among this population. Future research should include diverse cadres of healthcare professionals and consider a 24-h movement behavior approach.
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