匹兹堡睡眠质量指数
计时型
潜在类模型
逻辑回归
心理学
医学
睡眠(系统调用)
临床心理学
人口
老年学
人口学
昼夜节律
精神科
失眠症
环境卫生
睡眠质量
内科学
社会学
操作系统
统计
计算机科学
数学
作者
Simin Zhang,Fei Liu,Jun Chen,Handong Yang,Jishun Chen,Dongfeng Li,Xu Hui,Sijia Wang,Haijian Guo,Ningrui Zhang,Zhixin Liu,Xinwen Min,Wenwen Wu
标识
DOI:10.1016/j.jad.2023.11.090
摘要
Sleep problem among undergraduate students has become one of the most pressing public health problems. This study aimed to explore the latent class of sleep patterns and the factors affecting sleep in Chinese students of medical university. 3423 students participated in the cross-sectional study. The survey consisted of the reduced Morningness-Evening Questionnaire, the Pittsburgh Sleep Quality Index, and Health-Promoting Lifestyle Profile-II. Latent profile analysis and multinominal logistic regression analysis were performed. Three potential sleep categories were identified: “sleep disorder group” (1.87 %), “daytime dysfunction group” (24.42 %), and “good sleep group” (73.71 %). Compared with the “good sleep group,” the “sleep disorder group” showed monthly living expenses (RMB) ≥ 3000 yuan (OR) = 13.04), interpersonal relationships as poor (OR = 3.71), health status as poor (OR = 45.09), circadian rhythm as eveningness (OR = 6.17), and poor health-promoting lifestyles (OR = 2.090) as its risk factors (all p < 0.05). Meanwhile, sophomore (OR = 1.75), junior (OR = 1.52), interpersonal relationships as poor (OR = 1.88), health status as poor (OR = 4.62), intermediate-chronotype (OR = 2.19), eveningness chronotype (OR = 5.66), and health-promoting lifestyles as poor (OR = 1.55) were identified as risk factors for the “daytime dysfunction group” (all p < 0.05). Causal conclusions can not be drawn and recall bias in data collection. Significant population heterogeneity was found in the sleep quality. Implementing targeted interventions focusing on circadian rhythm and lifestyle is crucial to improve the sleep quality of students with different conditions.
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