Sleep Habits, Sleep Problems, Sleep Hygiene, And Their Associations With Mental Health Problems Among Chinese Adolescents | 17929
Epidemiology: Open Access
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To examine Chinese adolescents? sleep habits, sleep problems, sleep hygiene, and their associations with mental
A random sample of 4966 adolescents aged around 11-20 years participated in a cross-sectional survey. Adolescent
Sleep Wake Scale (ASWS), Adolescent Sleep Hygiene Scale (ASHS) and Strengths and Difficulties Questionnaire (SDQ) were
used to collect information on adolescents? sleep behaviors and mental health status respectively.
The multivariate logistic regression identified, after controlling for all confounders, five sleep variables were associated
with mental health disabilities. The five factors covered three domains: Sleep habits (go to bed late during weekdays [OR =1.65,
CI: 1.14-2.39, p=0.008] ), sleep problems (difficulties maintaining sleep [OR=2.73, CI: 1.69-4.41, p<0.001], and sleep-wake
transition disorders [OR=1.48, CI: 1.08-2.02, p=0.014]), and sleep hygiene (poor psychosocial condition at bedtime [OR=2.52,
CI: 1.81-3.50, p<0.001], and irregular sleep schedule [OR=2.04, CI: 1.49-2.80, p<0.001]).
In adolescents, sleep habits, sleep problems, sleep hygiene are associated with mental health disabilities, indicating
the existing mental health disabilities in adolescents could be, at least partly, intervened by going to bed earlier during the
weekdays, by treating difficulties maintaining sleep, and sleep-wake transition disorders, and by mental intervention, by
improving the sleep hygiene routine.
Jinwen Zhang is a graduate student of Shanghai Jiaotong University School of Medicine. Her major is preventive medicine.
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