Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China
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. Th...
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| Veröffentlicht in: | Journal of affective disorders 2024-02, Vol.347, p.320-326 |
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| container_title | Journal of affective disorders |
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| creator | Zhang, Simin Liu, Xiang Chen, Jun Yang, Handong Chen, Jishun Li, Dongfeng Xu, Hao Wang, Sijia Guo, Huailan Zhang, Ningrui Liu, Zhixin Min, Xinwen Wu, Wenwen |
| description | 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 |
| doi_str_mv | 10.1016/j.jad.2023.11.090 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2896805171</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0165032723014647</els_id><sourcerecordid>2896805171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-1a65db3d66eb391ce93640fb70df97d41b96ceb90ab45df2d494388ebb93334e3</originalsourceid><addsrcrecordid>eNp9kE1v1DAQQC1ERZfCD-CCfORAgh0nTgynagUUqVJ7aM-WPybglWNvbWel_oL-bbxs4chpDvPmSfMQekdJSwnln3btTtm2Ix1rKW2JIC_Qhg4ja7qBji_RpjJDQ1g3nqPXOe8IIVyM5BU6ZxNhnPTjBj3dqlIghYzjjLMH2OOHVXlXHrEKFruSsQuzXyEYwLMyJab8GV9irwqEgo1XOeMlWvBYLTH8xLmstm7--BawziiP1-AOkPJR6gK-WjU4fJviwVXpR7z95YJ6g85m5TO8fZ4X6P7b17vtVXN98_3H9vK6MYwMpaGKD1YzyzloJqgBwXhPZj0SO4vR9lQLbkALonQ_2LmzvejZNIHWgjHWA7tAH07efYoPK-QiF5cNeK8CxDXLbhJ8IjUfrSg9oSbFnBPMcp_cotKjpEQe-8udrP3lsb-kVNb-9eb9s37V9ft_F3-DV-DLCYD65MFBktm4Y1zrEpgibXT_0f8Gm46XoA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2896805171</pqid></control><display><type>article</type><title>Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Zhang, Simin ; Liu, Xiang ; Chen, Jun ; Yang, Handong ; Chen, Jishun ; Li, Dongfeng ; Xu, Hao ; Wang, Sijia ; Guo, Huailan ; Zhang, Ningrui ; Liu, Zhixin ; Min, Xinwen ; Wu, Wenwen</creator><creatorcontrib>Zhang, Simin ; Liu, Xiang ; Chen, Jun ; Yang, Handong ; Chen, Jishun ; Li, Dongfeng ; Xu, Hao ; Wang, Sijia ; Guo, Huailan ; Zhang, Ningrui ; Liu, Zhixin ; Min, Xinwen ; Wu, Wenwen</creatorcontrib><description>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.
•Research on sleep quality in Chinese undergraduate of medical university was limited.•Our study was the first to explore their sleep quality patterns and influence factors.•Three categories (sleep disorder; daytime dysfunction; good sleep) were identified.•Sleep disorders and daytime dysfunction were each related with five different factors.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2023.11.090</identifier><identifier>PMID: 38036047</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Circadian Rhythm ; Cross-Sectional Studies ; Humans ; Latent Class Analysis ; Sleep ; Sleep Quality ; Sleep Wake Disorders - epidemiology ; Students ; Surveys and Questionnaires ; Universities</subject><ispartof>Journal of affective disorders, 2024-02, Vol.347, p.320-326</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-1a65db3d66eb391ce93640fb70df97d41b96ceb90ab45df2d494388ebb93334e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2023.11.090$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38036047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Simin</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Yang, Handong</creatorcontrib><creatorcontrib>Chen, Jishun</creatorcontrib><creatorcontrib>Li, Dongfeng</creatorcontrib><creatorcontrib>Xu, Hao</creatorcontrib><creatorcontrib>Wang, Sijia</creatorcontrib><creatorcontrib>Guo, Huailan</creatorcontrib><creatorcontrib>Zhang, Ningrui</creatorcontrib><creatorcontrib>Liu, Zhixin</creatorcontrib><creatorcontrib>Min, Xinwen</creatorcontrib><creatorcontrib>Wu, Wenwen</creatorcontrib><title>Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>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.
•Research on sleep quality in Chinese undergraduate of medical university was limited.•Our study was the first to explore their sleep quality patterns and influence factors.•Three categories (sleep disorder; daytime dysfunction; good sleep) were identified.•Sleep disorders and daytime dysfunction were each related with five different factors.</description><subject>Circadian Rhythm</subject><subject>Cross-Sectional Studies</subject><subject>Humans</subject><subject>Latent Class Analysis</subject><subject>Sleep</subject><subject>Sleep Quality</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Students</subject><subject>Surveys and Questionnaires</subject><subject>Universities</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQQC1ERZfCD-CCfORAgh0nTgynagUUqVJ7aM-WPybglWNvbWel_oL-bbxs4chpDvPmSfMQekdJSwnln3btTtm2Ix1rKW2JIC_Qhg4ja7qBji_RpjJDQ1g3nqPXOe8IIVyM5BU6ZxNhnPTjBj3dqlIghYzjjLMH2OOHVXlXHrEKFruSsQuzXyEYwLMyJab8GV9irwqEgo1XOeMlWvBYLTH8xLmstm7--BawziiP1-AOkPJR6gK-WjU4fJviwVXpR7z95YJ6g85m5TO8fZ4X6P7b17vtVXN98_3H9vK6MYwMpaGKD1YzyzloJqgBwXhPZj0SO4vR9lQLbkALonQ_2LmzvejZNIHWgjHWA7tAH07efYoPK-QiF5cNeK8CxDXLbhJ8IjUfrSg9oSbFnBPMcp_cotKjpEQe-8udrP3lsb-kVNb-9eb9s37V9ft_F3-DV-DLCYD65MFBktm4Y1zrEpgibXT_0f8Gm46XoA</recordid><startdate>20240215</startdate><enddate>20240215</enddate><creator>Zhang, Simin</creator><creator>Liu, Xiang</creator><creator>Chen, Jun</creator><creator>Yang, Handong</creator><creator>Chen, Jishun</creator><creator>Li, Dongfeng</creator><creator>Xu, Hao</creator><creator>Wang, Sijia</creator><creator>Guo, Huailan</creator><creator>Zhang, Ningrui</creator><creator>Liu, Zhixin</creator><creator>Min, Xinwen</creator><creator>Wu, Wenwen</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240215</creationdate><title>Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China</title><author>Zhang, Simin ; Liu, Xiang ; Chen, Jun ; Yang, Handong ; Chen, Jishun ; Li, Dongfeng ; Xu, Hao ; Wang, Sijia ; Guo, Huailan ; Zhang, Ningrui ; Liu, Zhixin ; Min, Xinwen ; Wu, Wenwen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-1a65db3d66eb391ce93640fb70df97d41b96ceb90ab45df2d494388ebb93334e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Circadian Rhythm</topic><topic>Cross-Sectional Studies</topic><topic>Humans</topic><topic>Latent Class Analysis</topic><topic>Sleep</topic><topic>Sleep Quality</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Students</topic><topic>Surveys and Questionnaires</topic><topic>Universities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Simin</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Yang, Handong</creatorcontrib><creatorcontrib>Chen, Jishun</creatorcontrib><creatorcontrib>Li, Dongfeng</creatorcontrib><creatorcontrib>Xu, Hao</creatorcontrib><creatorcontrib>Wang, Sijia</creatorcontrib><creatorcontrib>Guo, Huailan</creatorcontrib><creatorcontrib>Zhang, Ningrui</creatorcontrib><creatorcontrib>Liu, Zhixin</creatorcontrib><creatorcontrib>Min, Xinwen</creatorcontrib><creatorcontrib>Wu, Wenwen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Simin</au><au>Liu, Xiang</au><au>Chen, Jun</au><au>Yang, Handong</au><au>Chen, Jishun</au><au>Li, Dongfeng</au><au>Xu, Hao</au><au>Wang, Sijia</au><au>Guo, Huailan</au><au>Zhang, Ningrui</au><au>Liu, Zhixin</au><au>Min, Xinwen</au><au>Wu, Wenwen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2024-02-15</date><risdate>2024</risdate><volume>347</volume><spage>320</spage><epage>326</epage><pages>320-326</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>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.
•Research on sleep quality in Chinese undergraduate of medical university was limited.•Our study was the first to explore their sleep quality patterns and influence factors.•Three categories (sleep disorder; daytime dysfunction; good sleep) were identified.•Sleep disorders and daytime dysfunction were each related with five different factors.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38036047</pmid><doi>10.1016/j.jad.2023.11.090</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Circadian Rhythm Cross-Sectional Studies Humans Latent Class Analysis Sleep Sleep Quality Sleep Wake Disorders - epidemiology Students Surveys and Questionnaires Universities |
| title | Patterns of sleep quality and its influence factors: A latent class model among students of medical university in Hubei Province, China |
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