Sex differences in the factors associated with sleep duration in university students: A cross-sectional study.

Anxiety symptoms Depressive symptoms Internet use Lifestyle behaviors Sex differences Sleep duration University student

Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 07 2021
Historique:
received: 05 03 2021
revised: 10 04 2021
accepted: 15 04 2021
pubmed: 29 5 2021
medline: 6 7 2021
entrez: 28 5 2021
Statut: ppublish

Résumé

Insufficient sleep duration among university students was commonly associated with many detrimental effects. University students experience substantial environmental and psychological changes. Female and male university students may differ in many spheres. However, most research on sleep duration of university students is based on an aggregate sample rather than digging the sex-specific profiles. The objective of this study is to examine potential sex differences in the correlates of sleep duration and explore the underlying mechanism of correlations. This is a large-scale university-based mental health survey, which was conducted in university students in Qinghai Province in Northwest China in December 2019. A multi-stage logistic regression was separately fitted by sex to examine the factors associated with short sleep duration in university students. A total of 5,552 university students with an average sleep duration of 6.88 h (SD = 1.04) were included, among which 35.0% of the participants may currently be sleeping less than the optimal duration. Female students (6.84 h, SD = 1.00) slept shorter than males (6.94 h, SD = 1.09). The only parallel between sexes was that both female and male students with 3-5 times weekly breakfast were less likely to have short sleep duration. Adjusting for depressive symptoms in the following step eliminated the association between anxiety symptoms and short sleep duration in the model for female students. Female-specific associated factors with short sleep duration were age, grade, academic pressure, weekly physical exercise, depressive symptoms. Male-specific characteristics were current smoking tobacco cigarette, self-perceived health, duration of daily Internet use. Characteristic profiles of sleep duration differed between female and male university students; only a few male-specific factors were identified. Psychological guidance and education courses as well as other interventions to improve university students' sleep and related health should be designed and implemented based on sex differences.

Sections du résumé

BACKGROUND
Insufficient sleep duration among university students was commonly associated with many detrimental effects. University students experience substantial environmental and psychological changes. Female and male university students may differ in many spheres. However, most research on sleep duration of university students is based on an aggregate sample rather than digging the sex-specific profiles. The objective of this study is to examine potential sex differences in the correlates of sleep duration and explore the underlying mechanism of correlations.
METHODS
This is a large-scale university-based mental health survey, which was conducted in university students in Qinghai Province in Northwest China in December 2019. A multi-stage logistic regression was separately fitted by sex to examine the factors associated with short sleep duration in university students.
RESULTS
A total of 5,552 university students with an average sleep duration of 6.88 h (SD = 1.04) were included, among which 35.0% of the participants may currently be sleeping less than the optimal duration. Female students (6.84 h, SD = 1.00) slept shorter than males (6.94 h, SD = 1.09). The only parallel between sexes was that both female and male students with 3-5 times weekly breakfast were less likely to have short sleep duration. Adjusting for depressive symptoms in the following step eliminated the association between anxiety symptoms and short sleep duration in the model for female students. Female-specific associated factors with short sleep duration were age, grade, academic pressure, weekly physical exercise, depressive symptoms. Male-specific characteristics were current smoking tobacco cigarette, self-perceived health, duration of daily Internet use.
CONCLUSION
Characteristic profiles of sleep duration differed between female and male university students; only a few male-specific factors were identified. Psychological guidance and education courses as well as other interventions to improve university students' sleep and related health should be designed and implemented based on sex differences.

Identifiants

pubmed: 34049087
pii: S0165-0327(21)00349-9
doi: 10.1016/j.jad.2021.04.025
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

345-352

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Li Lu (L)

Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, Bordeaux, France.

Min Dong (M)

Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China. Electronic address: dongmin0422@163.com.

ShengYan Jian (S)

Reproductive Medicine Center, Qinghai Provincial People's Hospital, Xining, Qinghai, China.

Jie Gao (J)

Department of Clinical Medicine, Qinghai Institute Of Health Sciences, Xining, Qinghai, China.

LiZhen Ye (L)

Department of Public Health, Erasmus MC - University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.

HongRu Chen (H)

Department of Public Health, Medical College, Qinghai University, Xining, Qinghai, China.

TianTian Zhang (T)

Department of Public Health, Medical College, Qinghai University, Xining, Qinghai, China.

YuYing Liu (Y)

Department of Public Health, Medical College, Qinghai University, Xining, Qinghai, China.

HongYi Shen (H)

Department of Public Education, Xining Urban Vocational & Technical College, Xining, Qinghai, China.

XiangYun Gai (X)

School of Pharmacy, Qinghai Nationalities University, Xining, Qinghai, China.

Shou Liu (S)

Department of Public Health, Medical College, Qinghai University, Xining, Qinghai, China.. Electronic address: liushou2004@aliyun.com.

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