Home Prevalence and determinants of poor quality of sleep among adolescents in rural Puducherry, South India
Article
Licensed
Unlicensed Requires Authentication

Prevalence and determinants of poor quality of sleep among adolescents in rural Puducherry, South India

  • Gokul Sarveswaran EMAIL logo , Kalaiselvy Arikrishnan , Yuvaraj Krishnamoorthy , Manikandanesan Sakthivel , Marie Gilbert Majella and Subitha Lakshminarayanan
Published/Copyright: April 17, 2019

Abstract

Background

Adolescence is a critical stage of life which is characterized by rapid biological, social and emotional development. India has the highest adolescent population, however, there is paucity of literature reporting the sleep quality among adolescents.

Objective

To determine the sleep quality and its associated factors among adolescents residing in selected villages of rural Puducherry.

Materials and methods

A community-based cross-sectional study was conducted among adolescents during March and April 2018. Two out of four villages were randomly selected and all the adolescents were contacted through a household visit and a questionnaire was administered. The semi-structured questionnaire contained socio-demographic details of adolescents and details on living environment. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. Sleep quality is expressed as a proportion with a 95% confidence interval (CI). The association of socio-demographic characteristics with poor sleep quality is reported as a prevalence ratio.

Results

The total number of adolescents interviewed was 789. The mean age of the study participants was 14.1 (±2.4) years and the majority, 440 (55.8%) were boys and 684 (86.7%) belonged to a nuclear family. More than a quarter, 210 (26.6%) belonged to the middle class as regards socio-economic status. Environmental assessment of households showed more than half, 456 (57.8%) were staying in a “pucca” house and the majority, 642 (81.4%) had adequate cross ventilation. The prevalence of poor quality of sleep among the adolescents was 2.5% (95% CI: 1.6%–3.9%). It was found that higher educational level [adjusted prevalence ratio (aPR) – 3.43] and belonging to higher socio-economic class (aPR – 5.48) were found to be significant determinants for poor quality of sleep among adolescents.

Conclusion

The current study found that only 2.5% of the adolescents have poor sleep quality. Adolescents with higher educational level and higher socio-economic status were more prone to have poor quality of sleep.

References

[1] Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev. 2015;22:23–36.10.1016/j.smrv.2014.10.001Search in Google Scholar

[2] Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785–86.10.1542/9781610020862-part06-recommendedSearch in Google Scholar

[3] Brick CA, Seely DL, Palermo TM. Association between sleep hygiene and sleep quality in medical students. Behav Sleep Med. 2010;8(2):113–21.10.1080/15402001003622925Search in Google Scholar

[4] Alhola P, Polo-Kantola P. Sleep deprivation: impact on cognitive performance. Neuropsychiatr Dis Treat. 2007;3(5):553–67.Search in Google Scholar

[5] McEwen BS. Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol. 2008;583(2–3):174–85.10.1016/j.ejphar.2007.11.071Search in Google Scholar

[6] Laski L. Realising the health and wellbeing of adolescents. Br Med J. 2015;351:h4119.10.1136/bmj.h4119Search in Google Scholar

[7] Stein RE. Children’s health, the Nation’s wealth: assessing and improving child health. Ambulat Pediat. 2005;5(3):131–3.10.1367/1539-4409(2005)5[131:CHTNWA]2.0.CO;2Search in Google Scholar

[8] Tarokh L, Saletin JM, Carskadon MA. Sleep in adolescence: physiology, cognition and mental health. Neurosci Biobehav Rev. 2016;70:182–8.10.1016/j.neubiorev.2016.08.008Search in Google Scholar

[9] Malik BK. Youth development in India: does poverty matter? SpringerPlus. 2015;4(1):613.10.1186/s40064-015-1410-zSearch in Google Scholar

[10] OpenEpi – Toolkit Shell for Developing New Applications [Internet]. [cited 2017 Oct 31]. Available from: http://www.openepi.com/SampleSize/SSPropor.html.Search in Google Scholar

[11] Saxena S, Koreti S, Gaur A. Prevalence and predictors of sleep wake disturbances among adolescents. Int J Contemp Med Res. 2016;3(10):2944–7.Search in Google Scholar

[12] Prajapati B, Bankar K, Chauhan J. A study of availability of basic facilities at household level of rural Gujarat, India. Int J Community Med Public Health. 2017;4:2052–5.10.18203/2394-6040.ijcmph20172175Search in Google Scholar

[13] Beaudreau SA, Spira AP, Stewart A, Kezirian EJ, Lui LY, Ensrud K, et al. Validation of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older black and white women. Sleep Med. 2012;13(1):36–42.10.1016/j.sleep.2011.04.005Search in Google Scholar

[14] Aanensen DM, Huntley DM, Feil EJ, Al-Own F, Spratt BG. EpiCollect: linking smartphones to web applications for epidemiology, ecology and community data collection. PLoS One. 2009;4(9):e6968. doi:10.1371/journal.pone.0006968.Search in Google Scholar PubMed PubMed Central

[15] StataCorp. 2011. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP.Search in Google Scholar

[16] Guo L, Deng J, He Y, Deng X, Huang J, Huang G, et al. Prevalence and correlates of sleep disturbance and depressive symptoms among Chinese adolescents: a cross-sectional survey study. Br Med J. 2014;4(7):e005517.10.1136/bmjopen-2014-005517Search in Google Scholar PubMed PubMed Central

[17] El-Nagar SA. Relation between nighttime technology devices use, stimulant drinks intake and sleep quality among adolescent students. 2017:4(1):296–314.Search in Google Scholar

[18] Gomes GC, Passos MH, Silva HA, Oliveira VM, Novaes WA, Pitangui AC, et al. Sleep quality and its association with psychological symptoms in adolescent athletes. Rev Paulista Pediat. 2017;35(3):316–21.10.1590/1984-0462/;2017;35;3;00009Search in Google Scholar

[19] DAĞ B, Kutlu FY. The relationship between sleep quality and depressive symptoms in adolescents. Turkish J Med Sci. 2017;47(3):721–7.10.3906/sag-1507-14Search in Google Scholar

[20] Lo HM, Leung JH, Chau GK, Lam MH, Lee KY. Factors affecting sleep quality among adolescent athletes. Sports Nutr Ther. 2017;2(122):2.Search in Google Scholar

[21] Gupta R, Bhatia MS, Chhabra V, Sharma S, Dahiya D, Semalti K, et al. Sleep patterns of urban school-going adolescents. Indian Pediatr. 2008;45:183–9.Search in Google Scholar

Received: 2018-05-23
Accepted: 2018-06-17
Published Online: 2019-04-17

©2019 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Close-in-age exemption laws: focusing on the best interests of children and adolescents
  4. Review
  5. Literature review: nutritional factors influencing academic achievement in school age children
  6. Original Articles
  7. Appointed by young people – a qualitative study on young patients recruiting hospital staff in Denmark
  8. Child labor and mental health status of in-school adolescents in a municipal local government area of Lagos state, Nigeria
  9. Usefulness of hematological parameters for differential diagnosis of endometriomas in adolescents/young adults and older women
  10. Assessment of the WHO Health Promoting Schools Framework among schools in selected villages of rural Puducherry, South India – a mixed method study
  11. The development and psychometric evaluation of a new instrument to market healthy breakfast and snacks among adolescents
  12. Awareness of bicycle light use of young adults
  13. A brief study on the knowledge and choice of contraception methods in married adolescent girls
  14. Coverage of and compliance to iron supplementation under the National Iron Plus Initiative among reproductive age-group women in urban Puducherry – a cross-sectional study
  15. Adolescents’ smartphone use at night, sleep disturbance and depressive symptoms
  16. Prevalence and determinants of poor quality of sleep among adolescents in rural Puducherry, South India
  17. Health awareness, lifestyle and dietary behavior of university students in the northeast part of Bangladesh
  18. The effectiveness of group counseling on prenatal care knowledge and performance of pregnant adolescents in a Kurdish region of Iran
  19. High adenovirus 36 seroprevalence among a population of Hispanic American youth
  20. Development and psychometric properties of the female adolescents’ sexual reproductive self-care scale
  21. Decide Now, Buy Marlboro”: Examining the influence and appeal of Marlboro’s new brand architecture among Filipino adolescents
  22. Knowledge, attitude and practice of cigarette smoking among senior secondary school students in Depok, Indonesia
  23. Factors associated with knowledge of where to access health care among youth in juvenile detention: a mixed methods study
  24. Association between a vegetarian diet and emotional symptoms: a cross-sectional study among adolescents in four developing countries
  25. A prospective 1-year study on load reduction of school backpacks shows reversible changes of body posture in schoolchildren
  26. Level, motivation and barriers to participate in physical activity among late adolescents in Puducherry
  27. A pilot study to improve sugar and water consumption in Maltese school children
  28. Deep venous thrombosis of lower limbs in adolescents: a study in a tertiary hospital
  29. Prevalence and determinants of condom use among male adolescents in Indonesia
  30. Iranian mothers’ needs for reproductive health education of their adolescent daughters: a qualitative study
  31. Short Communication
  32. Psychosocial determinants of stress among adolescents in an urban slum in a city of Western Maharashtra: a cross-sectional study
Downloaded on 21.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2018-0101/html
Scroll to top button