Altern Ther Health Med. 2022 Mar;28(3):58-64.
Poor sleep quality among college students is a global problem. Chinese college students were required to home quarantine, social distance and participate in online learning during the COVID-19 epidemic. This study aimed to investigate the sleep quality of college students during the epidemic and identify the factors related to poor sleep quality.
Study participants completed an online survey that included questionnaires about sleep symptoms and lifestyle during the COVID-19 outbreak. The study participants included 3416 college students (mean age 20.4 ± 1.8 years). The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality, and a PSQI score >7 was defined as poor sleep quality. A logistic regression model was used to analyze the factors related to sleep quality.
The percentage of college students with poor sleep quality was 15.97 % in southern Anhui province during the COVID-19 pandemic. The majority of the students were female (67.4%) and most were from urban areas (53.9%). Single-parent (adjusted odds ratio [aOR], 1.39; 95% CI, 1.02-1.89) domestic violence incidents ≥5×/yr (aOR, 3.68; 95% CI, 1.70 to 7.96), nap time >4 hr/d (aOR, 1.90; 95% CI, 25-2.90) were significantly associated with poor sleep quality. While knowledge of COVID-19 was prevalent (aOR, 0.71; 95% CI, 0.53 to 0.96) light exercise >1 hour/day (aOR, 0.47; 95% CI, 0.28 to 0.78), parent-accompanied exercise >3×/wk (aOR, 0.59; 95% CI, 0.38 to 0.90) were protective factors against poor sleep quality.
The present study found that college students in single-parent families and students who had experienced domestic violence had a high risk of poor sleep quality during the COVID-19 pandemic in China. College students who were familiar with COVID-19 and had light exercise habits or parent-accompanied exercise habits had better sleep quality. At the time of writing, COVID-19 was still pandemic worldwide, so targeted sleep health interventions must be established to actively guide college students' healthy living habits. In addition, the sleep disorders and other health problems that may occur in college students should be dealt with in advance, and should be part of the routine work of global disease prevention.
大学生睡眠质量差是一个全球性问题。在中国 COVID-19 疫情期间，大学生被要求居家隔离、保持社交距离并参加在线学习。本研究旨在调查疫情期间大学生的睡眠质量，并确定与睡眠质量差相关的因素。
研究参与者完成了一项在线调查，其中包括 COVID-19 期间睡眠症状和生活方式的问卷。研究参与者包括 3416 名大学生（平均年龄 20.4 ± 1.8 岁）。使用匹兹堡睡眠质量指数（PSQI）来衡量睡眠质量，PSQI 得分>7 定义为睡眠质量差。使用逻辑回归模型分析与睡眠质量相关的因素。
在 COVID-19 大流行期间，皖南地区大学生睡眠质量差的比例为 15.97%。大多数学生为女性（67.4%），大多数来自城市地区（53.9%）。单亲家庭（调整后的优势比[aOR]，1.39；95%置信区间，1.02-1.89）、家庭暴力事件≥5 次/年（aOR，3.68；95%CI，1.70 至 7.96）、午睡时间>4 小时/天（aOR，1.90；95%CI，25-2.90）与睡眠质量差显著相关。而对 COVID-19 的了解程度较高（aOR，0.71；95%CI，0.53 至 0.96）、每天运动>1 小时（aOR，0.47；95%CI，0.28 至 0.78）、父母陪同运动>3 次/周（aOR，0.59；95%CI，0.38 至 0.90）是预防睡眠质量差的保护因素。
本研究发现，在中国 COVID-19 大流行期间，单亲家庭的大学生和经历过家庭暴力的大学生睡眠质量差的风险较高。对 COVID-19 有了解、有轻度运动习惯或父母陪同运动习惯的大学生睡眠质量较好。在撰写本文时，COVID-19 仍在全球流行，因此必须建立有针对性的睡眠健康干预措施，积极引导大学生养成健康的生活习惯。此外，还应提前处理大学生可能出现的睡眠障碍等健康问题，并将其作为全球疾病预防的常规工作的一部分。
