Acharya Sophiya, Chalise Anisha, Marasine Nirmal Raj, Paudel Shishir
Department of Public Health, CiST College, Pokhara University, Kathmandu, Nepal.
Center for Research on Environment, Health and Population Activities (CREHPA), Lalitpur Nepal.
PLoS One. 2025 Jan 22;20(1):e0317747. doi: 10.1371/journal.pone.0317747. eCollection 2025.
Poor sleep quality and internet addiction are significant issues affecting adolescents globally, and Nepal is no exception. Several studies have independently assessed the prevalence and associated factors of poor sleep quality and internet addiction among Nepali adolescents and youth, but the relationship between sleep-related attributes and internet addiction remains unexplored. This study aimed to explore the prevalence and contributing factors of poor sleep quality and internet addiction along with the relationship between sleep quality-related attributes and internet addiction.
A cross-sectional study was conducted among 243 adolescents of Dakshinkali Municipality, Nepal. Pittsburgh Sleep Quality Index and Young's Internet Addiction Test scale were used to measure sleep quality and internet addiction. Pearson's chi-square test and binary logistic regression were performed at a 5% level of significance to examine the associated factors.
The prevalence of poor sleep quality was 27.6% (95% CI: 22.6-33.7) while potential internet addiction was 49.4% (95% CI: 42.0-56.7). Poor sleep quality was associated with internet addiction (aOR: 1.845; 95% CI: 1.344-3.608), poor perceived relation with teachers (aOR: 2.274; 95% CI: 1.149-4.497), and presence of family conflict (aOR: 2.355; 95% CI: 1.040-5.329). Bad subjective sleep quality (aOR: 5.613; 95% CI: 2.007-15.701), sleep disturbance (aOR: 1.781; 95% CI: 1.251-4.872), frequent daytime dysfunction (aOR: 1.902; 95% CI: 1.083-4.638), and poor perceived relation with teachers (aOR: 2.298; 95% CI: 1.233-4.285), and presence of family conflict (aOR: 1.606; 95% CI: 1.202-3.675) were associated with internet addiction.
Almost a quarter of adolescents' experience poor sleep quality, while nearly half screened positive for potential internet addiction. Established interrelations between sleep quality and internet usage underscore the importance of integrated intervention approaches combining lifestyle modification and family/school support to protect and promote the mental health and well-being of Nepalese adolescents.
睡眠质量差和网络成瘾是影响全球青少年的重大问题，尼泊尔也不例外。多项研究已分别评估了尼泊尔青少年和青年中睡眠质量差和网络成瘾的患病率及相关因素，但睡眠相关属性与网络成瘾之间的关系仍未得到探索。本研究旨在探讨睡眠质量差和网络成瘾的患病率及影响因素，以及睡眠质量相关属性与网络成瘾之间的关系。
在尼泊尔达克辛卡利市的243名青少年中进行了一项横断面研究。采用匹兹堡睡眠质量指数和杨氏网络成瘾测试量表来测量睡眠质量和网络成瘾情况。采用Pearson卡方检验和二元逻辑回归，在5%的显著性水平下检验相关因素。
睡眠质量差的患病率为27.6%（95%置信区间：22.6 - 33.7），潜在网络成瘾率为49.4%（95%置信区间：42.0 - 56.7）。睡眠质量差与网络成瘾相关（调整后比值比：1.845；95%置信区间：1.344 - 3.608），与教师关系不佳（调整后比值比：2.274；95%置信区间：1.149 - 4.497）以及家庭冲突的存在相关（调整后比值比：2.355；95%置信区间：1.040 - 5.329）。主观睡眠质量差（调整后比值比：5.613；95%置信区间：2.007 - 15.701）、睡眠障碍（调整后比值比：1.781；95%置信区间：1.251 - 4.872）、白天频繁功能障碍（调整后比值比：1.902；95%置信区间：1.083 - 4.638）、与教师关系不佳（调整后比值比：2.298；95%置信区间：1.233 - 4.285）以及家庭冲突存在（调整后比值比：1.606；95%置信区间：1.202 - 3.675）均与网络成瘾相关。
近四分之一的青少年睡眠质量差，近一半的青少年潜在网络成瘾筛查呈阳性。睡眠质量与网络使用之间已确立的相互关系强调了结合生活方式改变和家庭/学校支持的综合干预方法对于保护和促进尼泊尔青少年心理健康和幸福的重要性。
