Moussa-Chamari Imen, Romdhani Mohamed, Farooq Abdulaziz, Trabelsi Khaled, Yousfi Narimen, Kamoun Karim, Ahmadian Arezou, Almarri Senaid Salem, Chamari Karim, Hue Olivier
ACTES Laboratory, UFR-STAPS, Université des Antilles, Pointe à Pitre, France.
Department of Physical Education, College of Education, Qatar University, Doha, Qatar.
Sleep Sci. 2024 Jul 23;18(2):e128-e137. doi: 10.1055/s-0044-1788288. eCollection 2025 Jun.
Sleep is a fundamental physiological process essential for maintaining overall health and optimal functioning across various cognitive, emotional, and physical domains. To cross-sectionally investigate the sleep pattern among college students according to geographical location, gender, and age. A total of 3,475 valid responses, 3,366 from 4 continents (Africa - = 1,095; America - = 182; Asia - = 1,562; Europe - = 527); 2,075 from female students and 1,369 from male students ( = 3,444), were analyzed. Sleep quality, insomnia, and daytime sleepiness were assessed using validated questionnaires (Pittsburgh Sleep Quality Index [PSQI], Insomnia Severity Index [ISI], and Epworth Sleepiness Scale [ESS], respectively). Students from all continents had poor sleep quality, and there were inter-countries differences in sleep quality. The frequency of poor sleep quality and subclinical-to-clinical insomnia were higher among Asian (AsiS) and African students (AfS) compared with American (AmS) and European students (EuS) ( < 0.05). Asian students had a greater frequency of excessive daytime sleepiness (EDS) compared with those from other continents ( < 0.05). Females showed higher mean ISI scores ( < 0.001) as well as a greater frequency of poor sleep quality ( < 0.05), subclinical-to-clinical insomnia ( < 0.05), and EDS ( < 0.05) compared with males. Insufficient sleep duration was more frequent in older-aged groups (i.e., 26-30, 31-35, and > 36 years) compared with the ≤ 20 years age group ( < 0.05). Excessive daytime sleepiness was more frequent in younger age groups (i.e., ≤ 20 and 21-25 years) versus the > 36 years ( < 0.05) group. There were no significant differences in the frequency of various degrees of insomnia across age groups. Our results suggest the need for tailored interventions for addressing sleep disturbances among college students of all age groups, with a specific focus on AsiS and AfS, as well as female students.
睡眠是一项基本的生理过程，对于维持整体健康以及在认知、情感和身体等各个领域的最佳功能至关重要。为了按地理位置、性别和年龄对大学生的睡眠模式进行横断面调查。共分析了3475份有效回复，其中3366份来自4个大洲（非洲——1095份；美洲——182份；亚洲——1562份；欧洲——527份）；2075份来自女学生，1369份来自男学生（n = 3444）。使用经过验证的问卷（分别为匹兹堡睡眠质量指数[PSQI]、失眠严重程度指数[ISI]和爱泼华嗜睡量表[ESS]）评估睡眠质量、失眠和日间嗜睡情况。所有大洲的学生睡眠质量都较差，且各国在睡眠质量方面存在差异。与美洲（AmS）和欧洲（EuS）学生相比，亚洲（AsiS）和非洲学生（AfS）中睡眠质量差以及亚临床至临床失眠的发生率更高（P < 0.05）。与其他大洲的学生相比，亚洲学生日间过度嗜睡（EDS）的发生率更高（P < 0.05）。与男性相比，女性的平均ISI得分更高（P < 0.001），睡眠质量差、亚临床至临床失眠以及EDS的发生率也更高（P < 0.05）。与≤20岁年龄组相比，睡眠时长不足在年龄较大的组（即26 - 30岁、31 - 35岁和>36岁）中更为常见（P < 0.05）。日间过度嗜睡在较年轻的年龄组（即≤20岁和21 - 25岁）中比>36岁组更为常见（P < 0.05）。各年龄组不同程度失眠的发生率没有显著差异。我们的研究结果表明，需要针对所有年龄组的大学生制定针对性的干预措施来解决睡眠障碍问题，尤其要关注亚洲和非洲学生以及女学生。
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