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Sleep quality of Chinese adolescents: Distribution and its associated factors


Dr Hong Su, Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui Province 230032, China. Fax: +86 551 5144336; email:


Aim:  To investigate the sleep quality status and its associated factors (including psychological and physiological as well as social demographic factors) among Chinese mainland adolescents.

Methods:  Ten schools, including junior schools, senior schools and universities of Hefei (the capital of Anhui Province in China), were randomly selected. By using the Pittsburgh Sleep Quality Index, Self-Rated Health Measurement Scale Version 1.0, University of California, Los Angeles, Loneliness Scale, Beck Depression Inventory, Self-rating Anxiety Scale and a demographic survey, a cross-sectional study was implemented to 5226 students of the selected schools to investigate the adolescents' sleep quality, self-rated health, psychological status and demographic variables.

Results:  There were significant sleep quality differences between different groups of grade level, residence, family type, self-report personality, self-report examination scores, self-rated health, depression, loneliness and anxiety according to the results of the univariate analysis (P < 0.01 or <0.05). The multivariate analysis indicated that high grade level (OR = 1.490, 95%CI = 1.350–1.645), living in rural areas (OR = 0.874, 95%CI = 0.799–0.956), poor self-rated health (OR = 0.934, 95%CI = 0.926–0.942), high degree of depression (OR = 1.867, 95%CI = 1.514–2.302) and anxiety (OR = 1.976, 95%CI = 1.647–2.372) may be the influencing factors of poor sleep.

Conclusions:  The poor sleep quality of many adolescents may be attributed to various causes, especially psychological reasons.