Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students

Md Dilshad Manzar,1 Majumi M Noohu,2 Mohammed Salahuddin,3,4 Dejen Nureye,3 Abdulrhman Albougami,1 David Warren Spence,5 Seithikurippu R Pandi-Perumal,6 Ahmed S Bahammam7,8 1Department of Nursing, College of Applied Medical Sciences, Majmaah University, Al Majmaah, Saudi Arabia; 2Centre for Physioth...

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Autores principales:	Manzar MD, Noohu MM, Salahuddin M, Nureye D, Albougami A, Spence DW, Pandi-Perumal SR, Bahammam AS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sleep sleepiness daytime dysfunction young adults low-income country Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/1969b986422a4464a9b0340db131485a
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spelling	oai:doaj.org-article:1969b986422a4464a9b0340db131485a2021-12-02T11:08:22ZInsomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students1179-1608https://doaj.org/article/1969b986422a4464a9b0340db131485a2020-08-01T00:00:00Zhttps://www.dovepress.com/insomnia-symptoms-and-their-association-with-anxiety-and-poor-sleep-hy-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Md Dilshad Manzar,1 Majumi M Noohu,2 Mohammed Salahuddin,3,4 Dejen Nureye,3 Abdulrhman Albougami,1 David Warren Spence,5 Seithikurippu R Pandi-Perumal,6 Ahmed S Bahammam7,8 1Department of Nursing, College of Applied Medical Sciences, Majmaah University, Al Majmaah, Saudi Arabia; 2Centre for Physiotherapy and Rehabilitation Sciences, Jamia Milia Islamia, New Delhi, India; 3Mizan-Tepi University, Mizan-Aman, Ethiopia; 4Department of Bio-Molecular Sciences, Pharmacology Division, University of Mississippi, Oxford, MS, USA; 5Independent Researcher, Toronto, ON, Canada; 6Somnogen Canada Inc, Toronto, ON, Canada; 7The University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 8The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in Saudi Arabia (MED511-02-08), Riyadh, Saudi ArabiaCorrespondence: Md Dilshad Manzar Department of Nursing, College of Applied Medical SciencesMajmaah University, Al Majmaah 11952, Saudi ArabiaEmail m.manzar@mu.edu.saObjective: There is a paucity of research evidence available regarding the impact of anxiety and sleep hygiene on insomnia and related sleep complaints among collegiate students in lower-income countries. The purpose of this study was to investigate if insomnia and insomnia-related sleep complaints are associated with anxiety, age, and sleep hygiene practices among a sample of university students in Ethiopia.Design, Measures, Setting, and Participants: The participants were young adults (n=525; mean age 21.5 ± 3.0 years; mean BMI of 20.7 ± 2.7kg/m2). Young collegiate adults at Mizan-Tepi University in southwestern Ethiopia were randomly selected to participate in this cross-sectional study. The measures included the Leeds Sleep Evaluation Questionnaire-Mizan (LSEQ-M), the Generalized Anxiety Disorder– 7 Scale (GAD-7), and the Sleep Hygiene Index (SHI). Descriptive statistics, binary logistic regression, and multiple linear regressions were used.Results: Insomnia was associated with young age group (≤ 25 years) (odds ratio (OR) = 2.20, 95% confidence interval (CI) 1.04– 4.66), higher GAD-7 (anxiety) (OR = 1.05, 95% CI 1.0– 1.10) and SHI (poor sleep hygiene) (OR = 1.15, 95% CI 1.05– 1.26) scores. All four insomnia-related sleep complaints were associated with increasing GAD-7 scores, as well as higher SHI scores (p< 0.001).Conclusion: Insomnia was associated with younger age group (≤ 25 years), higher anxiety level, and poor sleep hygiene. Four major sleep complaints in insomnia, ie, sleep onset problems, poor sleep quality, awakening problems, and daytime disturbances, were all associated with higher anxiety levels and poor sleep hygiene.Keywords: sleep, sleepiness, daytime dysfunction, young adults, low-income countryManzar MDNoohu MMSalahuddin MNureye DAlbougami ASpence DWPandi-Perumal SRBahammam ASDove Medical Pressarticlesleepsleepinessdaytime dysfunctionyoung adultslow-income countryPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 575-582 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep sleepiness daytime dysfunction young adults low-income country Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep sleepiness daytime dysfunction young adults low-income country Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Manzar MD Noohu MM Salahuddin M Nureye D Albougami A Spence DW Pandi-Perumal SR Bahammam AS Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
description	Md Dilshad Manzar,1 Majumi M Noohu,2 Mohammed Salahuddin,3,4 Dejen Nureye,3 Abdulrhman Albougami,1 David Warren Spence,5 Seithikurippu R Pandi-Perumal,6 Ahmed S Bahammam7,8 1Department of Nursing, College of Applied Medical Sciences, Majmaah University, Al Majmaah, Saudi Arabia; 2Centre for Physiotherapy and Rehabilitation Sciences, Jamia Milia Islamia, New Delhi, India; 3Mizan-Tepi University, Mizan-Aman, Ethiopia; 4Department of Bio-Molecular Sciences, Pharmacology Division, University of Mississippi, Oxford, MS, USA; 5Independent Researcher, Toronto, ON, Canada; 6Somnogen Canada Inc, Toronto, ON, Canada; 7The University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 8The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in Saudi Arabia (MED511-02-08), Riyadh, Saudi ArabiaCorrespondence: Md Dilshad Manzar Department of Nursing, College of Applied Medical SciencesMajmaah University, Al Majmaah 11952, Saudi ArabiaEmail m.manzar@mu.edu.saObjective: There is a paucity of research evidence available regarding the impact of anxiety and sleep hygiene on insomnia and related sleep complaints among collegiate students in lower-income countries. The purpose of this study was to investigate if insomnia and insomnia-related sleep complaints are associated with anxiety, age, and sleep hygiene practices among a sample of university students in Ethiopia.Design, Measures, Setting, and Participants: The participants were young adults (n=525; mean age 21.5 ± 3.0 years; mean BMI of 20.7 ± 2.7kg/m2). Young collegiate adults at Mizan-Tepi University in southwestern Ethiopia were randomly selected to participate in this cross-sectional study. The measures included the Leeds Sleep Evaluation Questionnaire-Mizan (LSEQ-M), the Generalized Anxiety Disorder– 7 Scale (GAD-7), and the Sleep Hygiene Index (SHI). Descriptive statistics, binary logistic regression, and multiple linear regressions were used.Results: Insomnia was associated with young age group (≤ 25 years) (odds ratio (OR) = 2.20, 95% confidence interval (CI) 1.04– 4.66), higher GAD-7 (anxiety) (OR = 1.05, 95% CI 1.0– 1.10) and SHI (poor sleep hygiene) (OR = 1.15, 95% CI 1.05– 1.26) scores. All four insomnia-related sleep complaints were associated with increasing GAD-7 scores, as well as higher SHI scores (p< 0.001).Conclusion: Insomnia was associated with younger age group (≤ 25 years), higher anxiety level, and poor sleep hygiene. Four major sleep complaints in insomnia, ie, sleep onset problems, poor sleep quality, awakening problems, and daytime disturbances, were all associated with higher anxiety levels and poor sleep hygiene.Keywords: sleep, sleepiness, daytime dysfunction, young adults, low-income country
format	article
author	Manzar MD Noohu MM Salahuddin M Nureye D Albougami A Spence DW Pandi-Perumal SR Bahammam AS
author_facet	Manzar MD Noohu MM Salahuddin M Nureye D Albougami A Spence DW Pandi-Perumal SR Bahammam AS
author_sort	Manzar MD
title	Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
title_short	Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
title_full	Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
title_fullStr	Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
title_full_unstemmed	Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students
title_sort	insomnia symptoms and their association with anxiety and poor sleep hygiene practices among ethiopian university students
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/1969b986422a4464a9b0340db131485a
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Insomnia Symptoms and Their Association with Anxiety and Poor Sleep Hygiene Practices Among Ethiopian University Students

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