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Abstract

Background: Inadequate sleep is a pressing public health concern contributing to absenteeism and poor school performance, especially in health sciences students. In this study we investigated the sleep quality and duration of undergraduate students in a prefectural university of health sciences program and explored factors explaining sleep duration (i.e., < 6 hours per night vs > 6 hours) using multiple variable logistic regression.

Method: This cross-sectional survey study included 369 nursing, occupational therapy and physical therapy students who completed Japanese versions of the Pittsburg Sleep Quality Index, in addition to well validated sleep-related and mental health-related assessments.

Results: We found just 11.7% of the sample reporting low sleep quality, though 40.1% of the sample could be characterized as experiencing sleep debt. Within the logistic regression model 14.5% of sleep duration categorization could be explained. The model best explained factors promoting longer sleep duration (i.e., > 6 hours), including shorter commuting times, fewer difficulties falling and staying asleep, lesser daytime sleepiness, more effective sleep hygiene practices, a “morningness” chronotype preference, and a less agreeable personality type.

Conclusion: We discuss findings related to Buysse’s model of sleep health and offer suggestions for the promotion of sleep health in health sciences university students.

Author Bio(s)

Aaron M. Eakman, PhD, OTR/L is associate professor at Colorado State University, Fort Collins Colorado, and director of the Restoring Effective Sleep Tranquility (REST) lab.

Yuki Kawakatsu, PhD, OT is assistant professor at Yamagata Prefectural University of Health Sciences, Yamagata Japan.

Miki Takahata, hD, OT is assistant professor at Yamagata Prefectural University of Health Sciences, Yamagata Japan.

Daisuke Kudo, MS, PT is assistant professor at Yamagata Prefectural University of Health Sciences, Yamagata Japan

Shinji Satake, PhD is professor at Yamagata Prefectural University of Health Sciences, Yamagata Japan.

Toshiaki Sato, PhD, OT is professor at Yamagata Prefectural University of Health Sciences and head of occupational therapy, Yamagata Japan.

Acknowledgements

Supplementary Materials: Supplemental Table Author Contributions: Conceptualization of the study: A. E., T. S.; study preparation and methodology, A.E., Y. K., M. T., D. K., S. S., & T. S.; formal analysis, A.E., Y. K., T. S.; recruitment of participants and resources, Y. K., D. K., & T. S.; data curation, Y. K., M. T., D. K., & T. S.; writing—original draft preparation, A. E. & T. S.; review and editing of the manuscript, Y. K., M. T., D. K., S. S., & T. S.; project administration, A. M., D. K., & T. S.; funding acquisition, A. E. & T. S. All authors have read and agreed to the published version of the manuscript. Funding: This study was funded through a Fulbright Research Grant from the United States Department of State awarded to the first author. Institutional Review Board Statement: The study was conducted in accordance with the Declaration of Helsinki, and approved by the Institutional Review Board of Yamagata Prefectural University of Health Sciences (protocol code #2108-14 September 2021). Informed Consent Statement: Informed consent was obtained from all subjects involved in the study. Data Availability Statement: Requests for access to data used in these analyses may be made of the first author. Acknowledgments: NA Conflicts of Interest: The authors declare no conflict of interest.

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