CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(S 01): 8-15
DOI: 10.5935/1984-0063.20200069
ORIGINAL ARTICLE

Assessment of sleep quality and its association with problematic internet use among university students: a cross-sectional investigation in Bangladesh

Zohurul Islam
1   Jahangirnagar University, Department of Public Health and Informatics - Savar - Dhaka - Bangladesh.
,
Kamrul Hsan
1   Jahangirnagar University, Department of Public Health and Informatics - Savar - Dhaka - Bangladesh.
,
Saiful Islam
1   Jahangirnagar University, Department of Public Health and Informatics - Savar - Dhaka - Bangladesh.
,
David Gozal
1   Jahangirnagar University, Department of Public Health and Informatics - Savar - Dhaka - Bangladesh.
2   University of Missouri School of Medicine, Department of Child Health, and the Child Health Research Institute - Columbia - Missouri - United States.
,
Mahfuz Hossain
1   Jahangirnagar University, Department of Public Health and Informatics - Savar - Dhaka - Bangladesh.
› Author Affiliations

ABSTRACT

Objectives: Problematic internet use (PIU) is a major behavioral problem that has been closely associated with poor sleep quality in many different countries, but is poorly studied in Bangladesh. This study was conducted to investigate the sleep quality and its association with PIU among university students in Bangladesh.

Material and Methods: A cross-sectional study was conducted between May 2019 and December 2019 among 400 students attending four public universities in Bangladesh. The Pittsburgh sleep quality index (PSQI) was used to determine sleep quality and Young’s internet addiction test (IAT) was used to describe the degree of PIU.

Results: A significant negative association emerged between good sleep quality and PIU (p<0.001). In the multivariate logistic regression, students having PIU were 0.28 folds less likely to have good sleep quality (AOR: 0.28, 95%CI=0.18-0.43, p<0.001) when compared to non-PIU students. In addition, significant associations between sleep quality and socio-demographic and lifestyle factors were identified.

Conclusion: Implementation of an effective awareness program and development of education strategies are required to reduce internet addictive behaviors and improve sleep quality among Bangladeshi university students.

FUNDING

This study was funded by the University Grand Commission (UGC) of Bangladesh.




Publication History

Received: 26 September 2020

Accepted: 09 November 2020

Article published online:
30 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • REFERENCES

  • 1 Do K Y, Lee KS. Relationship between problematic internet use, sleep problems, and oral health in Korean adolescents: a national survey. Int J Environ Res Public Health. 2018 Sep;15(9):1870.
  • 2 Younes F, Halawi G, Jabbour H, El Osta N, Karam L, Hajj A, et al. Internet addiction and relationships with insomnia, anxiety, depression, stress and self-esteem in university students: a cross-sectional designed study. PLoS One. 2016 Sep;11(9):e0161126.
  • 3 Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs. 2008;22(5):353-65.
  • 4 Young KS. Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1998;1(3):237-44.
  • 5 Abolghasem P, Eftekhari M, Rezania S, Jafarisani M, Soleimani R, Khalafi A. Studying the relationship between quality of sleep and addiction to internet among students. Nov J Med Biol Sci. 2016 Sep;5(3):1-7.
  • 6 Reed P, Vile R, Osborne LA, Romano M, Truzoli R. Problematic internet usage and immune function. PLoS One. 2015 Aug;10(8):e0134538.
  • 7 Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs. 2008;22(5):353-65. – ref. é igual a n. 3.
  • 8 Widyanto L, Griffiths M. ‘Internet addiction’: a critical review. Int J Ment Health Addict. 2006;4(1):31-51.
  • 9 Islam S, Rahman E, Moonajilin S, Griffiths D. Validation and evaluation of the psychometric properties of Bangla nine-item internet disorder scale-short form. J Addict Dis. 2020 Aug;38(4):540-9.
  • 10 Khayat MA, Qari MH, Almutairi BS, Shuaib BH, Rambo MZ, Alrogi MJ, et al. Sleep quality and internet addiction level among university students. Egypt J Hosp Med. 2018 Oct;73(7):7042-7.
  • 11 Hasmujaj E. Internet addiction and loneliness among students of University of Shkodra. Eur Sci J. 2016 Oct;12(29):397-407.
  • 12 Lam LT. Internet gaming addiction, problematic use of the internet, and sleep problems: a systematic review. Curr Psychiatry Rep. 2014 Apr;16(4):444.
  • 13 Jahan MS, Hossain SR, Sayeed UB, Wahab A, Rahman T, Hossain A. Association between internet addiction and sleep quality among students: a cross-sectional study in Bangladesh. Sleep Biol Rhythms. 2019;17:323-9.
  • 14 Tan Y, Chen Y, Lu Y, Li L. Exploring associations between problematic internet use, depressive symptoms and sleep disturbance among southern Chinese adolescents. Int J Environ Res Public Health. 2016 Mar;13(3):313.
  • 15 Islam A, Hossin MZ. Prevalence and risk factors of problematic internet use and the associated psychological distress among graduate students of Bangladesh. Asian J Gambl Issues Public Heal. 2016;6(1):11. DOI: https://doi.org/10.1186/s40405-016-0020-1
  • 16 Magnavita N, Garbarino S. Sleep, health and wellness at work: a scoping review. Int J Environ Res Public Health. 2017;14(11):1347.
  • 17 Grandner MA. Sleep, health, and society. Sleep Med Clin. 2017 Mar;12(1):1-22.
  • 18 Sahin S, Ozdemir K, Unsal A, Temiz N. Evaluation of mobile phone addiction level and sleep quality in university students. Pakistan J Med Sci. 2013 Jul/Aug;29(4):913-8.
  • 19 Thomée S, Härenstam A, Hagberg M. Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults-a prospective cohort study. BMC Public Health. 2011;11(1):66.
  • 20 Khayat MA, Qari MH, Almutairi BS, Rambo MZ, Alrogi MJ, Alkhattabi SZ, et al. Sleep quality and internet addiction level among university students. Egypt J Hosp Med. 2018;73(7):7042-7. – ref. é igual a n. 10.
  • 21 Kim S Y, Kim MS, Park B, Kim JH, Choi HG. Lack of sleep is associated with internet use for leisure. PLoS One. 2018;13(1):e0191713.
  • 22 Nagori N, Vasava K, Vala AU, Ratnani IJ. Association of sleep quality and internet addiction among the medical students. Int J Res Med Sci. 2019 Jul;7(7):2703-7.
  • 23 Chen WL, Chen JH. Sleep deprivation and the development of leadership and need for cognition during the college years. J Adolesc. 2019 Jun;73:95-9.
  • 24 Amaral AP, Soares MJ, Pinto AM, Pereira AT, Madeira N, Bos SC, et al. Sleep difficulties in college students: the role of stress, affect and cognitive processes. Psychiatry Res. 2018 Feb;260:331-7.
  • 25 Rosen L, Carrier LM, Miller A, Rokkum J, Ruiz A. Sleeping with technology: cognitive, affective, and technology usage predictors of sleep problems among college students. Sleep Health. 2016 Mar;2(1):49-56.
  • 26 Chen YL, Gau SSF. Sleep problems and internet addiction among children and adolescents: a longitudinal study. J Sleep Res. 2016 Aug;25(4):458-65.
  • 27 Petrov ME, Lichstein KL, Baldwin CM. Prevalence of sleep disorders by sex and ethnicity among older adolescents and emerging adults: relations to daytime functioning, working memory and mental health. J Adolesc. 2014 Jul;37(5):587-97.
  • 28 Howell AJ, Jahrig JC, Powell RA. Sleep quality, sleep propensity and academic performance. Percept Mot Skills. 2004 Oct;99(2):525-35.
  • 29 Brown FC, Buboltz Junior WC, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33- 8.
  • 30 Pagel JF, Kwiatkowski CF. Sleep complaints affecting school performance at different educational levels. Front Neurol. 2010 Nov;1:125.
  • 31 Mamun MA, Rafi MA, Al Mamun AHMS, Hasan MZ, Akter K, Hsan K, et al. Prevalence and psychiatric risk factors of excessive internet use among Northern Bangladeshi job-seeking graduate students: a pilot study. Int J Ment Health Addict. 2019;1-11.
  • 32 Ahmed S, Sen LC, Griffiths MD. Association between self-rated health and quality of life with sleep quality among Bangladeshi university students. Soc Health Behav. 2020;3(2):35-7.
  • 33 Uddin S, Al Mamun A, Iqbal MA, Nasrullah M, Asaduzzaman M, Sarwar MS, et al. Internet addiction disorder and its pathogenicity to psychological distress and depression among university students: a cross-sectional pilot study in Bangladesh. Psychology. 2016;7(8):1126.
  • 34 Karim AKMR, Nigar N. The internet addiction test: assessing its psychometric properties in Bangladeshi culture. Asian J Psychiatr. 2014 Aug;10:75-83.
  • 35 Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213.
  • 36 Mondal H, Mondal S, Baidya C. Comparison of perceived sleep quality among urban and rural adult population by Bengali Pittsburgh Sleep Quality Index. Adv Hum Biol. 2018 Jan;8(1):36.
  • 37 Di Simone E, Fabbian F, Giannetta N, Dionisi S, Renzi E, Cappadona R, et al. Risk of medication errors and nurses’ quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020 Jun;24(12):7058-62.
  • 38 Young KS. Caught in the net: how to recognize the signs of internet addiction--and a winning strategy for recovery. New York: John Wiley & Sons; 1998.
  • 39 Kim JH, Lau CH, Cheuk KK, Kan P, Hui HLC, Griffiths SM. Brief report: predictors of heavy Internet use and associations with health-promoting and health risk behaviors among Hong Kong university students. J Adolesc. 2010 Feb;33(1):215-20.
  • 40 Afandi O, Hawi H, Mohammed L, Salim F, Hameed AK, Shaikh RB, et al. Sleep quality among university students: evaluating the impact of smoking, social media use, and energy drink consumption on sleep quality and anxiety. Inq J. 2013;5(6):1-3.
  • 41 Ak Ş, Koruklu N, Yilmaz Y. A study on Turkish adolescent’s internet use: possible predictors of Internet addiction. Cyberpsychol Behav Soc Netw. 2013 Mar;16(3):205-9.
  • 42 Mamun MA, Griffiths MD. Internet addiction and sleep quality: a response to Jahan et al. (2019). Sleep Biol Rhythms. 2019 Jul;17(4):463-4.
  • 43 Lin PH, Lee YC, Chen KL, Hsieh PL, Yang SY, Lin YL. The relationships between sleep quality and internet addiction among female college students. Front Neurosci. 2019;13:599.
  • 44 Ayran G, Gundogdu G, Işik NA. Effect of internet addiction on sleep quality in university students. Galician Med J. 2019;26(4):E201948.
  • 45 Cheng SH, Shih CC, Lee IH, Hou Y W, Chen KC, Chen KT, et al. A study on the sleep quality of incoming university students. Psychiatry Res. 2012 May;197(3):270-4.
  • 46 Tavernier R, Willoughby T. Sleep problems: predictor or outcome of media use among emerging adults at university? J Sleep Res. 2014;23(4):389-96. Table 1. Socio-demographic and lifestyle factors among 400 university students. Table 1. Socio-demographic and lifestyle factors among 400 university students.