Research Article
Sleep Quality and Its Correlates among Adolescents of Western
Nepal: A Population-Based Study
Prayas Gautam,
1
Maginsh Dahal ,
2
Kushalata Baral ,
3
Rohit Acharya,
4
Sudip Khanal ,
3
Aastha Kasaju,
5
Raj Kumar Sangroula,
5
Koshish Raj Gautam,
6
Kabita Pathak,
7
and Anu Neupane
5
1
School of Public Health, Chitwan Medical College, Chitwan, Nepal
2
School of Public Health, Nanjing Medical University, Nanjing, China
3
Department of Public Health, Nobel College, Pokhara University, Sinamangal, Kathmandu, Nepal
4
Population Services International/Nepal, Western Regional Hub, Nepalgunj, Nepal
5
Department of Public Health, Little Buddha College of Health Science, Minbhavan, Kathmandu, Nepal
6
Nitte University, Karnataka Mangaluru, India
7
Department of Humanities, Pashupati Multiple Campus, Tribhuvan University, Chabahil, Kathmandu, Nepal
Correspondence should be addressed to Kushalata Baral; lata.kus@gmail.com
Received 18 February 2021; Revised 20 April 2021; Accepted 4 May 2021; Published 17 May 2021
Academic Editor: Giora Pillar
Copyright © 2021 Prayas Gautam et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Sleep quality has a long-term impact on health leading to depression among adolescent students. We conducted a cross-sectional
study to assess the prevalence of sleep quality and its associated factors among adolescents of western, Nepal. 514 adolescents from
different schools were selected by the probability proportionate to size (PPS) method. The Pittsburgh Sleep Quality Index (PSQI)
was used to assess the sleep quality among adolescents. The collected data were entered in EpiData 3.2 version, then extracted to
excel 2019 and was analyzed with the help of RStudio (version 1.2.5033). Frequency distribution and percentage were identified
as descriptive analysis whereas chi-square test was done. Variables that were found statistically significant (P <0:05) were
further analyzed using the logistic regression model. The prevalence of sleep quality in this study was 39.1%. In a bivariate
analysis, ethnicity, religion, place of residence, drinking status of father, reason for selecting the currently studying faculty,
satisfaction with academic performance, use of tobacco, relationship with friends or classmates, more use of internet per day,
and use of internet before falling asleep were found to be statistically significant with sleep quality. Those students who left their
home without informing their parents were more than three times at the risk of sleep quality than those students who never ran
away from their home without informing their parents (AOR = 3:435, CI: 1.237-9.540). The overall prevalence of sleep quality
among school going adolescent students was 39.1 percent which was comparatively high.
1. Introduction
Sleep is an important physiological process for human
beings. It is considered one of the major contributing factors
for the physical and mental health well-being, especially
among the adolescents. Sleep plays (vital/essential roles in
the) somatic, cognitive, and psychological process [1]. Even
though the direct benefits of sleep is not well quantified
across many populations, it is understood that sleep disorder
has serious health issues [2]. Sleep deprivation is the condi-
tion of not having enough sleep than the average [3]. The
amount of sleep required may vary from person to person
but on average most of the adults required 8-10 hours of sleep
from age 14 to 17 years and 7-9 hours of sleep from age 18 to
25 years [4]. Sleep deprivation can be either chronic or acute.
Adolescents with sleep deprivation report more depres-
sion, anxiety, inattention, conduct problem(s), drug and
alcohol use (abuse), impaired academic performance, and
suicidal thoughts and behaviors [3, 5]. Sleep habits include
bedtime, wake-up time, and sleep duration [6]. There are
Hindawi
Sleep Disorders
Volume 2021, Article ID 5590715, 8 pages
https://doi.org/10.1155/2021/5590715