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J Paediatr Child Health. 2012 Feb;48(2):138-45. doi: 10.1111/j.1440-1754.2011.02065.x. Epub 2011 Apr 7.

Sleep quality of Chinese adolescents: distribution and its associated factors.

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Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China.



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


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.


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.


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

[Indexed for MEDLINE]

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