Prevalence of Insomnia and its Associated Factors Among Medical Students, Umm Al-Qura University, Makkah, Saudi Arabia

ABSTRACT

Background: Medical students is one of population thatappears to be at increased risk for sleep deprivation due todemanding academic and clinical duties which in coexistentwith change in living style such as poor accommodation, beingaway from family put them at greater risk of poor sleeping andits subsequent mental and physical morbidity.Objectives: To determine the magnitude of insomnia andfactors associated with it among 2nd and 3rd year medicalstudents in faculty of medicine, Umm Al-Qura University inMakkah.Subjects and Methods: A cross-sectional, analytical studywas applied. It included a representative sample of male andfemale students registered in the 2nd and 3rd levels in faculty ofmedicine at Umm Al-Qura University. Questionnaires ofPittsburgh sleep quality Index and functional outcome of sleepin simple English Language were applied in addition todemographic characteristics of the students.Results: The study included 166 medical students enrolled insecond and third academic years out of 183 invited toparticipate in the study, giving a response rate of 90.7%.Majority of them 88% were poor sleepers during the pastmonth, based on Global PSQI Score. Almost one-third ofmedical students 31.7% had no daytime dysfunction while47.3%, 16.8% and 4.2% of them reported mild, moderate andsevere daytime dysfunction, respectively. Current smokermedical students mean rank = 96.63 reported more daytimedysfunction than non-smoker students mean rank=76.09 andex-smokers mean rank=80.5. Most of medical students 80.7%reported no use of sleep medications while 13.3% and 3.6% ofthem reported usage of sleep medications in a dose of lessthan once per week and once or twice weekly, respectively.Female students, divorced students, those resided in externalhouses, students with below average income, current smokersand those with history of chronic diseases tended to use sleepmedications more than others.Conclusion: Poor sleep quality is a common problem affectingmost of male students enrolled in the second and third levels,College of Medicine, Umm Al-Qura University, Makkah, KSA