Causes Of Sleep Disturbance Research Articles

A preliminary analysis of long-term self-reported sleep disturbance attributed to wind turbines and modelled outdoor nightly average wind turbine sound pressure level

The World Health Organization (WHO) Environmental Noise Guidelines provide source-based annual average nighttime sound pressure level (Lnight) recommendations. For non-aircraft sources the recommendation for self-reported high sleep disturbance (HSD) is the Lnight associated with an absolute prevalence of 3%HSD. The Guideline Development Group (GDG) reported that no Lnight recommendation could be provided for wind turbines because the evidence available was inadequate. In the current study, outdoor wind turbine Lnight at each dwelling was calculated following international standards. Questionnaires were completed between May and September 2013 by individuals aged 18-79y (606 males, 632 females), randomly selected from households 0.25 to 11.22 kilometers from operational wind turbines. Calculated Lnight ranged from <25 dB(A) to 46 dB(A). When the source of sleep disturbance was unspecified, the mean prevalence of HSD was 13.3% overall and unrelated to Lnight (p = 0.53). As Lnight increased, the prevalence of identifying wind turbines as one of the causes of sleep disturbance increased from 0% below 25 dB(A) to 3.8% (95% CI 1.9% to 7.4%) between 40-46 dB(A) (p = 0.01) . The WHO's 3%HSD threshold was estimated to occur for wind turbine Lnight between 38-39 dB(A).

Sleep disturbance associated with the menopause.

Sleep disturbance is one of the most common and debilitating symptoms experienced by women during the menopause transition. However, there are currently no therapies specifically approved for sleep disturbance associated with the menopause. Here, we consider how to characterize sleep disturbance associated with the menopause and discuss its etiology, including the latest advances in our understanding of the neuronal circuits that regulate reproduction, body temperature, sleep, and mood; and reflect on its impact on women's health and well-being. We also examine the current treatment landscape and look to the future of treatment for this condition. We conducted a review of the literature and combined this with discussion with experts in the fields of sleep and menopause as well as experiences from our own clinical practices. Sleep disturbance associated with the menopause is characterized by frequent night-time awakenings and increased awake time after sleep onset. Its impacts are wide-ranging, negatively affecting health as well as personal and social relationships, productivity, and work performance. There is currently an unmet need for effective, safe, and well-tolerated treatments to address this important symptom, and wider recognition of the association between sleep disturbances and the menopause is needed. Sleep disturbances associated with the menopause can result from hormone changes as well as vasomotor and mood symptoms. Growing research has contributed to our knowledge of the role of hypothalamic estrogen-sensitive kisspeptin/neurokinin B/dynorphin neurons. These neurons are thought to integrate the gonadotropin-releasing hormone pathway and the pathways responsible for the homeostatic control of body temperature and the circadian regulation of sleep-wake cycles. Understanding these neurons offers the potential to create treatments that target a key cause of sleep disturbance associated with the menopause. Further research to understand their etiology and characterize the neuronal circuits responsible could benefit the development of these targeted treatment approaches.

#1325 Patients reporting not “sleeping normally” are more likely to transition to in-center hemodialysis within 90 days of peritoneal dialysis start

Abstract Background and Aims Although there are many advantages to home dialysis therapies such as peritoneal dialysis (PD), many patients drop out of PD and transition to in-center hemodialysis (ICHD). Reasons for this transition are varied and may be multifactorial. The current analysis aims to assess whether self-reported abnormal sleep is associated with transition to ICHD within 90 days of starting automated peritoneal dialysis (APD). Method Patients initiating APD at any Fresenius Kidney Care dialysis clinic between 2017-2019 were eligible for inclusion in this retrospective database analysis (n = 11 668). Monthly, various health-related questions are asked to patients as part of routine care through a home therapy nursing assessment (HTNA). One question asks if the patient is “sleeping normally”. After removing patients without completed HTNA questions on sleep, there were 11 449 patients included. We assessed patients for the first 90 days of PD for transition to ICHD through survival analysis with other reasons for discontinuing PD treated as competing events. Results On average, patients were aged 57 (15) years with BMI of 31 (14.5) and 42% were female. Approximately 5% of patients described their sleep as not normal (553/11449) in their first HTNA. Patients who reported abnormal sleep had 4.4 times the rate of switching to ICHD when compared to patients who reported normal sleep (Hazard Ratio (HR): 4.4; 95% CI: 3.5-5.5, p < 0.0001). After controlling for case mix variables, the HR was 3.7 (95% CI: 2.9-4.7, p < 0.0001). Case mix variables included gender, dialysis vintage, age, race, ethnicity, body size, residual renal function, Charlson Co-morbidity Index, diabetes status, geographic region, size of PD program, insurance primary payor, relationship status, and primary language spoken. Conclusion Among patients dialyzing at home with APD, abnormal sleep may be a risk factor for transitioning from home therapy to ICHD. Identifying root causes of sleep disturbances may help to prevent modality change.

Residential outdoor-to-indoor acoustic conditions: Method and pilot data

Health and well-being of people is directly influenced by the indoor environmental quality of the buildings they occupy. Noise exposure, for example, is not only a cause of annoyance but it is established as a risk factor for the development of cardiovascular diseases and it is a cause of sleep disturbance. As part of a broader research project focused on establishing guidance for suitable interior conditions for adults as they age, the National Research Council of Canada is developing a field study to measure, among other environmental conditions, outdoor-to-indoor noise conditions at homes. Objective parameters such as sound pressure levels will be monitored for a period of time and compared to residents’ health and well-being assessments through sensors and surveys. The methodology and instrumentation used for the acoustic measurements will be presented as well as the early results from pilot tests. The future outcomes of this study will contribute to guidance for both new-build and retrofit scenarios of dwellings for aging in place.

Sleep Quality and Associated Factors Among Survivors of Breast Cancer: From Diagnosis to One Year Postdiagnosis.

To examine sleep quality and self-reported causes of sleep disturbance among patients with breast cancer at diagnosis and one year later. 486 of 606 patients with histologically confirmed breast cancer completed a Pittsburgh Quality Sleep Index (PSQI) survey at the time of diagnosis and again one year later. In this secondary data analysis, descriptive statistics were computed for seven PSQI components and its global score. Wilcoxon signed-rank tests and McNemar's tests were used. Self-reported reasons for sleep disturbances were summarized. PSQI scores significantly increased from baseline (mean = 6.75) to one-year follow-up (mean= 7.12), indicating worsened sleep. Sleep disturbance and onset latency scores increased, whereas sleep efficiency decreased. The two most frequently reported reasons for sleep disturbance were waking up late in the night or early in the morning (more than 50%) and needing to use the bathroom (49%). Feeling too hot and experiencing pain three or more times per week were reported by participants at baseline and one year later. Results can aid in monitoring patient response to treatment methods and formulating benchmarks to manage sleep problems.

Research of a Thermal-Regulation System Using Electronic Integrated Textiles for a Mattress

Abstract With the advent of wearable technology, sleep monitoring has become a common practice. Our performance is significantly impacted by the quantity, efficiency, and quality of our sleep. It proved that temperature has a significant impact on sleep. The temperature circumstance is one of the primary causes of sleep disturbance according to the studies. The purpose of this study is to develop a temperature-controlled mattress system that will improve sleep quality by keeping the temperature within a predetermined range. A scaled prototype was set up and tested. It was found that the mattress system could keep the temperature within the specified range without being influenced by the ambient temperature.

Social-ecological considerations informing a universal screening strategy for sleep health in the community.

"Poor sleep health" (PSH), defined as reduced amount of sleep and non-restorative sleep, affects cognitive, social and emotional development. Evidence suggests an association of sleep deprivation and mental health problems; however, there are no universal concepts allowing a first-tier screening of PSH at a community level. The focus of this narrative review is to highlight the cultural context of the current medicalized approach to PSH and to suggest social ecological strategies informing new and holistic community-based screening concepts. We present two conceptual screening frameworks; a "medical" and a merged "social emotional wellbeing framework" and combine them utilizing the concept of "ecologies." The first framework proposes the incorporation of "sleep" in the interpretation of "vigilance" and "inappropriate" labeled behaviors. In the first framework, we provide a logic model for screening the myriad of presentations and possible root causes of sleep disturbances as a tool to assess daytime behaviors in context with PSH. In the second framework, we provide evidence that informs screening for "social emotional wellbeing" in the context of predictive factors, perpetuating factors and predispositions through different cultural perspectives. The distinct goals of both frameworks are to overcome training-biased unidirectional thinking and a priori medicalization of challenging, disruptive and/or disobedient behaviors. The latter has been explicitly informed by the critical discourse on colonization and its consequences, spearheaded by First Nations. Our "transcultural, transdisciplinary and transdiagnostic screening framework" may serve as a starting point from which adaptations of medical models could be developed to suit the purposes of holistic screening, diagnosis, and treatment of complex childhood presentations in different cultural contexts.

Increase in Restless Legs Syndrome due to the Consumption of Food Rich in Added Sugar. Study with a Repeated N-1-trial

Restless Legs Syndrome is a common neurological disorder characterized by uncomfortable and unpleasant sensations in the legs with an urge to move. The symptoms occur at rest, are relieved by movement, and are worse in the evening and at night and are a cause of sleepdisturbances. A patient is presented who reports that consuming sugary foods, such as icecream, soft drinks, candy, chocolate and pastries, increases his symptoms of RLS. With an n-1-trial, a study for one patient, he is alternately exposed to sugar-rich and low-sugar food, which shows that his complaints increase or decrease. An increase in the symptoms of Restless Legs Syndrome (RLS) due to the use of high-sugar foods has not previously been described in the literature.

Sleep Disturbances Across a Woman's Lifespan: What Is the Role of Reproductive Hormones?

Fluctuations of reproductive hormones are associated with various forms of sleep disturbances and specific sleep disorders, such as insomnia or sleep-disordered breathing, across different stages of reproductive aging. During the menstrual cycle, sleep is particularly disrupted during the late luteal phase, as demonstrated by both objective and subjective measurements of sleep. Progesterone and its metabolites generally have sleep-promoting effects. A steep decline in progesterone, for example, during the late luteal phase, is associated with sleep disruption. Endogenous estrogen shows no clear correlation with sleep alterations in relation to the menstrual cycle. During pregnancy, sleep disruption is not associated with changes in estrogen or progesterone but rather with changing physiological factors, such as nocturnal micturition, gastroesophageal reflux, or musculoskeletal discomfort, all substantial factors that most likely mask any effect of hormones. Both endogenous and exogenous estrogen, as well as progesterone, are positively associated with sleep during the menopausal transition. A marked improvement of sleep disturbances is observed with perimenopausal hormone therapy. As this effect is not seen in younger women receiving contraceptive therapy, other causes of sleep disturbances, such as aging and related changes in metabolism of stress hormones, secondary effects of vasomotor symptoms, or depression, must be considered. Gonadotropins are less associated with sleep disturbances than ovarian hormones, except for during the menopausal transition where follicle-stimulating hormone is related to sleep disruption. Further, hyperandrogenism, as seen in women with polycystic ovary syndrome, is associated with sleep disturbances and specific sleep disorders, for example, obstructive sleep apnea.

Sleep quality and associated factors among adult people living with HIV on follow-up at Dessie Town Governmental Health Facilities Antiretroviral Therapy Clinics, Northeast, Ethiopia, 2020, a multicenter cross-sectional study

BackgroundPoor sleep quality is an important health problem in people living with HIV. The exact cause of sleep disturbance is not well known, but it may relate to HIV itself, antiretroviral drug side effects, and other HIV-related disorders. As a result, the purpose of this study was to assess sleep quality and associated factors among adult HIV patients on follow-up at Dessie Town governmental health facilities’ antiretroviral therapy clinics in Northeast Ethiopia in 2020.MethodsA multi-center cross-sectional study was conducted among 419 adult people living with HIV/AIDS from February 1/2020 to April 22/2020 in Dessie Town governmental antiretroviral therapy clinics. A systematic random sampling method was used to select the study participants. An interviewer-administered method of data collection with a chart review was used. The Pittsburgh Sleep Quality Index was used to evaluate sleep disruption. A binary logistic regression was conducted to see the relationship between a dependent variable and independent variables. Variables with a p-value of < 0.05 and a 95% confidence interval were used to declare an association between factors and a dependent variable.ResultsA total of 419 study participants were enrolled in this study, with a response rate of 100%. The mean age of the study participants was 36 ± 6.5 SD years and 63.7% of the participants were female. The prevalence of poor sleep quality was found to be 36% (95% CI, 31–41%). Being female (AOR = 3.45, 95% CI: 1.52–7.79), viral loads 1000 copies/ml (AOR = 6.88, 95% CI: 2.79–16.9), CD4 cell count 200 cells/mm3 (AOR = 6.85, 95% CI: 2.42–19.39), WHO stage II and III (AOR = 4.29, 95% CI: 1.05–17.53), having anxiety (AOR = 10, 95% CI: 4.21–23.9.ConclusionThe findings of this study showed that more than one-third of the study participants had poor-quality sleep at the Dessie Town Health Facility ART clinic. Being female, low CD4 cell counts, viral load ≥1000 copies/ml, WHO stage II and III, depression, anxiety, sleeping in a communal bedroom, and living alone were predictors of poor sleep quality.

Energy Drinks and Sleep among Adolescents.

Many adolescents worldwide have the problem of meeting recommended nightly sleep hours. The causes of sleep disturbance are multifactorial, but interest in food’s effect on sleep has dramatically increased lately. In this study, we investigated the association between regular energy drink (ED) intake (weekly or more frequent) and sufficient sleep (SS) (≥8 h) in adolescents. Additional objectives were to examine the relationship between health-related behaviors and SS, stratified by gender. A population-based cross-sectional study was conducted during the 2019/2020 school year from 12 schools in Belgrade. There were 1287 students aged 15 to 19 who participated (37.4% male). We used a modified version of the food frequency questionnaire adapted for Serbian adolescents. Logistic regression revealed that regular ED consumption was an independent risk factor negatively related to SS in both sexes. Additionally, daily vegetable and water intake (≥2 L) showed a positive correlation with SS in boys, while in girls, the odds of realizing SS decreased with statements of sedative use. In conclusion, we show that ED intake is negatively associated with SS in both sexes; daily vegetable and water intake (≥2 L) may raise the odds of SS in boys, while sedative use may decrease the chances of SS in girls.

Disturbed sleep and its attribution to stress and other causes: Apopulation-based survey.

This study explores the prevalence of attributed causes of disturbed sleep and the association between stress-disturbed sleep and age, sex, and sleep duration on weekdays as well as weekends in a representative sample. A nationally representative sample (n = 1,128, response rate 72.8%), stratified for sex and age, completed a computer-assisted phone survey that included questions about sleep disturbances and attributed causes. Stress was the main attributed cause of sleep disturbance (35.1%), most frequently attributed by younger women (χ2 = 26.5, p < 0.001). Prevalence of stress-disturbed sleep was higher with lower age (B = -0.05, odds ratio (OR) = 0.94, CI = 0.91, 0.98). There was a trend, however, toward a significant interaction between age and sex, with women in the older age-groups more frequently reporting stress-disturbed sleep than older men (B = -0.02, OR = 1.022, CI = 1.003, 1.042). Weekday sleep duration decreased with increased stress-disturbed sleep, with an inverse relationship on weekends except for those reporting stress-disturbed sleep more than 5 days per week (F = 10.5, p < 0.001), who also had the shortest weekend sleep duration. Sleep disturbances were commonly attributed to stress, and more strongly so in women younger than 46 years. Stress-disturbed sleep during weekdays seems to be potentially compensated for with extended sleep on weekends, except for those with continuous stress-disturbed sleep.

Annoyance toward transportation and construction noise in rural suburban and urban regions across Canada

The Canadian Perspectives on Environmental Noise Survey investigated expectations and attitudes toward environmental noise in rural/remote, suburban and urban regions across Canada. A 26-item online questionnaire was completed by 6647 randomly selected Canadians 18 years of age and older between April 12, 2021 and May 25, 2021. Stepwise multivariate logistic regression modelled the odds of reporting very or extreme (i.e., high) noise annoyance toward road traffic, aircraft/helicopter, trains and construction noise. Five variables were common to all noise sources; 1) reporting the living area as very quiet, calm and relaxing; 2) sleep disturbance in general; 3) sleep disturbance attributed to road traffic noise; 4) noise sensitivity; and 5) reporting worsened annoyance toward environmental noise due to the COVID-19 pandemic. Duration of residency, perceived changes in nighttime and daytime noise over time, expectations of quiet, other specific causes of sleep disturbance, hearing impairment, road traffic audibility, and the impact of the pandemic on physical health, mental health, stress and indoor noise annoyance, each impacted the odds of reporting high annoyance to some, but not all modelled sources. Gender, rated physical and mental health (in general), anxiety or depression, overall well-being, and Indigenous status did not enter any of the multivariate models. Results are discussed in relation to the provision of advice on noise under Canada's Impact Assessment Act.

216 Associations between itch and sleep disturbance in people living with HIV

Sleep disturbance and daytime fatigue are two of the most prevalent symptoms reported by people living with HIV (PLHIV) but little is known about the causes of sleep disturbance in PLHIV. Because PLHIV have reduced skin barrier function, dry skin and eczematous rashes, we sought to investigate the associations between experiencing symptoms of itch and sleep disturbance. We performed a secondary analysis of data from the Symptoms and Genetics Study, a cohort of 317 participants with at least a 6 month history of HIV, who were followed for up to 4 years at UCSF.

Sleep in Normal Aging.

Sleep is a key determinant of healthy and cognitive aging. Sleep patterns change with aging, independent of other factors, and include advanced sleep timing, shortened nocturnal sleep duration, increased frequency of daytime naps, increased number of nocturnal awakenings and time spent awake during the night, and decreased slow-wave sleep. The sleep-related hormone secretion changes with aging. Most changes seem to occur between young and middle adulthood; sleep parameters remain largely unchanged among healthy older adults. The circadian system and sleep homeostatic mechanisms become less robust with normal aging. The causes of sleep disturbances in older adults are multifactorial.

Melatonin and Sleep Disturbances in Children With Atopic Dermatitis.

ObjectiveTo evaluate the correlation between melatonin levels and sleep quality, based on the Children’s Sleep Habit Questionnaire (CSHQ), among children with atopic dermatitis (AD).MethodsThis was an analytic study with a cross-sectional design involving two groups, AD children as the case group and participants without AD as the control group, conducted at the Pediatric Dermatology Clinic of Dr. Hasan Sadikin Hospital, Bandung, Indonesia. Melatonin levels and CSHQ score in the case group were compared to that in the control group. Correlation analysis was performed between melatonin levels and sleep quality based on CSHQ in the case group.ResultsParticipants in this study consisted of 19 children with moderate AD, (no patient with mild and severe AD was recruited), and 19 participants without AD. The mean CSHQ score in the case group was significantly higher than the control group (47.84 vs 36.79; p<0.05). The mean melatonin level in the case group was significantly lower than the control group (320.18 pg/mL vs 383.86 pg/mL; p<0.05). Comparative analysis was conducted using independent t-test. There was a significant Pearson’s correlation index between SCORAD and CSHQ (p<0.05). However, there was no correlation between melatonin levels and CSHQ, as well as between melatonin levels and SCORAD (p<0.05).ConclusionChildren with moderate AD have impaired sleep quality and lower melatonin levels compared to controls. No correlation was found between melatonin levels and CSHQ, as well as melatonin levels and SCORAD, although there was a strong and significant correlation between SCORAD and CSHQ. Therefore, melatonin levels may not be the main cause of sleep disturbances in children with moderate AD.

Participatory action research intervention for improving sleep in inpatients with cancer.

To design and implement a plan to improve oncohaematological patients' sleep. The hospital environment can compromise inpatients' sleep, negatively impacting on health outcomes and patient satisfaction. The improvement plan was designed in collaboration with 18 professionals, 3 patients and 3 accompanying relatives. The study designed followed the SQUIRE 2.0guidelines. Outcome variables were self-reported patient satisfaction regarding sleep, measured using a 30-item, ad hoc questionnaire and a 10-point visual analogue scale, completed by 318 oncohaematological inpatients (pre-intervention n=120, post-intervention, n=198) in a comprehensive cancer centre in Spain from 2017 to 2019. Overall, 61.5% (n=190) of the inpatients reported sleep alterations, and 92.6% reported interruptions in their nightly sleep. Half slept less than 6h/night, but 58.0% said they felt rested upon waking, despite the interruptions. These outcomes were similar before and after the intervention. The improvement plan identified four domains for work (professionals, care procedures, instruments/environment and patients/relatives), 10 areas for improvement and 35 actions for implementation. However, overall sleep worsened significantly, from 6.73 to 6.06 on the 10-point scale. The intervention significantly improved variables related to professionals' behaviour, including noise during the shift change, conversations at the control desk and the use of corridor lights. Sleep disturbances were mainly caused by pain/discomfort and infuser alarms, and collectively they decreased significantly after the intervention (p=.008). However, overall sleep worsened significantly, from 6.73 to 6.06 on the 10-point scale. Pain, clinical devices and noise made by professionals are the main causes of sleep disturbances. Involving professionals in decision-making to improve patients' sleep have a positive impact on noise levels. This study proposes new strategies for improving sleep by increasing staff awareness and changing attitudes towards patients' sleep. Nurses should be involved in addressing sleep disturbances during hospitalization.

Athletes sleep duration during COVID-19 pandemic and its relationship with health condition

During the coronavirus desease 2019 (COVID-19) pandemic, athletes must be able to adapt to new habits, such as: social restriction, change of competition schedule, and sending back home. This situation has led to an 18.2% increase in sleep disturbances. This study aimed to look at the sleep duration of adolescent athletes during the COVID-19 pandemic and its impact on athlete’s health conditions. A total of 126 adolescent athletes from 15 sports were recruited in this cross-sectional study. Adequate sleep duration was assessed according to the American Academy of Sleep Medicine criteria. Data on health conditions, medical history, injury history, were taken using a questionnaire. Behavioral assessment was assessed through the strengths and difficulties questionnaire. About 80.2% of adolescent athletes had insufficient sleep, and there was a significant relationship between sleep duration and disease incidence with a relative risk (RR) of 3.31 (1.32-8.28) 95% convidence interval (CI). There was no significant relationship between adequate sleep duration and health conditions (p&amp;gt;0.05). Things that may be the cause of sleep disturbances; use of electronic devices (37.6%), environmental conditions (53.4%), and worry (9%). In the end, this indicates adolescent athletes face difficulties in achieving adequate sleep duration during this pandemic and a continuous surveillance system is needed to monitor athletes outside the dormitory.

Association between sleep quality and type of shift work in Korean firefighters.

Shift work that interferes with normal sleep patterns, is known to be a cause of sleep disturbance and has been studied through various occupational groups. However, it is not known which shift type is better for sleep health. This study included 568 firefighters. Sleep quality was evaluated using Pittsburgh Sleep Quality Index. Sleep quality was categorized into 2 groups; good quality (≤ 5 points) and poor quality (≥ 6 points). Demographic variables, depression, anxiety, type of shift, and job were collected by self-reported questionnaires. The χ2 test, t-test, and multiple logistic regression analysis were used to evaluate the effect of shift type on the sleep quality of firefighters. Three hundred thirty-seven firefighters (59.3%) have poor sleep quality. Compared to day workers, the odds ratios (ORs) of poor sleep quality were 2.169 (95% confidence interval: 1.137-4.134) in 6-day cycle, 2.161 (1.150-4.062) in 9-day cycle, 1.805 (1.087-2.997) in 21-day cycle, and 1.485 (0.718-3.069) in 3-day cycle. The ORs of poor sleep quality were 1.697(1.021-2.823) in fire suppression and 2.325 (1.213-4.455) in emergency medical service compared to administration. All shift work type except for the 3-day cycle was associated with poor sleep quality compared to day work.

A cross-sectional study for the mental health status and sleep quality among college students in Macao during the COVID-19 pandemic.

ObjectivesThe main focus of this study was to investigate the effect of the coronavirus disease (COVID-19) pandemic on the mental health condition and sleep quality of college students in Macao. In addition, the students’ behaviours during the pandemic, such as drinking alcohol, taking sleeping pills, and seeking psychological counselling were analyzed.MethodA cross-sectional survey of mental health and sleep quality status, as well as the possible behavioral risk factors, was conducted among the college students of Macao in August, 2020 during the COVID-19 pandemic. An online self-report questionnaire survey method was applied to assess the general demographics and related lifestyle behaviors of students. The general mental health condition and sleep quality were evaluated through the General Health Questionnaire (GHQ-12) and Pittsburgh Sleep Quality Index (PSQI) questionnaires, respectively. The main statistical methods included the Chi-square test, Bonferroni correction, and Pearson correlation. Data analysis was performed using SPSS Version 24.0.ResultsA total of 980 students were investigated in the study, of which 977 completed the survey. During the COVID-19 pandemic period, overall college students in Macao were psychologically well adjusted and reported good quality of sleep. However, female students were in poorer psychological condition than males (P < 0.05). Moreover, the students over 20 years of age had poorer sleep quality than students aged less than or equal to 20 (P < 0.05). The significant differences were found among the students in different study majors for the mental health status and sleep quality (both P < 0.05), which were associated with certain behaviors, such as drinking alcohol, taking sleeping pills, and seeking for help in psychological counselling during the COVID-19 pandemic period.ConclusionsPoor mental health status could be either the consequence or cause of sleep disturbance, which might further affected physical health. Therefore, regular assessment of mental health condition and sleep quality of college students is particularly necessary during public health emergencies, such as the COVID-19 pandemic, and appropriate intervention should be provided to the students.