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Sleep Management Strategies Among Medical Students At the University of Otago
Cassian J Duthie1, Claire Cameron2, Kelby Smith-Han1
1Department of Anatomy, University of Otago, Dunedin, New Zealand.
Objectives:
We aim to investigate factors which might affect the sleep of medical students, and how they currently manage their sleep.
Methods:
An online survey was sent to medical students at the University of Otago.
Results:
After adjusting for gender, ethnicity and age, depressive symptoms (Mild: odds ratio (OR) = 6.3; Moderate: OR = 18.1; Severe: OR = 15.6), and sleep hygiene (OR = 1.07) were associated with insomnia symptoms. Commonly endorsed strategies for sleep management by students were undertaking regular exercise (80.1%), having consistent sleep-wake time (71.3%), and limiting caffeine intake (70.3%). Few were willing to see a clinician (23.4%) or take medication (22.3%). Participants with insomnia symptoms were more likely to prefer limiting their alcohol intake (OR = 1.8), limiting daytime naps (OR = 1.5), seeing clinicians (OR = 1.9), and taking sleep medication (OR = 4.0), but less likely to prefer avoiding intense work (OR = .71) or minimizing using electronics (OR = .60) close to bedtime than those without insomnia symptoms. High sleep self-efficacy was associated with lower odds for having insomnia symptoms (OR = .74 (.70, .77)).
Conclusions:
Increased awareness and greater resources are needed to support the sleep health of medical students.
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