Sleep health status and its influencing factors among primary and secondary school students in Lanzhou City
Objective To understand the status of sleep health among primary and secondary school students in Lanzhou City and its potential influencing factors,in order to provide a theoretical basis for improving sleep quality among students.Methods In 2021,a survey was conducted through Wenjuanxing platform among 8 934 primary and secondary school students and their parents in Lanzhou City.Sleep duration of the students was measured by self-made questionnaire.Insufficient sleep duration was defined as sleep duration less than 10,9,8 hours per day for primary,secondary and high school according to GB/T 17223-2012,respectively.Influencing factors were measured by Parental Bonding Instrument,Ruminative Responses Scale,and the Mobile Phone Addiction Index.Logistic regression analysis was adopted to identify factors influencing substandard sleep duration.Results Only 23.1%of students aged 10 to 15 years in Lanzhou met the standard sleep duration requirements.Heavy academic pressure(OR=1.686),overprotective parenting(OR=1.013),higher level of father's education(ORs of vocational school,undergraduate,and postgraduate degree were 1.399,1.731,and 2.045,respectively),symptom rumination(OR=1.016),and inefficient mobile phone dependence(OR=1.035)were identified as risk factors for inadequate sleep duration(P<0.05).Minimal academic stress(OR=0.796),avoidance of mobile phone addiction(OR=0.951),general concern for teacher's evaluation(OR=0.694),strong indifference to peer evaluation(OR=0.45)were protective factors(P<0.05).Conclusions The compliance rate of sleep duration in primary and secondary school students is low in Lanzhou.Academic stress,parenting styles,father's education level,symptom rumination,mobile phone addiction and concern for evaluations from peers or teachers have association with sleep duration.Effective measures should be implemented to increase the compliance rate of sleep duration in primary and secondary school students.