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Campo-Arias A, Herazo E, Pedrozo-Pupo JC. Prevalence and Factors Associated with Sleep Health Literacy among Dentistry, Nursing, and Psychology Students. Hacia Promoc. Salud [Internet]. 2025 May 1 [cited 2025 Dec. 15];30(2):33-42. Available from: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/11304
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Abstract
Objective: To determine the prevalence and factors associated with sleep health literacy among university students in Santa Marta, Colombia. Methodology: A cross-sectional study was conducted with students enrolled in nursing, dentistry, and psychology programs. Sleep health literacy was assessed using the Sleep Beliefs Scale (Kuder– Richardson reliability coefficient = 0.78). Results: The study included 346 students aged 18 to 45 years (M = 20.73, SD = 3.08); 70.52% were female. Scores on the Sleep Beliefs Scale ranged from 0 to 20 (M = 11.05, SD = 3.91). The proportion of correct responses varied from 10.41% (item 15, “getting up when it is difficult to fall asleep”) to 87.86% (item 19, “sleeping in a quiet, dark room”). A total of 178 students (55.44%) demonstrated limited sleep health literacy. Psychology students obtained higher literacy scores than those enrolled in nursing and dentistry (Pearson χ² = 8.47, p = 0.02). Conclusion: A considerable proportion of nursing, dentistry, and psychology students presented limited sleep health literacy. Further research is required to clarify associated factors and to strengthen educational interventions that promote adequate sleep health literacy among university
populations.
References
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2. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health [Internet]. 2012; 12:80. doi: https://doi.org/10.1186/1471-2458-12-80
3. Adan A, Fabbri M, Natale V, Prat G. Sleep Beliefs Scale (SBS) and circadian typology. J Sleep Res [Internet]. 2006; 15(2):125-132. doi: https://doi.org/10.1111/j.1365-2869.2006.00509.x
4. Prados G, Chouchou F, Carrión-Pantoja S, Fernández-Puerta L, Pérez-Mármol JM. Psychometric properties of the Spanish version of the Sleep Hygiene Index. Res Nurs Health [Internet]. 2021; 44(2):393-402. doi: https://doi.org/10.1002/nur.22111
5. Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med [Internet]. 2006; 29(3):223-227. doi: https://doi.org/10.1007/s10865-006-9047-6
6. Morin CM, Vallières A, Ivers H. Dysfunctional beliefs and attitudes about sleep (DBAS): Validation of a brief version (DBAS-16). Sleep [Internet]. 2007; 30(11):1547-1554. doi: https://doi.org/10.1093/sleep/30.11.1547
7. Grandner, M. A., Jackson, N., Gooneratne, N. S., Patel, N. P. (2014). The development of a questionnaire to assess sleep-related practices, beliefs, and attitudes. Behav Sleep Med [Internet]. 2014; 12(2):123-142. doi: https://doi.org/10.1080/15402002.2013.764530
8. Feldman EL, Slavish DC. Initial development of a sleep health literacy scale. Sleep Health [Internet]. 2024; 10(6):683-690.doi: https://doi.org/10.1016/j.sleh.2024.08.001
9. Škvorc L, Bjelajac AK. Sleep beliefs and circadian typology of helping professions students. Int Online J Educ Sci [Internet].
2016; 8(5):69-78. doi: http://dx.doi.org/10.15345/iojes.2016.05.008
10. Coelho J, Rey M, Labonne A, Adan A, Taillard J, Geoffroy PA, et al. Better characterizing sleep beliefs for personalized sleep health promotion: The French sleep beliefs scale validation study. Front Public Health [Internet]. 2024; 11:1293045. doi:
http://dx.doi.org/10.3389/fpubh.2023.1293045
11. Blanc J, Nunes J, Williams N, Robbins R, Seixas AA, Jean-Louis G. Sleep health equity. In: Gradner MA, editor. Sleep and health [Internet]. London: Academic Press; 2019. pp. 473-480.
12. doi: https://doi.org/10.1016/B978-0-12-815373-4.00035-6
13. Liu H. Association models in epidemiology: Study designs, modeling strategies, and analytic methods [Internet]. Boca Raton: CRC Press; 2024. doi: https://doi.org/10.1201/9781003326441
14. Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: Sleep problem prevalence, sex differences, and mental health correlates. Sleep Health [Internet]. 2018; 4(2): 174-181.doi: https://doi.org/10.1016/j.sleh.2018.01.001
15. Garbarino S, Lanteri P, Durando P, Magnavita N, Sannita WG. Co-morbidity, mortality, quality of life and the healthcare/welfare/social costs of disordered sleep: A rapid review. Int J Environm Res Public Health [Internet]. 2016; 13(8):831. doi:https://doi.org/10.3390/ijerph13080831
16. Hershner SD. Sleep and academic performance: Measuring the impact of sleep. Curr Opin Behav Sci [Internet]. 2020; 33:51-56. doi: https://doi.org/10.1016/j.cobeha.2019.11.009
17. Becerra MB, Bol BS, Granados R, Hassija C. Sleepless in school: The role of social determinants of sleep health among college students. J Am Coll Health [Internet]. 2020; 68(2):185-191. doi: https://doi.org/10.1080/07448481.2018.1538148
18. Mohit B, Chang R, Wickwire EM. Health economics of sleep disorders. In: Gupta R, Neubauer DN, Pandi-Perumal SR, editors. Sleep and neuropsychiatric [Internet]. disorders. Singapore: Springer Nature; 2022. pp. 141-164. doi: https://doi.org/10.1007/978-981-16-0123-1_7
19. Okano K, Kaczmarzyk JR, Dave N, Gabrieli JD, Grossman JC. Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Sci Learn [Internet]. 2019; 4(1):16. doi: https://doi.org/10.1038/s41539-019-0055-z
20. McNeil MP, Davidson ES. Sleep on college and university campuses. Principles and practice of college health. In: Vaughn JA, Viera AJ., editors. Principles and practices of college health [Internet]. Cham: Springer; 2021. pp. 233-245. doi: https://doi.org/10.1007/978-3-030-56309-7
21. Lakens D. Sample size justification. Collabra [Internet]. 2022; 8(1):33267. doi: https://doi.org/10.1525/collabra.33267
22. Hosmer DW, Lemeshow S, Sturdivant RX. Applied logistic regression. 3rd edition. Hoboken (New Jersey): John Wiley & Sons; 2013.
23. Campo-Arias A, Pedrozo-Pupo JC, Caballero-Domínguez CC. Sleep Hygiene Index: Dimensionality, internal consistency, and nomological validity among Colombian medical students. Inform Psicol [Internet]. 2024;24(2):104-117. https://doi.org/10.18566/infpsic.v24n2a06
24. International Test Commission. ITC guidelines for translating and adapting tests. 2nd edition. 2017. Available from: https://www.intestcom.org/page/14
25. Pearson KX. On the criterion that a given system of deviations from the probable in the case of a correlated system of variables is such that it can be reasonably supposed to have arisen from random sampling. Philos Mag Ser 5 [Internet]. 1900; 50(302):157-175. doi: https://doi.org/10.1080/14786440009463897
26. Viera, A.J. Odds ratios and risk ratios: What’s the difference and why does it matter? South Med J [Internet]. 2008;101(7):730-734. doi: https://doi.org/10.1097/smj.0b013e31817a7ee4
27. IBM Corp. IBM SPSS Statistics [software]. Version 27.0. Chicago (IL): IBM Corp; 2022.
28. Ministerio de Salud de Colombia. Resolution 8430 of 1993 (October 4) [Internet]. Available from: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf
29. World Medical Association. WMA Declaration of Helsinki — Ethical Principles for Medical Research Involving Human Participants [Internet]. Adopted by the 18th WMA General Assembly, Helsinki, Finland, June 1964; amended by the 75th WMA General Assembly, Helsinki, Finland, October 2024. Available from: https://www.wma.net/policies-post/wma-declaration-ofhelsinki-ethical-principles-for-medical-research-involving-human-subjects/
30. Shah J, Poirier BF, Hedges J, Jamieson L, Sethi S. Effect of sleep on oral health: A scoping review. Sleep Med Rev [Internet]. 2024; 76:101939. doi: https://doi.org/10.1016/j.smrv.2024.101939
31. Streiner DL, Norman GR, Cairney J. Health measurement scales: A practical guide to their development and use. Oxford:Oxford University Press; 2024.
32. Fatima Y, Doi SA, Mamun AA. Sleep quality and obesity in young subjects: A meta-analysis. Obes Rev [Internet]. 2016; 17(11):1154-1166. doi: https://doi.org/10.1111/obr.12444
33. Ravichandran R, Gupta L, Singh M, Nag A, Thomas J, Panjiyar BK. The interplay between sleep disorders and cardiovascular diseases: A systematic review. Cureus [Internet]. 2023; 15(9):e45898. doi: https://doi.org/10.7759/cureus.45898
34. Zhou Y, Jin Y, Zhu Y, Fang W, Dai X, Lim C, et al. Sleep problems associated with multimorbidity: A systematic review and meta-analysis. Public Health Rev [Internet]. 2023; 44:1605469. doi: https://doi.org/10.3389/phrs.2023.1605469
35. Cox RC, Olatunji BO. Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. Sleep Med Rev [Internet]. 2020; 51:101282. doi: https://doi.org/10.1016/j.smrv.2020.101282
36. Goldstein TR, Franzen PL. Sleep difficulties and suicidality in youth: current research and future directions. Curr Opin Psychol [Internet]. 2020; 34:27-31. doi: https://doi.org/10.1016/j.copsyc.2019.08.021
37. Marino C, Andrade B, Campisi SC, Wong M, Zhao H, Jing X, et al. Association between disturbed sleep and depression in children and youths: A systematic review and meta-analysis of cohort studies. JAMA Netw Open [Internet]. 2021; 4(3):e212373.doi: https://doi.org/10.1001/jamanetworkopen.2021.2373
38. Kheirabadi GR, Tarrahi MJ, Nikafkar M, Oreizi N, Sheikhani T, Sheikhani G. Evaluation and comparison of knowledge, attitude, and practice of sleep hygiene in students of different universities of Isfahan city, Iran. J Isfahan Med Sch [Internet]. 2019; 37(519):228-236. doi: https://doi.org/10.22122/jims.v37i519.11266
