Sleep Hygiene, Sleep Quality and Excessive Daytime Sleepiness among Indian College Students

Poor sleep hygiene is linked with sleep problems such as poor sleep quality and excessive daytime sleepiness (EDTS). Objective of this research was to assess the sleep hygiene practices of the Indian college students and study the relationship of sleep hygiene with sleep quality and EDTS. A cross sectional study was conducted among 1215 college students using Sleep Hygiene Index (SHI), Pittsburg Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Mean SHI score of study population was 31.27 ± 6.09 and majority of the study population (77.7%) had poor sleep hygiene (SHI>26). Problem of poor sleep hygiene was found to be significantly more in professional courses (χ2 test p=0.000). Subjects with poor sleep hygiene had two times higher odds of poor sleep quality (OR 2.194, 95% CI: .595-3.017, p = 0.000) and more than two and half times higher odds of EDTS (OR 2.843, 95% CI: 2.016-4.009, p = 0.000). Results indicate the probable relationship of poor sleep hygiene with EDTS and poor sleep quality.