@Article{info:doi/10.2196/25662,
author="Qanash, Sultan
and Al-Husayni, Faisal
and Falata, Haneen
and Halawani, Ohud
and Jahra, Enas
and Murshed, Boshra
and Alhejaili, Faris
and Ghabashi, Ala'a
and Alhashmi, Hashem",
title="Effect of Electronic Device Addiction on Sleep Quality and Academic Performance Among Health Care Students: Cross-sectional Study",
journal="JMIR Med Educ",
year="2021",
month="Oct",
day="6",
volume="7",
number="4",
pages="e25662",
keywords="electronic devices; addiction; sleep quality; grade point average; academic performance; health care students; medical education; sleep; student performance; screen time; well-being",
abstract="Background: Sleep quality ensures better physical and psychological well-being. It is regulated through endogenous hemostatic, neurogenic, and circadian processes. Nonetheless, environmental and behavioral factors also play a role in sleep hygiene. Electronic device use is increasing rapidly and has been linked to many adverse effects, raising public health concerns. Objective: This study aimed to investigate the impact of electronic device addiction on sleep quality and academic performance among health care students in Saudi Arabia. Methods: A descriptive cross-sectional study was conducted from June to December 2019 at 3 universities in Jeddah. Of the 1000 students contacted, 608 students from 5 health sciences disciplines completed the questionnaires. The following outcome measures were used: Smartphone Addiction Scale for Adolescents--short version (SAS-SV), Pittsburgh Sleep Quality Index (PSQI), and grade point average (GPA). Results: The median age of participants was 21 years, with 71.9{\%} (437/608) being female. Almost all of the cohort used smartphones, and 75.0{\%} (456/608) of them always use them at bedtime. Half of the students (53{\%}) have poor sleep quality, while 32{\%} are addicted to smartphone use. Using multivariable logistic regression, addiction to smartphones (SAS-SV score >31 males and >33 females) was significantly associated with poor sleep quality (PSQI >5) with an odds ratio of 1.8 (1.2-2.7). In addition, male gender and older students (age ≥21 years) were significantly associated with lower GPA (<4.5), with an odds ratio of 1.6 (1.1-2.3) and 2.3 (1.5-3.6), respectively; however, addiction to smartphones and poor sleep quality were not significantly associated with a lower GPA. Conclusions: Electronic device addiction is associated with increased risk for poor sleep quality; however, electronic device addiction and poor sleep quality are not associated with increased risk for a lower GPA. ",
issn="2369-3762",
doi="10.2196/25662",
url="https://mededu.jmir.org/2021/4/e25662",
url="https://doi.org/10.2196/25662",
url="http://www.ncbi.nlm.nih.gov/pubmed/34612827"
}