TY  - JOUR
AU  - Qanash, Sultan
AU  - Al-Husayni, Faisal
AU  - Falata, Haneen
AU  - Halawani, Ohud
AU  - Jahra, Enas
AU  - Murshed, Boshra
AU  - Alhejaili, Faris
AU  - Ghabashi, Ala’a
AU  - Alhashmi, Hashem
PY  - 2021
DA  - 2021/10/6
TI  - Effect of Electronic Device Addiction on Sleep Quality and Academic Performance Among Health Care Students: Cross-sectional Study
JO  - JMIR Med Educ
SP  - e25662
VL  - 7
IS  - 4
KW  - electronic devices
KW  - addiction
KW  - sleep quality
KW  - grade point average
KW  - academic performance
KW  - health care students
KW  - medical education
KW  - sleep
KW  - student performance
KW  - screen time
KW  - well-being
AB  - 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. 
SN  - 2369-3762
UR  - https://mededu.jmir.org/2021/4/e25662
UR  - https://doi.org/10.2196/25662
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34612827
DO  - 10.2196/25662
ID  - info:doi/10.2196/25662
ER  -