Prevalence of Insomnia and Its Determinants Among Adolescents in Nepal
Author Information
Author(s): Sharma Mahesh, Bista Parvati, Khatri Bijay, Upadhyaya Dipak Prasad, Khanal Vijay Kumar, Sapkota Bhim Prasad, Tiwari Dipak Prasad, Jha Nilambar, Baral Dharanidhar, Gurung Gyanu Nepal, Acharya Dilaram
Primary Institution: B.P. Memorial Health Institute and Research Center, Kathmandu, Nepal
Hypothesis
What are the socio-behavioral determinants of insomnia among school-going adolescents in Bagamati Province, Nepal?
Conclusion
The study found a significant prevalence of insomnia at 24.2% among adolescents, linked to factors like internet addiction and lack of close friendships.
Supporting Evidence
- 34.5% of participants experienced sub-threshold insomnia.
- 6.1% reported moderate symptoms of insomnia.
- 0.8% showed signs of severe insomnia.
- Adolescents with a history of break-up had 2.67 times higher odds of insomnia.
- Internet addiction was significantly associated with insomnia.
- Older adolescents had higher odds of developing insomnia.
- Female adolescents had higher odds of insomnia compared to males.
- Adolescents with no close friends had a significantly higher risk of insomnia.
Takeaway
Many teenagers in Nepal have trouble sleeping, and things like using the internet too much and not having friends can make it worse.
Methodology
A school-based descriptive cross-sectional study using a self-administered questionnaire was conducted among grade 9 and 10 students.
Potential Biases
Potential recall and response biases due to reliance on self-reported data.
Limitations
The study's cross-sectional design limits causal inferences, and self-reported data may introduce bias.
Participant Demographics
Participants were adolescents aged 13-19, with 50.8% female, predominantly Hindu (84.8%), and 69.7% attending public schools.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI 1.56–8.23
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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