Associations of negative life events and coping styles with sleep quality among Chinese adolescents: a cross-sectional study

Environmental Health and Preventive Medicine

Hongjian Liu¹  Yue Shen²  Xiumin Zhang³  Shuyin Qiao³  Hanfang Zhao³  Yuyu Li³  Xia Guo³  Xiangrong Li³  Minfu He³  Yajiao Pu³  Xinwen Fan³  Hong Shi³  Shuang Zha³  Zheng Ren³ 

[1]Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China

[2]Department of Party and Mass Personnel, China Population Communication Center, Beijing, China

[3]Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China

关键词: Negative life events;    Coping styles;    Sleep quality;    Adolescents;   

DOI  :  10.1186/s12199-021-01007-2

来源: Springer

【 摘 要 】

BackgroundLimited published research has examined the relationships of negative life events and coping styles with sleep quality in Chinese junior high school students. We aimed to investigate the prevalence of poor sleep quality and to clarify the role of coping styles between negative life events and sleep quality.MethodsA cross-sectional study of 3081 students was conducted in Ganzhou City, Jiangxi Province, Southeastern China. Adolescent Self-Rating Life Events Checklist, Simplified Coping Style Questionnaire, and Pittsburg Sleep Quality Index were applied to assess negative life events, coping styles, and sleep quality, respectively. Descriptive analyses, independent-samples t tests, one-way analyses of variance, Pearson correlation analyses, and structural equation modeling (SEM) were applied to analyze the data.ResultsThe prevalence of poor sleep quality was 26.7%. Negative life events (B = 0.038, P < 0.001) and negative coping style (B = 0.049, P < 0.001) demonstrated a positive association with poor sleep quality, while positive coping style indicated a negative association with poor sleep quality (B = −0.029, P < 0.001). Interactions of negative life events and coping styles with sleep quality were not found (all P > 0.05). The association between negative life events and sleep quality was mediated by negative coping styles.ConclusionsOur results indicated that poor sleep quality was common in these Chinese adolescents. Negative life events and negative coping style were associated with an increased prevalence of poor sleep quality, while the positive coping style was related to a decreased prevalence of poor sleep quality. A negative coping style mediated the association between negative life events and sleep quality.

【 授权许可】

CC BY