SLEEP QUALITY AND DAYTIME SLEEPINESS IN ADOLESCENTS FROM FEDERAL TECHNICAL EDUCATION INSTITUTIONS IN RIO GRANDE DO NORTE ACCORDING TO THE URBAN CONTEXT, SEX AND AGE
Adolescense; sleep/wake cycle; excessive sleepiness
Adolescence is marked, among other factors, by increased daytime sleepiness as a result of insufficient and poor quality sleep during school days, especially in adolescents who study in the morning shift. Among social factors, the urban context has been studied as a possible factor that impacts the quantity and quality of sleep, and daytime sleepiness of adolescents. With this in mind, the objective of this study is to identify the prevalence of poor sleep quality, assess the relationship between sleep quality and daytime sleepiness in adolescents from the integrated technical high school of federal institutions in RN according to the urban context, gender and age. This study was carried out with 324 students from the campuses of the IFRN Natal central, São Gonçalo do Amarante, Lajes and Santa Cruz, of both genders, who attend the 1st, 2nd and 3rd year of high school, in the morning shift. For this, three questionnaires were applied: “Identification Form”, “Pittsburgh Sleep Quality Index (IQSP)” and “Pediatric Day Sleepiness Scale (PDSS)”. The data distribution curve was tested by the Shapiro-Wilk normality test and the sample homogeneity by the Levene test (Levene's Test of Equality of Error Variancesa). The Chi-square test (X2) was used to assess the frequency of distribution of the total sample according to sex (female/male) and sleep quality (good/poor), as well as sex distribution and quality classification. of sleep in relation to the campus. Age and daytime sleepiness level were compared between campuses using the ANOVA (F) test. To assess how much the independent variables: campus, sex and age are associated with sleep quality and daytime sleepiness, the general linear model (General Linear Model) was used. The total sample showed a 71.6% prevalence of poor sleep quality and an overall mean of 7.35 ± 2.8. There was a difference between the campuses, where adolescents studying in Natal (X2 = 9.2; p = 0.002) and São Gonçalo do Amarante (X2 = 9.6; p < 0.001) had worse sleep quality compared to the Lajes campus. The general average of daytime sleepiness found in this study was 18.90 ± 4.9 and differences were found in the level of daytime sleepiness between the campuses, so that Santa Cruz had a lower average of daytime sleepiness in relation to the Lajes and São campuses Gonçalo do Amarante (F=5.0; p=0.002). Regarding the campus, the post-test showed that the sleep quality variable does not differ between the different urban contexts present in this study. Regarding daytime sleepiness, adolescents who study on the Santa Cruz campus have less daytime sleepiness (β = 0th; p = 0.03), when compared to Lajes (β = 2.75; p < 0.01), and São Gonçalo do Amarante (β = 1.99; p < 0.01). The gender variable showed a positive association with sleep quality (β = 0.98; p = 0.02) and with daytime sleepiness (β = 2.9; p < 0.01), so that female adolescents females had worse sleep quality and greater daytime sleepiness compared to males. The variable age was not related to sleep quality and daytime sleepiness. Thus, it can be seen that poor sleep quality and high levels of daytime sleepiness have been present in the lives of high school students, who study in the morning shift, in all age groups, affecting mainly girls, present in all social contexts, be it less urbanized or more urbanized.