Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis
Abstract Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East and North Africa (MENA) countries; however, the extent of medically defined sleep disorders (SDs) remains unclear. This meta-analysis determines SD prevalence and identifies associated f...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-02-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-53818-2 |
| _version_ | 1827327756847808512 |
|---|---|
| author | Sonia Chaabane Karima Chaabna Salina Khawaja Jasmine Aboughanem Dhruv Mittal Ravinder Mamtani Sohaila Cheema |
| author_facet | Sonia Chaabane Karima Chaabna Salina Khawaja Jasmine Aboughanem Dhruv Mittal Ravinder Mamtani Sohaila Cheema |
| author_sort | Sonia Chaabane |
| collection | DOAJ |
| description | Abstract Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East and North Africa (MENA) countries; however, the extent of medically defined sleep disorders (SDs) remains unclear. This meta-analysis determines SD prevalence and identifies associated factors among medical students in the MENA. PubMed, Web of Science, Google Scholar, and reference lists of included studies were searched (latest search: June 2022). Meta-analyses included 22 studies and were performed using random-effect models. Included studies used self-reported screening tools for assessing SDs and then estimated the proportion of participants at high risk of developing a SD. Central disorders of hypersomnolence were the most prevalent SD [prevalencepooled range: 30.9% (Jordan) to 62.5% (Saudi Arabia)], followed by insomnia disorders [prevalencepooled range: 30.4% (Jordan) to 59.1% (Morocco)], circadian rhythm sleep–wake disorders [prevalencepooled range: 13.5% (Jordan) to 22.4% (Saudi Arabia)], sleep-related breathing disorders [prevalencepooled range: 12.2% (Jordan) to 22.5% (Pakistan)], sleep-related movement disorders [prevalencepooled range: 5.9% (Egypt) to 30.6% (Saudi Arabia)], and parasomnias [prevalencepooled range: 5.6% (Jordan) to 17.4% (Saudi Arabia)]. Female sex, studying in the latter academic years, having anxiety, excessive internet use, and poor academic performance were significantly associated with SDs. SDs are prevalent among MENA medical students. Implementing student-centered interventions targeting high risk groups in medical schools should be considered to improve students’ health and wellbeing. |
| first_indexed | 2024-03-07T15:06:56Z |
| format | Article |
| id | doaj.art-1a4f6271dc104082bbb1988c4ef25ef9 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:06:56Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-1a4f6271dc104082bbb1988c4ef25ef92024-03-05T18:50:42ZengNature PortfolioScientific Reports2045-23222024-02-0114112110.1038/s41598-024-53818-2Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysisSonia Chaabane0Karima Chaabna1Salina Khawaja2Jasmine Aboughanem3Dhruv Mittal4Ravinder Mamtani5Sohaila Cheema6Institute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationInstitute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationInstitute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationInstitute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationIntern, Institute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationInstitute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationInstitute for Population Health, Weill Cornell Medicine – Qatar, Education City, Qatar FoundationAbstract Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East and North Africa (MENA) countries; however, the extent of medically defined sleep disorders (SDs) remains unclear. This meta-analysis determines SD prevalence and identifies associated factors among medical students in the MENA. PubMed, Web of Science, Google Scholar, and reference lists of included studies were searched (latest search: June 2022). Meta-analyses included 22 studies and were performed using random-effect models. Included studies used self-reported screening tools for assessing SDs and then estimated the proportion of participants at high risk of developing a SD. Central disorders of hypersomnolence were the most prevalent SD [prevalencepooled range: 30.9% (Jordan) to 62.5% (Saudi Arabia)], followed by insomnia disorders [prevalencepooled range: 30.4% (Jordan) to 59.1% (Morocco)], circadian rhythm sleep–wake disorders [prevalencepooled range: 13.5% (Jordan) to 22.4% (Saudi Arabia)], sleep-related breathing disorders [prevalencepooled range: 12.2% (Jordan) to 22.5% (Pakistan)], sleep-related movement disorders [prevalencepooled range: 5.9% (Egypt) to 30.6% (Saudi Arabia)], and parasomnias [prevalencepooled range: 5.6% (Jordan) to 17.4% (Saudi Arabia)]. Female sex, studying in the latter academic years, having anxiety, excessive internet use, and poor academic performance were significantly associated with SDs. SDs are prevalent among MENA medical students. Implementing student-centered interventions targeting high risk groups in medical schools should be considered to improve students’ health and wellbeing.https://doi.org/10.1038/s41598-024-53818-2 |
| spellingShingle | Sonia Chaabane Karima Chaabna Salina Khawaja Jasmine Aboughanem Dhruv Mittal Ravinder Mamtani Sohaila Cheema Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis Scientific Reports |
| title | Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis |
| title_full | Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis |
| title_fullStr | Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis |
| title_full_unstemmed | Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis |
| title_short | Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis |
| title_sort | sleep disorders and associated factors among medical students in the middle east and north africa a systematic review and meta analysis |
| url | https://doi.org/10.1038/s41598-024-53818-2 |
| work_keys_str_mv | AT soniachaabane sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT karimachaabna sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT salinakhawaja sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT jasmineaboughanem sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT dhruvmittal sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT ravindermamtani sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis AT sohailacheema sleepdisordersandassociatedfactorsamongmedicalstudentsinthemiddleeastandnorthafricaasystematicreviewandmetaanalysis |