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ORIGINAL ARTICLE
Prevalence and factors associated with excessive daytime sleepiness among Malaysian medical students
1
UniKL Business School, Universiti Kuala Lumpur 1016, Jalan Sultan Ismail, 50250 Kuala Lumpur, MALAYSIA
2
Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA
3
Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA
4
Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MALAYSIA
5
Department of Pharmacology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Subang Jaya, Selangor, MALAYSIA
6
School of Bioengineering and Biosciences, Lovely Professional University, Phagwara, Punjab, INDIA
7
Faculty of Health and Life Sciences, INTI International University, Nilai, Negeri Sembilan, MALAYSIA
8
Faculty of Dentistry, AIMST University, Bedong, Kedah, MALAYSIA
Online publication date: 2024-02-12
Publication date: 2024-03-01
Electron J Gen Med 2024;21(2):em571
KEYWORDS
excessive daytime sleepinessexcessive somnolence disorderhuman healthmedical studentsordinal logistic regression
ABSTRACT
The purpose of our study was to ascertain the frequency of excessive daytime sleepiness (EDS) amongst medical
students as well as the contributing variables. In Kelantan, Malaysia, at the School of Medical Sciences of Universiti
Sains Malaysia, a cross-sectional research study was carried out. The Epworth drowsiness scale was used to gauge
the degree of daytime drowsiness, and the depression, anxiety, and stress scale was used to gauge the degree of
depression, anxiety, and stress. The related factors of EDS were analyzed using ordinal logistic regression. 311
individuals, or 84.5% of the total, submitted the questionnaire out of 368. 42.7% of people had EDS (95% CI: 0.52,
0.70). The associated factors of EDS included year of study (adjusted odds ratio [AOR]=0.55 [95% confidence
interval [CI]: 0.33, 0.91]), race (Chinese) (AOR=0.58 [95% CI: 0.32, 0.97]), anxiety level(mild)(AOR=2.68 [95% CI: 1.26,
5.68]), anxiety level (moderate) (AOR=3.70 [95% CI: 1.76, 7.75]), anxiety level (severe) (AOR=4.76 [95% CI: 1.06,
21.42]), stress level (mild) (AOR=3.37 [95% CI: 1.47, 7.30]) and stress level (moderate) (AOR=5.42 [95% CI: 2.05,
14.35]). As for conclusion, associated factors such as year of study, race, anxiety and stress level were significantly
found to be associated with EDS among medical students.
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