Prevalence and factors associated with excessive daytime sleepiness among Malaysian medical students
Wan Bazilah Wan Mohamad Sobri 1 , Nyi Nyi Naing 2 , Nadiah Wan-Arfah 3 * , Sarimah Abdullah 4 , Vetriselvan Subramaniyan 5 6 , Ling Shing Wong 7 * , Siddharthan Selvaraj 8
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1 UniKL Business School, Universiti Kuala Lumpur 1016, Jalan Sultan Ismail, 50250 Kuala Lumpur, MALAYSIA2 Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA3 Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA4 Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MALAYSIA5 Department of Pharmacology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Subang Jaya, Selangor, MALAYSIA6 School of Bioengineering and Biosciences, Lovely Professional University, Phagwara, Punjab, INDIA7 Faculty of Health and Life Sciences, INTI International University, Nilai, Negeri Sembilan, MALAYSIA8 Faculty of Dentistry, AIMST University, Bedong, Kedah, MALAYSIA* Corresponding Author


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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Article Type: Original Article

ELECTRON J GEN MED, Volume 21, Issue 2, April 2024, Article No: em571

Publication date: 01 Mar 2024

Online publication date: 12 Feb 2024

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