Hai Tu Dang

Viet Nam National Children's Hospital, Vietnam

Title: Prevalence and Correlates of Poor Sleep Quality Among Adolescents with Chronic Gastritis in Vietnam

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Biography

Abstract

Background: Sleep problems are common in adolescents and may be exacerbated by chronic physical illness. However, data on sleep quality and its associated factors among adolescents with chronic gastritis remain limited.

Methods: We conducted a cross-sectional study among 208 adolescents aged 10–18 years diagnosed with chronic gastritis at the National Children’s Hospital, Hanoi, Vietnam. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), with a global score >5 indicating poor sleep quality. Sociodemographic, psychosocial, and clinical variables were collected. Associations were examined using chi-square tests and logistic regression analyses.

Results: The prevalence of poor sleep quality was 18.8%. Older adolescents aged 15–17 years had higher odds of poor sleep quality than younger adolescents (OR = 4.14, p = 0.002). Female adolescents (OR = 3.23, p = 0.003), those who had entered puberty (OR = 5.44, p < 0.001), and adolescents with high academic pressure (OR = 8.65, p < 0.001) were also at increased risk. Screen time showed a dose-response pattern, with higher odds among adolescents using devices 1–3 hours, 4–6 hours, and >6 hours per day. Positive family and peer relationships were protective (OR = 0.19, p = 0.001), whereas psychological trauma increased risk (OR = 12.06, p < 0.001).

Conclusions: Poor sleep quality affected nearly one in five adolescents with chronic gastritis and was more strongly associated with psychosocial and behavioral factors than with clinical variables. Interventions targeting academic stress, screen-time reduction, and psychosocial support may improve sleep outcomes.