Articles Vol. 67 No. CĐ5-NCKH 04/05/2026

POOR SLEEP HYGIENE BEHAVIORS AND SLEEP QUALITY AMONG MEDICAL STUDENTS: A BASNEF MODEL-BASED ANALYSIS AT A MEDICAL UNIVERSITY IN VIETNAM, 2025

Ta Hoang Giang1,2
1 School of Preventive Medicine and Public Health, Hanoi Medical University
2 Viện Đào tạo Y học dự phòng và Y tế công cộng, Trường Đại học Y Hà Nội
DOI: 10.52163/yhc.v67iCD5.5030
28 Views
13 Downloads
Keywords
Sleep quality, sleep hygiene, medical students, BASNEF, PSQI.
Abstract

Objective: To describe sleep quality among students at Hanoi Medical University using the PSQI and to analyze the association between BASNEF model components and sleep quality.

Subjects and methods: A cross-sectional study was conducted on 60 medical students from first to sixth year at Hanoi Medical University in April 2025. Data were collected an online questionnaire including socio-demographic and academic characteristics, BASNEF constructs (beliefs, attitudes, subjective norms, enabling factors, and behaviors), and the PSQI scale. Descriptive statistics and group comparisons were performed.

Results: A total of 75% of participants had poor sleep quality (PSQI ≥ 5). All BASNEF components were associated with sleep quality, with attitudes and enabling factors showing the strongest relationships. Students with positive attitudes and better enabling conditions had a higher proportion of good sleep quality. Socio-demographic and academic factors showed some trends but no clear associations.

Conclusion: Poor sleep quality is highly prevalent among medical students. BASNEF components, particularly attitudes and enabling factors, play a significant role in sleep quality. Health education interventions should focus on improving attitudes and strengthening enabling conditions to promote healthy sleep behaviors.

References
[1]
Azad M.C, Fraser K, Rumana N, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med, 2015, 11 (1): 69-74. Google Scholar
[2]
Hershner S.D, Chervin R.D. Causes and consequences of sleepiness among college students. Nat Sci Sleep, 2014, 6: 73-84. Google Scholar
[3]
Buysse D.J, Reynolds C.F, Monk T.H, Berman S.R, Kupfer D.J. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28 (2): 193-213. Google Scholar
[4]
UPMC/University of Pittsburgh. Pittsburgh Sleep Quality Index (PSQI) - Instrument and scoring, 2025. Google Scholar
[5]
Park T.W, Nguyen T.T.M et al. Vietnamese version of the Pittsburgh Sleep Quality Index: preliminary validation in health sciences students. Sleep Med Res, 2020, 11 (1): e1-e8. Google Scholar
[6]
Abedini S et al. Effect of BASNEF model-based education on health behaviors: a quasi-experimental study. Health Scope, 2020, 9 (4): e95588. Google Scholar
[7]
Jeihooni A.K et al. The BASNEF model in health education: impacts on preventive behaviors. Health Educ Health Promot, 2013, 1 (2): 45-52. Google Scholar
[8]
Khani Jeihooni A et al. Application of BASNEF model in lifestyle interventions: a review. J Educ Health Promot, 2015, 4: 80. Google Scholar
[9]
Vidović S, Mikulandra F et al. Sleep quality and mental health among medical students: a multicenter analysis. J Clin Med, 2025, 14 (7): 2274. Google Scholar
[10]
Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychosom Res, 2012, 72 (5): 419-424. Google Scholar
[11]
Abdulghani H et al. Physical activity and academic achievement among the medical students: a cross-sectional study. Medical Teacher, 2016, 38 (sup1): S66-S72. doi: 10.3109/0142159X.2016.1142516 Google Scholar
[12]
Lemma S et al. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC Psychiatry, 2012, 12: 237. doi: 10.1186/1471-244X-12-237 Google Scholar