Association between Sleep Quality and Interactive Health Literacy among Chinese College Students: A Cross-sectional Study

Abstract

Abstract Background Increasing studies have shown that the improvement of interactive health literacy (IHL) can develop healthy behaviors. Although healthy behaviors could contribute to good sleep quality, few studies explored the association between IHL and sleep quality. This study aimed to examine the relationship between IHL and sleep quality among Chinese college students. Methods A cross-sectional survey was conducted among 12007 college students aged 15–26 years. IHL was evaluated using Chinese Adolescent Interactive Health Literacy Questionnaire, and sleep quality was reported by a self-reported question. Multivariate logistic regressions analysis were conducted to examine the association between IHL and sleep quality. Results The prevalence rates of good sleep quality among college students was 77.6%. After adjusting for potential confounders, multivariate logistic regressions analysis revealed a significant inverse association between HL and risk of good sleep quality. The OR (95%CI) of good sleep quality among different IHL level were 1.00 (reference) for low level, 1.628 (1.467, 1.807) for middle level and 2.756 (2.442, 3.111) for high level. Similarly, the significant associations were also found when gender were separately analyzed. Conclusion Our findings suggest that improving IHL may contribute to maintaining good sleep quality. Further intervention research is needed to explore the causal relationship between IHL and the sleep quality among Chinese population. It is therefore necessary to strengthen the health education of Chinese college students to develop their health-promoting behaviors.