Sleep Quality and Migraine Status among Undergraduate Students in a Large Urban University Thailand

Abstract

Background: Migraine is a specific chronic headache which involved sleep process and chronobiologic patterns in regulation of sleep and headache. Therefore, current study investigated whether migraine headache could affect sleep quality among undergraduate students.

Methods: A cross-sectional study was used to study the undergraduate students at a large public university in Bangkok, Thailand (N=317). A self-administer questionnaire was ascertained general demographics. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep habits and quality. The criteria established by The International Headache Society (ICHD-II) were used to assess migraine status. Chi-square tests and multivariate logistic regression models were used to identify statistically significant associations. 

Results: Sleep quality components were not statistically associated with migraine status among undergraduate students. With those not statistical association, poor sleep quality was tended to increase a 1.299 times risk of migraine (AOR = 1.299; 95% CI 0.329-5.131). Less sleep duration than 6 hours was suggested to increase 1.35-fold odds of migraine students (AOR = 1.352; 95% CI 0519-3.523). Longer sleep latency than 15 min had a 1.277-fold increased odds of migraine (AOR = 1.277; 95% CI 0.523-3.116) although statistical significant was not achieved.

Conclusion: Migraineur students had more poor sleep than non-migraineur students but not significant. These findings emphasize the requirement to educate students on the importance of sleep and policy makers to take action to improve the quality of headache care and access to treatment in Chulalongkorn University.