Prevalence and Determinants of Poor Sleep Quality among Myanmar Migrant Workers in Malaysia: A Cross-sectional Study
Lwin Mie Aye *
Department of Community Medicine, School of Medicine, International Medical University (IMU), Malaysia.
John T. Arokiasamy
Department of Community Medicine, School of Medicine, International Medical University (IMU), Malaysia.
Ankur Barua
Department of Community Medicine, School of Medicine, International Medical University (IMU), Malaysia.
Hematram Yadav
Department of Community Medicine, School of Medicine, International Medical University (IMU), Malaysia.
Obinna Francis Onunkwor
Department of Community Medicine, School of Medicine, International Medical University (IMU), Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Background: Sleep quality is an important determinant of health; so much so that the socio-economic and healthcare burden of poor sleep quality is alarming. In Malaysia, there is a shortage of sleep-quality studies conducted on Myanmar migrant workers, who comprise a significant proportion of the Malaysian workforce.
Aims: To identify the prevalence and determinants of poor sleep quality among Myanmar migrant workers in Malaysia.
Study Design: A cross-sectional study utilising systematic random sampling with replacement method.
Methodology: The study was conducted on 216 Myanmar migrant workers. A questionnaire was used to detect the socio-demographic information, health status, socio-economic information and lifestyle factors, and the Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality.
Results: The prevalence of poor sleep quality was found in 62.5% of the study population. The factors significantly associated with poor sleep quality were body mass index (BMI) (OR = 0.462, 95% CI 0.225-0.950, P = 0.036), skill level (OR = 0.283, 95% CI 0.097-0.822, P = 0.020), shift work (OR = 3.393, 95% CI 1.456-7.908, P = 0.005), days worked per week (OR = 2.317, 95% CI = 1.022-5.252, P = 0.044), working hours per day (OR = 2.305, 95% CI = 1.134-4.685, P= 0.021) and work-related physical tiredness (OR = 2.304, 95% CI = 1.186-4.476, P = 0.014).
Conclusions: The findings highlight the burden and determinants of poor sleep quality among Myanmar migrant workers in Malaysia. The prevalence of poor sleep quality was 62.5% of the study population. Six factors were associated with poor sleep quality in this population: having a lower BMI (Body mass index), being engaged in upper skill level jobs, being a shift worker, working 6 to 7 days a week and more than 8 hours per day and having to spend more than 30 minutes on a daily commute.
Keywords: Poor sleep quality, prevalence, determinants, Pittsburgh Sleep Quality Index (PSQI), Myanmar migrant workers, Malaysia