TY - JOUR T1 - The Role of Social Determinants of Health in Chronotypes Among College Students: A Cross-Sectional Study TT - Üniversite Öğrencilerinin Uyku Tercihlerinde Sağlığın Sosyal Belirleyicilerinin Rolü: Kesitsel Bir Çalışma AU - Karatana, Özlem AU - Karaman, Mesut PY - 2025 DA - September Y2 - 2025 DO - 10.46237/amusbfd.1567795 JF - Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi PB - Aydin Adnan Menderes University WT - DergiPark SN - 2587-2427 SP - 333 EP - 344 VL - 9 IS - 3 LA - en AB - Objective: Sleep health in college students is a public health concern. College students are commonly described as having poor sleep quality, especially those who prefer evening-type (E-type) sleep. Identifying the social determinants of chronotypes may facilitate a better understanding of why such students prefer E-type sleep. The current study aimed to investigate the relationship between social determinants and the sleep preferences of college students living in dormitories (n= 380).Method: This is descriptive-relational research. The data collection tools included Personal information form, Social Determinants of Health Scale for University Students, and Morningness-Eveningness Stability Scale.Results: This study revealing a statistically significant relationship between social determinants of health and sleep preferences (p < .05). The study found that college students seemed to prefer morning sleep as their social health needs decreased (r: -0.628) and evening sleep (r: 0.673) as their social health needs increased, concluding that the social health needs of E-type college students should be met in order to improve their sleep quality.Conclusion: Health professionals, public health nurses, and social workers may identify social determinants of health and employ intervention strategies for college students with social health needs. KW - Sleep health KW - Social determinants of health KW - Chronotypes KW - College students N2 - Amaç: Üniversite öğrencilerinde uyku sağlığı bir halk sağlığı sorunudur. Üniversite öğrencileri genellikle yetersiz uyku kalitesine sahiptir ve özellikle akşam tipi (E-tipi) uykuyu tercih etmektedirler. Bu çalışmanın amacı, yurtlarda yaşayan üniversite öğrencilerinin (n= 380) uyku tercihleri ile sağlığın sosyal belirleyicileri arasındaki ilişkiyi araştırmaktır.Yöntem: Bu çalışma tanımlayıcı-ilişkisel bir çalışmadır. Veri toplama araçları Kişisel Bilgi Formu, Üniversite Öğrencileri için Sağlığın Sosyal Belirleyicileri Ölçeği ve Sabah-Akşam Uyku Ölçeği'dir.Bulgular: Bu çalışma, sağlığın sosyal belirleyicileri ile uyku tercihleri arasında istatistiksel olarak anlamlı bir ilişki olduğunu ortaya koymuştur (p CR - 1. Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. (2020). Sleepless in school: The role of social determinants of sleep health among college students. Journal of American College Health, 68(2), 185–191. doi:10.1080/07448481.2018.1538148 CR - 2. Sivertsen, B., Harvey, A. G., Gradisar, M., Pallesen, S., & Hysing, M. (2021). Delayed sleep–wake phase disorder in young adults: prevalence and correlates from a national survey of Norwegian university students. Sleep Medicine, 77, 184–191. doi:10.1016/j.sleep.2020.09.028. CR - 3. Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college students: A literature review. Explore, 17(2), 170–177. doi:10.1016/ j.explore.2020.11.003. CR - 4. Silva, V. M., Magalhaes, J. E. de M., & Duarte, L. L. (2020). Quality of sleep and anxiety are related to circadian preference in university students. Plos One, 15(9), e0238514. doi:10.1371/journal.pone.0238514 CR - 5. Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., & Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in health. Biomolecules, 11(4), 487. doi:10.3390/biom11040487 CR - 6. Castelli, L., Galasso, L., Mulè, A., Ciorciari, A., Esposito, F., Roveda, E., & Montaruli, A. (2023). Physical activity and morningness: A helpful combination in improving the sleep quality of active Italian university students. Chronobiology International, 40(8), 1028–1038. doi:10.1080/07420528.2023.2241906 CR - 7. Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social environment relationship with sleep health and disorders. Chest, 157(5), 1304–1312. doi:10.1016/j.chest.2019.12.002 CR - 8. Koo, D. L., Yang, K. I., Kim, J. H., Kim, D., Sunwoo, J., Hwangbo, Y., & Hong, S. B. (2021). Association between morningness‐eveningness, sleep duration, weekend catch‐up sleep and depression among Korean high‐ school students. Journal of Sleep Research, 30(1). doi:10.1111/jsr.13063 CR - 9. Merikanto, I., Kortesoja, L., Benedict, C., Chung, F., Cedernaes, J., Espie, C. A., & Bjorvatn, B. (2022). Evening-types show highest increase of sleep and mental health problems during the COVID-19 pandemic multinational study on 19 267 adults. Sleep, 45(2). doi:10.1093/sleep/ zsab216 CR - 10. Norbury, R. (2021). Diurnal preference and depressive symptomatology: A meta-analysis. Scientific Reports, 11(1), 12003. doi:10.1038/s41598-021-91205-3 CR - 11. Centers for Disease Control and Prevention. (2022). Social determinants of health. Retrieved from https://www.cdc.gov/about/sdoh/ index.html CR - 12. Kuriyama, K. (2024). Social determinants of sleep quality: association between sleep quality and living environment among older individuals. Sleep and Biological Rhythms, 22(3), 301–302. doi:10.1007/ s41105-024-00533-0 CR - 13. Marmot, M. (2020). Health equity in England: the marmot review 10 years on. BMJ, m693. doi:10.1136/bmj.m693 CR - 14. Daliri Dizaj, M., & Hatami Khanghahi, T. (2022). Students’ residential preferences: a case study is dormitories of University of Mohaghegh Ardabili. Journal of Asian Architecture and Building Engineering, 21(4), 1348–1363. doi:10.1080/13467581.2021.1941987 CR - 15. Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98–101. doi:10.1111/1467-8721.ep10768783 CR - 16. Ekenler, G., & Altınel, B. (2021). Hemşirelik öğrencilerinde uyku kalitesi ile akademik başarı arasındaki ilişkinin incelenmesi. Online Türk Sağlık Bilimleri Dergisi, 6(4), 575–582. doi:10.26453/otjhs.883544 CR - 17. Arifuddin MK, Shashiraj HK, & Kavitha BS. (2021). Morningness- eveningness preferences among first year medical students. Scholars International Journal of Anatomy and Physiology, 4(3), 32–34. doi:10.36348/sijap.2021.v04i03.003 CR - 18. Johnson, K. F., Brookover, D. L., & Bradbrook, K. (2022). Social health needs and promotive health factors scale for college students: Scale development and initial validation. Journal of American College Health, 70(1), 74–83. doi:10.1080/07448481.2020.1725021 CR - 19. Karatana, Ö. (2024). Adaptation of the social determinants of health scale for university students to Turkish: A validity and reliability study. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 21, 769–779. doi:10.38079/igusabder.1224152 CR - 20. Demirhan, E., Önder, İ., Horzum, M. B., Masal, E., & Beşoluk, Ş. (2019). Adaptation of the morningness–eveningness stability scale improved (MESSi) into Turkish. Chronobiology International, 36(3), 427–438. doi:10.1080/07420528.2018.1560307 CR - 21. Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics, 7th edition. Pearson. CR - 22. Driller, M., Suppiah, H., Gastin, P. B., & Beaven, C. M. (2021). Questionnaire-derived sleep habits and academic achievement in first year university students. Clocks & Sleep, 4(1), 1–7. doi:10.3390/ clockssleep4010001 CR - 23. Martinez-Cardoso, A., Jang, W., & Baig, A. A. (2020). Moving diabetes upstream: The social determinants of diabetes management and control among immigrants in the US. Current Diabetes Reports, 20(10), 48. doi:10.1007/s11892-020-01332-w CR - 24. Phillips, A. J. K., Clerx, W. M., O’Brien, C. S., Sano, A., Barger, L. K., Picard, R. W., & Czeisler, C. A. (2017). Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/ wake timing. Scientific Reports, 7(1), 3216. doi:10.1038/s41598-017-03171-4 CR - 25. Acar, G. A. (2018). Sağlıkla ilgili eğitim veren fakültelerdeki öğrencilerin uyku kalitesinin belirlenmesi. Pamukkale Medical Journal. doi:10.31362/ patd.399606 CR - 26. Yilbas, B., & Gunel Karadeniz, P. (2022). The relationship between chronotype and impulsivity, attention-deficit disorder, internet, social media, and smartphone addiction. Alpha Psychiatry, 23(4), 203–209. doi:10.5152/alphapsychiatry.2022.21656 CR - 27. Hasan, M. M., Jankowski, K. S., & Khan, M. H. A. (2022). Morningness- eveningness preference and shift in chronotype during COVID-19 as predictors of mood and well-being in university students. Personality and Individual Differences, 191, 111581. doi:10.1016/j.paid.2022.111581 CR - 28. Önder, İ. (2022). Association of happiness with morningness - eveningness preference, sleep-related variables and academic performance in university students. Biological Rhythm Research, 53(6), 950–965. doi:10.1080/09291016.2020.1848266 CR - 29. Nouri, A., Esmaeili, F., Seyedi, H., Rezaeian, S., Panjeh, S., Cogo-Moreira, H., & Pompeia, S. (2021). Factor structure and psychometric properties of the Persian versions of the pediatric daytime sleepiness scale and morningness–eveningness scale for children. Journal of Education and Health Promotion, 10(1), 343. doi:10.4103/jehp.jehp_260_21 CR - 30. Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H., & Liu, S. (2021). Sex differences in the factors associated with sleep duration in university students: A cross-sectional study. Journal of Affective Disorders, 290, 345–352. doi:10.1016/j.jad.2021.04.025 CR - 31. Arrona-Palacios, A., Díaz-Morales, J. F., & Adan, A. (2021). Sleep habits and circadian preferences in school-aged children attending a Mexican double-shift school system. Sleep Medicine, 81, 116–119. doi:10.1016/j.sleep.2021.02.016 CR - 32. Wu, D., & Yang, T. (2023). Late bedtime, uncertainty stress among Chinese college students: impact on academic performance and self-rated health. Psychology, Health & Medicine, 28(10), 2915–2926. doi:10.1080/13548506.2022.2067337 UR - https://doi.org/10.46237/amusbfd.1567795 L1 - https://dergipark.org.tr/en/download/article-file/4290296 ER -