{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:11:18Z","timestamp":1792725078478,"version":"4.5.0"},"reference-count":71,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clocks &amp; Sleep"],"abstract":"<jats:p>It remains unclear how sleep health has developed in the general population after the COVID-19 pandemic. This study aimed to (1) investigate the prevalence of sleep problems and poor sleep quality and (2) explore the associated sociodemographic and health-related factors in South Tyrol, Italy. A cross-sectional, population-based survey was conducted with a stratified probabilistic sample of 4000 adults aged \u2265 18 years. Sleep quality was assessed using the brief version of the Pittsburgh Sleep Quality Index. Descriptive and logistic regression analyses were performed to analyze the data. A total of 2090 adults (53%) completed the survey. Poor sleep quality was reported by 17.8%, with 28.2% of participants reporting insufficient sleep duration (i.e., six hours or less), 12.7% having problems staying asleep (i.e., waking up to 3\u20134 times a week and unable to fall asleep again), and 8.7% having problems falling asleep (i.e., &gt;30 min). Sleep problems and poor sleep quality were associated with sociodemographic and health-related factors, including gender, age, mother tongue, chronic disease, and sleep hygiene. Notably, Italian-speaking participants reported poorer sleep quality and greater difficulty staying asleep compared to German-speaking participants, highlighting potential sociocultural influences on sleep health. This study contributes to understanding the unique sleep health challenges in a multilingual region, highlighting the role of sociocultural factors in sleep quality differences between language groups.<\/jats:p>","DOI":"10.3390\/clockssleep7020023","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T09:58:09Z","timestamp":1746698289000},"page":"23","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sleep Problems and Sleep Quality in the General Adult Population Living in South Tyrol (Italy): A Cross-Sectional Survey Study"],"prefix":"10.3390","volume":"7","author":[{"given":"Dietmar","family":"Ausserhofer","sequence":"first","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"},{"name":"Claudiana Research, College of Healthcare Professions, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4184","authenticated-orcid":false,"given":"Giuliano","family":"Piccoliori","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolf","family":"Engl","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasqualina","family":"Marino","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8034-8480","authenticated-orcid":false,"given":"Stefano","family":"Lombardo","sequence":"additional","affiliation":[{"name":"Provincial Institute of Statistics (ASTAT), 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6187-5159","authenticated-orcid":false,"given":"Timon","family":"G\u00e4rtner","sequence":"additional","affiliation":[{"name":"Provincial Institute of Statistics (ASTAT), 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4639-8195","authenticated-orcid":false,"given":"Christian J.","family":"Wiedermann","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana, 39100 Bolzano-Bozen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e820","DOI":"10.1016\/S2468-2667(23)00182-2","article-title":"The need to promote sleep health in public health agendas across the globe","volume":"8","author":"Lim","year":"2023","journal-title":"Lancet Public Health"},{"key":"ref_2","first-page":"e18","article-title":"Life\u2019s Essential 8: Updating and Enhancing the American Heart Association\u2019s Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association","volume":"146","author":"Allen","year":"2022","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e001000","DOI":"10.1136\/bmjph-2024-001000","article-title":"Sleep duration, chronotype, health and lifestyle factors affect cognition: A UK Biobank cross-sectional study","volume":"2","author":"Raha","year":"2024","journal-title":"BMJ Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1037\/bul0000410","article-title":"Sleep loss and emotion: A systematic review and meta-analysis of over 50 years of experimental research","volume":"150","author":"Palmer","year":"2024","journal-title":"Psychol. 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