{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:03:22Z","timestamp":1788447802275,"version":"build-2803163510"},"reference-count":49,"publisher":"Maad Rayan Publishing Company","issue":"1","content-domain":{"domain":["ahj.kmu.ac.ir"],"crossmark-restriction":false},"short-container-title":["Addict Health"],"published-print":{"date-parts":[[2024,2,29]]},"abstract":"<jats:p>Background: Substance abuse remains a challenging public health issue, especially among young people. It has been shown that poor sleep and substance abuse may have mutual intensifying effects. This study aimed to evaluate the rates of substance abuse, cigarette smoking, and alcohol consumption and their association with sleep disturbances among university students in 2021. Methods: The participants were the students of the Faculty of Sciences, University of Guilan, Iran in 2021. Data were collected through a researcher-made demographic questionnaire, the first two questions of the translated version of the World Health Organization (WHO) Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST), and the Pittsburgh Sleep Quality Index (PSQI). Findings: A total of 222 students entered the study from March to August 2021. The rates of substance abuse in the past three months and lifetime were 35.6% and 45.5%, respectively. The most common type of substance abuse was related to the \u2018other substances\u2019 category. Substance abuse was significantly higher in students living in dormitories and those with a family history of substance abuse. Poor sleep was found in 34.2% of the students, and substance abuse and alcohol consumption both in the past three months and lifetime were significantly associated with lower sleep quality. Conclusion: This study showed that substance abuse was significantly associated with sleep disturbances. The study results also illustrated an upward trend of substance abuse in recent years among students in Rasht, which may be related to economic issues in the country and\/or the effects of the COVID-19 pandemic. Considering the rising prevalence of substance abuse and its impacts on society, policymakers are highly recommended to pay special attention to its risk factors.<\/jats:p>","DOI":"10.34172\/ahj.2024.1445","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T10:19:02Z","timestamp":1713608342000},"page":"35-41","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Substance Abuse and Sleep Quality in University Students"],"prefix":"10.34172","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8710-9997","authenticated-orcid":true,"given":"Maryam","family":"Zavar Mousavi","sequence":"first","affiliation":[{"name":"Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0228-3409","authenticated-orcid":true,"given":"Amirhossein","family":"Tamimi","sequence":"additional","affiliation":[{"name":"Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1976-8234","authenticated-orcid":true,"given":"Mitra","family":"Farsam","sequence":"additional","affiliation":[{"name":"Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8101-8258","authenticated-orcid":true,"given":"Maryam","family":"Kousha","sequence":"additional","affiliation":[{"name":"Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vhri.2014.03.004"},{"key":"R2","first-page":"269","article-title":"Societal burden of substance abuse","volume":"6","author":"Kasunic A","year":"2014","journal-title":"Int Public Health J"},{"key":"R3","unstructured":"Mardani H, Sheikhi A, Kavosian J. The prevalence of substance use among Bandar Abas Azad Islamic University students. Research on Addiction 2012;6(23):65-82. [Persian]."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2010.07.131"},{"key":"R5","unstructured":"Shariati M, Kaffashi A, Ghalehbandi MF, Fateh A, Ebadi M. Mental health in medical students of the Iran University of Medical Sciences (IUMS). Payesh 2002;1(3):29-37. [Persian]."},{"key":"R6","unstructured":"Taremian F, Bolhari J, Peyravi H, Asgari A. Drug use prevalence among students of universities of medical sciences in Tehran. Research on Addiction 2014;7(28):9-21. [Persian]."},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.18869\/acadpub.shefa.3.3.15.[Persian]"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2056I"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2020.04.013"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1186\/s12967-020-02399-5"},{"key":"R11","first-page":"473","article-title":"Substance use among students of Guilan University of Medical Sciences in Iran in 2005-2006","volume":"47","author":"Zarrabi H","year":"2009","journal-title":"Acta Med Iran"},{"key":"R12","unstructured":"Cochran WG. Sampling Techniques. 3rd ed. New York: John Wiley & Sons; 1991."},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02114.x"},{"key":"R14","first-page":"168","article-title":"Trend of smoking among students of Tehran University of Medical Sciences: results from four consecutive surveys from 2006 to 2009","volume":"27","author":"Amin-Esmaeili M","year":"2013","journal-title":"Med J Islam Repub Iran"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1007\/s41782-020-00091-8"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-010-0478-5"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.5897\/ijpc2018.0525"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC: APA; 2013.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.3.399"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1016\/s0197-0070(86)80239-x"},{"key":"R21","first-page":"110","article-title":"Alcohol\u2019s effects on sleep in alcoholics","volume":"25","author":"Brower KJ","year":"2001","journal-title":"Alcohol Res Health"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1080\/00952990500328695"},{"key":"R23","first-page":"38","article-title":"Sleep disorders in substance abusers: how common are they?","volume":"6","author":"Mahfoud Y","year":"2009","journal-title":"Psychiatry (Edgmont)"},{"key":"R24","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1001\/archinte.1995.00430070088011","article-title":"Cigarette smoking and sleep disturbance","volume":"155","author":"Phillips BA","year":"1995","journal-title":"Arch Intern Med"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000320113.30811.46"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13217"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2001.62.335"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2013.12056.x"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1080\/13556210310001646439"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.15288\/jsas.1979.s8.146"},{"key":"R31","first-page":"526","article-title":"The late withdrawal symptoms of alcoholic addiction","volume":"70","author":"Wellman M","year":"1954","journal-title":"Can Med Assoc J"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agq087"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.130.6.699"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(95)00188-3"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1001\/jama.262.11.1479"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1016\/s0163-8343(97)00056-x"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2010.01178.x"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12618"},{"key":"R39","doi-asserted-by":"publisher","DOI":"10.1097\/01.alc.0000121651.75952.39"},{"key":"R40","doi-asserted-by":"publisher","DOI":"10.1097\/01.alc.0000081622.03973.57"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.1016\/s1087-0792(03)90005-0"},{"key":"R42","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2006.00245.x"},{"key":"R43","unstructured":"Zia Aldini S, Zarezadeh A, Heshmati F. The prevalence rate of substance abuse and addiction and some relevant factors among junior and senior high school students in Kerman city (2000-2001). J Kerman Univ Med Sci 2006;13(2):84-94. [Persian]."},{"key":"R44","first-page":"172","article-title":"Epidemiology of addiction susceptibility in the students of West Azerbaijan Islamic Azad Universities","volume":"10","author":"Zeinali A","year":"2013","journal-title":"Life Sci J"},{"key":"R45","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1988.tb02556.x"},{"key":"R46","unstructured":"Clark WB. Alcohol in America: Drinking Practices and Problems. SUNY Press; 1991."},{"key":"R47","doi-asserted-by":"publisher","DOI":"10.22059\/ijsp.2016.63800.[Persian]"},{"key":"R48","unstructured":"Shams Alizadeh N, Moghadam M, Mohsenpour B, Rostami Gooran N. Prevalence of substance abuse in medical students of Kurdistan University. Sci J Kurdistan Univ Med Sci 2008;13(2):18-26. [Persian]."},{"key":"R49","unstructured":"Azizi J. The relationship between economical poverty and narcotics and alcoholic drinks abuse among Tehran and Shemiranat youths. Social Welfare Quarterly 2008;7(29):71-90. [Persian]."}],"container-title":["Addiction and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ahj.kmu.ac.ir\/article_92465_0c4b44b082593ac8accad86137415005.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ahj.kmu.ac.ir\/article_92465_0c4b44b082593ac8accad86137415005.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T10:19:10Z","timestamp":1713608350000},"score":1,"resource":{"primary":{"URL":"https:\/\/ahj.kmu.ac.ir\/article_92465.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,29]]},"references-count":49,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2,29]]},"published-print":{"date-parts":[[2024,2,29]]}},"URL":"https:\/\/doi.org\/10.34172\/ahj.2024.1445","relation":{},"ISSN":["2008-4633","2008-8469"],"issn-type":[{"value":"2008-4633","type":"print"},{"value":"2008-8469","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,29]]},"assertion":[{"value":"Kerman University of Medical Sciences","name":"journal_owner","label":"Journal Owner"},{"value":"Kerman University of Medical Sciences","name":"journal_publisher","label":"Journal Publisher"},{"value":"2023-02-06","order":1,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}