目標：本研究探討男女大專生的日間嗜睡程度的影響因素。在造成日間嗜睡的原因中，身心健康狀況及次發性睡眠影響佔有重大角色。本文針對年輕人於螢幕前所花費時間，及自覺的身心情況，進行本土資料分析。方法：資料來源為2009年7月至9月北臺灣二所大專院校，其大部份學生於畢業後將直接投入職場，收集新生自填問卷資料，主要採用Epworth嗜睡量表進行分級，使用Fisher’sexact test，ANOVA，及迴歸等統計方法，將上述影響因素進行分析。結果：研究發現，大專學生日間嗜睡的盛行率為27.1%。迴歸分析發現，憂鬱分數每上升一分，在男女性日間嗜睡量表分數增加約0.33-0.39分；男性有抽菸習慣者，嗜睡量表分數增加約0.78分，女性則只增加0.04分；非假日打電腦的時間，每增加1小時，女性的日間嗜睡量表分數則增加0.11分。結論：日間嗜睡症狀對年輕人的學習表現及生命安全有顯著影響，近年來受到廣泛的重視。本研究發現情緒較憂鬱，或有抽菸習慣的男女性，及較長時間使用電腦的女性，會造成日間嗜睡程度的風險增加。因此，對於出現日間嗜睡的年輕族群，除了詳細詢問睡眠狀況，及可能影響睡眠的疾病和藥物外，需要針對憂鬱情緒，及坐在銀幕前的時間多加詢問，將有助於鑑別診斷，提供適當的衛教。

Objectives: The main aims of this study are to investigate the different determinates of excessive daytime sleepiness among college freshmen in different gender. Physical and mental health as well as sleep deprivation played a major role in causing excessive daytime sleepiness. We analyzed
the factors such as self-perceived health status, hours spent on television and computer, and the relationship with excessive daytime sleepiness in youth group.Methods: From July 2009 to September 2009, self-rated questionnaires were collected from freshmen of 2 colleges in northern Taiwan. These students will join to the different jobs after
graduation. Excessive daytime sleepiness was rated by Epworth sleepiness scale (ESS). The data was analyzed by Fisher’s exact test, ANOVA test and regression tests.Results: The prevalence of excessive daytime sleepiness among college students is approximately 27.1%. When the depression score increased by 1 point, the Epworthsleepiness scale increased by 0.33-0.39 in the men and women. When they had smoking habit, the Epworth sleepiness
scale increased by 0.78 and 0.04 the men and women, respectively. For every additional hour spent using computer on working days, the Epworth sleepiness scale increased by 0.1 in women.Conclusions: Youth who develop symptoms of excessive daytime sleepiness should receive regular assessment of sleeping pattern and emotional states. The presence of other disease, drug intake, sleep hygiene, and time spent on the television/computer may affect sleep and should be assessed in detail.
This analysis will assist in differential diagnosis and allow doctors to offer appropriate sleep hygiene education to these students.