Associations between social media addiction, social media fatigue, fear of missing out, and sleep quality among university students in Bangladesh: a cross-sectional study.

Background: The relationship between social media use and sleep quality is complicated and may be impacted by several contextual factors, including age, socioeconomic status, living environment, and other medical issues. It is necessary to explore the relationship between social media usage and poor sleep outcomes among university students. However, little is known about the connection between sleep issues and the detrimental effects of social media use. This study aims to investigate the relationship between social media, social media addiction (SMA), social media fatigue (SMF), fear of missing out (FoMO), and sleep quality (SQ) in Bangladeshi students.

Methods: Primary data were collected from 611 university students using a stratified random sampling technique. The Pittsburgh Sleep Quality Index and other variables of scales such as SMA, SMF, and FoMO were used in this survey. Descriptive statistics of participants and logistic regression were used to identify significant factors, and ANOVA was used to compare the means of multiple groups to determine.

Results: Findings revealed that 413 (67.57%) respondents have sleep disruption, and most of the participants used social media for 0-2 h daily, however, only a small portion exceeded 8 h. This study also found that SMA, SMF, and FoMO significantly impact the SQ, where students with low SMF scores were 6.85 times more likely to report good sleep quality than those with high SMF scores. Low SMA scores are 2.04 times more likely to have good SQ compared to the high scores of SMA, and for FoMO, the low scores are 2.22 times more likely to have good SQ compared to high scorers of FoMO. Among the participating students, 47% of the students rated their health as "good", 45% as "fair", and 4% as "poor". The study found that sleep SQ has a significant impact on self-reported health status, with good SQ having a 0.598 times lower risk of fair health conditions than those with bad SQ. Moreover, social media use, time spent on social media, and how many hours you usually sleep at night in the past month covariates show a significant impact on student health.

Conclusion: University students were more likely to have sleep issues after using social media in ways that caused negative effects like SMF, SMA, and FoMO. Social media overactivity reduces sleep quality and affects on also self-reported health, respectively.