<![CDATA[Mental health is an essential component of overall well-being and represents a major concern among university students. Mental health problems can adversely affect quality of life, particularly among students who experience high levels of academic stress. Objective: This study aimed to determine the relationship between sleep quality and mental health among undergraduate midwifery students at Universitas 'Aisyiyah Yogyakarta. Method: This quantitative correlational study used a cross-sectional design. The study population comprised 268 second-, fourth-, and sixth-semester undergraduate midwifery students at Universitas 'Aisyiyah Yogyakarta. A total of 161 respondents were selected by proportionate stratified random sampling. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Self-Reporting Questionnaire-20 (SRQ-20). Descriptive statistics were used for univariate analysis, and the Spearman rank correlation test examined the relationship between sleep quality and mental health. Results: Most respondents had poor sleep quality (84.5%), and 54.0% showed indications of mental health problems. Statistical analysis revealed a significant positive correlation between sleep quality and mental health (p < 0.001; r = 0.585), indicating a moderate correlation. Poorer sleep quality was associated with poorer mental health. Conclusion: Sleep quality was significantly associated with mental health among undergraduate midwifery students at Universitas 'Aisyiyah Yogyakarta. Poor sleep quality was associated with an increased likelihood of mental health problems. These findings support preventive strategies to improve sleep quality as part of efforts to promote students' mental well-being and may help universities strengthen guidance and counseling services to assist students in managing academic stress and maintaining good mental health.]]>
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