Background: The study’s primary research suggests the relationship between high-school international students in China’s sleep quality and learning efficiency which is academic performance. Considering the effect of Chinese traditional cultural background, this study mainly investigates Chinese international high school students’ sleeping quality and patterns through the Pittsburgh Sleep Quality Index. Methods: A sample of 249 Chinese high school students in the Pearl River Region completed the questionnaire about their sleep quality using PSQI, their academic performance, and socio-demographic factors one month before the final exam in July 2023. Results: None of the students have good sleep quality, according to the PSQI; 40.8% of students have poor sleep quality, and 59.2% have significant sleep disturbance. The results of ordinal logistic regression show that good sleep quality is positively associated with good academic performance. Conclusion: Our findings highlight the association between sleep and academic performance on the unique sleep patterns of Chinese international high school students, who often follow very different sleep patterns from other conventional students enrolled in the regular curriculum. High school students suffer from severe sleep deprivation and poor sleep quality. Under great academic stress, Chinese high school students should know the importance of sleep, balance sleep, and study.
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