Monica Roosa Ordway1, Guanghai Wang2,3,4, Sangchoon Jeon1, Judith Owens5,6. 1. Yale University School of Nursing, West Haven, CT. 2. Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 3. MOE-Shanghai Key Laboratory of Children's Environmental Health, Shanghai, China. 4. Key Laboratory of Child Development and Learning Science Ministry of Education), Southeast University, Nanjing, China. 5. Boston Children's Hospital, Boston, MA. 6. Harvard Medical School, Boston, MA.
Abstract
OBJECTIVE: The purpose of this study was to examine the associations of sleep duration and socioecological protective factors with patterns of adolescent risk behaviors in Fairfax County, VA-one of the largest public school districts in the United States. METHODS: A total of 21,360 and 20,330 students in 10th and 12th grades who completed the Youth Risk Behavior Survey were included in this cross-sectional analysis. Sleep duration was measured by self-report of the average number of hours of sleep on a school night. Ten socioecological protective factors included peer-individual, family, school, and community domains. Latent class analysis was used to classify 7 risk behaviors (alcohol use, cigarette use, illicit drug use, inappropriate prescription drug use, risky sexual behavior, deviant behavior, and academic failure) into 4 class memberships (low, some, moderate, and high). Multinomial regression models were adjusted for age, sex, and race. RESULTS: Adolescents who reported sleeping the recommended 8 to 9 hours were significantly less likely to belong to the class memberships of greater risk behaviors compared with those who reported short and long sleep duration after controlling for age, sex, race, and survey year. There was a significant inverse relationship between the number of socioecological protective factors and risk behaviors for both 10th and 12th graders. Potential risks of age, sex, and race on risk behaviors were observed. No significant interaction between sleep duration and protective factors was found in either grade. CONCLUSION: This study highlights the significant associations between sleep duration and risk behaviors in adolescents with diverse socioecological protective factors. Prioritization of prevention-focused resources should consider sleep duration in addition to the socioecological protective factors commonly cited in the literature when addressing adolescent risk behaviors.
OBJECTIVE: The purpose of this study was to examine the associations of sleep duration and socioecological protective factors with patterns of adolescent risk behaviors in Fairfax County, VA-one of the largest public school districts in the United States. METHODS: A total of 21,360 and 20,330 students in 10th and 12th grades who completed the Youth Risk Behavior Survey were included in this cross-sectional analysis. Sleep duration was measured by self-report of the average number of hours of sleep on a school night. Ten socioecological protective factors included peer-individual, family, school, and community domains. Latent class analysis was used to classify 7 risk behaviors (alcohol use, cigarette use, illicit drug use, inappropriate prescription drug use, risky sexual behavior, deviant behavior, and academic failure) into 4 class memberships (low, some, moderate, and high). Multinomial regression models were adjusted for age, sex, and race. RESULTS: Adolescents who reported sleeping the recommended 8 to 9 hours were significantly less likely to belong to the class memberships of greater risk behaviors compared with those who reported short and long sleep duration after controlling for age, sex, race, and survey year. There was a significant inverse relationship between the number of socioecological protective factors and risk behaviors for both 10th and 12th graders. Potential risks of age, sex, and race on risk behaviors were observed. No significant interaction between sleep duration and protective factors was found in either grade. CONCLUSION: This study highlights the significant associations between sleep duration and risk behaviors in adolescents with diverse socioecological protective factors. Prioritization of prevention-focused resources should consider sleep duration in addition to the socioecological protective factors commonly cited in the literature when addressing adolescent risk behaviors.
Authors: Susan M Sawyer; Rima A Afifi; Linda H Bearinger; Sarah-Jayne Blakemore; Bruce Dick; Alex C Ezeh; George C Patton Journal: Lancet Date: 2012-04-25 Impact factor: 79.321
Authors: Robert Daniel Vorona; Mariana Szklo-Coxe; Andrew Wu; Michael Dubik; Yueqin Zhao; J Catesby Ware Journal: J Clin Sleep Med Date: 2011-04-15 Impact factor: 4.062
Authors: Robert Daniel Vorona; Mariana Szklo-Coxe; Rajan Lamichhane; J Catesby Ware; Ann McNallen; David Leszczyszyn Journal: J Clin Sleep Med Date: 2014-11-15 Impact factor: 4.062
Authors: Daniel S Lewin; Guanghai Wang; Yao I Chen; Elizabeth Skora; Jessica Hoehn; Allison Baylor; Jichuan Wang Journal: J Adolesc Health Date: 2017-05-03 Impact factor: 5.012
Authors: Alexandra L C Martiniuk; Teresa Senserrick; Serigne Lo; Ann Williamson; Wei Du; Ronald R Grunstein; Mark Woodward; Nick Glozier; Mark Stevenson; Robyn Norton; Rebecca Q Ivers Journal: JAMA Pediatr Date: 2013-07 Impact factor: 16.193