| Literature DB >> 35885851 |
Eonho Kim1, Kihyuk Lee2.
Abstract
The purpose of this study was to analyze the relationship between smartphone addiction and sleep satisfaction in 54,948 Korean adolescents. This study utilized the Korea Youth Risk Behavior Web-Based Survey (KYRBS). The dependent variable was sleep satisfaction. Independent variables were smartphone addiction level and usage time. Gender, school grade, stress, depression, regular physical activity (PA), asthma, allergic rhinitis, and atopic dermatitis were selected as confounding variables. A chi-squared test, logistic regression, and independent t-test were performed for data analysis. As a result of the chi-squared test, sleep satisfaction showed significant relationships with all confounding variables (all p < 0.001). As a result of adjusting all confounding variables, sleep satisfaction of smartphone normal users was significantly higher (odds ratios: 1.372, p < 0.001) than that of high-risk users with smartphone addiction. Smartphone users with a daily smartphone usage time from 2 h to 8 h a day were 1.096-1.347 times (p = 0.014 to p < 0.001) more likely to be satisfied with their sleep than smartphone users with a daily smartphone usage time over 8 h, who were unsatisfied with their sleep. The group that was not satisfied with their sleep had a significantly higher average daily smartphone usage time and total score on the smartphone addiction scale than the group that was satisfied with their sleep (both p < 0.001). In conclusion, it will be necessary to manage the use of smartphones to improve the sleep satisfaction of Korean adolescents.Entities:
Keywords: Korea Youth Risk Behavior Web-Based Survey; adolescents; sleep quality; sleep satisfaction; smartphone addiction; smartphone usage time
Year: 2022 PMID: 35885851 PMCID: PMC9315475 DOI: 10.3390/healthcare10071326
Source DB: PubMed Journal: Healthcare (Basel) ISSN: 2227-9032
Components of the smartphone addiction scale for Korean adolescents.
| Factor | Questions |
|---|---|
| Self-Control Failure | ① Every time I try to reduce my smartphone time, it fails |
| Salience | ④ If a smartphone is next to me, it’s difficult to focus on other tasks. |
| Serious Consequences | ⑦ I have had health problems because of smartphone use |
General characteristics of participants according to sleep satisfaction.
| Total Users | x2
| |||
|---|---|---|---|---|
| Sleep Satisfaction | Sleep Unsatisfaction | Total | ||
| Gender | ||||
| Male | 9960 (35.5) | 18,393 (64.5) | 28,353 (100.0) | 594.704 |
| Female | 6864 (25.9) | 19,731 (74.1) | 26,595 (100.0) | <0.001 |
| School grade | ||||
| 7th | 4104 (41.2) | 5901 (58.8) | 10,005 (100.0) | 1042.677 |
| 8th | 3333 (34.6) | 6231 (65.4) | 9564 (100.0) | <0.001 |
| 9th | 2916 (31.1) | 6476 (68.9) | 9392 (100.0) | |
| 10th | 2221 (24.5) | 6686 (75.5) | 8907 (100.0) | |
| 11th | 2317 (25.9) | 6590 (74.1) | 8907 (100.0) | |
| 12th | 1933 (23.7) | 6240 (76.3) | 8173 (100.0) | |
| Stress | ||||
| No | 6112 (51.9) | 5795 (48.1) | 11,907 (100.0) | 3208.805 |
| Yes | 10,712 (24.8) | 32,329 (75.2) | 43,041 (100.0) | <0.001 |
| Depression | ||||
| No | 14,218 (34.7) | 26,890 (65.3) | 41,108 (100.0) | 1231.316 |
| Yes | 2606 (18.8) | 11,234 (81.2) | 13,840 (100.0) | <0.001 |
| Regular physical activity | ||||
| No | 9104 (28.5) | 22,890 (71.5) | 31,994 (100.0) | 179.951 |
| Yes | 7720 (33.8) | 15,234 (66.2) | 22,954 (100.0) | <0.001 |
| Asthma | ||||
| No | 16,679 (30.8) | 37,674 (69.2) | 54,353 (100.0) | 11.642 |
| Yes | 145 (24.3) | 450 (75.7) | 595 (100.0) | <0.001 |
| Allergic rhinitis | ||||
| No | 14,541 (31.6) | 31,452 (68.4) | 45,993 (100.0) | 118.796 |
| Yes | 2283 (25.9) | 6672 (74.1) | 8955 (100.0) | <0.001 |
| Atopic dermatitis | ||||
| No | 15,913 (31.0) | 35,470 (69.0) | 51,383 (100.0) | 39.345 |
| Yes | 911 (26.0) | 2654 (74.0) | 3565 (100.0) | <0.001 |
Values are n (%). Percentage is weighted.
Differences in smartphone addiction and daily average smartphone usage time according to sleep satisfaction.
| Total Users ( | x2
| |||
|---|---|---|---|---|
| Sleep Satisfaction | Sleep Unsatisfaction | Total | ||
| Smartphone addiction | ||||
| Normal user | 13,759 (33.6) | 27,414 (66.4) | 41,173 (100.0) | 645.733 |
| Potential-risk user | 2750 (22.5) | 9392 (77.5) | 12,142 (100.0) | <0.001 |
| High-risk user | 315 (19.2) | 1318 (80.8) | 1633 (100.0) | |
| Smartphone usage time | ||||
| Over 8 h | 2159 (24.4) | 6607 (75.6) | 8766 (100.0) | 440.627 |
| Over 6 h to | 2122 (27.2) | 5736 (72.8) | 7858 (100.0) | <0.001 |
| Over 4 h to | 4456 (29.6) | 10,593 (70.4) | 15,049 (100.0) | |
| Over 2 h to | 5611 (34.0) | 10,994 (66.0) | 16,605 (100.0) | |
| Under 2 h | 2476 (37.5) | 4194 (62.5) | 6670 (100.0) | |
Values are presented as n (%). Percentage is weighted.
Logistic regression analysis of sleep satisfaction based on smartphone addiction.
| Model 1 | Model 2 | Model 3 | ||||
|---|---|---|---|---|---|---|
| Smartphone Addiction | OR (95% CI) |
| OR (95% CI) |
| OR (95% CI) |
|
| High-risk user | Reference | - | Reference | - | Reference | - |
| Potential-risk user | 1.220 | 0.003 | 1.028 | 0.701 | 1.016 | 0.828 |
| Normal | 2.123 | <0.001 | 1.390 | <0.001 | 1.372 | <0.001 |
OR: odds ratio; Model 1 was not adjusted; Model 2 was adjusted for gender, school grade, stress, depression, regular physical activity, and daily average smartphone usage time; Model 3 was adjusted for gender, school grade, stress, depression, regular physical activity, daily average smartphone usage time, asthma, allergic rhinitis, and atopic dermatitis.
Logistic regression analysis of sleep satisfaction based on daily average smartphone usage time.
| Model 1 | Model 2 | Model 3 | ||||
|---|---|---|---|---|---|---|
| Smartphone Usage Time | OR |
| OR |
| OR |
|
| Over | Reference | - | Reference | - | Reference | - |
| Over 6 h to under 8 h | 1.156 | <0.001 | 1.094 | 0.016 | 1.096 | 0.014 |
| Over 4 h to under 6 h | 1.299 | <0.001 | 1.148 | <0.001 | 1.151 | <0.001 |
| Over 2 h to under 4 h | 1.590 | <0.001 | 1.240 | <0.001 | 1.244 | <0.001 |
| Under | 1.855 | <0.001 | 1.339 | <0.001 | 1.347 | <0.001 |
OR: odds ratio; Model 1 was not adjusted; Model 2 was adjusted for gender, school grade, stress, depression, regular physical activity, and level of smartphone addiction; Model 3 was adjusted for gender, school grade, stress, depression, regular physical activity, level of smartphone addiction, asthma, allergic rhinitis, and atopic dermatitis.
Figure 1Differences in smartphone usage time and smartphone addiction according to sleep satisfaction: (A) daily average smartphone usage time; (B) total score on smartphone addiction scale; *** p < 0.001.