Citation

Kwon M, Seo YS, Park E, Chang YP. J. Sch. Nurs. 2020; ePub(ePub): ePub.

Affiliation

School of Nursing, University at Buffalo, The State University of New York, NY, USA.

Copyright

(Copyright © 2020, National Association of School Nurses, Publisher SAGE Publishing)

DOI

10.1177/1059840519901161

PMID

31971053

Abstract

Multidimensional causes of insufficient sleep among adolescents are not fully explored, particularly, the association between substance use and sleep duration. The 2017 Youth Risk Behavior Surveillance System (YRBSS) of high school students (N = 14,638; 51% female, 14-18 years old) was used to examine the association between substance use, namely cigarette, electronic vapor, alcohol, and marijuana use in the past 30 days, and insufficient sleep (<8 hr) using logistic regression analyses.

FINDINGS suggest that the use of alcohol (adjusted odds ratio [AOR], 1.42; 95% CI [1.22, 1.65]) and marijuana (AOR, 1.19; 95% CI [1.00, 1.41]) was significantly associated with having insufficient hours of sleep adjusting for age, sex, race, and computer use ≥3 hr per day. Moreover, interaction effects were examined for sex and age, which revealed that the association between marijuana use and having insufficient sleep was stronger for male and younger students. It highlights the potential value of sleep assessment among adolescent substance users.

Language: en

Keywords

adolescent; alcohol drinking; electronic vapor use; marijuana use; school nurse; sleep; substance use; tobacco use