Insomnia in relation to academic performance, self-reported health, physical activity, and substance use among adolescents

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Insomnia in relation to academic performance, self-reported health, physical activity, and substance use among adolescents. / Hedin, Gita; Norell-Clarke, Annika; Hagell, Peter; Tønnesen, Hanne; Westergren, Albert; Garmy, Pernilla.

I: International Journal of Environmental Research and Public Health, Vol. 17, Nr. 17, 6433, 01.09.2020, s. 1-9.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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T1 - Insomnia in relation to academic performance, self-reported health, physical activity, and substance use among adolescents

AU - Hedin, Gita

AU - Norell-Clarke, Annika

AU - Hagell, Peter

AU - Tønnesen, Hanne

AU - Westergren, Albert

AU - Garmy, Pernilla

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Purpose: Insomnia affects up to one in four adolescents and has been shown to have a negative impact on their mental and physical health. This study aimed to investigate the association between insomnia, academic performance, self-reported health, physical activity, school start time, and substance use among adolescents. Methods: A survey with a cross-sectional design was completed by adolescents (15–17 years old; n = 1504) in southern Sweden. The Minimal Insomnia Symptoms Scale (MISS) was used to operationalize insomnia. A multiple logistic regression analysis was used to analyze the relationship between insomnia and self-reported health, failed school courses, substance use, school start time, family financial situation, screen time, and gender. Results: Insomnia (MISS ≥ 6) was associated with poor self-reported health (OR: 4.35), failed school courses (OR: 1.47), and use of alcohol and/or cigarettes (OR: 1.43). When the combined effect of self-reported health and physical activity were investigated, a combination of low physical activity (≤1 time/week) and poor self-reported health was strongly associated with insomnia (OR: 18.87). Conclusions: Insomnia was associated with other problems that in themselves are risk factors for poor health. This highlights the need for a holistic health-promoting approach to prevent insomnia, such as efforts to promote physical activity, school success, and the reduction of alcohol/cigarette use.

AB - Purpose: Insomnia affects up to one in four adolescents and has been shown to have a negative impact on their mental and physical health. This study aimed to investigate the association between insomnia, academic performance, self-reported health, physical activity, school start time, and substance use among adolescents. Methods: A survey with a cross-sectional design was completed by adolescents (15–17 years old; n = 1504) in southern Sweden. The Minimal Insomnia Symptoms Scale (MISS) was used to operationalize insomnia. A multiple logistic regression analysis was used to analyze the relationship between insomnia and self-reported health, failed school courses, substance use, school start time, family financial situation, screen time, and gender. Results: Insomnia (MISS ≥ 6) was associated with poor self-reported health (OR: 4.35), failed school courses (OR: 1.47), and use of alcohol and/or cigarettes (OR: 1.43). When the combined effect of self-reported health and physical activity were investigated, a combination of low physical activity (≤1 time/week) and poor self-reported health was strongly associated with insomnia (OR: 18.87). Conclusions: Insomnia was associated with other problems that in themselves are risk factors for poor health. This highlights the need for a holistic health-promoting approach to prevent insomnia, such as efforts to promote physical activity, school success, and the reduction of alcohol/cigarette use.

KW - Adolescents

KW - Alcohol

KW - Cigarettes

KW - Insomnia

KW - MISS

KW - Physical activity

KW - Self-reported health

U2 - 10.3390/ijerph17176433

DO - 10.3390/ijerph17176433

M3 - Article

C2 - 32899407

AN - SCOPUS:85090364261

VL - 17

SP - 1

EP - 9

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 17

M1 - 6433

ER -