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Association between Problematic Internet Use and Sleep Disturbance among Adolescents: The Role of the Child’s Sex

Author

Listed:
  • Jiewen Yang

    (Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China
    These authors contributed equally to this work.)

  • Yangfeng Guo

    (Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China
    These authors contributed equally to this work.)

  • Xueying Du

    (Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China)

  • Yi Jiang

    (Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China)

  • Wanxin Wang

    (Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Di Xiao

    (Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Tian Wang

    (Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Ciyong Lu

    (Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Lan Guo

    (Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

Abstract

Use of the Internet has become an integral part of daily life. Adolescents are especially at a higher risk of developing problematic Internet use (PIU). Although one of the most well-known comorbid conditions of PIU is sleep disturbance, little is known about the sex disparity in this association. This school-based survey in students of grades 7–9 was conducted to estimate the prevalence of PIU and sleep disturbance among Chinese adolescents, to test the association between PIU and sleep disturbance, and to investigate the role of the child’s sex in this association. A two-stage stratified cluster sampling method was used to recruit participants, and two-level logistic regression models were fitted. The mean Internet addiction test score was 37.2 (SD: 13.2), and 15.5% (736) met the criteria for PIU. After adjusting for control variables, problematic Internet users were at a higher risk of sleep disturbance (adjusted odds ratio = 2.41, 95% confidence interval (CI) = 2.07–3.19). Sex-stratified analyses also demonstrated that association was greater in girls than boys. In this respect, paying more attention to the sleep patterns of adolescents who report excessive Internet use is recommended, and this early identification may be of practical importance for schools, parents, and adolescents themselves.

Suggested Citation

  • Jiewen Yang & Yangfeng Guo & Xueying Du & Yi Jiang & Wanxin Wang & Di Xiao & Tian Wang & Ciyong Lu & Lan Guo, 2018. "Association between Problematic Internet Use and Sleep Disturbance among Adolescents: The Role of the Child’s Sex," IJERPH, MDPI, vol. 15(12), pages 1-9, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2682-:d:186208
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    References listed on IDEAS

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    1. So Young Kim & Min-Su Kim & Bumjung Park & Jin-Hwan Kim & Hyo Geun Choi, 2018. "Lack of sleep is associated with internet use for leisure," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-11, January.
    2. Billari, Francesco C. & Giuntella, Osea & Stella, Luca, 2018. "Broadband internet, digital temptations, and sleep," Journal of Economic Behavior & Organization, Elsevier, vol. 153(C), pages 58-76.
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    Cited by:

    1. Ioulia Kokka & Iraklis Mourikis & Nicolas C. Nicolaides & Christina Darviri & George P. Chrousos & Christina Kanaka-Gantenbein & Flora Bacopoulou, 2021. "Exploring the Effects of Problematic Internet Use on Adolescent Sleep: A Systematic Review," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    2. Beifang Fan & Wanxing Wang & Tian Wang & Bo Xie & Huimin Zhang & Yuhua Liao & Ciyong Lu & Lan Guo, 2020. "Problematic Internet Use, Non-Medical Use of Prescription Drugs, and Depressive Symptoms among Adolescents: A Large-Scale Study in China," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    3. Di Xiao & Lan Guo & Meijun Zhao & Sheng Zhang & Wenyan Li & Wei-Hong Zhang & Ciyong Lu, 2019. "Effect of Sex on the Association Between Nonmedical Use of Opioids and Sleep Disturbance Among Chinese Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    4. Pier Luigi Marconi & Rosamaria Scognamiglio & Elisabetta Marchiori & Daniele Angeloni & Maria Lidia Mascia & Maria Pietronilla Penna, 2023. "Impact of Coding Educational Programs (CEP) on Digital Media Problematic Use (DMPU) and on Its Relationship with Psychological Dependence and Emotional Dysregulation," IJERPH, MDPI, vol. 20(4), pages 1-22, February.

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