IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i9p1870-d166489.html
   My bibliography  Save this article

Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey

Author

Listed:
  • Kyung-Yi Do

    (Department of Public Health, Graduate School, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

  • Kang-Sook Lee

    (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

Abstract

We examined the relationship between Problematic Internet Use (PIU), sleep (sleep satisfaction, sleep duration), and experience of oral disease symptoms in Korean adolescents by gender. This cross-sectional study utilized the 6th (2010) Korean Youth Risk Behavior Web-based Survey. Participants comprised 74,980 students from 400 middle schools and 400 high schools nationwide. Among these, 73,238 students from 799 schools (38,391 boys, 34,847 girls, aged 13–18 years) were included in the analysis (inclusion rate = 97.7%). Multiple logistic regression and analysis of moment structures (AMOS) analyses were performed to identify meaningful relationships between the three factors. The “high risk group” of problematic internet usage had increased experience of oral disease symptoms (boys: adjusted odds ratio (AOR) = 1.92, 95% confidence interval (CI) = 1.63–2.28, girls: AOR = 1.98, 95% CI = 1.50–2.63) compared to the general group. Boys who used the Internet for “5–6 h” had a higher risk of oral disease symptoms compared to those who used it for “less than 1 h” (OR = 1.24, 95% CI = 1.01–1.53); however, this difference was not significant in Models II and III. For girls, the risk of 5–6 h of use (Model I: OR = 1.69, 95% CI = 1.40–2.04) was higher than that of the boys. In addition, the difference was significant in Models II and III for girl students who used the Internet for 5–6 h. In subgroup analysis, the high-risk group had a higher odds ratio for mild symptoms of bad breath to severe symptoms such as sore and bleeding gums. In addition, in the path analysis, PIU affected sleep and indirectly affected oral health. Direct and indirect causal relationships between the three factors were confirmed. Therefore, it is important to recognize that PIU can have a detrimental effect on mental, physical, and oral health.

Suggested Citation

  • Kyung-Yi Do & Kang-Sook Lee, 2018. "Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1870-:d:166489
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/9/1870/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/9/1870/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lukas Blinka & Kateřina Škařupová & Anna Ševčíková & Klaus Wölfling & Kai Müller & Michael Dreier, 2015. "Excessive internet use in European adolescents: What determines differences in severity?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 249-256, February.
    2. Teija Nuutinen & Eva Roos & Carola Ray & Jari Villberg & Raili Välimaa & Mette Rasmussen & Bjørn Holstein & Emmanuelle Godeau & Francois Beck & Damien Léger & Jorma Tynjälä, 2014. "Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year olds in three countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 619-628, August.
    3. Yang‐Sook Yoo & Ok‐Hee Cho & Kyeong‐Sook Cha, 2014. "Associations between overuse of the internet and mental health in adolescents," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 193-200, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kyung-Yi Do, 2020. "Relationship between Insufficient Sleep and Bad Breath in Korean Adolescent Population," IJERPH, MDPI, vol. 17(19), pages 1-9, October.
    2. Abanoub Riad & Veronika Chuchmová & Ján Staněk & Barbora Hocková & Sameh Attia & Martin Krsek & Miloslav Klugar, 2022. "Czech and Slovak Dental Students’ Oral Health-Related Knowledge, Attitudes, and Behaviours (KAB): Multi-Country Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-31, February.
    3. Birgitta Dresp-Langley & Axel Hutt, 2022. "Digital Addiction and Sleep," IJERPH, MDPI, vol. 19(11), pages 1-19, June.
    4. Abanoub Riad & Nuraldeen Maher Al-Khanati & Julien Issa & Mazen Zenati & Nèziha Ben Abdesslem & Sameh Attia & Martin Krsek, 2022. "Oral Health-Related Knowledge, Attitudes and Behaviours of Arab Dental Students: Multi-National Cross-Sectional Study and Literature Analysis 2000–2020," IJERPH, MDPI, vol. 19(3), pages 1-21, January.
    5. Tsz Yung Wong & Yiu Cheung Tsang & Kim Wai Shadow Yeung & Wai Keung Leung, 2022. "Self-Reported Gum Bleeding, Perception, Knowledge, and Behavior in Working-Age Hong Kong Chinese—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    6. Nieves Gutiérrez Ángel & Isabel Mercader Rubio & Rubén Trigueros Ramos & Nieves Fátima Oropesa Ruiz & Jesús Nicasio García-Sánchez & Judit García Martín, 2022. "Digital Competence, Use, Actions and Time Dedicated to Digital Devices: Repercussions on the Interpersonal Relationships of Spanish Adolescents," IJERPH, MDPI, vol. 19(16), pages 1-9, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mary Callaghan & Colette Kelly & Michal Molcho, 2015. "Exploring traditional and cyberbullying among Irish adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 199-206, February.
    2. Anna Faltýnková & Lukas Blinka & Anna Ševčíková & Daniela Husarova, 2020. "The Associations between Family-Related Factors and Excessive Internet Use in Adolescents," IJERPH, MDPI, vol. 17(5), pages 1-11, March.
    3. Leena Koivusilta & Heini Kuoppamäki & Arja Rimpelä, 2016. "Energy drink consumption, health complaints and late bedtime among young adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 299-306, April.
    4. Alina Duduciuc, 2014. "Teenagers And The Use Of New Technologies (Ict) For Health Information," Studies and Scientific Researches. Economics Edition, "Vasile Alecsandri" University of Bacau, Faculty of Economic Sciences, issue 20.
    5. Lucia Kvasková & Karel Rečka & Stanislav Ježek & Petr Macek, 2022. "Time Spent on Daily Activities and Its Association with Life Satisfaction among Czech Adolescents from 1992 to 2019," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    6. Margaretha Looze & S. Dorsselaer & G. W. J. M. Stevens & M. Boniel-Nissim & A. Vieno & R. J. J. M. Eijnden, 2019. "The decline in adolescent substance use across Europe and North America in the early twenty-first century: A result of the digital revolution?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(2), pages 229-240, March.
    7. Daniela Filakovska Bobakova & Jana Holubcikova & Andrea Madarasova Geckova & Zuzana Dankulincova Veselska, 2018. "What Protects Adolescents with Youth Subculture Affiliation from Excessive Internet Use?," IJERPH, MDPI, vol. 15(11), pages 1-7, November.
    8. Lukas Blinka & Nika Šablatúrová & Anna Ševčíková & Daniela Husarova, 2020. "Social constraints associated with excessive internet use in adolescents: the role of family, school, peers, and neighbourhood," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1279-1287, November.
    9. Cecilia Lazea & Alexandra Popa & Cristina Varga, 2020. "Association between Internet Use Behavior and Palpitation among Adolescents: A Cross-Sectional Study of Middle School Children from Northwest Romania," IJERPH, MDPI, vol. 17(12), pages 1-11, June.
    10. Daniela Brindova & Zuzana Veselska & Daniel Klein & Zdenek Hamrik & Dagmar Sigmundova & Jitse Dijk & Sijmen Reijneveld & Andrea Geckova, 2015. "Is the association between screen-based behaviour and health complaints among adolescents moderated by physical activity?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 139-145, February.
    11. Sophie Kindt & Carolin Szász-Janocha & Florian Rehbein & Katajun Lindenberg, 2019. "School-Related Risk Factors of Internet Use Disorders," IJERPH, MDPI, vol. 16(24), pages 1-17, December.
    12. Marina Fernández-Andújar & Marta Oporto Alonso & Elena Sorribes & Vicente Villalba & Caterina Calderon, 2022. "Internet Addiction, Phubbing, Psychological Variables and Self-Perception of Mathematical Competence in College Students," Mathematics, MDPI, vol. 10(15), pages 1-16, July.
    13. Ann Vandendriessche & Ariane Ghekiere & Jelle Van Cauwenberg & Bart De Clercq & Karlien Dhondt & Ann DeSmet & Jorma Tynjälä & Maïté Verloigne & Benedicte Deforche, 2019. "Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study," IJERPH, MDPI, vol. 16(6), pages 1-15, March.
    14. Barbara Chuen Yee Lo & Romance Nok Man Lai & Ting Kin Ng & Haobi Wang, 2020. "Worry and Permissive Parenting in Association with the Development of Internet Addiction in Children," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    15. Teija Nuutinen & Elviira Lehto & Carola Ray & Eva Roos & Jari Villberg & Jorma Tynjälä, 2017. "Clustering of energy balance-related behaviours, sleep, and overweight among Finnish adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 929-938, November.
    16. Mette Rasmussen & Charlotte Meilstrup & Pernille Bendtsen & Trine Pedersen & Line Nielsen & Katrine Madsen & Bjørn Holstein, 2015. "Perceived problems with computer gaming and Internet use are associated with poorer social relations in adolescence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 179-188, February.
    17. David Smahel & Michelle Wright & Martina Cernikova, 2015. "The impact of digital media on health: children’s perspectives," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 131-137, February.
    18. Michele Ybarra & danah boyd, 2015. "Can clans protect adolescent players of massively multiplayer online games from violent behaviors?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 267-276, February.
    19. Thomy Tonia & Herman Van Oyen & Anke Berger & Christian Schindler & Nino Künzli, 2020. "If I tweet will you cite later? Follow-up on the effect of social media exposure on article downloads and citations," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1797-1802, December.
    20. Juha Hämäläinen & Pasi Matikainen, 2018. "Mechanisms and Pedagogical Counterforces of Young People’s Social Exclusion: Some Remarks on the Requisites of Social Sustainability," Sustainability, MDPI, vol. 10(7), pages 1-28, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1870-:d:166489. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.