The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents : Cross-sectional Study
©Nirosha Elsem Varghese, Eugenio Santoro, Alessandra Lugo, Juan J Madrid-Valero, Simone Ghislandi, Aleksandra Torbica, Silvano Gallus. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.01.2021..
BACKGROUND: The use of technology and social media among adolescents is an increasingly prevalent phenomenon. However, there is a paucity of evidence on the relationship between frequency of use of electronic devices and social media and sleep-onset difficulties among the Italian population.
OBJECTIVE: The aim of this study is to investigate the association between the use of technology and social media, including Facebook and YouTube, and sleep-onset difficulties among adolescents from Lombardy, the most populous region in Italy.
METHODS: The relationship between use of technology and social media and sleep-onset difficulties was investigated. Data came from the 2013-2014 wave of the Health Behavior in School-aged Children survey, a school-based cross-sectional study conducted on 3172 adolescents aged 11 to 15 years in Northern Italy. Information was collected on difficulties in falling asleep over the last 6 months. We estimated the odds ratios (ORs) for sleep-onset difficulties and corresponding 95% CIs using logistic regression models after adjustment for major potential confounders.
RESULTS: The percentage of adolescents with sleep-onset difficulties was 34.3% (1081/3151) overall, 29.7% (483/1625) in boys and 39.2% (598/1526) in girls. It was 30.3% (356/1176) in 11-year-olds, 36.2% (389/1074) in 13-year-olds, and 37.3% (336/901) in 15-year-olds. Sleep-onset difficulties were more frequent among adolescents with higher use of electronic devices, for general use (OR 1.50 for highest vs lowest tertile of use; 95% CI 1.21-1.85), use for playing games (OR 1.35; 95% CI 1.11-1.64), use of online social networks (OR 1.40 for always vs never or rarely; 95% CI 1.09-1.81), and YouTube (OR 2.00; 95% CI 1.50-2.66).
CONCLUSIONS: This study adds novel information about the relationship between sleep-onset difficulties and technology and social media in a representative sample of school-aged children from a geographical location that has not been included in studies of this type previously. Exposure to screen-based devices and online social media is significantly associated with adolescent sleep-onset difficulties. Interventions to create a well-coordinated parent- and school-centered strategy, thereby increasing awareness on the unfavorable effect of evolving technologies on sleep among adolescents, are needed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
Journal of medical Internet research - 23(2021), 1 vom: 21. Jan., Seite e20319 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Varghese, Nirosha Elsem [VerfasserIn] |
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| Links: |
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| Themen: |
Adolescents |
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| Anmerkungen: |
Date Completed 30.04.2021 Date Revised 30.04.2021 published: Electronic Citation Status MEDLINE |
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| doi: |
10.2196/20319 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320378462 |
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| 100 | 1 | |a Varghese, Nirosha Elsem |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents |b Cross-sectional Study |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 30.04.2021 | ||
| 500 | |a Date Revised 30.04.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a ©Nirosha Elsem Varghese, Eugenio Santoro, Alessandra Lugo, Juan J Madrid-Valero, Simone Ghislandi, Aleksandra Torbica, Silvano Gallus. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.01.2021. | ||
| 520 | |a BACKGROUND: The use of technology and social media among adolescents is an increasingly prevalent phenomenon. However, there is a paucity of evidence on the relationship between frequency of use of electronic devices and social media and sleep-onset difficulties among the Italian population | ||
| 520 | |a OBJECTIVE: The aim of this study is to investigate the association between the use of technology and social media, including Facebook and YouTube, and sleep-onset difficulties among adolescents from Lombardy, the most populous region in Italy | ||
| 520 | |a METHODS: The relationship between use of technology and social media and sleep-onset difficulties was investigated. Data came from the 2013-2014 wave of the Health Behavior in School-aged Children survey, a school-based cross-sectional study conducted on 3172 adolescents aged 11 to 15 years in Northern Italy. Information was collected on difficulties in falling asleep over the last 6 months. We estimated the odds ratios (ORs) for sleep-onset difficulties and corresponding 95% CIs using logistic regression models after adjustment for major potential confounders | ||
| 520 | |a RESULTS: The percentage of adolescents with sleep-onset difficulties was 34.3% (1081/3151) overall, 29.7% (483/1625) in boys and 39.2% (598/1526) in girls. It was 30.3% (356/1176) in 11-year-olds, 36.2% (389/1074) in 13-year-olds, and 37.3% (336/901) in 15-year-olds. Sleep-onset difficulties were more frequent among adolescents with higher use of electronic devices, for general use (OR 1.50 for highest vs lowest tertile of use; 95% CI 1.21-1.85), use for playing games (OR 1.35; 95% CI 1.11-1.64), use of online social networks (OR 1.40 for always vs never or rarely; 95% CI 1.09-1.81), and YouTube (OR 2.00; 95% CI 1.50-2.66) | ||
| 520 | |a CONCLUSIONS: This study adds novel information about the relationship between sleep-onset difficulties and technology and social media in a representative sample of school-aged children from a geographical location that has not been included in studies of this type previously. Exposure to screen-based devices and online social media is significantly associated with adolescent sleep-onset difficulties. Interventions to create a well-coordinated parent- and school-centered strategy, thereby increasing awareness on the unfavorable effect of evolving technologies on sleep among adolescents, are needed | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a adolescents | |
| 650 | 4 | |a electronic device use | |
| 650 | 4 | |a sleep-onset difficulties | |
| 650 | 4 | |a social media | |
| 700 | 1 | |a Santoro, Eugenio |e verfasserin |4 aut | |
| 700 | 1 | |a Lugo, Alessandra |e verfasserin |4 aut | |
| 700 | 1 | |a Madrid-Valero, Juan J |e verfasserin |4 aut | |
| 700 | 1 | |a Ghislandi, Simone |e verfasserin |4 aut | |
| 700 | 1 | |a Torbica, Aleksandra |e verfasserin |4 aut | |
| 700 | 1 | |a Gallus, Silvano |e verfasserin |4 aut | |
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