Department of Survey Reseach and Data Analytics, International Institute for Population Sciences, Mumbai, India.
International Institute for Population Sciences, Mumbai, India.
BMC Public Health. 2022 Sep 5;22(1):1686. doi: 10.1186/s12889-022-14076-x.
Although sleep problem is a growing public health issue with the advancement of technology, especially among adolescents and young adults, it received little attention. The study aimed to examine the association of screen time on smartphone with sleep problems among adolescents and young-adults in India.
We used data from the "Understanding the lives of adolescents and young-adults" (UDAYA, 2018). The effective sample size for the study was 16,292 adolescents and young adults (males-4428 and females-11,864). Descriptive statistics and bivariate analysis with percentages and chi-square test were used to report the preliminary results. Multivariable logistic regression analysis was conducted to examine the association between smartphone screen time and sleep problems, separately for adolescents and young adults.
Nearly 15.6% of males and 23.5% of females had sleep problems in their adolescence in the last 15 days, while these percentage were high among young-adults (18.4% males and 33.24% females). Adolescents [AOR: 1.55; CI: 1.21-1.99] and young adults [AOR: 1.48; CI: 1.24-1.75], who spent more than 2 h on smartphone had higher odds of reporting sleep problems than those who did not use smartphone in the last 24 hours. Adolescent females who used smartphone for less or equal to 2 h and three or more hours respectively, had 2.11 [AOR: 2.11; CI: 1.63-2.73] and 2.94 times [AOR: 2.94; CI: 1.97-4.38] higher odds of reporting sleep problems than adolescent males who did not use smartphones. Additionally, among the young adult females, the odds of sleep problems were 1.66 times [AOR: 1.66; CI: 1.55-2.38] and 2.36 times [AOR: 2.36; CI: 1.59-3.51] greater than the non-users young adult males.
The increased time spent on mobile phones's screen among adolescents and young-adults, particularly in females is associated with a higher likelihood of reporting sleeping problems. The current findings have important implications for adolescence and young-adults' mental health programmes. The findings can also be used to further inform how different strategies need to be developed for better sleep outcome during adolescence and young-adults.
尽管随着科技的进步，睡眠问题，尤其是在青少年和年轻人中，已成为一个日益严重的公共卫生问题，但该问题并未得到足够的重视。本研究旨在探讨印度青少年和年轻人智能手机屏幕使用时间与睡眠问题之间的关系。
我们使用了“了解青少年和年轻人的生活”（UDAYA，2018 年）的数据。本研究的有效样本量为 16292 名青少年和年轻人（男性 4428 人，女性 11864 人）。使用百分比和卡方检验的描述性统计和双变量分析来报告初步结果。分别对青少年和年轻人进行多变量逻辑回归分析，以检验智能手机屏幕时间与睡眠问题之间的关联。
在过去的 15 天中，近 15.6%的男性和 23.5%的女性在青春期出现睡眠问题，而在年轻人中这一比例更高（男性 18.4%，女性 33.24%）。与过去 24 小时内不使用智能手机的青少年（AOR：1.55；95%CI：1.21-1.99）和年轻人（AOR：1.48；95%CI：1.24-1.75）相比，花在智能手机上超过 2 小时的青少年和年轻人报告睡眠问题的几率更高。分别使用智能手机少于或等于 2 小时和 3 小时或更长时间的青少年女性，报告睡眠问题的几率分别是不使用智能手机的青少年男性的 2.11 倍（AOR：2.11；95%CI：1.63-2.73）和 2.94 倍（AOR：2.94；95%CI：1.97-4.38）。此外，在年轻女性中，睡眠问题的几率是不使用智能手机的年轻男性的 1.66 倍（AOR：1.66；95%CI：1.55-2.38）和 2.36 倍（AOR：2.36；95%CI：1.59-3.51）。
青少年和年轻人，尤其是女性，花在手机屏幕上的时间增加，与报告睡眠问题的可能性增加有关。这一发现对青少年和年轻人的心理健康计划具有重要意义。这一发现还可以用于进一步说明，在青少年和年轻人中，需要制定不同的策略来改善睡眠结果。
