College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
J Adv Nurs. 2024 Nov;80(11):4560-4571. doi: 10.1111/jan.16151. Epub 2024 Mar 21.
To examine the relationship between racial/ethnic disparities and substance use behaviours (alcohol and tobacco use) and their impact on the sleep health of South Korean adolescents.
Secondary analysis of cross-sectional study data from the 2021 Korea Youth Risk Behaviour Web-based Survey dataset.
Given that Korean society has historically linked its racial/ethnic identity to a shared bloodline, we categorized 2644 adolescents from the Korea Youth Risk Behaviour Web-based Survey based on their racial/ethnic status, determined by their parents' birthplaces. Using multiple linear regression, we investigated whether the impact of racial/ethnic disparities on sleep health (sleep duration, debt, and timing) varies depending on substance use behaviours (alcohol and tobacco use) after controlling for age, sex, household economic status, depressed mood, suicidal ideation, perceived excessive stress, and anxiety level.
Despite no statistical differences in sleep health and the prevalence of substance use between racial/ethnic groups, racial/ethnic minority adolescents experienced greater sleep debt than racial/ethnic majority adolescents when consuming alcohol. Moreover, racial/ethnic minority adolescents were more likely to report psychosocial distress and had lower parental education level.
Racial/ethnic minority adolescents were more vulnerable to the detrimental effects of alcohol use on sleep health compared to racial/ethnic majority adolescents. This heightened vulnerability may be attributed to the more pronounced psychosocial challenges and the lower socioeconomic status of parents in the racial/ethnic minority group.
Racial/ethnic disparities are concerning in South Korea, particularly since the negative effects of substance use on sleep health are intensified among racial/ethnic minority adolescents. Nurses and other healthcare providers should recognize the importance of addressing the social disadvantages linked to racial/ethnic disparities. Beyond just advocating for the cessation of substance use, it is crucial to address these underlying issues to reduce sleep disparities among South Korean adolescents.
No patient or public contribution.
探讨种族/民族差异与物质使用行为（饮酒和吸烟）之间的关系及其对韩国青少年睡眠健康的影响。
对 2021 年韩国青少年风险行为网络调查数据集的横断面研究数据进行二次分析。
鉴于韩国社会历史上一直将其种族/民族身份与共同的血缘联系在一起，我们根据父母的出生地将来自韩国青少年风险行为网络调查的 2644 名青少年分为不同的种族/民族群体。我们使用多元线性回归，在控制年龄、性别、家庭经济状况、抑郁情绪、自杀意念、感知压力过大和焦虑程度后，调查了种族/民族差异对睡眠健康（睡眠时间、睡眠债务和睡眠时相）的影响是否因物质使用行为（饮酒和吸烟）而异。
尽管在睡眠健康和物质使用的流行率方面，种族/民族群体之间没有统计学差异，但在饮酒时，少数民族青少年的睡眠债务比多数族裔青少年更大。此外，少数民族青少年更有可能报告心理社会困扰，并且父母的受教育程度较低。
与多数族裔青少年相比，少数民族青少年更容易受到饮酒对睡眠健康的不利影响。这种更高的脆弱性可能归因于少数民族群体中更明显的心理社会挑战和较低的社会经济地位。
种族/民族差异在韩国是一个令人关注的问题，特别是因为物质使用对睡眠健康的负面影响在少数民族青少年中更为严重。护士和其他医疗保健提供者应该认识到解决与种族/民族差异相关的社会劣势的重要性。除了倡导停止物质使用外，解决这些根本问题对于减少韩国青少年的睡眠差异至关重要。
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