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Article

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

1
Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China
2
Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2018, 15(12), 2682; https://doi.org/10.3390/ijerph15122682
Received: 22 October 2018 / Revised: 22 November 2018 / Accepted: 27 November 2018 / Published: 28 November 2018
(This article belongs to the Special Issue Recent Advances of Adolescents and Children Health Research)
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. View Full-Text
Keywords: problematic Internet use; sleep disturbance; sex difference; adolescents problematic Internet use; sleep disturbance; sex difference; adolescents
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MDPI and ACS Style

Yang, J.; Guo, Y.; Du, X.; Jiang, Y.; Wang, W.; Xiao, D.; Wang, T.; Lu, C.; Guo, L. Association between Problematic Internet Use and Sleep Disturbance among Adolescents: The Role of the Child’s Sex. Int. J. Environ. Res. Public Health 2018, 15, 2682. https://doi.org/10.3390/ijerph15122682

AMA Style

Yang J, Guo Y, Du X, Jiang Y, Wang W, Xiao D, Wang T, Lu C, Guo L. Association between Problematic Internet Use and Sleep Disturbance among Adolescents: The Role of the Child’s Sex. International Journal of Environmental Research and Public Health. 2018; 15(12):2682. https://doi.org/10.3390/ijerph15122682

Chicago/Turabian Style

Yang, Jiewen, Yangfeng Guo, Xueying Du, Yi Jiang, Wanxin Wang, Di Xiao, Tian Wang, Ciyong Lu, and Lan Guo. 2018. "Association between Problematic Internet Use and Sleep Disturbance among Adolescents: The Role of the Child’s Sex" International Journal of Environmental Research and Public Health 15, no. 12: 2682. https://doi.org/10.3390/ijerph15122682

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