Excessive smartphone use in adolescents: A cross-sectional investigation of gender differences and associated factors (Preprint)

2021 ◽  
Author(s):  
Emma Claesdotter-Knutsson ◽  
Frida André ◽  
Maria Fridh ◽  
Carl Delfin ◽  
Anders Hakansson ◽  
...  

BACKGROUND Excessive smartphone use is a new and debated phenomenon frequently mentioned in the context of behavioural addiction, showing both shared and separate traits when compared to pathological gaming and gambling. OBJECTIVE The aim of this study was to describe excessive smartphone use and associated factors in adolescents focusing on comparisons between boys and girls. METHODS This study was based on data collected through a public health survey distributed in 2016 to pupils in 9th grade of primary school and in 2th grade of secondary school. The response rate was 77% in 9th grade and 73% in 2nd grade. In total 13498 participants were included RESULTS Excessive smartphone use was associated with the experience of both cigarettes, alcohol and other substances. The reporting of both anxiety/worries and feeling low more than once a week increased the probability of excessive smartphone use among girls consistently while anxiety/worries elevated the probability of excessive smartphone use among boys. The reporting of less than 7 hours of sleep per night was associated to excessive smartphone use in all four study groups. CONCLUSIONS The results varied across sex and grade in terms of robustness and size of the estimated difference. However excessive smartphone use was associated with a higher frequency of multiple suspected associated factors, including ever having tried smoking, alcohol, and other substances, poor sleep, and often feeling low and often feeling anxious. The current study brings light to some features and distinctions of a potentially problematic behaviour among adolescents of today.

2021 ◽  
Author(s):  
Emma Claesdotter-Knutsson ◽  
Frida André ◽  
Maria Fridh ◽  
Carl Delfin ◽  
Anders Håkansson ◽  
...  

BACKGROUND Background: Although gambling disorder is traditionally considered an adult phenomenon, the behaviour usually begins in childhood or adolescence. OBJECTIVE The aim of this study was to explore the frequency of problem gambling among adolescents and suspected associated factors. METHODS This study was based on data collected through a public health survey distributed in 2016 to pupils in 9th grade of primary school and in 2nd grade of secondary school. The response rate was 77% in 9th grade and 73% in 2nd grade. In total 13498 participants were included. Bayesian binomial regression models, with weakly informative priors, were used to examine whether the frequency of associated factors differed between those with and without problem gambling. RESULTS Ten percent of boys in 9th grade of primary school and 2nd grade of secondary school were classified as problem gamblers. For girls, the corresponding frequencies were one percent and less than one percent. Problem gambling was associated with poor sleep and having tried smoking, alcohol, and other substances among both boys and girls in 9th grade of primary school and boys in 2nd grade of secondary school. Girls with problem gambling in 2nd grade of secondary school were associated with an increased prevalence of having tried smoking and having tried other substances and an increased prevalence of poor sleep. CONCLUSIONS Using a large, representative sample of Swedish adolescents, we found that problem gambling was robustly associated with a substantially increased prevalence of poor sleep and having tried smoking, alcohol, and other substances among both boys and girls in 9th grade of primary school, as well as among boys in 2nd grade of secondary school. Our study adds important information for policy makers pointing at vulnerable groups to be considered in their work to prevent problem gambling.


Author(s):  
Frida André ◽  
Emma Claesdotter-Knutsson ◽  
Maria Fridh ◽  
Carl Delfin ◽  
Anders Håkansson ◽  
...  

Background: Extensive gaming and the consequences thereof is frequently reported from child and adolescent psychiatry and school health care. The behavior is associated with compulsion, psychiatric and physical symptoms, impaired cognitive development and poorer school performance. This phenomenon has been described as an emergent health issue for men and little is known about its potential gender-specific characteristics. The aim of this study was to explore extensive gaming among male and female adolescents and to investigate whether the frequency of often feeling low, often feeling anxious, self-reported ADHD, self-reported ASD, being satisfied with one’s own general health, poor sleep, loneliness, and having tried smoking, alcohol, and/or other substances differed among those with and without extensive gaming.Design and Methods: This study was based on data collected through a public health survey distributed in 2016 to pupils in 9th grade of primary school and in second grade of secondary school, including a total of 13498 participants. The association between extensive gaming and different factors was estimated among male and female respondents separately.Results: Roughly 30% of the male and 5% of the female respondents were categorized as extensive gamers. Extensive gaming was associated with a higher prevalence of poor sleep and a lower prevalence of being satisfied with one’s own health among boys and (to a higher degree) among girls.Conclusions: Altogether, our results contribute to the impression that extensive gaming is more heavily related to subjective health complaints among female than male adolescents.


Author(s):  
Tuan Anh Le ◽  
Anh Duc Dang ◽  
An Ha Thi Tran ◽  
Long Hoang Nguyen ◽  
Trang Huyen Thi Nguyen ◽  
...  

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Kemeriya Adem ◽  
Tilahun Kassew ◽  
Addis Birhanu ◽  
Ayalew Abate

Background. Sleep is an active cyclic biological phenomenon and necessary for survival. Individuals who suffer from sleep disturbance are less productive, decreased performance, and negative effects on mental health. Despite there are different studies on sleep quality in Ethiopia, no studies have been conducted on magnitude and predictors of sleep quality among people with epilepsy in the study setting. Objective. To assess sleep quality and associated factors among people with epilepsy who have a follow-up at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, 2019. Method. An institution-based cross-sectional study was employed from May-June 2019. Systematic random sampling following face to face interview technique was employed. Epi-data version 3.1 and SPSS version 25 statistical packages were used for data entry and analysis, respectively. Frequencies, proportions, means, SDs, and cross-tabulations were used to summarize descriptive statistics of the data and tables, texts, and graphs were used for data presentation. To identify association and significant predictor with the outcome variable, binary logistic regression was fitted. The variable which has statistical significance was identified on the basis of p values ≤ 0.05 and AOR with 95% confident intervals. Results. A total of 423 participants have been enrolled to the study with a response rate of 98.1%. The prevalence of poor sleep quality among peoples live with epilepsy was found 65.4% (95% CI: 61.0, 69.9). Being female (AOR=2.94; (95% CI; 1.79, 4.85)), having stress full life events (AOR=2.38; (95% CI; 1.43, 3.97)), nonadherent to AED medication (AOR=1.86; (95% CI; 1.05, 2.78), poly-therapy treatment (AOR=2.24; (95% CI; 1.05, 2.78)), poor seizer control (AOR=2.4; (95% CI; 2.21, 12.46)), comorbid medical illness (AOR=2.6; (95% CI; 1.18, 5.61)), and anxiety (AOR=2.54; (95% CI; 1.52,4.24)) were factors significantly associated with poor sleep quality. Conclusion. This study revealed that more than half of the study participants were found to have poor sleep quality. So, considering the regular assessment of sleep quality and factors associated followed with appropriate intervention is recommended among peoples living with epilepsy.


Author(s):  
Mahesh D. Kurugodiyavar ◽  
Sushma H. R. ◽  
Maneesha Godbole ◽  
Manjunath S. Nekar

Background: Smartphone with its various functionalities has become an essential part of our daily activities and its use has been increasing. This has raised concern about its overuse and addiction especially in students. It is known that poor sleep is very common among medical students; there are many studies on sleep quality and its determinants in medical students but very few relating sleep quality and smartphone addiction. The main objective of this study was to investigate the relationship between smartphone use severity and sleep quality among medical students of KIMS, Hubballi. Methods: A cross‑sectional study on sample of 240 undergraduate medical students KIMS, Hubballi was conducted. Students were assessed using a self-administered questionnaire, Smart phone addiction scale (SAS) and Pittsburgh sleep quality inventory (PSQI). SAS score and PSQI scores were co-related. Hierarchical regression analyses were conducted to identify the variables independently associated with level of sleep quality. Results: Out of 240 subjects 117 (48.75%) were poor sleepers & 123 (51.25%) were good sleepers according to PSQI global sleep score. According to SAS score 123 (51.2%) were low users and 117 (48.75%) were high users of Smart phone. The mean (SD) PSQI global score was 4.8 (2.49) and mean (SD) SAS score was 102.93 (22.13). There was positive correlation between SAS score & PSQI score (r=0.343, p<0.001). Gender (β=0.141, p=0.021) & SAS score (β=0.292, p<0.001) were the significant predictors of global PSQI score. Conclusions: This study concludes that in medical students smartphone addiction affects sleep quality significantly and males are particularly more at risk of having poor sleep quality due to excessive smartphone use.  


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tamrat Anbesaw ◽  
Habtamu Abebe ◽  
Chalachew Kassaw ◽  
Tilahun Bete ◽  
Alemayehu Molla

Abstract Background Sleep is a natural physiological process vital for the physical and mental wellbeing of pregnant women and their fetuses. Even though poor sleep quality is a common problem among pregnant women, it is not studied in developing countries including Ethiopia. Therefore, this study was aimed to assess the poor sleep quality and associated factors among pregnant women attending antenatal care at Jimma medical center, Jimma, Southwest Ethiopia, 2020. Methods A cross-sectional study design was conducted among 415 pregnant women at Jimma Medical Center (JMC). The study subjects were selected using a systematic random sampling technique. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality using face-to-face interviews. SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to sleep quality. In multivariable logistic regression variables with a p-value less than 0.05 was considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association. Results The prevalence of poor sleep quality among pregnant women was found to be 30.8% (95% CI (26.5, 35.2). In multivariable analysis, age ≥ 30 years old (AOR = 1.94;95%CI:1.03,3.66), Multigravida (AOR = 1.90;95%CI:1.90,3.32),depression (AOR = 4.26;95%CI:2.54,7.14),stress (AOR = 1.85;95%CI:1.20,3.02) were variables significantly associated with poor sleep quality. Conclusion This study found a high prevalence of poor sleep quality among pregnant women. Older age, gravidity, depression, and stress were associated with poor sleep quality. It is better to have routine sleep pattern screening and teach sleep hygiene practice for pregnant women.


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