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Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey

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  • Kyung-Yi Do

    (Department of Public Health, Graduate School, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

  • Kang-Sook Lee

    (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

Abstract

We examined the relationship between Problematic Internet Use (PIU), sleep (sleep satisfaction, sleep duration), and experience of oral disease symptoms in Korean adolescents by gender. This cross-sectional study utilized the 6th (2010) Korean Youth Risk Behavior Web-based Survey. Participants comprised 74,980 students from 400 middle schools and 400 high schools nationwide. Among these, 73,238 students from 799 schools (38,391 boys, 34,847 girls, aged 13–18 years) were included in the analysis (inclusion rate = 97.7%). Multiple logistic regression and analysis of moment structures (AMOS) analyses were performed to identify meaningful relationships between the three factors. The “high risk group” of problematic internet usage had increased experience of oral disease symptoms (boys: adjusted odds ratio (AOR) = 1.92, 95% confidence interval (CI) = 1.63–2.28, girls: AOR = 1.98, 95% CI = 1.50–2.63) compared to the general group. Boys who used the Internet for “5–6 h” had a higher risk of oral disease symptoms compared to those who used it for “less than 1 h” (OR = 1.24, 95% CI = 1.01–1.53); however, this difference was not significant in Models II and III. For girls, the risk of 5–6 h of use (Model I: OR = 1.69, 95% CI = 1.40–2.04) was higher than that of the boys. In addition, the difference was significant in Models II and III for girl students who used the Internet for 5–6 h. In subgroup analysis, the high-risk group had a higher odds ratio for mild symptoms of bad breath to severe symptoms such as sore and bleeding gums. In addition, in the path analysis, PIU affected sleep and indirectly affected oral health. Direct and indirect causal relationships between the three factors were confirmed. Therefore, it is important to recognize that PIU can have a detrimental effect on mental, physical, and oral health.

Suggested Citation

  • Kyung-Yi Do & Kang-Sook Lee, 2018. "Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1870-:d:166489
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    1. Lukas Blinka & Kateřina Škařupová & Anna Ševčíková & Klaus Wölfling & Kai Müller & Michael Dreier, 2015. "Excessive internet use in European adolescents: What determines differences in severity?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(2), pages 249-256, February.
    2. Teija Nuutinen & Eva Roos & Carola Ray & Jari Villberg & Raili Välimaa & Mette Rasmussen & Bjørn Holstein & Emmanuelle Godeau & Francois Beck & Damien Léger & Jorma Tynjälä, 2014. "Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year olds in three countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 619-628, August.
    3. Yang‐Sook Yoo & Ok‐Hee Cho & Kyeong‐Sook Cha, 2014. "Associations between overuse of the internet and mental health in adolescents," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 193-200, June.
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    3. Abanoub Riad & Nuraldeen Maher Al-Khanati & Julien Issa & Mazen Zenati & Nèziha Ben Abdesslem & Sameh Attia & Martin Krsek, 2022. "Oral Health-Related Knowledge, Attitudes and Behaviours of Arab Dental Students: Multi-National Cross-Sectional Study and Literature Analysis 2000–2020," IJERPH, MDPI, vol. 19(3), pages 1-21, January.
    4. Tsz Yung Wong & Yiu Cheung Tsang & Kim Wai Shadow Yeung & Wai Keung Leung, 2022. "Self-Reported Gum Bleeding, Perception, Knowledge, and Behavior in Working-Age Hong Kong Chinese—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    5. Abanoub Riad & Veronika Chuchmová & Ján Staněk & Barbora Hocková & Sameh Attia & Martin Krsek & Miloslav Klugar, 2022. "Czech and Slovak Dental Students’ Oral Health-Related Knowledge, Attitudes, and Behaviours (KAB): Multi-Country Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-31, February.
    6. Nieves Gutiérrez Ángel & Isabel Mercader Rubio & Rubén Trigueros Ramos & Nieves Fátima Oropesa Ruiz & Jesús Nicasio García-Sánchez & Judit García Martín, 2022. "Digital Competence, Use, Actions and Time Dedicated to Digital Devices: Repercussions on the Interpersonal Relationships of Spanish Adolescents," IJERPH, MDPI, vol. 19(16), pages 1-9, August.

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