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Insomnia in Relation to Academic Performance, Self-Reported Health, Physical Activity, and Substance Use Among Adolescents

Author

Listed:
  • Gita Hedin

    (Faculty of Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden
    Clinical Health Promotion Centre, WHO-CC, Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 85 Lund, Sweden)

  • Annika Norell-Clarke

    (Faculty of Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden
    Department of Social and Psychological Studies, Karlstad University, SE-651 88 Karlstad, Sweden)

  • Peter Hagell

    (Faculty of Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden)

  • Hanne Tønnesen

    (Clinical Health Promotion Centre, WHO-CC, Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 85 Lund, Sweden)

  • Albert Westergren

    (Faculty of Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden
    Health-Promoting Complex Interventions, Department of Health Sciences, Lund University, SE-221 85 Lund, Sweden)

  • Pernilla Garmy

    (Faculty of Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden
    Clinical Health Promotion Centre, WHO-CC, Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 85 Lund, Sweden)

Abstract

Purpose: Insomnia affects up to one in four adolescents and has been shown to have a negative impact on their mental and physical health. This study aimed to investigate the association between insomnia, academic performance, self-reported health, physical activity, school start time, and substance use among adolescents. Methods: A survey with a cross-sectional design was completed by adolescents (15–17 years old; n = 1504) in southern Sweden. The Minimal Insomnia Symptoms Scale (MISS) was used to operationalize insomnia. A multiple logistic regression analysis was used to analyze the relationship between insomnia and self-reported health, failed school courses, substance use, school start time, family financial situation, screen time, and gender. Results: Insomnia (MISS ≥ 6) was associated with poor self-reported health (OR: 4.35), failed school courses (OR: 1.47), and use of alcohol and/or cigarettes (OR: 1.43). When the combined effect of self-reported health and physical activity were investigated, a combination of low physical activity (≤1 time/week) and poor self-reported health was strongly associated with insomnia (OR: 18.87). Conclusions: Insomnia was associated with other problems that in themselves are risk factors for poor health. This highlights the need for a holistic health-promoting approach to prevent insomnia, such as efforts to promote physical activity, school success, and the reduction of alcohol/cigarette use.

Suggested Citation

  • Gita Hedin & Annika Norell-Clarke & Peter Hagell & Hanne Tønnesen & Albert Westergren & Pernilla Garmy, 2020. "Insomnia in Relation to Academic Performance, Self-Reported Health, Physical Activity, and Substance Use Among Adolescents," IJERPH, MDPI, vol. 17(17), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6433-:d:408607
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    Cited by:

    1. Justyna Kałduńska & Karolina Skonieczna-Żydecka & Karina Ryterska & Joanna Palma & Wojciech Żwierełło & Dominika Maciejewska-Markiewicz & Maja Czerwińska-Rogowska & Anna Wolska & Zofia Stachowska & Ro, 2020. "Depressive Disorders and Sleeping Disturbances—Surveys Study of 923 Participants on the Pol’and’Rock Festival, Kostrzyn, Poland 2019," IJERPH, MDPI, vol. 17(21), pages 1-11, November.

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