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Factors Influencing Subjective Sleep Sufficiency among Korean Adolescent by Gender: Based on 2016 12th Korean Youth Risk Behavior Survey

성별에 따른 청소년의 주관적 수면충족감에 영향을 미치는 요인: 2016년 제 12차 청소년건강행태온라인조사를 기반으로

  • Received : 2017.02.28
  • Accepted : 2017.06.09
  • Published : 2017.06.30

Abstract

This study compared the individual, family, environmental factors, and subjective sleep sufficiency according to gender among Korean adolescents and to examine relevance among the individual, family, environmental factors, and subjective sleep sufficiency. The subjects were 65,528 Korean adolescents(male: 33,803, female: 31,725), who were derived from the 12th Korea Youth Risk Behavior Web-based Survey 2016 in South Korea. As a result, the prevalence of the subjective sleep sufficiency in this study was 33.4% male and 19.5% female. The subjective sleep sufficiency was affected by the depression experience, suicidal ideation, school achievement, feeling of stress, feeling of happiness, subjective health status, alcohol experience, smoking experience, substance experience, allergic rhinitis, and atopic dermatitis in individual factors; economic status, educational level of parents and living arrangement in family factors; school grade, school type and emotional support in environmental factors in both males and females. In individual factors, breakfast eating and asthma affected the male's subjective sleep sufficiency and physical activity affected the female's. The mental health of the individual factors was the most influential factor in adolescent's subjective sleep sufficiency. Therefore, nursing intervention to improve Korean adolescent's subjective sleep sufficiency should be applied considering gender differences.

본 연구의 목적은 성별에 따라 한국 청소년의 개인적, 가족적 및 환경적 특성과 수면충족감 정도를 비교하고, 개인적, 가족적 및 환경적 특성과 주관적 수면충족감과의 관련성을 파악하기 위함이다. 본 연구는 2016년 제 12차 청소년건강행태온라인조사의 원시자료를 활용하였고, 남학생 33,803명, 여학생 31,725명, 총 65,528명의 자료를 분석하였다. 연구결과, 수면충족감을 나타낸 비율은 남학생 33.4%, 여학생은 19.5%로 나타났다. 남학생과 여학생 모두, 개인적 특성은 우울경험, 자살생각, 학업성적, 스트레스, 주관적 행복감, 주관적 건강인지, 음주 및 흡연, 약물 경험, 알레르기비염 및 아토피피부염 진단여부, 가족적 특성은 경제 상태, 부모님 학력, 주거형태, 환경적 특성은 학교급, 학교유형, 고민상담자 유무가 주관적 수면충족감에 영향을 미치는 요인으로 나타났다. 개인적 특성 중 아침식사 빈도와 천식 진단 여부는 남학생에서만, 신체활동 여부는 여학생의 수면충족감에만 영향을 주는 것으로 나타났다. 개인적 특성의 정신건강이 청소년의 주관적 수면충족감에 가장 큰 영향을 주는 것으로 나타났다. 그러므로, 한국 청소년의 주관적 수면충족감을 증진시키기 위한 간호 중재는 성별에 따른 차이를 고려해 적용해 나가야 할 것이다.

Keywords

References

  1. H. S. Song, Y. M. Park, M. Nam, L. Kim, "Sleep Patterns of Middle and High School Students in Seoul", Sleep Medicine and Psychophysiology, vol. 7, no. 1 pp. 51-59, 2000.
  2. J. S. Lim, C. H. Yang, "Relationship between Sports Confidence and Class Satisfaction according to Adolescents' Participation in Marine Sports", Journal of the Korea Convergence Society, vol. 6, no. 4 pp. 169-176, 2015. DOI: http://dx.doi.org/10.15207/JKCS.2015.6.4.169
  3. E. S. Shin, "Relationship between Self-Perceived Psychosocial Stress and Depressive Symptoms among Male High School Students", Journal of Digital Convergence, vol. 14, no. 7 pp. 45-56, 2016. DOI: http://dx.doi.org/10.14400/JDC.2016.14.7.45
  4. O. S. Cho, J. N. Paik, "The Effect of Parent's Neglect on Adolescents' Sexual-Materials Addiction in the Times of Convergence : Focusing on the Mediating Effect of Self-Identity", Journal of Digital Convergence, vol. 13, no. 4 pp. 349-356, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.4.349
  5. K. H. Kim, "Mediating Effects of Mobile Phone Dependence on Sleep Length through Depression and School Maladjustment in High School Students", Journal of School Social Work, vol. 32, no. 1, pp. 87-114, 2015. https://doi.org/10.20993/SSW.32.4
  6. G. J. Sohn, H. J. Kim, S. H. Kang, M. H. Lim, H. G. Chung, J. H. Choi, T. Y. Kim, H. So, "Sleep Patterns and Predictors of Daytime Sleepiness in High School Students", Journal of Korean Neuropsychiatric Association, vol. 53, no. 6, pp. 426-433, 2014. DOI: http://dx.doi.org/10.4306/jknpa.2014.53.6.426
  7. P. W. Mercer, S. L. Merritt, J. M. Cowell, "Differences in Reported Sleep Need among Adolescents", Journal of Adolescent Health, vol. 23, no. 5, pp. 259-263, 1998. https://doi.org/10.1016/S1054-139X(98)00037-8
  8. C. K. Yang, J. K. Kim, S. R. Patel, J. H. Lee, "Age-related Changes in Sleep/Wake Patterns among Korean Teenagers", Pediatrics, vol. 115, no. 1 (supplement), pp. 250-256, 2005. https://doi.org/10.1542/peds.2004-0815G
  9. T. Shochata, M. Cohen-Zionb, O. Tzischinskyc, "Functional Consequences of Inadequate Sleep in Adolescents: A Systematic Review", Sleep Medicine Reviews, vol. 18, no. 1, pp. 75-87, 2014. DOI: http://dx.doi.org/10.1016/j.smrv.2013.03.005
  10. J. A. Coulombe, G. J. Reid, M. H. Boyle, Y. Racine, "Sleep Problems, Tiredness, and Psychological Symptoms among Healthy Adolescents", Journal of Pediatric Psychology, vol. 36, no. 1, pp. 25-35, 2011. DOI: https://doi.org/10.1093/jpepsy/jsq028
  11. J. G. Lee, J. H. Kang, S. K. Rhie, K. Y. Chae, "Impact of Sleep Duration on Emotional Status in Adolescents", Journal of Korea child neurology society, vol. 21, no. 3, pp. 100-110, 2013.
  12. G. Curcioa, M. Ferraraa, L. De Gennaroa, "Sleep Loss, Learning Capacity and Academic Performance", Sleep Medicine Reviews, vol. 10, no. 5, pp. 323-337, 2006. DOI: http://dx.doi.org/10.1016/j.smrv.2005.11.001
  13. H. J. Yun, Effect of Stress and Sleep Quality on Mental Health of Adolescents", Journal of the Korean Society of School Health, vol. 29, no. 2, pp. 98-106, 2016. DOI: http://dx.doi.org/10.15434/kssh.2016.29.2.98
  14. H. J. Kwon, H. N. Yang, J. W. Oh, H. J. Maeng, Y. S. Kim, "The Association with Physical Activity and Subjective Sleep Satisfaction in Korean Adolescents: the 9th Korea Youth Risk Behavior Web-based Survey", The Korean Journal of Physical Education, vol. 54, no. 6, pp. 119-131, 2015.
  15. H. J. Park, "Effects of Sleep Duration on Suicidal Ideation in Korean Adolescents", The Journal of the Korean Society of School Health, vol. 28, no. 1, pp. 1-9, 2015. DOI: http://dx.doi.org/10.15434/kssh.2015.28.1.1
  16. K. M. Kim, Y. S. Youm, "Sleep Duration and Suicidal Impulse of Korean Adolescents : Weekday/Weekend Sleep Duration Effects and Gender Difference", International Journal of Contents, vol. 15, no. 12, pp. 314-325, 2015. DOI: http://dx.doi.org/10.5392/JKCA.2015.15.12.314
  17. H. K. Song, M. H. Jeong, D. J. Sung, J. K. Jung, J. S. Choi, Y. L. Jang, J. S. Lee, "Internet Addiction in Adolescents and its Relation to Sleep and Depression", Sleep Medicine and Psychophysiology, vol. 17, no. 2, pp. 100-108, 2010.
  18. T. Olds, C. Maher, S. Blunden, L. Matricciani, "Normative Data on the Sleep Habits of Australian Children and Adolescents", Sleep, vol. 33, no. 10, pp. 1381-1388, 2010. https://doi.org/10.1093/sleep/33.10.1381
  19. O. Tzischinsky, T. Shochat, "Eveningness, Sleep Patterns, Daytime Functioning, and Quality of Life in Israeli Adolescents", Chronobiology International, vol. 28, no. 4, pp. 338-343, 2011. DOI: http://doi.org/10.3109/07420528.2011.560698
  20. M. Moore, H. L. Kirchmer, D. Drotar, N. Johnson, C. Rosen, S. Redlines, "Correlates of Adolescent Sleep Time and Variability in Sleep Time: the Role of Individual and Health Related Characteristics" Sleep Medicine, vol. 12, no. 3, pp. 239-245, 2011. DOI: http://doi.org/10.1016/j.sleep.2010.07.020
  21. K. F. Chung, M. M. Cheung, "Sleep-Wake Patterns and Sleep Disturbance among Hong Kong Chinese Adolescents", Sleep, vol. 31, no. 2, pp. 185-194, 2008. https://doi.org/10.1093/sleep/31.2.185
  22. R. E. Robert, H. T. Duong, "Depression and Insomnia among Adolescents: A Prospective Perspective", Journal of Affective Disorders, vol. 148, no. 1, pp. 66-71, 2013. DOI: http://doi.org/10.1016/j.jad.2012.11.049
  23. K. E. Pasch, M. N. Laska, L. A. Lytle, S. G. Moe, "Adolescent Sleep, Risk Behaviors, and Depressive Symptoms: are they linked?", American Journal of Health Behavior, vol. 34, no. 2, pp. 237-248, 2010.
  24. T. R. Goldseein, J. A. Bridge, D. A. Brent, "Sleep Disturbance Preceding Completed Suicide in Adolescents", Journal of Consulting and Clinical Psychology, vol. 76, no. 1, pp. 84-91, 2008. DOI: http://doi.org/10.1037/0022-006X.76.1.84
  25. C. D. Catrett, J. F. Gaultney, "Possible Insomnia Predicts Some Risky Behaviors among Adolescents When Controlling for Depressive Symptoms", The Journal of Genetic Psychology, vol. 170, no. 4, pp. 287-309, 2009. DOI: http://doi.org/10.1080/00221320903218331
  26. D. W. Beebe, D. Rose, R. Amin, "Attention, Learning, and Arousal of Experimentally Sleep-Restricted Adolescents in A Simulated Classroom", Journal of Adolescent Health, vol. 47, no. 5, pp. 523-525, 2010. DOI: http://doi.org/10.1016/j.jadohealth.2010.03.005
  27. K. K. Mak, S. Y. Ho, G. N. Thomas, W. S. Lo, D. K. Cheuk, Y. K. Lai, T. H. Lam, "Smoking and Sleep Disorders in Chinese Adolescents" Sleep Medicine, vol. 11, no. 3, pp. 268-273, 2010. DOI: http://doi.org/10.1016/j.sleep.2009.07.017
  28. T. S. Olds, C. A. Maher, L. Matricciani, "Sleep Duration or Bedtime? Exploring the Relationship between Sleep Habits and Weight Status and Activity Patterns", Sleep, vol. 34, no. 10, pp. 1299-1307, 2011. DOI: http://doi.org/10.5665/SLEEP.1266
  29. J. P. Auvinen, T. H. Tammelin, S. P. Taimela, P. J. Zitting, M. R. Jarvelin, A. M. Taanila, J. I. Karppinen, "Is Insufficient Quantity and Quality of Sleep A Risk Factor for Neck, Shoulder and Low Back Pain? A Longitudinal Study among Adolescents", European Spine Journal, vol. 19, no. 4, pp. 641-649, 2010. DOI: http://doi.org/10.1007/s00586-009-1215-2
  30. T. Luntamo, A. Sourander, M. Rihko, M. Aromaa, H. Helenius, M. Koskelainen, P. J. McGrath, "Psychosocial Determinants of Headache, Abdominal Pain, and Sleep Problems in A Community Sample of Finnish Adolescents", European Child & Adolescent Psychiatry, vol. 21, no. 6, pp. 301-313, 2012. DOI: http://doi.org/10.1007/s00787-012-0261-1
  31. Korea Centers for Disease Control and Prevention, "The Six Korea Youth Risk Behavior Web-Based Survey, 2016", 2016.
  32. M. H. Park, H. O. Jeon, "Relationships between Health Behaviors, Mental Health and Internet Addiction by Gender Differences among Korean Adolescents", Journal of the Korea Academia-Industrial cooperation Society, vol. 14, no. 3, pp. 1283-1293, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.3.1283
  33. H. N. Kim, J. S. Kim, S. H. Roh, "Factors Influencing Subjective Happiness among Korean Adolescent: Analysis of 2014 Korean Youth Risk Behavior Survey", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 11 pp. 7656-7666, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.11.7656
  34. Kim JT, Shim HS, Jue SB. MBTI Development and Application. Seoul: Korea Psychological Testing Institute, 1995.
  35. J. Y. Han, H. S. Park, "Prevalence of Allergic Disease and its Related Factors in Korean Adolescent-Using Data from the 2013 Korea Youth Risk Behavior Web-Based Survey", Journal of the Korean Data & Information Science Society, vol. 27, no. 1, pp. 155-168, 2016. DOI: http://dx.doi.org/10.7465/jkdi.2016.27.1.155
  36. Kim MY, Gu HY, Kwon IS, Kim SH, Kim SO, Kim JS, Kim TI, Song IS, Yun HO, Lee SY, Lee JM, Jang GJ, Jung SE, Cho GC, Cho EJ, Han GH. Pediatric Health Nursing. Paju: Soomoonsa.
  37. S. Y. Sohn, "Factors Affecting Suicidal Ideation, Suicidal Plan and Suicidal Attempt in Korean Adolescents", Journal of the Korea Academia-Industrial cooperation Society, vol. 15, no. 3, pp. 1606-1614, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.3.1606
  38. G. Y. Lee, "Factors Influencing Attempted Suicide Among Adolescents in Korea", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 5, pp. 3139-3147, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.5.3139
  39. Y. R. Kim, J. H. Sang, M. R. An, "Emotional Stress, Dietary Attitude, and Nutrient Intake according to BMI and Sex of Middle School Students in Daegu, Kyungpook", Journal of Research in Curriculum Instruction, vol. 15, no. 3, pp. 633-655, 2011. https://doi.org/10.24231/rici.2011.15.3.633
  40. B. I. Lee, "Association between Sleep Duration and Body Mass Index among South Korean Adolescents", Korean Journal of Health Promotion, vol. 15, no. 1, pp. 16-23, 2015. DOI: http://dx.doi.org/10.15384/kjhp.2015.15.1.16
  41. J. Y. Yoo, K. M. Kim, "The Effect of Physical Activities on the Mental Health in Korean Middle School Adolescents: Based on the Web-Based Survey on Adolescents Health Behavior from 2013", Journal of Digital Convergence, vol. 12, no. 11, pp. 395-405, 2014. DOI: http://dx.doi.org/10.14400/JDC.2014.12.11.395
  42. O. H. Lee, "The Influence of Life Stress, Ego-Resilience and Social Support on Psychological Well-Being among College Students", Korean journal of youth studies, vol. 19, no. 1, pp. 29-57, 2012.
  43. J. E. Hwang, J. H. Kim, "The Structural Relationships among Social Support, Career Maturity, Academic Motivation, and Aggression of Adolescents", Korean Journal of Counseling, vol. 16, no. 6, pp. 385-408, 2015.
  44. C. H. Jung, D. H. Ahn, "Relations of Adolescents' Social support, social responsibility, and school adjustment" Korean journal of youth studies, vol. 23, no. 9, pp. 381-408, 2016. DOI: http://dx.doi.org/10.21509/KJYS.2016.09.23.9.381
  45. C. H. Hong, H. O. Rho, S. H. Song, "The Sexual Maturity Rating of Adolescent Boys and Girls in Korea", Journal of Korean Pediatric Society, vol. 37, no. 1, pp. 193-198, 1994.
  46. M. H. Sung, K. S. Joo, "Relationships among Attitudes toward Menstruation, Peri-Menstrual Symptoms, and Coping in Adolescent Girls", Korean Journal of Health Promotion, vol. 11, no. 2, pp. 106-114, 2011.
  47. A. J. Barber, V. A. Tischler, E. Healy, "Consumer Satisfaction and Child Behaviour Problems in Child and Adolescent Mental Health Services", Journal of Child Health Care, vol. 10, no. 1, pp. 9-21, 2006. DOI: http://doi.org/10.1177/1367493506060200
  48. Adolescent Sleep Working Group, Committee on Adolescence, and Council on School Health, "Policy Statement School Start Times for Adolescents", Pediatrics, vol. 134, no. 3, pp. 642-649, 2014. https://doi.org/10.1542/peds.2014-1697
  49. S. O. Shin, J. Park, "Converged Association between Suicidal Ideation and Neighborhood Environment among Some Adolescents", Journal of the Korea Convergence Society, vol. 6, no. 6 pp. 271-277, 2015. DOI: http://dx.doi.org/10.15207/JKCS.2015.6.6.271
  50. M. S. Oh, "A Study on the Effects of Parenting Attitudes on School Adjustment in Middle School Students", Journal of the Korea Convergence Society, vol. 6, no. 4 pp. 197-203, 2015. DOI: http://dx.doi.org/10.15207/JKCS.2015.6.4.197
  51. Y. S. Moon, "Effects of Perception of Marital Conflict and Child Rearing Attitude on Child Abuse and Emotional Maladjustment Behavior in Children", Journal of Korean Academy of Child Health Nursing, vol. 17, no. 1 pp. 22-30, 2011. DOI: http://doi.org/10.4094/jkachn.2011.17.1.22
  52. K. L. Knutson, D. S. Lauderdale, " Sociodemographic and Behavioral Predictors of Bed Time and Wake Time among US Adolescents Aged 15 to 17 Years", The Journal of Pediatrics, vol. 154, no. 3, pp. 426-430.e1 , 2009. DOI: http://doi.org/10.1016/j.jpeds.2008.08.035
  53. K. I. Choi, "An Effect of Sleeping Time on School Adaptation Culture, vol. 30, no. 1, pp. 126-166, 2012.of Youths: Mediated by Depression and Ability of Seif-Protection", Forum for Youth