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Analysis of Factors Associated with Daytime Sleepiness in Korean Adolescents

대한민국 청소년의 주간 졸음증에 관련된 요인 분석

  • Eun Jeong Jang (College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University) ;
  • Jung Sun Kim (College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University) ;
  • Kitai Kim (Department of Communication, Honam University) ;
  • Hye Sun Gwak (College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University) ;
  • Ji Min Han (College of Pharmacy, Chungbuk National University)
  • 장은정 (이화여자대학교 약학대학) ;
  • 김정선 (이화여자대학교 약학대학) ;
  • 김기태 (호남대학교 미디어커뮤니케이션학과) ;
  • 곽혜선 (이화여자대학교 약학대학) ;
  • 한지민 (충북대학교 약학대학)
  • Received : 2023.12.13
  • Accepted : 2024.02.16
  • Published : 2024.03.31

Abstract

Background: Daytime sleepiness, a common phenomenon among adolescents focused on academics, has negative effects on aspects such as growth and overall learning. However, research on various drugs and diseases affecting daytime sleepiness is lacking in the reality. Therefore, this study aims to investigate the factors influencing daytime sleepiness in adolescents with daytime sleepiness. Methods: This study was conducted through a survey of 2,432 middle and high school students, aged 14 to 19. The questionnaire consisted of information on socio-demographic characteristics, overall health status, and sleep patterns. The Pediatric Daytime Sleepiness Scale (PDSS), translated into Korean, was used to assess daytime sleepiness. Daytime sleepiness was measured by calculating the total score for each item of the PDSS, and divided into two groups based on the cutoff value of 19, which was the upper quartile. Results: We analyzed a total of 1,770 students including 799 boys and 971 girls. Students with a PDSS score of 19 or higher made up 33.3% of boys and 66.7% of girls. In multivariate analyses, females, smoking, poor self-reported health level, sleep after 12 am, not feeling refreshed in the morning, headache, muscle pain, and scoliosis increased the risk of daytime sleepiness significantly. The AUROC of PDSS, including significant factors in multivariate analyses, was 0.751 (95% CI 0.725~0.776). Conclusions: Daytime sleepiness in adolescents affects growth, academic performance, and emotional stability. Therefore, it is important to manage medications, diseases, and other factors that affect daytime sleepiness on a social level.

Keywords

Acknowledgement

본 연구는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2022R1F1A1069718).

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