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dc.contributor.authorGhekiere, Ariane
dc.contributor.authorVan Cauwenberg, Jelle
dc.contributor.authorVandendriessche, Ann
dc.contributor.authorInchley, Jo
dc.contributor.authorGaspar de Matos, Margarida
dc.contributor.authorBorraccino, Alberto
dc.contributor.authorGobina, Inese
dc.contributor.authorTynjälä, Jorma
dc.contributor.authorDeforche, Benedicte
dc.contributor.authorDe Clercq, Bart
dc.date.accessioned2019-12-10T00:36:48Z
dc.date.available2019-12-10T00:36:48Z
dc.date.issued2019-05
dc.identifier.citationGhekiere , A , Van Cauwenberg , J , Vandendriessche , A , Inchley , J , Gaspar de Matos , M , Borraccino , A , Gobina , I , Tynjälä , J , Deforche , B & De Clercq , B 2019 , ' Trends in sleeping difficulties among European adolescents : are these associated with physical inactivity and excessive screen time? ' , International Journal of Public Health , vol. 64 , no. 4 , pp. 487–498 . https://doi.org/10.1007/s00038-018-1188-1en
dc.identifier.issn1661-8556
dc.identifier.otherPURE: 257047238
dc.identifier.otherPURE UUID: d7de7165-b45a-45f5-b85a-8a189cd3c903
dc.identifier.otherScopus: 85058083309
dc.identifier.otherORCID: /0000-0001-8322-8817/work/65014255
dc.identifier.otherWOS: 000467914300004
dc.identifier.urihttp://hdl.handle.net/10023/19105
dc.descriptionThe study was funded by the government of Flanders (Grant No. GEO-1GDD2A-WT) and the Research Foundation Flanders (Grant No. 12I1117N).en
dc.description.abstractObjectives We examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents. Methods We used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries. Results Findings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets). Conclusions Effective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.
dc.format.extent12
dc.language.isoeng
dc.relation.ispartofInternational Journal of Public Healthen
dc.rights© 2018, Swiss School of Public Health (SSPH+). This work has been made available online in accordance with the publisher's policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1007/s00038-018-1188-1en
dc.subject24-h approachen
dc.subjectSleepen
dc.subjectSedentary behavioren
dc.subjectPhysical activityen
dc.subjectTrenden
dc.subjectRJ101 Child Health. Child health servicesen
dc.subjectPublic Health, Environmental and Occupational Healthen
dc.subject3rd-NDASen
dc.subject.lccRJ101en
dc.titleTrends in sleeping difficulties among European adolescents : are these associated with physical inactivity and excessive screen time?en
dc.typeJournal articleen
dc.description.versionPostprinten
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.Child and Adolescent Health Research Uniten
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.identifier.doihttps://doi.org/10.1007/s00038-018-1188-1
dc.description.statusPeer revieweden
dc.date.embargoedUntil2019-12-10


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