ArticleJournal of medical Internet research2021
The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents: Cross-sectional Study.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 39 citations in OpenAlex.
- Screens, Teens, and Sleep: Is the Impact of Nighttime Screen Use on Sleep Driven by Physiological Arousal?Journal of sleep research · 2026Article
- Review
- The association between perceived bedtime autonomy, sleep patterns, and daytime functioning in adolescents.Frontiers in sleep · 2026Article
- The Impact of Social Media on Adolescents' Eating and Sleeping Habits: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Mirror, mirror on my screen: Focus on self-presentation on social media is associated with perfectionism and disordered eating among adolescents. Results from the "LifeOnSoMe"-study.BMC public health · 2024Article
- When Games Influence Words: Gaming Addiction among College Students Increases Verbal Aggression through Risk-Biased Drifting in Decision-Making.Behavioral sciences (Basel, Switzerland) · 2024Article
- Interactive Screen-Based Activities Predict Worse Actigraphic Sleep Health That Night Among Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- An Importance-Performance Analysis of Korean Middle School Students' Health Management Awareness during the Post-COVID-19 Era Depending on Sex.Healthcare (Basel, Switzerland) · 2024Article
- The relationship between time spent on social media and adolescent alcohol use: a longitudinal analysis of the UK Millennium Cohort Study.European journal of public health · 2023Article
- Adolescent social media use: cultivating and constraining competence.International journal of qualitative studies on health and well-being · 2023Article
- Article
- Teens online: how perceived social support influences the use of the Internet during adolescence.European journal of psychology of education = Journal europeen de psychologie de l'education · 2023Article
- Smartphone Keyboard Interaction Monitoring as an Unobtrusive Method to Approximate Rest-Activity Patterns: Experience Sampling Study Investigating Interindividual and Metric-Specific Variations.Journal of medical Internet research · 2023Article
- Sleep habits and sleep disorders in Italian children and adolescents: a cross-sectional survey.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Estimation of Bedtimes of Reddit Users: Integrated Analysis of Time Stamps and Surveys.JMIR formative research · 2023Article
- The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks.International journal of environmental research and public health · 2022Article
- Prevalence and Correlates of Overweight, Obesity and Physical Activity in Italian Children and Adolescents from Lombardy, Italy.Nutrients · 2022Article
- The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model.Nature and science of sleep · 2022Article
- Article
- Associations Between Social Media, Bedtime Technology Use Rules, and Daytime Sleepiness Among Adolescents: Cross-sectional Findings From a Nationally Representative Sample.JMIR mental health · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of technology and social media among adolescents is an increasingly prevalent phenomenon. However, there is a paucity of evidence on the relationship between frequency of use of electronic devices and social media and sleep-onset difficulties among the Italian population.
objectiveThe aim of this study is to investigate the association between the use of technology and social media, including Facebook and YouTube, and sleep-onset difficulties among adolescents from Lombardy, the most populous region in Italy.
methodsThe relationship between use of technology and social media and sleep-onset difficulties was investigated. Data came from the 2013-2014 wave of the Health Behavior in School-aged Children survey, a school-based cross-sectional study conducted on 3172 adolescents aged 11 to 15 years in Northern Italy. Information was collected on difficulties in falling asleep over the last 6 months. We estimated the odds ratios (ORs) for sleep-onset difficulties and corresponding 95% CIs using logistic regression models after adjustment for major potential confounders.
resultsThe percentage of adolescents with sleep-onset difficulties was 34.3% (1081/3151) overall, 29.7% (483/1625) in boys and 39.2% (598/1526) in girls. It was 30.3% (356/1176) in 11-year-olds, 36.2% (389/1074) in 13-year-olds, and 37.3% (336/901) in 15-year-olds. Sleep-onset difficulties were more frequent among adolescents with higher use of electronic devices, for general use (OR 1.50 for highest vs lowest tertile of use; 95% CI 1.21-1.85), use for playing games (OR 1.35; 95% CI 1.11-1.64), use of online social networks (OR 1.40 for always vs never or rarely; 95% CI 1.09-1.81), and YouTube (OR 2.00; 95% CI 1.50-2.66).
conclusionsThis study adds novel information about the relationship between sleep-onset difficulties and technology and social media in a representative sample of school-aged children from a geographical location that has not been included in studies of this type previously. Exposure to screen-based devices and online social media is significantly associated with adolescent sleep-onset difficulties. Interventions to create a well-coordinated parent- and school-centered strategy, thereby increasing awareness on the unfavorable effect of evolving technologies on sleep among adolescents, are needed.
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