ArticleJournal of global health2025
Association of substance use with stress-related sleep disturbance among adolescents in 76 countries: a global population-based study.
Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of poor sleep quality and associated factors among women in Ethiopia: systematic review and meta -analysis.BMC public health · 2025Pooled it
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Stress-related sleep disturbance has emerged as a significant public health concern among adolescents worldwide. The independent and combined effects of substance use on stress-related sleep disturbance remain inconclusive. We aimed to explore the association of the use of substances such as tobacco and alcohol with stress-related sleep disturbance among adolescents in 76 countries. Methods: We collected data from the global school-based student health survey, which comprised 302 181 adolescents aged 12-17 years from 76 countries. The frequency of tobacco and alcohol use in the past 30 days was categorised as follows: zero, one to two, three to nine, 10-29, and 30 days. Tobacco and alcohol use were classified into four categories: non-use, tobacco use alone, alcohol use alone, and combined use. We used multivariate logistic regression analyses to examine the independent and combined associations of tobacco and alcohol use with stress-related sleep disturbance. Results: As the frequency of tobacco use and alcohol use increases, the proportion of stress-related sleep disturbance among adolescents shows an upward trend (for tobacco use 8.3-27.4%, for alcohol use 6.7-28.9%). Compared to non-drinkers, the odds of having stress-related sleep disturbance increased with frequency of drinking from one to two days to 30 days (from odds ratio (OR) = 1.53; 95% confidence interval (CI) = 1.31-1.78 to OR = 3.13; 95% CI = 1.99-4.90), as well as with the frequency of tobacco use (from OR = 1.11; 95% CI = 0.88-1.39 to OR = 1.98; 95% CI = 1.39-2.81) during the past 30 days. Conclusions: We found both tobacco and alcohol use, as well as their combination, were associated with stress-related sleep disturbance. These findings emphasise the need to strengthen the prevention and control of tobacco and alcohol use among adolescents in order to reduce stress-related sleep disturbance and improve sleep quality.
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