ArticleHawai'i journal of health & social welfare2026
Associations Between Mental Health Status and Sleep and Physical Activity Among Adolescents in Hawai'i.
Article in Hawai'i journal of health & social welfare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
This study examined associations between mental health status, physical activity, and sleep among Hawai'i adolescents using data from the 2017-2021 Hawai'i State High School Youth Risk Behavior Survey (YRBS). Mental health outcomes included feelings of sadness/hopelessness and suicidality. Logistic regression models assessed associations between physical activity, sleep, and mental health outcomes, adjusting for covariates including race, bullying, and the COVID-19 pandemic. Sleep duration, sleep location, and physical activity were significantly associated with mental health outcomes. Adolescents who slept longer were less likely to report sadness/hopelessness (6-7 vs. 0-5 hours: adjusted odds ratio [aOR]=0.59, 95% confidence interval [CI]=0.52-0.67; 8+ vs. 0-5 hours: aOR=0.36, 95% CI=0.32-0.41) and suicidality (6-7 vs. 0-5 hours: aOR=0.64, 95% CI=0.54-0.76; 8+ vs. 0-5 hours: aOR=0.38, 95% CI=0.31-0.46). Adolescents without a stable place to sleep had higher odds of suicidality (aOR=1.69, 95% CI=1.29-2.21). Physical activity was also protective; adolescents active for 6-7 days per week had lower odds of sadness/hopelessness (aOR=0.75, 95% CI=0.65-0.87) and suicidality (aOR=0.71, 95% CI=0.61-0.83) compared with those active 0-2 days. Boys had lower odds of both outcomes than girls. Compared with Whites, Filipinos, other Asians, and Pacific Islanders had lower odds of suicidality. Adolescents surveyed during the COVID-19 pandemic had increased odds of sadness/hopelessness. These findings underscore the importance of adequate sleep and physical activity for adolescent mental health, highlight the unique experiences of Hawai'i adolescents, and underscore the need to identify disparities among major adolescent groups to inform mental health prevention and intervention strategies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.