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Original Article
- The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents
- Jungok Yu, Jungsoon Kim
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Journal of Korean Academy of Community Health Nursing 2015;26(2):100-107.
DOI: https://doi.org/10.12799/jkachn.2015.26.2.100
Published online: June 30, 2015
1Wolgye Elementary School, Ulsan, Korea.
2College of Nursing, Pusan National University, Yangsan, Korea.
• Received: March 20, 2015 • Revised: April 23, 2015 • Accepted: June 5, 2015
© 2015 Korean Academy of Community Health Nursing
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
- To explore the association between sleep and the risk of accidental injury at school among Korean adolescents.
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Methods
- From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables.
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Results
- Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased.
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Conclusion
- The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.
Table 1
Unintentional Injury at School according to Sleep and Other Variables among Adolescents in Korea (N=63,307)
Table 2
Logistic Regression Analysis of Relationship between Sleep hours, Relief of Fatigue after Sleep and Injury Risk
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References
Citations
Citations to this article as recorded by 
- Mediating effect of sleep satisfaction on the relationship between stress and self-rated health among Korean adolescents: A nationwide cross-sectional study
Jaeyoung Lee
Children and Youth Services Review.2020; 109: 104717. CrossRef - Structural Equation Model for the Subjective Happiness of Adolescents : Focused on Perceived Stress, Activities and Practices
Ok-Youn Wi, Ji-Hyun Lee
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 585. CrossRef - Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study
Jung-Ok Yu, Myo-Sung Kim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 337. CrossRef
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The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents
| Variables | Categories | Injured | No injured | x2 | p |
|---|---|---|---|---|---|
| n† (%)‡ | n† (%)‡ | ||||
| Total | 29,508 (46.4) | 33,799 (53.6) | |||
| Gender | Male | 15,511 (48.6) | 16,105 (51.4) | 138.20 | <.001 |
| Female | 13,997 (44.0) | 17,694 (56.0) | |||
| Grade | 7 | 5,195 (51.0) | 5,053 (49.0) | 770.98 | <.001 |
| 8 | 5,541 (53.9) | 4,738 (46.1) | |||
| 9 | 5,398 (50.8) | 5,149 (49.2) | |||
| 10 | 4,517 (41.8) | 6,164 (58.2) | |||
| 11 | 4,578 (43.2) | 6,052 (56.8) | |||
| 12 | 4,279 (39.1) | 6,643 (60.9) | |||
| School type | Boys only | 5,334 (49.2) | 5,379 (50.8) | 180.92 | <.001 |
| Girls only | 4,634 (40.9) | 6,550 (59.1) | |||
| Both | 19,540 (47.1) | 21,870 (52.9) | |||
| Perceived economic status | Upper | 9,678 (49.5) | 10,079 (51.0) | 91.94 | <.001 |
| Middle | 13,684 (44.7) | 16,675 (55.3) | |||
| Lower | 6,146 (46.1) | 7,045 (53.9) | |||
| Father's education level (year) | ≤9 | 1,072 (45.1) | 1,285 (54.9) | 55.69 | <.001 |
| 10~13 | 9,563 (45.0) | 11,454 (55.0) | |||
| ≥14 | 13,388 (47.9) | 14,356 (52.1) | |||
| Unknown | 4,238 (44.7) | 5,238 (55.3) | |||
| Mother's education level (year) | ≤9 | 989 (45.2) | 1,220 (54.8) | 97.73 | <.001 |
| 10~13 | 12,024 (44.8) | 14,540 (55.2) | |||
| ≥14 | 11,185 (48.8) | 11,623 (51.2) | |||
| Unknown | 4,096 (44.4) | 5,131 (55.6) | |||
| Number of physical education per week | 0 | 4,324 (35.5) | 7,603 (64.5) | 1,003.46 | <.001 |
| 1 | 5,102 (44.7) | 6,261 (55.3) | |||
| 2 | 8,483 (46.2) | 9,702 (53.8) | |||
| 3 | 11,599 (53.5) | 10,233 (46.5) | |||
| Current smoking | Yes | 7,034 (52.1) | 6,401 (47.9) | 221.35 | <.001 |
| No | 22,474 (44.8) | 27,398 (55.2) | |||
| Alcohol consumption | Yes | 14,078 (50.3) | 13,775 (49.7) | 298.93 | <.001 |
| No | 15,430 (43.4) | 20,024 (56.6) | |||
| Sleep duration (hour/day) | <5 | 3,877 (46.0) | 4,538 (54.0) | 22.30 | .017 |
| 5 | 6,097 (45.5) | 7,174 (54.5) | |||
| 6 | 7,302 (46.1) | 8,402 (53.9) | |||
| 7 | 7,252 (47.8) | 7,871 (52.2) | |||
| 8 | 3,897 (46.7) | 4,468 (53.3) | |||
| 9 | 931 (44.1) | 1,182 (55.9) | |||
| ≥10 | 152 (49.5) | 164 (50.5) | |||
| Relief of fatigue after sleep | Very enough | 1,724 (40.4) | 2,542 (59.6) | 199.44 | <.001 |
| Enough | 5,127 (43.4) | 6,507 (56.6) | |||
| So-so | 9,173 (45.5) | 11,058 (54.5) | |||
| Not enough | 9,221 (48.8) | 9,529 (51.2) | |||
| Never enough | 4,263 (50.1) | 4,163 (49.9) |
| Variables | Adjusted OR† | 95% CI |
|---|---|---|
| Sleep hours (ref : 9hr) | ||
| <5 | 1.74 | 1.53~1.98 |
| 5 | 1.61 | 1.43~1.83 |
| 6 | 1.45 | 1.28~1.63 |
| 7 | 1.31 | 1.16~1.47 |
| 8 | 1.13 | 1.01~1.27 |
| ≥10 | 1.40 | 1.03~1.91 |
| Relief of fatigue after sleep (ref : very enough) | ||
| Enough | 1.17 | 1.08~1.28 |
| So-so | 1.36 | 1.26~1.47 |
| Not enough | 1.63 | 1.50~1.77 |
| Never enough | 1.77 | 1.62~1.95 |
Table 1
Unintentional Injury at School according to Sleep and Other Variables among Adolescents in Korea (N=63,307)
†Unweighted; ‡Weighed.
Table 2
Logistic Regression Analysis of Relationship between Sleep hours, Relief of Fatigue after Sleep and Injury Risk
OR=odds ratio; CI=confidential interval; †Adjusted odds ratio is Logistic regression model with gender, grade, school type, economic status, parents education level, number of physical education, current smoking and drinking as covariate.
Table 1
Table 2
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© Korean Academy of Community Health Nursing.
College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
E-mail: office@rcphn.org
© Korean Academy of Community Health Nursing.