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Association Between Total Sleep Duration and Suicidal Ideation: Based on 14th Korean Youth Health Behavior Survey

제14기(2018년) 청소년건강행태조사 자료를 이용한 청소년 총 수면시간과 자살 생각 사이의 연관성

  • Kim, Jae-Hyun (Department of Health Administration, College of Health Science, Dankook University) ;
  • Kang, Seung-Ho (Department of Health Administration, College of Health Science, Dankook University) ;
  • Jeong, Da-Young (Department of Health Administration, College of Health Science, Dankook University) ;
  • Choi, Jung-Yeoun (Department of Health Administration, College of Health Science, Dankook University) ;
  • Boo, Yoo-Kyung (Department of Health Administration, College of Health Science, Dankook University)
  • 김재현 (단국대학교 보건과학대학 보건행정학과) ;
  • 강승호 (단국대학교 보건과학대학 보건행정학과) ;
  • 정다영 (단국대학교 보건과학대학 보건행정학과) ;
  • 최정연 (단국대학교 보건과학대학 보건행정학과) ;
  • 부유경 (단국대학교 보건과학대학 보건행정학과)
  • Received : 2019.11.06
  • Accepted : 2019.12.06
  • Published : 2019.12.31

Abstract

This study demonstrates the association between total sleep duration of adolescents, and its effects on their physical and mental health. Chi-square test and the multiple logistic regression model were applied to analyze the data collected in 2018 by the Korean Youth Health Behavior Survey (n = 52,928), conducted by the Korea Centers for Disease Control & Prevention. Our analysis indicates increased suicidal ideation with insufficient total sleep duration as per the recommended amount and grade (OR: 1.17, 95% CI: 1.06-1.29, p-value: 0.00]. Especially, insufficient sleep among adolescent girls significantly increases the risk of suicidal thoughts (OR: 1.22, 95% CI: 1.06-1.41, p-value: 0.01). Sufficient sleep showed reduced risk of suicidal ideation among boys (OR: 0.83, 95% CI: 0.71-0.96, p-value: 0.02). We propose that to reduce the risk of suicide among teenagers, policy considerations are required to ensure sufficient sleep.

본 연구의 목적은 청소년기의 총수면의 양과 그들의 정신적 건강 사이의 중요성을 알아보기 위해 2018년 청소년 건강행태온라인조사자료를 이용하여 총소년 총 수면시간과 자살생각 사이의 연관성을 규명하기 위해 수행하였다. 연구방법은 청소년건강온라인조사자료를 활용하여 카이제곱검정과 다중로지스틱회귀분석을 실시하여 결과를 도출하였다. 분석결과 수면의 질을 보정한 상태로 청소년들의 총 수면시간과 자살 생각 사이의 연관성을 분석한 결과 청소년들이 본인의 나이에 충분하다고 권장되는 시간을 충족하지 못하는 수면 양상을 보일 때 자살 생각을 하는 경향이 증가하는 것으로 나타났다. (OR: 1.17, 95% CI:1.06-1.29, p-vaule: 0.00) 이를 성별에 따라 층화분석한 결과 남학생의 경우에는 충분한 수면이 보장되면 자살 생각을 하는 빈도가 낮아지는 경향을 보이는 반면(OR:0.83, 95% CI:0.71-0.96, p-value:0.02), 여학생의 경우에는 남학생과는 반대로 충분한 수면이 보장되지 못할 때 자살 생각의 빈도가 높아지는 것으로 나타났다(OR:1.22, 95% CI:1.06-1.41, p-value:0.01). 이처럼 청소년들의 성별과 수면의 양상에 따라 총 수면시간이 자살 생각에 대해 미치는 영향이 다르기 때문에 10대의 자살 위험성을 낮추기 위해 이들의 생활습관에 맞는 새로운 정책적 고려가 필요할 것으로 생각된다.

Keywords

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