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Short Sleep Duration and Latent Classes of Risk Profiles among Adolescents

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Objective: In this study, we sought to identify latent classes of adolescents with distinct profiles of adverse mental and behavioral health, and to determine whether short sleep duration was associated with these classes. Methods: The 2015 Youth Risk Behavior Survey data were propensity score matched with short sleep duration as the exposure. We performed latent class analysis (LCA) on 11 variables to classify adolescents into risk profiles. We used multinomial logistic regression to determine whether short sleep duration was associated with these profiles. Results: LCA identified 5 latent classes labeled: low risk, high risk for adverse mental health, high risk for substance use, high risk for poor body image, and high risk overall. Students reporting short sleep duration were more likely to be in any of the high-risk classes, compared to their counterparts, after adjusting for demographic covariates. Conclusions: Five psychosocial risk profiles among adolescents were identified and the results showed strong associations between short sleep duration and these profiles. Thus, the importance of proper sleep habits should be emphasized among adolescents, especially for those exhibiting adverse and co-occurring mental and behavioral health.
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Keywords: ADOLESCENT HEALTH; ALCOHOL; DRUG USE; MENTAL HEALTH; PUBLIC HEALTH; SLEEP AND SLEEP DISORDERS

Document Type: Research Article

Publication date: January 1, 2020

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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