Journal
JOURNAL OF PEDIATRIC HEALTH CARE
Volume 30, Issue 4, Pages 317-322Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.pedhc.2015.08.003
Keywords
Adolescent; rural; sleep; substance use; health behavior
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Funding
- faculty development funds, Department of Nursing, North Dakota State University, Fargo, ND
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Introduction: Insufficient sleep has been associated with engagement in a number of health-risk behaviors in adolescents, including substance use and sexual activity. Associations between sleep and health-risk behaviors in adolescents living in rural areas of the United States are not well investigated. In rural settings, adolescents' sleep patterns, lifestyle factors, and health-risk opportunities may differ from those of urban adolescents, making the independent study of sleep and health behavior associations necessary. Method: This study examined data from the Rural Adolescent Health Survey (N = 322) administered in rural North Dakota. Results: Rural adolescents who reported engaging in smoking, alcohol use, or drug use slept significantly less than adolescents who did not report engaging in these activities. Discussion: Sleep was not associated with chewing tobacco use or risky sexual activity, which may reflect an effect of rural cultural values on sleep and health-risk behavior associations.
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