小児期の睡眠時間の短さと就寝時間の遅さが、将来の薬物使用と関連している(Less sleep and later bedtime in childhood linked to future substance use)

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2024-08-13 ペンシルベニア州立大学(PennState)

小児期の睡眠時間の短さと就寝時間の遅さが、将来の薬物使用と関連している(Less sleep and later bedtime in childhood linked to future substance use)
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ペンシルベニア州立大学の研究によると、子供時代と青年期の就寝時間が遅く、睡眠時間が短いと、15歳までにアルコールやマリファナを試す可能性が高くなることが示されました。この研究は、睡眠が後の物質使用に及ぼす影響を調査し、特に学齢期の子供の睡眠改善がリスク行動の抑制に寄与する可能性を示唆しています。研究者は、睡眠と物質使用の関連性を探ることが重要であり、さらに研究を進める必要があると強調しています。

<関連情報>

小児期の睡眠は思春期のアルコールとマリファナの使用と前向きに関連する Childhood sleep is prospectively associated with adolescent alcohol and marijuana use

Akshay S. Krishnan, David A. Reichenberger, Stephen M. Strayer, Lindsay Master, Michael A. Russell, Orfeu M. Buxton, Lauren Hale, Anne-Marie Chang
Annals of Epidemiology  Available online: 21 July 2024
DOI:https://doi.org/10.1016/j.annepidem.2024.07.048

Abstract

Introduction
Prior studies have examined the cross-sectional relationship between adolescent sleep and substance use; however, fewer have explored the long-term connections between childhood sleep and adolescent substance use.

Methods
This study investigated both cross-sectional associations during adolescence and prospective associations between childhood weeknight sleep and later alcohol and marijuana use in the Future of Families and Child Wellbeing Study, a diverse national birth cohort of urban children from 20 cities with populations greater than 200,000. Parents reported their child’s bedtime at ages 3, 5, and 9 and their child’s sleep duration at ages 5 and 9.

Results
At age 15, adolescents self-reported their bedtime, sleep duration, and alcohol and marijuana use (n = 1514). Logistic regression analyses for each substance use outcome at age 15 were adjusted for sex, age at time of assessment, race/ethnicity, income-relative-to-poverty threshold, family structure, and caregiver education level. At age 15, later bedtime (AOR=1.39; 95 % CI=1.22, 1.57) and shorter sleep duration (AOR=1.28; 95 % CI=1.14, 1.43) were associated with greater odds of consuming a full drink of alcohol more than once, and later bedtime was associated with greater odds of trying marijuana (AOR=1.35; 95 % CI=1.20, 1.51). Unexpectedly, later bedtimes at age 3 were associated with lower odds of drinking alcohol by age 15 (AOR=0.74; 95 % CI=0.59, 0.92). In contrast, later bedtimes at age 9 were associated with greater odds of drinking alcohol (AOR=1.45; 95 % CI=1.11, 1.90). Additionally, later bedtime at age 5 (AOR=1.26; 95 % CI=1.01, 1.58) and shorter sleep duration at age 9 (AOR=1.19; 95 % CI=1.04, 1.36) were associated with greater odds of trying marijuana. Conclusion: Taken together, these associations support the importance of protecting childhood sleep habits to reduce the likelihood of substance use starting as early as mid-adolescence.

Implications and contribution
In this longitudinal cohort study, adolescents were more likely to have consumed alcohol or tried marijuana by age 15 if they had later bedtimes and shorter sleep duration during childhood and adolescence. Protecting sleep health throughout childhood may reduce the likelihood of substance use during early adolescence.

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