Abstract
Smartphone addiction is regarded as a public health threat to the lives of children and adolescents. However, its association with sleep quality and quantity is poorly understood in the Korean context. This study investigated the association between smartphone addiction, sleep quality, and sleep duration among Korean school-age children. Our study employed data from the Korean Children and Youth Panel Survey of 2018–2019, which included 4287 participants. Smartphone addiction was assessed using the Smartphone Addiction Proneness Scale. A generalized estimating equation model was used to analyze the data. Children in the high-risk group showed an increased likelihood of poor sleep quality compared to those in the low-risk group (odds ratio (OR) = 1.59, confidence interval (CI) [1.06–2.38]). Children in the potential-risk and high-risk groups showed an increased likelihood of short sleep duration compared to those in the low-risk group (potential-risk: OR = 1.44, CI [1.09–1.90]; high-risk: OR = 2.25, CI [1.66–3.05]) Children who are at high risk for smartphone addiction are likely to have poor sleep quality and short sleep duration. Therefore, appropriate interventions and continuous monitoring are required to protect children from smartphone addiction and improve their sleep quality and duration.
Similar content being viewed by others
References
Haug S, et al. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addict. 2015;4(4):299–307.
Bae SM. The relationship between the type of smartphone use and smartphone dependence of Korean adolescents: National survey study. Child Youth Serv Rev. 2017;81:207–11.
Choi J, et al. A study on the relationship between smartphone usage types and smartphone dependency of elementary school students – focusing on contact and sns use. Korea Youth Res Assoc. 2020;27(5):331–54.
Hong YP, Yeom YO, Lim MH, Relationships between smartphone addiction and smartphone usage types, depression, adhd, stress, interpersonal problems, and parenting attitude with middle school students. J Korean Med Sci 2021. 36(19)
Moore M, et al. Correlates of adolescent sleep time and variability in sleep time: the role of individual and health related characteristics. Sleep Med. 2011;12(3):239–45.
Roberts RE, Roberts CR, Duong HT. Sleepless in adolescence: prospective data on sleep deprivation, health and functioning. J Adolesc. 2009;32(5):1045–57.
Chae W, et al. Changes in child abuse experience associated to sleep quality: results of the Korean children & youth panel survey. BMC Public Health. 2021;21(1):1–10.
Shin H, Jeong SH. The predictors of children and adolescents’ smartphone addiction. J Cybercommun Acad Soc. 2018;35(3):5–50.
Schweizer A, et al. Adolescents with a smartphone sleep less than their peers. Eur J Pediatr. 2017;176(1):131–6.
Ghosh T, et al. A study on smartphone addiction and its effects on sleep quality among nursing students in a municipality town of West Bengal. J Family Med Primary Care. 2021;10(1):378.
Kim S-G, et al. The relationship between smartphone addiction and symptoms of depression, anxiety, and attention-deficit/hyperactivity in South Korean adolescents. Ann Gen Psychiatry. 2019;18(1):1–8.
Lee JE, et al. Relationship between mobile phone addiction and the incidence of poor and short sleep among Korean adolescents: a longitudinal study of the Korean children & youth panel survey. J Korean Med Sci. 2017;32(7):1166–72.
Kim KM, Chung US. Can money buy happiness for a family? family Income, parenting style, and life satisfaction in parents and adolescents. Clin Child Psychol Psychiatry. 2021;3(1):1–15.
Kang KI, Kang K, Kim C. Risk factors influencing cyberbullying perpetration among middle school students in Korea: analysis using the zero-inflated negative binomial regression model. Int J Environ Res Public Health. 2021;18(5):2224.
Yoon JY, Jeong KH, Cho HJ. The effects of children’s smartphone addiction on sleep duration: the moderating effects of gender and age. Int J Environ Res Public Health. 2021;18(11):5943.
National Youth Policy Institute. Korean Children and Youth Panel Survey IX: Project Report. 2018 2021.12.29]; Available from: https://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE08732699&language=ko_KR
Kim D et al., Development of Korean smartphone addiction proneness scale for youth. PLoS One 2014;9(5): e97920
Internet Addiction Prevention Center. S-Scales (Smartphone Addiction Scale) For Adolescents and Adults. [cited 2021. 06.15]; Available from: https://www.iapc.or.kr/mediaView.do?idx=28&article_id=ICCART_0000000003540&type=A1#this.
National Information Society Agency. The survey on internet overdependence. 2015 [cited 2021 12.25]; Available from: https://www.korea.kr/archive/expDocView.do?docId=37377.
NHS Practitioner Health. How much sleep do children need? [cited 2021. 06.25]; Available from: https://www.practitionerhealth.nhs.uk/syndication/live-well/sleep-and-tiredness/how-much-sleep-do-kids-need.
Sohn SY et al., The association between smartphone addiction and sleep: a UK cross-sectional study of young adults. Front Psychiatry 2021;12(176): e629407.
Cha SS, Seo BK. Smartphone use and smartphone addiction in middle school students in Korea: prevalence, social networking service, and game use. Health Psychol Open. 2018;5(1):1–14.
Lee EJ, Kim HS. Gender differences in smartphone addiction behaviors associated with parent–child bonding, parent–child communication, and parental mediation among Korean elementary school students. J Addict Nurs. 2018;29(4):244–54.
Roberts J, Yaya L, Manolis C. The invisible addiction: cell-phone activities and addiction among male and female college students. J Behav Addict. 2014;3(4):254–65.
Jeong SH et al., What type of content are smartphone users addicted to?: sns vs. games. Comput Hum Behav, 2016. 54: 10–17.
Kwon M et al., The smartphone addiction scale: development and validation of a short version for adolescents. PLoS One, 2013;8(12): e83558.
Liu QX, et al. Multi-family group therapy for adolescent internet addiction: exploring the underlying mechanisms. Addict Behav. 2015;42:1–8.
Kim SH, et al. The differences in smartphone addiction symptoms between highly addicted and non-addicted among middle school students by types of risk groups. J Korean Soc School Health. 2020;33(2):67–78.
Hargittai E, Schultz J, Palfrey J, Why parents help their children lie to Facebook about age: Unintended consequences of the ‘Children’s Online Privacy Protection Act’. First Monday, 2011.
Joo HJ, et al. Association between quality and duration of sleep and subjective cognitive decline: a cross-sectional study in South Korea. Sci Rep. 2021;11(1):1–9.
Acknowledgements
Author MP designed this study, performed statistical analysis, drafted and completed the manuscript. Authors SHJ, KH, and YSP contributed to the concept and design of the study and revised the manuscript. Authors ECP and SYJ directed this study. All authors contributed to and have approved the final manuscript.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Minah Park, Sung Hoon Jeong, Kyungduk Huh, Yu Shin Park, Eun-Cheol Park, Suk-Yong Jang declare that they have no conflict of interest.
Ethical committee permission
Our study did not need to address any ethical concerns, because the KCYPS data are a secondary dataset that is available to the public and does not contain private information.
Research involving human participants and/or animals
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Park, M., Jeong, S.H., Huh, K. et al. Association between smartphone addiction risk, sleep quality, and sleep duration among Korean school-age children: a population-based panel study. Sleep Biol. Rhythms 20, 371–380 (2022). https://doi.org/10.1007/s41105-022-00377-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41105-022-00377-6