• Annalijn I Conklin, Christopher A Yao, and Christopher G Richardson.
• Collaboration for Outcomes Research and Evaluation (CORE), Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall Vancouver, BC V6T 1Z3, Canada; Centre for Health Evaluation and Outcome Sciences (CHÉOS), Providence Health Research Institute, St Paul's Hospital, 588 - 1081 Burrard Street, Vancouver, B.C. V6Z 1Y6, Canada. Electronic address: annalijn.conklin@ubc.ca.
• Prev Med. 2019 Jul 1; 124: 11-16.

AbstractImproving our understanding of the cumulative effects of persistent sleep problems on adolescent health has been identified as an important area of research. This prospective study aimed to ascertain prospectively gender-specific associations between quantity and quality of sleep and self-reported health. Data from a cohort of 3104 adolescents (13-18 y) with repeated measures of sleep deprivation and sleep disturbance (2011 fall, 2012 spring, 2012 fall), and self-reported health (SRH) (2011 fall, 2012 fall) were analysed with multivariable logistic regression models adjusted for confounders. The results of the regression models indicated that cumulative exposure to sleep disturbance was monotonically associated with SRH in both genders, however cumulative sleep deprivation was not associated with self-reported health among young people. Young women reporting chronic exposure to sleep disturbance had over twice the odds of reporting sub-optimal health at follow-up (OR 2.18 [CI95: 1.13, 4.22]), compared to those with no history. Similar results were found in chronically sleep disturbed young men (OR 2.41 [1.05, 5.51]). These findings suggest that chronic exposure to impaired quality of sleep, such as difficulty falling or staying asleep, is related to adolescent self-reported health and thus may be an important determinant of young people's wellbeing.Copyright © 2019 Elsevier Inc. All rights reserved.

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