Patterns and consequences of inadequate sleep in college students: substance use and motor vehicle accidents
Abstract
We examined college sleep patterns and consequences using a cross-sectional design. We found that students get insufficient sleep and frequently use medication and alcohol as sleep aids, use stimulants as alertness aids, and fall asleep at the wheel, or have motor vehicle accidents due to sleepiness. Future studies should focus on effective interventions for sleep in college students.
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In a sample of 1,039 undergraduate students, 11% reported using alcohol as a sleep aid, with higher rates in male students relative to female students (16% vs. 9.8%).
“Similarly, in a sample of 1,039 undergraduate students tracking alcohol use and sleep in daily diaries, 11% reported using alcohol as a sleep aid, with higher rates of use in male students relative to female students (16% vs. 9.8%) (Taylor & Bramoweth, 2010).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Taylor & Bramoweth, 2010
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Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. M. (2018) · Journal of American College Health · doi:10.1080/07448481.2018.1538148 · Cited by 41 · see citing works
Association between sleep quality and quality of life among students: a cross sectional study
Rezaei, O., Mokhayeri, Y., Harooni, J., Rastani, M. J., Sayadnasiri, M., Ghisvand, H., Noroozi, M., & Armoon, B. (2017) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2017-0111 · Cited by 38 · see citing works
Sleep versus non−sleep-related fatal road accidents
Kalsi, J., Tervo, T., Bachour, A., & Partinen, M. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.04.017 · Cited by 36 · see citing works
“sleep, for example, because of using alcohol or medications to induce sleep [4].”
BackgroundJones, R. D., Jackson, W. B., Mazzei, A., Chang, A., Buxton, O. M., & Jackson, C. L. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.10.005 · Cited by 39 · see citing works
College students’ using marijuana to sleep relates to frequency, problematic use, and sleep problems
Drazdowski, T. K., Kliewer, W. L., & Marzell, M. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1656634 · Cited by 37 · see citing works
“This may be a particular problem for college students who also endorse sleep problems as they may be additionally misusing alcohol and/or prescription drugs to alleviate their sleep problems—methods commonly reported by college students to help self-treat sleep difficulties.(4,8,24) However, the relative harm of marij…”
BackgroundLueke, N. A., & Assar, A. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2068350 · Cited by 37 · see citing works
The Eight Hour Sleep Challenge During Final Exams Week
Scullin, M. K. (2019) · Teaching of Psychology · doi:10.1177/0098628318816142 · Cited by 36 · see citing works
“However, many high school and college students regularly sleep less than the recommended minimum (Bryant, & Gómez, 2015; Taylor & Bramoweth, 2010).”
BackgroundComparing mental health of Facebook users and Facebook non-users in an inpatient sample in Germany.
Brailovskaia, J., Margraf, J., Schillack, H., & Köllner, V. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.08.078 · Cited by 33 · see citing works
“Moreover, it often affects individual response pattern by leading to inappropriate aggressive reactions that foster interpersonal conflicts (Lund et al., 2010; Taylor and Bramoweth, 2010).”
BackgroundPerceptions of Heavy-Drinking College Students About a Sleep and Alcohol Health Intervention
Fucito, L. M., DeMartini, K. S., Hanrahan, T. H., Whittemore, R., Yaggi, H. K., & Redeker, N. S. (2014) · Behavioral Sleep Medicine · doi:10.1080/15402002.2014.919919 · Cited by 37 · see citing works
“…which are among the leading causes of death in this age group (Gaultney, 2011; Hingson, Zha, & Weitzman, 2009; Millman, 2005; Park, 2004; Park, Mulye, Adams, Brindis, & Irwin, 2006; Singleton & Wolfson, 2009; Taylor & Bramoweth, 2010; Wechsler, Davenport, Dowdall, Moeykens, & Castillo, 1994).”
BackgroundHealth Belief Structural Equation Model Predicting Sleep Behavior of Employed College Students
Knowlden, A. P., & Sharma, M. (2014) · Family & Community Health · doi:10.1097/fch.0000000000000043 · Cited by 35 · see citing works
Impact of a sleep course on sleep, mood and anxiety symptoms in college students: A pilot study
Baroni, A., Bruzzese, J., Bartolo, C. A. D., Ciarleglio, A., & Shatkin, J. P. (2017) · Journal of American College Health · doi:10.1080/07448481.2017.1369091 · Cited by 33 · see citing works
The role of sleep in the regulation of body weight
Léger, D., Bayon, V., & de Sanctis, A. (2015) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2015.06.030 · Cited by 34 · see citing works
“Most studies in college students indicate that they are chronically sleep deprived with self-reported average sleep duration of around 7 h per night (Taylor and Bramoweth, 2010) versus the 9e10 h usually recommended for adolescents.”
BackgroundPeltz, J. S., Rogge, R. D., Pugach, C. P., & Strang, K. (2016) · Emerging Adulthood · doi:10.1177/2167696816674551 · Cited by 32 · see citing works
“Approximately 10% of college students report using alcohol as a sleep aid, despite research demonstrating that alcohol consumption is associated with both nonrestorative (i.e., poor quality) and less sleep (Galambos et al., 2009; Roehrs & Roth, 2001; Taylor & Bramoweth, 2010).”
BackgroundEffect of Music Therapy on Sleep Quality.
Kavurmacı, M., Dayapoğlu, N., & Tan, M. (2020) · PubMed · Cited by 30 · see citing works
Kırcaburun, K., & Tosuntaş, Ş. B. (2017) · Biological Rhythm Research · doi:10.1080/02723646.2017.1352918 · Cited by 30 · see citing works
Superwomen and Sleep: an Assessment of Black College Women Across the African Diaspora
McLaurin-Jones, T. L., Anderson, A. S., Marshall, V. J., Lashley, M.-B., & Carter-Nolan, P. L. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09930-4 · Cited by 28 · see citing works
“Research suggests that students may turn to alcohol as a sleep aid [1, 34].”
BackgroundJansen, E. C., Peterson, K. E., O'Brien, L. M., Hershner, S. D., & Boolani, A. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1626728 · Cited by 26 · see citing works
“…LLC including obesity and cardiometabolic morbidity (Quick et al., 2014), depression and anxiety (Concepcion et al., 2014), motor vehicle crashes (Taylor & Bramoweth, 2010), alcohol consumption and substance use (Hasler et al., 2017; Van Reen et al., 2016), and difficulties with learning,…”
BackgroundDuffield, T. C., Lim, M. M., Novak, M. A., Lin, A. L., Luther, M. N., Williams, C. N., & Piantino, J. A. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.06.009 · Cited by 28 · see citing works
Circadian Computing: Sensing, Modeling, and Maintaining Biological Rhythms
Abdullah, S., Murnane, E. L., Matthews, M. L., & Choudhury, T. (2017) · Springer eBooks · doi:10.1007/978-3-319-51394-2_3 · Cited by 24 · see citing works
“For younger populations, disruption can increase the risk of drug and alcohol use [97, 104] and produce cognitive impairments and learning deficits [15].”
BackgroundA qualitative exploration of adolescent perceptions of healthy sleep in Tucson, Arizona, USA
Orzech, K. M. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.05.001 · Cited by 25 · see citing works
Papaconstantinou, E. A., Quick, V., Vogel, E., Coffey, S., Miller, A., & Zitzelsberger, H. (2020) · Clocks & Sleep · doi:10.3390/clockssleep2020016 · Cited by 25 · see citing works
“This is concerning because daytime sleepiness negatively impacts learning, memory, and performance [19], and has been associated with an increased rate of motor vehicle collisions within the college student population [50].”
BackgroundLubas, M. M., & Szklo‐Coxe, M. (2018) · Adolescent Research Review · doi:10.1007/s40894-018-0100-9 · Cited by 24 · see citing works
“2008; Taylor and Bramoweth 2010; Taylor et al.”
BackgroundInfluentialThe 8–Hour Challenge: Incentivizing Sleep during End–of–Term Assessments
King, E., Mobley, C., & Scullin, M. K. (2019) · Journal of Interior Design · doi:10.1111/joid.12135 · Cited by 23 · see citing works
“Sleep and Final Reviews/Exams Poor sleep habits are often heightened when students are preparing for final exams or final project deadlines (Buboltz, Brown, & Soper, 2001; Taylor & Bramoweth, 2010; Wolfson & Carskadon, 2003).”
BackgroundImpact of Nicotine and Other Stimulants on Sleep in Young Adults
Caviness, C. M., Anderson, B. J., & Stein, M. D. (2018) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000481 · Cited by 23 · see citing works
Effect of stress on sleep quality in young adult medical students: a cross sectional study
Lohitashwa, R., Kadli, N., Kisan, R., Sindhuja, A., & Deshpande, D. V. (2015) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20151391 · Cited by 22 · see citing works
Kang, M., Yan, Y., Zhang, H., Guo, C., Fan, X., Sekhar, C., Lian, Z., Wargocki, P. L., & Lan, L. (2024) · Building and Environment · doi:10.1016/j.buildenv.2024.111531 · Cited by 22 · see citing works
Using Alcohol and Cannabis as Sleep Aids: Associations with Descriptive Norms Among College Students
Graupensperger, S. A., Hultgren, B. A., Fairlie, A. M., Lee, C. M., & Larimer, M. E. (2022) · Behavioral Sleep Medicine · doi:10.1080/15402002.2022.2040505 · Cited by 20 · see citing works
“Additionally, some research suggests using alcohol and cannabis as sleep aids is associated with increased alcohol-related consequences (Goodhines, Gellis, Kim, et al., 2019; Taylor & Bramoweth, 2010) and problematic cannabis use (Drazdowski et al., 2021).”
BackgroundArnedt, J. T., Conroy, D. A., Stewart, H. J., Yeagley, E. E., Bowyer, G. E., Bohnert, K. M., & Ilgen, M. A. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109835 · Cited by 20 · see citing works
King, N., Pickett, W., Keown‐Stoneman, C. D. G., Miller, C. B., Li, M., & Duffy, A. C. (2023) · BJPsych Open · doi:10.1192/bjo.2023.597 · Cited by 21 · see citing works
Jackson, C. L., Gaston, S. A., Liu, R., Mukamal, K. J., & Rimm, E. B. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15030557 · Cited by 20 · see citing works
“The general public may lack awareness of the potential harms associated with using alcohol to initiate sleep [20,21].”
BackgroundResearch on freshman and sleeping habits: A text message-based sleep intervention
Jones, K., Evans, R. R., Talbott, L. L., Schoenberger, Y., Heaton, K. L., & Snyder, S. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1626860 · Cited by 20 · see citing works
Hasler, B. (2024) · Alcohol research · doi:10.35946/arcr.v44.1.02 · Cited by 20 · see citing works
Assessment of Nutritional Status and Sleep Quality of University Students
Uysal, H., Ayvaz, M. Y., Oruçoğlu, H. B., & Say, E. (2018) · Journal of Turkish Sleep Medicine · doi:10.4274/jtsm.69775 · Cited by 19 · see citing works
“Öğrencilerin uyumak için sıklıkla alkol uyanıklık için ise kafeinli içecek tükettiği bildirilmektedir (25-27).”
Daytime sleepiness and academic performance among Arab medical students
Alzahrani, J. M., Aldossari, K. K., Abdulmajeed, I., Al-Ghamdi, S. H., Al-Shamrani, A. M., & Al-Qahtani, N. S. (2016) · PubMed Central · doi:10.3978/j.issn.2072-1439.2016.ab006 · Cited by 16 · see citing works
“observed that reduced family supervision, exposure to new environment and difficulties encountered during study can lead to irregular sleep patterns and hence, sleep deprivation [13].”
BackgroundChiang, Y. C., Arendt, S. W., & Sápp, S. G. (2020) · International Journal of Higher Education · doi:10.5430/ijhe.v9n3p202 · Cited by 17 · see citing works
“%) reported by another undergraduate-focused study (Taylor & Bramoweth, 2010).”
MethodStress, Sleep and Performance in International and Domestic University Students
Tan, C. P. Y., & Greenwood, K. M. (2021) · Journal of International Students · doi:10.32674/jis.v12i1.3299 · Cited by 38 · see citing works
“The increasing demands of a university education often result in irregular sleep schedules and a higher risk of sleep disorders (Chokroverty, 2009; Taylor & Bramoweth, 2010).”
Background
- Authors
- Taylor, D. J., & Bramoweth, A. D.
- Affiliations
- University of North Texas (US)
- Corresponding author
- Taylor, Daniel J.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 46
- Issue
- 6
- Pages
- 610-612
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W1963646542
- Cited by
- 207
- References
- 13
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 15 · 2023: 11 · 2022: 9 · 2021: 17 · 2020: 19 · 2019: 16 · 2018: 17 · 2017: 20 · 2016: 18 · 2015: 10 · 2014: 26 · 2013: 10 · 2012: 7
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- insufficient sleep, university students, sleep patterns, substance use, sleep medication, stimulants, motor vehicle accidents, drowsy driving, sleepiness
- MeSH terms
- Accidents, Traffic, Adolescent, Caffeine, Cross-Sectional Studies, Female, Humans, Male, Surveys and Questionnaires, Sleep Deprivation, Students, Universities, Substance-Related Disorders, Young Adult
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