Sleep Duration and Injury-Related Risk Behaviors Among High School Students — United States, 2007–2013
Open accessAbstract
Insufficient sleep is common among high school students and has been associated with an increased risk for motor vehicle crashes (1), sports injuries (2), and occupational injuries (3). To evaluate the association between self-reported sleep duration on an average school night and several injury-related risk behaviors (infrequent bicycle helmet use, infrequent seatbelt use, riding with a driver who had been drinking, drinking and driving, and texting while driving) among U.S. high school students, CDC analyzed data from 50,370 high school students (grades 9-12) who participated in the national Youth Risk Behavior Surveys (YRBSs) in 2007, 2009, 2011, or 2013. The likelihood of each of the five risk behaviors was significantly higher for students who reported sleeping ≤7 hours on an average school night; infrequent seatbelt use, riding with a drinking driver, and drinking and driving were also more likely for students who reported sleeping ≥10 hours compared with 9 hours on an average school night. Although insufficient sleep directly contributes to injury risk, some of the increased risk associated with insufficient sleep might be caused by engaging in injury-related risk behaviors. Intervention efforts aimed at these behaviors might help reduce injuries resulting from sleepiness, as well as provide opportunities for increasing awareness of the importance of sleep.
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Adolescents with shorter sleep duration are more likely to use substances, including caffeine, nicotine, alcohol and marijuana, and to engage in other risky behaviours.
“Moreover, adolescents with shorter sleep duration are more likely to use substances, including caffeine, nicotine, alcohol and marijuana157–159, and to engage in other risky behaviours157,160,161.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [161]
Adolescents with short sleep duration are more likely to use substances including caffeine, nicotine, alcohol, and illicit drugs, and to engage in other risky behaviors.
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From Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents (2018) · cites this paper as [58]
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Circadian Rhythms and School Start Times: The Indivisible Link Between Medicine and Education
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ASSOCIATION BETWEEN SLEEP QUALITY AND PAIN IN YOUNG AMATEUR ATHLETES
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- Authors
- Wheaton, A. G., Olsen, E. O., Miller, G. F., & Croft, J. B.
- Affiliations
- Center for Surveillance, Epidemiology, and Laboratory Services (US)
- Corresponding author
- Wheaton, Anne G.
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2016-04-08
- Volume
- 65
- Issue
- 13
- Pages
- 337-341
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- OpenAlex
- W2324926835
- Cited by
- 132
- References
- 10
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 6 · 2023: 18 · 2022: 16 · 2021: 14 · 2020: 13 · 2019: 13 · 2018: 17 · 2017: 16 · 2016: 5
- FWCI
- 24.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Center for Chronic Disease Prevention and Health Promotion
- National Center for Injury Prevention and Control
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep duration, insufficient sleep, high school students, bicycle helmet use, seat belt use, drunk driving, texting while driving, Youth Risk Behavior Surveillance System, sleepiness
- MeSH terms
- Adolescent, Female, Humans, Male, Surveys and Questionnaires, Risk-Taking, Sleep, Sleep Deprivation, Students, Time Factors, United States, Wounds and Injuries
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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