title: Associations Between Sleep and Health-Risk Behaviors in a Rural Adolescent Population.
abstract: Insufficient sleep has been associated with engagement in a number of health-risk behaviors in adolescents, including substance use and sexual activity. Associations between sleep and health-risk behaviors in adolescents living in rural areas of the United States are not well investigated. In rural settings, adolescents' sleep patterns, lifestyle factors, and health-risk opportunities may differ from those of urban adolescents, making the independent study of sleep and health behavior associations necessary.
  
  
  
  This study examined data from the Rural Adolescent Health Survey (N = 322) administered in rural North Dakota.
  
  
  
  Rural adolescents who reported engaging in smoking, alcohol use, or drug use slept significantly less than adolescents who did not report engaging in these activities.
  
  
  
  Sleep was not associated with chewing tobacco use or risky sexual activity, which may reflect an effect of rural cultural values on sleep and health-risk behavior associations.
authors.forename: David A
authors.initials: DA
authors.lastname: Reichenberger
authors.forename: Clayton J
authors.initials: CJ
authors.lastname: Hilmert
authors.forename: Leah A
authors.initials: LA
authors.lastname: Irish
authors.forename: Molly
authors.initials: M
authors.lastname: Secor-Turner
authors.forename: Brandy A
authors.initials: BA
authors.lastname: Randall
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D000073599:Health Risk Behaviors; D006306:Health Surveys; D006801:Humans; D008297:Male; D009658:North Dakota / Q000453:epidemiology; D012309:Risk-Taking; D012424:Rural Population; D012890:Sleep / Q000502:physiology*; D012892:Sleep Deprivation / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology
keywords: Adolescent; health behavior; rural; sleep; substance use