Insufficient Sleep Among US Adolescents

Дата публикации: 24-06-2026 00:00:00

To the Editor A recent Research Letter examined trends in adolescent sleep using biennial Youth Risk Behavior Survey (YRBS) data from 2007 to 2023. For most of that period, the relevant YRBS question items are nearly identical, with 1 notable exception. The screen-time question in the 2023 YRBS is substantially different from the screen time questions used in prior years. From 2007 through 2019, the YRBS asked “On the average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Include activities such as Nintendo, Game Boy, PlayStation, Xbox, computer games, and the internet).” The examples provided in parentheses changed over time, with later iterations of the YRBS citing examples such as social media, texting, and tablet use. However, the underlying construct remained largely unchanged. In contrast, the only screen-related question item in the 2023 YRBS was “How often do you use social media?” In this case, respondents were asked to give a frequency-based response (eg, “A few times a month,” “Several times a day,” etc) rather than an estimate of hours.

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