12
보건정보통계학회지 제40권제1ISSN 2287-3708(Print) ISSN 2287-3716(Online) Journal of Health Informatics and Statistics (JHIS) 2015; 40(1): 50-61 Corresponding Author: So Yeon Ryu, PhD Department of Preventive Medicine, Collage of Medicine, Chosun University, 309 Pilmundaero, Dong-gu, Gwangju 501-759, Korea. Tel: +82-62-230-6483 E-mail: [email protected] [Submitted: 2015년 01월 29일, Revised: 2015년 02월 17일, Accepted: 02월 22일] Abstract Min Jeung Park 1) , So Yeon Ryu 2)† , Jong Park 2) , Mi Ah Han 2) 박민정 1) , 류소연 2),박종 2) , 한미아 2) 1) Department of Public Health, Graduate School of Health Science, Chosun University 2) Department of Preventive Medicine, Collage of Medicine, Chosun University 1) 조선대학교 보건대학원 보건학과, 2) 조선대학교 의과대학 예방의학교실 Objectives: This study was performed to identify the effects of smartphone addiction on sleeping time and sleep deprivation among some college students. Methods: The study subjects were 287 students in a college who were using the smartphone, and data was collected by self-administered questionnaire. The used statistical analysis were t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis to find the association of smartphone ad- diction with sleeping time and sleep deprivation. Results: The smartphone addiction scores of study subjects were 32.9±6, and 17.1% of subjects was at-risk group and 5.6% was high-risk group in classifying risk groups. Mean hours of sleeping time were 6.4±1.2 and mean scores of sleep deprivation scale were 8.4±3.1. The smartphone addiction had negative correlation with sleeping time, but it was not statistically significant. However, it showed statistically significant positive correlation with sleep deprivation scale. As results of multiple regres- sion analysis, the smartphone addiction was statistically significantly associated with sleeping time (β=-0.033, p=0.001) and sleep deprivation scale (β=0.127, p<0.001). Conclusions: This study showed the smartphone addiction in college students was negatively associated with sleep. It is necessary to perform the further researches and to develop the programs for solving the problems due to smartphone addiction. Keywords: Addiction, College student, Quality of sleep, Sleeping time, Smartphone The Effects of Smartphone Addiction on Sleeping Time and Sleep Deprivation among Some College Students 일부 대학생의 스마트폰 중독이 수면시간과 수면부족에 미치는 영향

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Page 1: The Effects of Smartphone Addiction on Sleeping Time and Sleep … › 15bf › d78cbcf4e74dd6b4... · 2019-07-07 · Results: The smartphone addiction scores of study subjects were

보건정보통계학회지제40권제1호ISSN 2287-3708(Print) ISSN 2287-3716(Online)Journal of Health Informatics and Statistics (JHIS)2015; 40(1): 50-61

† Corresponding Author: So Yeon Ryu, PhD Department of Preventive Medicine, Collage of Medicine, Chosun University, 309 Pilmundaero, Dong-gu, Gwangju 501-759, Korea. Tel: +82-62-230-6483 E-mail: [email protected]

[Submitted: 2015년 01월 29일, Revised: 2015년 02월 17일, Accepted: 02월 22일]

Abstract

Min Jeung Park1), So Yeon Ryu2)†, Jong Park2), Mi Ah Han2)

박민정1),류소연2)†,박종2),한미아2)

1)Department of Public Health, Graduate School of Health Science, Chosun University2)Department of Preventive Medicine, Collage of Medicine, Chosun University

1)조선대학교보건대학원보건학과,2)조선대학교의과대학예방의학교실

Objectives: This study was performed to identify the effects of smartphone addiction on sleeping time and sleep deprivation among some college students.

Methods: The study subjects were 287 students in a college who were using the smartphone, and data was collected by self-administered questionnaire. The used statistical analysis were t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis to find the association of smartphone ad-diction with sleeping time and sleep deprivation.

Results: The smartphone addiction scores of study subjects were 32.9±6, and 17.1% of subjects was at-risk group and 5.6% was high-risk group in classifying risk groups. Mean hours of sleeping time were 6.4±1.2 and mean scores of sleep deprivation scale were 8.4±3.1. The smartphone addiction had negative correlation with sleeping time, but it was not statistically significant. However, it showed statistically significant positive correlation with sleep deprivation scale. As results of multiple regres-sion analysis, the smartphone addiction was statistically significantly associated with sleeping time (β=-0.033, p=0.001) and sleep deprivation scale (β=0.127, p<0.001).

Conclusions: This study showed the smartphone addiction in college students was negatively associated with sleep. It is necessary to perform the further researches and to develop the programs for solving the problems due to smartphone addiction.

Keywords: Addiction, College student, Quality of sleep, Sleeping time, Smartphone

The Effects of Smartphone Addiction on Sleeping Time and Sleep Deprivation among Some College Students

일부 대학생의 스마트폰 중독이 수면시간과 수면부족에 미치는 영향

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스마트폰 중독과 수면과의 관련성

Journal of Health Informatics and Statistics (JHIS), Vol. 40, No. 1, 2015

51

1. 서 론

스마트폰은휴대폰의기능에무선인터넷,컴퓨

터기능이혼합된것으로,기존의휴대폰과달리

스마트폰은컴퓨터와동일한범용운영체계를갖

고있다.또한하드웨어성능도컴퓨터수준과유

사하여문서제작,일정관리가가능할뿐만아니라

여기에휴대폰의소형기기의특성을살려개인용

컴퓨터에서사용할수없는스마트폰전용어플리

케이션이많이개발된독자적인기기로대인매체

뿐만아니라부가서비스적인욕구도충족시켜주

고있다[1].

2012년우리나라이동전화가입자는약5,300

만명으로이중3,100만명이스마트폰을사용하

고있어스마트폰은널리대중화되었다[2].하지

만스마트폰의대중화는편리함뿐만아니라여러

문제점도제시하고있다.일상생활에서스마트폰

이없으면불안감을느끼며,심지어화장실을가

면서도한손에스마트폰을들고있는등스마트

폰과분리되었을때초조감,중독등의증상들이

그예이다[3].한국방송통신위원회가보고한스

마트폰중독실태를보면전체8.4%,연령별로는

10대가11.4%,20대가10.4%로가장높아,스마트

폰의보급은필수품으로서의활용을넘어중독등

의문제를일으키는요인이되고있다[4].스마트

폰은휴대폰이면서인터넷단말기의특성을가지

고있기때문에,스마트폰중독은휴대폰중독및

인터넷중독과맥락을같이한다[5].그러나인

터넷중독은사용동기적측면에서현실도피,도

전및성취동기가있는데비해,스마트폰중독은

자기과시,체면차리기,인정에대한동기가있

으며,스마트폰사용동기에있어서청소년과대

학생은주변사람들과넓은커뮤니케이션을위

해사용한다는응답이가장높게나타나스마트

폰중독에있어대인관계와관련된요인의영향

이인터넷중독과는차별적인중독요인으로예측

해볼수있다[6].

스마트폰등에의한중독은건강과생활에부정

적영향을미친다.중독성향이강한학생일수록

자기통제감이약하고,충동성은높으며삶에대

한긍정적기대가낮고,학교생활에지장을초래

하여성적을떨어뜨리며부모를비롯한주변인과

의의사소통에문제를일으킨다[4,7].스마트폰

중독은여러가지정서적갈등과긴장감,피곤한

생활을누적시키고,급기야는경미한우울증경향

이우울성향으로발전하며,수면장애및수면부족

을초래한다고하였다[8].

수면은인체의기능을최적의수준으로회복하

고신체적,정신적피로를회복시키며에너지를

충전시켜최상의건강상태를유지하도록하는데

필수적인것으로,주어진일상생활을수행하고질

높은수준의삶을살수있도록하는데매우중요

하다[9].청소년들은인지적성취도및객관적/주

관적감성수준에있어서수면부족이성인에비해

더취약하다[10].청소년의수면부족은학업성취

도저하는물론이고,우울,충동성등을수반하며

[10],대학생들의적절한수면은정서적안녕,신

체적안녕,활력요인에서더낳은삶의질과관련

이있다고알려졌다[11].

대학생들에게휴대폰은민감증과집착증을유

발함으로써스트레스를줄수있으며,수면장애와

도연관될수있다.수면중휴대폰에도착한메

시지,전화벨이수면을방해하여수면의질이떨

어질뿐만아니라취침전장시간통화,문자를보

는행동도뇌에서하나의자극으로작용해수면을

방해하여다음날의피로와업무능력의저하로이

어질수있다[7].더불어스마트폰의사용증가와

함께증가되는스마트폰중독은수면시간을비롯

한수면의질을떨어뜨려수면부족현상을심각하

게할수도있을것이라여겨진다.

스마트폰중독과수면부족와의관련성을평가

한기존연구결과를살펴보면,중학생및고등학

생을대상으로한연구에서인터넷중독과스마트

폰중독은수면부족을일으키고,지각,학교수업

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박민정, 류소연, 박 종, 한미아

보건정보통계학회지 제40권 제1호

52

에장해,학업성적의저하와신체발달에도영향을

미치는것으로보고하였다[12,13].이처럼스마트

폰중독과수면부족과의관련성연구는실시되고

있으나인터넷중독과스마트폰중독에관련된기

존논문들의대상은중고등학생을대상으로관련

성을파악한연구가대부분으로대학생을대상으

로한연구는미비한실정이다.스마트폰의사용

시간이나소프트웨어활용에서스마트폰사용이

제한적인중고등학생에비해상대적으로자유로

운대학생들은통화외에도인터넷및게임,소설

네트워크서비스의커뮤니티기능등을활용하며

언제어디서나쉽게사용할수있어스마트폰중

독에쉽게노출될수있다[3].더욱이스마트폰

사용인구가20-30대가가장많고,특히대학생의

사용비중이높은현실에서,대학생의스마트폰

중독에대한평가와모니터링및이로인한건강

에미치는영향등에대해알아보는것은매우중

요하다[2].

이에본연구는현재스마트폰을가장많이사

용하고있는대학생을대상으로스마트폰중독정

도를알아보고,스마트폰중독이수면에미치는

영향을알아보고자시행하였다.

2. 연구 방법

1)연구대상

G광역시G대학에재학중인대학생중스마트

폰을사용하고있는학생을본연구의모집단으로

정의하였다.해당학교를직접방문하여연구목적

과방법을설명하고설문지를배포하여연구대상

자가직접기록하게한후회수하였다.설문조사

전해당과교수님으로부터조사시행에대한승인

을받았고설문지의내용을설명한후,조사에참

여하도록하였다.편의로추출된298명을대상으

로조사를하였고,불성실한응답으로11명자료

를제외한287명을본연구의최종연구대상으로

선정하였다.자료수집기간은2013년10월7일부

터10월10일까지였다.

2)자료수집방법

구조화된자기기입식설문지를이용하여자료

를수집하였다.설문지의구성은일반적특성7문

항,건강관련특성9문항,여가관련특성4문항,

스마트폰사용과관련된특성6문항,스마트폰중

독측정척도,수면부족점수등으로이루어졌다.

(1)일반적특성

일반적특성은성별,학년,연령,학업성적,학

교생활만족도와주관적경제수준을조사하였다.

연령은실제나이를기입하도록하였으며,학교성

적과주관적경제수준은상,중,하로분류하여조

사하였고,학교생활만족도는학교생활의만족정

도를물어만족,보통,불만족으로분류하였다.

(2)건강행태특성

건강행태특성은아침식사일수,스트레스정

도,흡연상태와음주상태를조사하였다.아침식사

일수는최근일주일의아침식사일수를조사하여,

아침식사안함,1-5일,6일이상으로분류하였고,

스트레스는평상시생활중에스트레스정도를느

끼지않음,보통,많이느낌으로조사하였다.흡

연은평상시흡연여부를확인하여비흡연,과거흡

연,현재흡연으로분류하였고,음주상태는음주빈

도와1회음주량을조사하여월1회이상마시며1

회음주량이남자7잔이상,여자5잔이상을폭음

으로[14],그렇지않은사람은적정음주로정의하

여,비음주,적정음주,폭음으로분류하였다.

(3)스마트폰사용관련특성

스마트폰사용관련특성은아르바이트여부,여

가시간,스마트폰하루총사용시간,스마트폰사

용요금등을조사하였다.여가시간은공부목적이

아닌TV시청,PC사용시간을조사하여하루1시

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스마트폰 중독과 수면과의 관련성

Journal of Health Informatics and Statistics (JHIS), Vol. 40, No. 1, 2015

53

간미만,하루1시간-3시간미만,하루3시간이

상으로분류하였고,스마트폰사용시간은1시간

미만,3시간미만,5시간미만,8시간미만과8시

간이상으로분류하였다.스마트폰사용요금은4

만원미만,6만원미만,8만원미만과8만원이

상으로조사하였다.

(4)스마트폰중독척도

스마트폰중독은한국정보화진흥원(2011)에서

개발한 표준화된 스마트폰 중독 자가진단척도

(smartphoneaddictionscale)를사용하였다[15].

이도구는총15문항,4개의하위영역(일상생활

장애,가상세계지향성,금단,내성)으로이루어

졌다.각문항은전혀그렇지않다(1점),그렇지

않다(2점),그렇다(3점),매우그렇다(4점)인4점

리커트척도로응답하도록하였으며,총점범위

는15점에서60점까지로점수가높을수록스마트

폰중독성향이높음을의미한다.본연구에서사

용한스마트폰중독척도의신뢰도는Cronbach's

alpha=0.89이었다.

스마트폰중독분류는고위험사용자군,잠재적

위험사용자군,일반사용자군으로구분하였고,고

위험사용자군은총점44점이상또는일상생활장애

15점이상이면서금단13점이상과내성13점이상

을모두충족하는경우이며,잠재적위험사용자군

은총점40점이상에서43점이하또는일상생활장

애14점이상인경우이고,일반사용자군은위의두

집단중어느하나에도속하지않는집단이다[15].

(5)수면

수면과관련해서는하루평균수면시간과수면

부족정도를측정하였다.하루평균수면시간은주

중의평균수면시간을시간단위로기록하도록하

였으며,수면부족척도는Massetal.[16]이개발

한수면부족척도(sleepdeprivationscale)를번역

한도구를사용하여측정하였다[12,13].이척도는

“잠자리에서일어나기어려운지,주중에피곤함을

느끼는지”등을묻는진위형15문항으로구성되어

있으며예(1점),아니오(0점)을부여한다.측정가능

한점수는0-15점이며,점수가높을수록수면이부

족한상태를의미한다.본연구에서사용한수면부

족척도의신뢰도는Cronbach'salpha=0.72이었다.

3)분석방법

본연구는SPSSVer19.0(SPSSInc.,Chicago,

IL,USA)을이용하여자료분석하였다.결과제시

는조사변수의특성에따라빈도와백분율,평균

과표준편차를이용하였다.대상자의특성에따른

수면시간과수면부족의비교는t-검정과분산분

석을이용하고,분산분석에서통계적으로유의하

였던경우사후검정(Scheffe검정)을실시하였다.

스마트폰중독과수면시간및수면부족과의관련

성은피어슨의상관분석을이용하여알아보았다.

최종적으로대학생의수면시간과수면부족에스

마트폰중독이다른영향변수의통제하에서독

립적관련성을갖는지알아보기위하여다중회귀

분석을실시하였으며,통제변수는단순분석결과

p<0.1인변수를선정하였다.독립변수중범주형

인경우는가변수처리하여분석에포함하였다.

본연구에서가설검정을위한통계적유의수준은

α=0.05로정의하였다.

3. 연구 결과

1)스마트폰중독과수면시간및수면부족

기술통계

연구대상자의스마트폰중독평균(±표준편차)

은32.82±6.86점이었다.스마트폰중독분류기

준을적용하여스마트폰사용자를분류한결과,

잠재적위험사용군17.1%,고위험사용군은5.6%

이었다. 수면시간은 평균 6.39±1.22시간이었고,

수면 부족 척도의 평균은 8.40±3.11점이었다

(Table1).

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2)대상자의특성에따른수면시간및수면

부족점수비교

(1)일반적특성에따른수면시간및수면부족점수

대상자의일반적특성에따른수면시간과수면

부족점수를비교한결과,수면시간은학년에따

라통계적으로유의한차이가있었으나,성별,학

업성적,학교생활만족도,경제상태에따른수면

시간은통계적으로유의한차이가없었다.학년

의경우1학년은평균6.49±1.12시간,2학년은

6.41±1.26시간,3학년은5.76±1.00시간으로차

이가있었다(p=0.045).수면부족점수는학업성

적과학교생활만족도에따라유의한차이가있

Table 1. Classification of smartphone addiction, and mean scores of smartphone addiction, sleeping time and sleeping deprivation

Variables N (%), M±SD

Classificationofsmartphoneaddiction

Normal user 222 (77.4)

Potentially risk user 49 (17.1)

High risk user 16 (5.6)

Smartphone addiction (score) 32.82±6.86

Sleeping time (hr) 6.39±1.22

Sleep deprivation (score) 8.40±3.11

Age (yr) 20.64±1.97

M±SD: mean±standard deviation

Table 2. The comparisons of sleeping time and sleep deprivation by general characteristics

Variables N (%)Sleeping time (hr) Sleep deprivation (score)

M±SD p M±SD pGender Male 139 (48.4) 6.47±1.31 0.258 8.08±3.19 0.086 Female 148 (51.6) 6.31±1.14 8.71±3.02

Grade 1 (A) 107 (37.3) 6.49±1.12 0.045 8.69±2.99 0.425 2 (B) 159 (55.4) 6.41±1.26 A>C 8.28±3.19 3 (C) 21 (7.3) 5.76±1.00 7.90±3.19

School performance Upper (A) 42 (14.6) 6.40±1.15 0.538 7.35±2.23 0.014 Middle (B) 208 (72.5) 6.35±1.22 8.44±3.28 A<C Lower (C) 37 (12.9) 6.59±1.38 9.38±2.71

Satisfaction with school life Upper (A) 121 (42.2) 6.40±1.23 0.961 8.06±3.11 0.016 Middle (B) 139 (48.4) 6.37±1.23 8.40±3.09 A<C Lower (C) 27 (9.4) 6.44±1.22 9.96±2.83

Economic status Upper 39 (13.6) 6.39±1.25 0.901 8.68±3.15 0.417 Middle 172 (59.9) 6.41±1.22 8.40±3.08 Lower 76 (26.5) 6.31±1.22 7.87±3.21

M±SD: mean±standard deviation, tested by t-test or ANOVA

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었으며,학년에따른수면부족점수는학업성적

이상인경우7.35±2.23점,중8.44±3.28점,하

9.38±2.71점으로성적이높을수록수면부족점

수가낮았다(p=0.014).학교생활만족의경우도

만족하는경우평균수면부족점수는8.06±3.11

점,보통8.40±3.09점,불만족9.96±2.83점으로

만족할수록수면부족점수가낮았다(p=0.016).

성별,학년,경제상태에따른수면부족점수는유

의한차이가없었다(Table2).

(2)건강관련특성에따른수면시간및수면부족

점수비교

대상자의건강행태특성에따른수면시간및수

면부족점수를비교한결과,아침식사일수,스트

레스,흡연,음주상태와통계적으로유의한관련

이없었다(Table3).

(3)스마트폰사용관련특성에따른수면시간및

수면부족점수비교

대상자의스마트폰사용관련특성에따른수

면시간및수면부족점수를비교한결과,수면시

간은여가시간에서통계적으로유의한차이가있

었으나,스마트론사용시간과사용요금과는유의

한차이가없었다.여가시간이1시간미만인경우

수면시간은 6.08±1.06시간, 3시간미만인경우

6.21±1.19시간,3시간이상인경우6.89±1.24시간

으로차이가있었다(p<0.001).수면부족점수는아

르바이트여부에따라유의한차이가있었으나,스

마트론사용시간과사용요금과는유의한관련이없

었다.아르바이트여부에따른수면부족점수는아

르바이트를하는경우9.07±2.96점,하지않는경우

8.19±3.13점으로아르바이트를하는경우에수면부

족점수가유의하게높았다(p=0.039)(Table4).

Table 3. The comparisons of sleeping time and sleep deprivation by health behaviors

Variables N (%)Sleeping time (hr) Sleep deprivation (score)

M±SD p M±SD p

Breakfast (day/wk)

0 95 (33.1) 6.44±1.25 0.880 8.23±2.49 0.068

1-5 144 (50.2) 6.37±1.24 8.78±3.39

≥6 48 (16.7) 6.35±1.16 7.62±3.23

Perception of stress

No 100 (34.8) 6.47±1.15 0.618 8.21±2.93 0.401

Little 73 (25.4) 6.41±1.16 8.19±3.20

Much 114 (39.7) 6.31±1.33 8.71±3.22

Smoking

Non-smoking 185 (64.5) 6.39±1.12 0.901 8.43±2.94 0.876

Ex-smoking 34 (11.8) 6.47±1.62 8.15±3.80

Current smoking 68 (23.7) 6.35±1.29 8.46±3.25

Alcohol drinking

None 19 (6.6) 6.74±1.05 0.087 7.89±4.19 0.286

Moderate 131 (45.6) 6.50±1.21 8.17±3.07

Binge 137 (47.7) 6.23±1.26 8.70±2.98

M±SD: mean±standard deviation, tested by t-test or ANOVA

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Table 4. The comparisons of sleeping time and sleep deprivation by smartphone using related characteristics

Variables N (%)Sleeping time (hr) Sleep deprivation (score)

M±SD p M±SD pPart-time job Yes 70 (24.4) 6.19±1.25 0.109 9.07±2.96 0.039 No 217 (75.6) 6.46±1.21 8.19±3.13

Leisure time (hr/day) < 1 (A) 39 (13.6) 6.08±1.06 <0.001 7.97±3.26 0.650 1-2 (B) 165 (57.5) 6.21±1.19 A<C 8.46±3.04≥3(C) 83 (28.9) 6.89±1.24 8.49±3.21

Daily using time of smartphone <1 hr 55 (19.2) 6.51±1.32 0.464 7.87±3.15 0.0731≤hr<3 71 (24.7) 6.18±1.15 7.84±3.163≤hr<5 73 (25.4) 6.53±1.27 8.51±3.195≤hr<8 49 (17.1) 6.35±1.30 9.00±2.87≥8hr 39 (13.6) 6.38±1.04 9.20±2.92

Monthly fee for smartphone <40,000 20 (7.0) 6.20±1.44 0.467 8.60±2.82 0.22740,000≤won<60,000 95 (33.1) 6.52±1.18 8.28±3.1060,000≤won<80,000 144 (50.2) 6.31±1.17 8.24±3.02≥80,000 28 (9.8) 6.54±1.53 9.54±3.71

M±SD: mean±standard deviation, tested by t-test or ANOVA

(4)스마트폰중독과수면시간및수면부족점수

의상관관계

스마트폰중독과수면시간,수면부족점수의상

관관계분석결과,스마트폰중독점수와수면시

간은음의상관관계가있었으나통계적으로유의

하지않았다.수면부족점수는스마트폰중독점

수와통계적으로유의한양의상관관계(r=0.34,

p<0.01)가있었다(Table5).

3)스마트폰중독이수면에미치는영향

(1)수면시간

단순분석에서p<0.1수준으로수면시간과유의한

관련이있었던변수를통제한상태에서스마트폰중

독과수면시간과의관련성을알아보았다.분석결과

스마트폰중독점수가증가할수록수면시간은통계

적으로유의하게감소하였다(β=-0.03,p=0.001).

이외에학년과여가시간(β=0.75,p=0.001)도수

Table 5. Correlation coefficients between age, sleeping time, sleeping deprivation and smartphone addiction

Variables Sleeping time (hr)

Sleep deprivation(score)

Age (yr)

Sleep deprivation (score) -0.05 - -

Age (yr) -0.01 -0.14* -

Smartphone addiction (score) -0.11 0.34** -0.23**

*p<0.05, **p<0.01

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면시간과유의한관련이있었으며,1학년인경우보

다3학년의경우수면시간이유의하게감소하였고

(β=-0.03,p=0.024),여가시간이1시간미만인경우

보다3시간이상인경우통계적으로유의하게증가

하였다(β=0.75,p=0.001).이들독립변수의의한수

면시간의설명력은10.3%였다(Table6).

(2)수면부족점수

단순분석에서p<0.1수준으로수면부족점수

와유의한관련이있었던변수를통제한상태에

서스마트폰중독과수면부족점수와의관련성

을알아보았다.분석결과스마트폰중독점수가

증가할수록수면부족점수는통계적으로유의하

게증가하였다(β=0.13,p=<0.001).나이,성별,

성적,학교생활만족도,아침식사,아르바이트여

부,스마트폰사용시간은유의한관련이없었다.

이들독립변수에의한수면부족척도점수의설

명력은17.4%였다(Table7).

Table 6. The association of smartphone addiction with sleeping time

Variables β SE p

Constants 7.32 0.40 <0.001Smartphone addiction (score) -0.03 0.01 0.001Grade (/1)

2 -0.07 0.15 0.6143 -0.64 0.28 0.024

Leisure time (/< 1 hr)1-2 0.03 0.21 0.899≥3 0.75 0.23 0.001

F (p)=7.54 (<0.001), R² = 0.10β: regression coefficient, SE: standard error, tested by multiple regression analysis

Table 7. The association of smartphone addiction with sleeping deprivation

Variables β SE p

Constants 8.34 3.12 0.008Smartphone addiction (score) 0.13 0.03 <0.001Age (yr) -0.08 0.12 0.502Gender (female/male) -0.20 0.45 0.658School performance (/lower)

Upper -1.14 0.72 0.112Middle -0.84 0.54 0.123

Satisfaction with school life (/lower)Upper -0.96 0.66 0.148Middle -1.00 0.64 0.119

Breakfast (/0 day/wk)1-5 0.37 0.39 0.351≥6 -0.49 0.53 0.360

Part time job (yes/no) 0.68 0.42 0.105Daily using time of smartphone (/<1 hr)1≤hr<3 -0.32 0.54 0.5583≤hr<5 -0.01 0.56 0.9925≤hr<8 0.13 0.63 0.837≥8hr 0.28 0.66 0.676

F (p)=3.56 (<0.001), R² =0.17β: regression coefficient, SE: standard error, tested by multiple regression analysis

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4. 고 찰

본연구는현재스마트폰을가장많이사용하

고있는대학생을대상으로스마트폰중독정도를

파악하고,스마트폰중독이수면시간과수면부족

점수에미치는영향을알아보기위하여수행하였

다.스마트폰중독점수는32.9±6.9점이었고,대

학생을대상으로한연구에서보고한32.5±7.6점

과비슷하였다[17].

스마트폰중독률은고위험사용군(스마트폰중

독집단)5.6%,잠재적위험사용군(스마트폰중

독위험집단)이17.1%였고,이를합산한분율은

22.7%였다.대학생을대상으로본연구와동일하

게스마트폰자가진단척도를사용한연구[18]에

서는스마트폰중독집단이10.3%,스마트폰중독

위험집단이21.4%로본연구보다더높았다.이러

한차이가있는이유는대상자의전공영역에따라

스마트폰이용의차이를보고하였고[6],이에따

라선행연구는일반계열의대학생을대상으로한

것에비해,본연구는보건계열학생만을대상으

로하였기때문인것으로생각된다.그러나본연

구에서도대상자의1/5정도가중독에노출되어있

고,이는전공여부를떠나심각한문제임을시사

한다고생각된다.

대학생들은중고등학생들에비해부모나주위

사람으로부터통제를거의받지않고,스마트폰

이용에도제한을받지않기때문에사회적인환

경에서도중독위험에많이노출되어있다고하였

다[19].이로인해대학생들의중독률은앞으로

더증가될것으로예상되며,정부나민간단체에

서는스마트폰중독과관련된캠페인을통해일상

생활의부정적인측면들로인해다양한폐해를유

발한다는사실을인식시키기위한노력이필요할

것으로생각된다.스마트폰이보급됨에따라인터

넷사용이스마트폰으로대체되는경향성을보이

고있고,그에따른스마트폰사용시간이급증할

수있다는점을고려하여스마트폰의문제적사용

에대한신속한개입이필요할것이다[15].또한

스마트폰의소셜미디어(SNS)의과도한습관적사

용이불안이나억압등의심리적인문제를가중시

킬뿐만아니라신체적건강에도좋지않은영향

을줄수있으며,디지털세대로불리는세대에게

중독적특징이더심각해질수있을것으로생각

되며지속적인모니터링과대책마련이필요할것

으로생각된다[3].

적정수면시간이란잠을자고일어났을때아침

에일어나서피곤하지않고낮동안졸리지않게

생활할수있는수면시간을말한다.적정수면시

간보다길거나짧은수면시간은자극에대한반응

속도기억력이둔화되는등의뇌기능감소뿐아

니라피로감의누적과환각증상유발과같이건

강에도영향을준다[20].본연구대상인대학생

의평균수면시간은6.4±1.2시간으로,국민건강

영양조사에서보고한우리나라성인의평균수면

시간인6.9시간보다적었다[21].본연구결과에는

제시하지않았으나7시간을적정시간으로정의했

을때연구대상자의27.5%가적정수면시간을취

하고있었고,대상자의72.5%가짧거나긴수면시

간을취하고있음을알수있었다.

또한수면부족척도를이용한수면부족점수는

평균8.4±3.1점으로전체15개수면방해요소중

절반이상에해당됨을알수있었다.대학생들의

수면습관은앞으로사회생활과건강을유지하는

데하나의습관으로이어질수있다[22].따라서

충분한수면시간확보와양질의수면을취하기위

한적절한수면환경의조성이필요하고,이를위

해서수면에영향을미칠수있는요인의파악과

이를중재할수있는전략과방법의모색이이루

어져야할것으로생각된다.본연구는그전략마

련에기초자료를제공하고자가능한요인중스마

트폰중독과의관련성을파악하였다.

스마트폰중독점수는수면시간과수면부족점

수에서상관관계가있었다.연구결과에제시되지

않았지만스마트폰중독척도의하부요인별수면

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스마트폰 중독과 수면과의 관련성

Journal of Health Informatics and Statistics (JHIS), Vol. 40, No. 1, 2015

59

시간과의상관분석결과통계적으로유의하였고,

수면부족점수와는통계적으로유의한관련이있

었다.이는다른변수들의영향을통제하고분석

한다중회귀분석결과에서도유지되었다.

중고등학생을대상으로한연구에서도수면부

족점수와스마트폰중독관련성연구에영향을

미치며스마트폰에중독이될수록올바르지못한

수면습관이증가하는것으로보고하였다[13].스

마트폰중독은높은공격성과분노,우울,피로,

좌절등이나타나며,이는인터넷게임중독자들

이비중독자들에비해심리적으로우울,충동성,

공격성,대인불안이높다.인터넷게임중독의상

위개념인인터넷중독이스마트폰의주요기능중

하나인인터넷이포함되어있기때문이다.이것을

예로스마트폰은인터넷중독과게임중독의역기

능과그안에포함된다양한콘텐츠의역기능을

포함하기에스마트폰중독적사용은수면부족에

영향을미친다[12].스마트폰중독과수면부족과

의관련성에대한연구는아직활발하게진행되고

있지는않지만,인터넷의발달은여러가지정서

적갈등과긴장감,피곤한생활이누적되어급기

야는우울성향으로발전하며,수면장애및수면

부족을초래한다고하였을때,중독의일종인스

마트폰중독도수면부족을유발시키는원인이라

고하였다[8].휴대폰과스마트폰중독이된다

는것은많은시간을그행위를위해투자하게되

는것인데일과시간에는스마트폰사용이제한이

있기때문에여가시간을활용하게되고,시간이

부족하다면수면시간을사용하게될수밖에없다

[12].이러한이유로대학생의수면건강에있어스

마트폰중독은매우중요한영향을미칠수있을

것으로생각되고,수면시간및질에대한연구의

진행이필요하다고생각된다.

본연구의제한점은첫째,단면조사로수행된

연구이기때문에스마트폰중독과수면부족과의

시간적선후관계를알수없어정확한인과관계

를제시할수없었다.둘째,대학생을대상으로했

으나일개대학에서편의추출한대상으로하였다

는한계점과전체대학생을대표한다고일반화하

기에는무리가있다.셋째,스마트폰중독과수면

부족에관한연구의부족으로인해본연구는탐

색적연구라는제한점을가진다.선행연구수가

절대적으로부족했기에추후연구에서는본연구

를포함한다양한결과를바탕으로하여다양한

구조적모형의제시와함께검증이이루어져야할

것으로생각된다.

본연구결과,스마트폰중독은수면시간및수

면부족점수에영향을미침을알수있었다.스마

트폰중독에대하여자각하고,불필요한스마트폰

사용시간을줄이고스마트폰이외에관심을갖고

활동할수있는여가시간을갖도록하는것이중

요하리라생각된다.또한스마트폰의문제적사용

으로인해수면시간의감소와수면의질이저하되

고,일상생활에지장을초래할수있으므로건강

한스마트폰사용문화를정착시키는것이중요할

것으로생각된다.

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