McLay, LaurieTautolo, El-ShadanIusitini, LeonRichards, RosalinaGalland, BarbaraSchluter, Philip J2023-03-212023-03-212023-03-12Australian and New Zealand Journal of Public Health, ISSN: 1326-0200 (Print); 1753-6405 (Online), Wiley, 47(2), 100021-. doi: 10.1016/j.anzjph.2023.1000211326-02001753-6405https://hdl.handle.net/10292/15994OBJECTIVE: Sleep insufficiency is bi-directionally associated with adverse behavioural, physical and mental health outcomes in paediatric populations. However, little is known about the degree of sleep insufficiency and its effect on Pacific adolescents' wellbeing. METHODS: A cross-sectional study of 14-year old Pacific adolescents nested within a longitudinal birth cohort was conducted. Self-reported sleep duration was related to sentinel physical, mental, and risk taking behaviour measures in crude and adjusted logistic regression models. Complete case and multiple imputed analyses were conducted. RESULTS: 916 Pacific adolescents were eligible, with a mean age of 14.2 years. Valid sleep data were available from 828 (90.4%) participants, with only 220 (26.6%) meeting the recommended amount of sleep. Insufficient sleep duration was associated with significantly higher rates of depressive symptoms and risk taking behaviours. In multiple imputed analyses, increased body mass index was also significantly related. CONCLUSIONS: Sleep insufficiency is ubiquitous among Pacific adolescents and associated with negative impacts on their health and wellbeing. IMPLICATIONS FOR PUBLIC HEALTH: Insufficient sleep duration is amenable to change. Bespoke, culturally responsive public health strategies that draw attention to the importance of positive sleep practices are needed. Particularly, among adolescents who are at risk of experiencing the greatest burden of insufficient sleep.http://creativecommons.org/licenses/by-nc-nd/4.0/adolescentsmental healthPacific peoplephysical healthrisk takingsleepPacific peopleadolescentsmental healthphysical healthrisk takingsleep4203 Health Services and Systems4206 Public Health42 Health SciencesSleep ResearchBasic Behavioral and Social ScienceBehavioral and Social Science3 Prevention of disease and conditions, and promotion of well-being2 Aetiology2.3 Psychological, social and economic factors3.1 Primary prevention interventions to modify behaviours or promote wellbeingGeneric health relevance3 Good Health and Well Being1117 Public Health and Health Services1402 Applied Economics1605 Policy and AdministrationPublic Health4202 Epidemiology4203 Health services and systems4206 Public healthJournal ArticleOpenAccess10.1016/j.anzjph.2023.100021