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To identify adolescents' substance use and its association to sleep disturbances.

Databases were searched using terms: “smoking”, “tobacco use”, “electronic cigarette”, “alcohol drinking”, “marijuana use” and “substance use” combined with “sleep” and “adolescents”. Articles were selected based on: adolescents residing in North America, aged between 10 and 21 years old, examining substance use and sleep disturbances as a dependent variable, and published within 10 years. The Buysse's sleep health RuSATED framework was used for analysis.

Thirteen articles were reviewed establishing the relationship between tobacco, alcohol and marijuana use and sleep disturbances. Positive associations were reported between all substances used and sleep disturbances in sleep health domains of Regularity, Timing, Efficiency, and Duration. Alertness problems were also positively associated …