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Published on: October 2, 2019
Cultural influences on the bedtime behaviors of young children
Valerie McLaughlin Crabtree1, Jessica Beal Korhonen, Hawley E Montgomery-Downs
1Division of Pediatric Sleep Medicine and Kosair Children's Hospital Research Institute, Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd St., Ste. 439, Louisville, KY 40202, USA. valerie.crabtree@louisville.edu
Insights
Race and socioeconomic status (SES) significantly impact children's sleep behaviors. Lower SES is linked to poorer sleep, while African-American children experience shorter sleep durations due to later bedtimes.
Area of Science:
- Pediatric Sleep Medicine
- Sociodemographic Factors in Child Health
Background:
- Childhood sleep behaviors are influenced by various factors.
- Understanding the role of race and socioeconomic status (SES) in pediatric sleep is crucial.
Purpose of the Study:
- To investigate the association between race, socioeconomic status (SES), and bedtime behaviors in young children.
- To identify how race and SES independently and interactively affect children's sleep.
Main Methods:
- A validated sleep questionnaire was administered to parents of children aged 2-7 years.
- Race (African-American, Caucasian) and socioeconomic status (SES) (using median zip code income) were analyzed.
- Sleep behavior scores were generated for excessive daytime sleepiness and sleep-related behaviors.
Main Results:
- Children from lower SES backgrounds exhibited significantly more impaired sleep behavior scores compared to higher SES groups.
- African-American children had later bedtimes than Caucasian children, leading to shorter sleep duration and increased daytime sleepiness, independent of SES.
- Socioeconomic status (SES) was independently associated with parentally reported sleep-related behavior problems.
Conclusions:
- Race and SES are significant, independent factors influencing children's sleep patterns and behaviors.
- Cultural variables, including race and SES, play a critical role in modifying sleep in children.
- Sleep education programs should consider race and SES to effectively address sleep-related issues in children.
Background And Purpose:
This study was designed to assess potential relationships of race and socioeconomic status (SES) to bedtime behavior from a community sample of 2- to 7-year-old children.
Patients And Methods:
A previously validated sleep questionnaire was administered to parents of children enrolled in the Jefferson County, Kentucky school system. The sleep behavior of African-American (n=973) and Caucasian (n=2398) children was analyzed. Median annual income of residential zip codes was used as a proxy for SES.
Results:
Mean age was 4.8+/-1.1 years. Two composite 'sleep behavior scores' were generated related to excessive daytime sleepiness and sleep-related behavior. Children in the lower SES group had significantly more impaired 'sleep behavior scores' than those in the higher SES group, regardless of race or age. African-American children had later bedtimes than Caucasian children with similar rise times, resulting in significantly shorter sleep duration and more excessive daytime sleepiness, independent of SES and age.
Conclusions:
Cultural variables impact sleep-related behavior in children. Race and SES have independent relationships with sleep behavior. Independent of SES, African-American children sleep less due to later bedtimes. SES does play a role, however, in parentally reported sleep-related behavior problems. Thus, cultural variables such as race and SES are important modifiers of sleep behaviors in children and should be addressed in sleep education programs.
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