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Published on: October 2, 2019
Effects of the home environment on school-aged children's sleep
James C Spilsbury1, Amy Storfer-Isser, Dennis Drotar
1Department of Pediatrics, Division of Behavioral Pediatrics, Rainbow Babies & Children's Hospital, Case School of Medicine, Cleveland, OH 44106-6038, USA. jcs5@case.edu
Insights
A supportive home environment encouraging social maturity in children is linked to better sleep. This includes longer sleep duration and more consistent bedtimes for elementary school-aged children.
Area of Science:
- Pediatric Sleep Medicine
- Child Development
- Environmental Psychology
Background:
- Sleep is crucial for elementary school-aged children's health and development.
- Home environment characteristics can significantly influence child behavior, including sleep patterns.
Purpose of the Study:
- To investigate the association between home environment factors and sleep behavior in children aged 8-11 years.
- To identify specific home environment characteristics that promote healthier sleep patterns.
Main Methods:
- Cross-sectional analysis of 449 children (50% girls, 46% African-American) from the Cleveland Children's Sleep and Health Study.
- Sleep data collected via child sleep journals and caregiver questionnaires.
- Home environment assessed using the Middle-Childhood Home Observation for Measurement of the Environment (MC-HOME) scale.
Main Results:
- Higher Encouragement of Maturity subscale scores were linked to longer sleep duration and later bedtimes (P < .05).
- In girls, higher Encouragement of Maturity scores correlated with less nightly sleep variation (P < .001).
- Increased total MC-HOME scores were associated with longer sleep duration specifically in African-American children (P < .05).
Conclusions:
- Parenting styles that foster social maturity in children are associated with improved sleep patterns.
- The home environment plays a significant role in shaping children's sleep behavior.
- Targeting home environment interventions may be beneficial for improving pediatric sleep health.
Study Objective:
Examine the relationship between the sleep behavior of elementary school-aged children and characteristics of the home environment.
Design:
Cross-sectional analysis of children participating in a cohort study.
Setting:
Cleveland Children's Sleep and Health Study, an ethnically mixed, urban, community-based cohort.
Participants:
Four hundred forty-nine children (50% girls, 46% African-American) aged 8 to 11 years.
Measurements And Results:
Sleep and health data were obtained from a child-completed 7-day sleep journal and caregiver-completed health and sleep questionnaire. Home-environment predictors were Middle-Childhood Home Observation for Measurement of the Environment (MC-HOME) total score and Encouragement of Maturity and Physical Environment subscale scores. Sleep outcomes were mean nightly sleep duration, night-to-night variation in sleep duration, and bedtime of 11 PM or later. Adjusted analyses showed that higher Encouragement of Maturity subscale scores were associated with longer sleep duration (P < .05) and decreased odds of a bedtime at 11 PM or later (odds ratio = .74, 95% confidence interval, .58-.95). In girls, higher Encouragement of Maturity scores were also associated with decreased nightly variation in mean sleep duration (P < .001). Increases in total MC-HOME score were associated with increased mean sleep duration among African-American children only (P < .05).
Conclusion:
Collectively, results indicate that a parenting style encouraging social maturity in children is linked to healthier sleep patterns.
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