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Sleep Hygiene and Sleep Outcomes in a Sample of Urban Children With and Without Asthma
Sarah R Martin1,2, Julie Boergers1,2, Sheryl J Kopel1,2
1Bradley/Hasbro Children's Research Center.
Insights
Urban stress impacts children's sleep hygiene, not asthma status. Poor sleep hygiene in urban children with asthma is linked to shorter sleep duration, highlighting the need to address environmental factors.
Area of Science:
- Pediatric Sleep Science
- Environmental Health
- Asthma Research
Background:
- Urban children face unique environmental stressors.
- Asthma is a common comorbidity affecting children's health.
- Sleep hygiene and environment are crucial for child development.
Purpose of the Study:
- To evaluate sleep hygiene and environment in urban children with and without asthma.
- To investigate links between urban stressors, sleep hygiene, and sleep outcomes.
- To understand the role of asthma in pediatric sleep patterns.
Main Methods:
- Study included urban children aged 7-9 with (N=216) and without (N=130) asthma.
- Neighborhood risk assessed urban stress; parent questionnaires gathered sleep hygiene and sleepiness data.
- Actigraphy measured sleep duration and efficiency.
Main Results:
- Higher neighborhood risk correlated with poorer sleep hygiene, irrespective of asthma.
- Sleep hygiene influenced daytime sleepiness when controlling for neighborhood risk.
- Asthma status, not sleep hygiene, affected sleep efficiency.
- Poorer sleep hygiene was linked to shorter sleep duration in children with asthma.
Conclusions:
- Urban stressors significantly influence children's sleep hygiene.
- Addressing urban stress is vital for improving sleep outcomes in pediatric populations.
- Interventions should consider environmental factors alongside medical conditions like asthma.
Objective:
To assess sleep hygiene and the sleep environment of urban children with and without asthma, and examine the associations among urban stressors, sleep hygiene, and sleep outcomes.
Methods:
Urban children, 7-9 years old, with (N = 216) and without (N = 130) asthma from African American, Latino, or non-Latino White backgrounds were included. Level of neighborhood risk was used to describe urban stress. Parent-reported sleep hygiene and daytime sleepiness data were collected using questionnaires. Sleep duration and efficiency were assessed via actigraphy.
Results:
Higher neighborhood risk, not asthma status, was associated with poorer sleep hygiene. Controlling for neighborhood risk, sleep hygiene was related to daytime sleepiness. Asthma status, not sleep hygiene, was related to sleep efficiency. In children with asthma, poorer sleep hygiene was associated with shorter sleep duration.
Conclusion:
Considering urban stressors when treating pediatric populations is important, as factors related to urban stress may influence sleep hygiene practices and sleep outcomes.