Prospective associations between chronic youth sleep problems and young adult health
Brooke L Reidy1, Elizabeth B Raposa2, Patricia A Brennan1
1Department of Psychology, Emory University, 36 Eagle Row, Atlanta, GA 30322.
Insights
Chronic sleep problems starting in childhood can persist into young adulthood, negatively impacting health. These persistent sleep issues predict poor health outcomes, even when considering other risk factors, highlighting sleep as a key intervention target.
Area of Science:
- Developmental Psychology
- Sleep Medicine
- Public Health
Background:
- Longitudinal studies are crucial for understanding developmental trajectories of health.
- Youth sleep problems are common but their long-term health implications require further investigation.
- Established risk factors for poor health include early adversity, chronic illness, and mental health conditions.
Purpose of the Study:
- To examine prospective associations between youth sleep problems from childhood to adolescence and young adult health.
- To investigate the relationship between chronic youth sleep problems and health outcomes in young adulthood.
- To explore the sleep-health relationship in the context of other known risk factors.
Main Methods:
- Utilized data from the Mater-University Study of Pregnancy, a longitudinal study of over 7000 children.
- Assessed 710 mother-child dyads from birth to age 20 using maternal report measures for sleep problems.
- Employed structural equation modeling to analyze the relationship between chronic sleep problems and young adult health quality, controlling for covariates.
Main Results:
- Sleep problems in early childhood predicted adolescent and young adult (age 20) sleep problems.
- Chronic youth sleep problems significantly predicted poor young adult health quality (β = .263, P < .001).
- This association remained significant after accounting for early adversity, chronic childhood illness, maternal depression, youth depression, and chronic youth stress.
Conclusions:
- Chronic sleep problems originating in childhood can persist and negatively impact young adult health.
- Sleep problems are a significant predictor of poor health, independent of other major risk factors.
- Targeting sleep issues in youth may represent a vital strategy for improving long-term health outcomes.
Objectives:
The current study investigated prospective associations between youth sleep problems across childhood and adolescence, as well as the relationship between chronic youth sleep problems and young adult health. Exploratory analyses investigated this sleep-health relationship in the context of several established risk factors, including youth depression and environmental stress.
Design:
This project is an extension of the Mater-University Study of Pregnancy, a longitudinal study that followed more than 7000 children across early development.
Setting:
Brisbane, Australia.
Participants:
Seven hundred ten mother-child dyads assessed from birth to age 20.
Measurements:
We used maternal report measures to assess the persistence of youth sleep problems. We used structural equation modeling to explore the relationship between chronic maternal-reported youth sleep problems and subjective reports of young adult health quality and to assess whether associations remained when other potential health risks were included in the model.
Results:
Path analyses revealed that sleep problems in early childhood predicted sleep problems in middle adolescence, which predicted sleep problems at age 20. Structural equation models showed that chronic youth sleep problems predicted youth health quality at age 20 (β = .263, P < .001) over and above the effects of early adversity, chronic childhood illness, maternal depression, lifetime youth depression, and chronic youth stress.
Conclusions:
Chronic sleep problems can emerge in childhood and may contribute to negative health outcomes in young adulthood. Chronic youth sleep problems remain a significant predictor of poor health when tested against other known health risk factors, suggesting that sleep may be an important health intervention target.
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