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Published on: September 19, 2019
Identifying Modifiable Factors Linking Parenting and Sleep in Racial/Ethnic Minority Children
Lauren C Daniel1, Jessica L Childress1, Jamie L Flannery1
1Department of Psychology, Rutgers University - Camden.
Insights
Reducing household chaos can improve child sleep health, especially for minority children. Parenting skills and routines targeting chaos may enhance sleep interventions for young children at risk of poor sleep outcomes.
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Development
Background:
- Young children from racial and ethnic minority backgrounds are disproportionately affected by poor sleep.
- Few behavioral interventions for child sleep have been tested in diverse populations.
- Understanding mediators of child sleep is crucial for developing effective interventions.
Purpose of the Study:
- To examine household chaos, caregiver sleep knowledge, and caregiver sleep quality as mediators between parenting skills and child sleep.
- To inform the development of targeted interventions for children at risk of poor sleep outcomes.
- To investigate factors contributing to pediatric insomnia and sleep health.
Main Methods:
- 119 caregivers of 1- to 5-year-old children completed measures of parenting, child/caregiver sleep, household chaos, and sleep knowledge.
- Indices for pediatric insomnia symptoms and sleep health were created.
- Ordinary least squares path analysis was used to conduct parallel mediation models.
Main Results:
- Lower household chaos significantly mediated the association between positive parenting skills and better child sleep health.
- Caregiver sleep knowledge was linked to sleep health, and caregiver sleep quality was linked to pediatric insomnia, independent of parenting skills.
- No significant mediators were found for pediatric insomnia symptoms.
Conclusions:
- Interventions to improve early childhood sleep may benefit from targeting parenting skills and household routines to reduce chaos.
- Reducing household chaos is a promising strategy for enhancing child sleep health in at-risk populations.
- Further longitudinal research is needed to confirm the role of household chaos and other mediators in child sleep outcomes.
Background:
Young children from racial and ethnic minority backgrounds are at risk for poor sleep, yet few studies have tested behavioral interventions in diverse samples. This study tests factors that could contribute to associations between parenting skills and child sleep to inform interventions for children at risk of poor sleep outcomes. Specifically, we examined household chaos, caregiver sleep knowledge, and caregiver sleep quality as putative mediators that may be relevant to interventions seeking to improve child sleep.
Methods:
Caregivers (M age 31.83 years; 46.2% African American; 52.1% Hispanic/Latinx, 95% female) of 119 1- to 5-year-old children (M age 3.99 years; 43.7% African American; 42.0% Hispanic/Latinx, 14.3% biracial; 51.3% female) completed measures of parenting practices, child and caregiver sleep, household chaos, and sleep knowledge. Indices of pediatric insomnia symptoms (difficulty falling/remaining asleep) and sleep health (sleep duration/hygiene) were constructed based on previous research. Parallel mediation models were conducted using ordinary least squares path analysis.
Results:
Lower household chaos significantly attenuated the relationship between positive parenting skills and better child sleep health, suggesting chaos may serve as a potential mediator. There were no significant contributing factors in the pediatric insomnia model. Sleep knowledge was related to sleep health and caregiver sleep quality was related to pediatric insomnia, independent of parenting skills.
Conclusion:
Interventions to improve sleep in early childhood may be enhanced by targeting parenting skills and household routines to reduce chaos. Future longitudinal research is needed to test household chaos and other potential mediators of child sleep outcomes over time.
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