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Contextual and Parenting Factors Contribute to Shorter Sleep Among Hispanic/Latinx Compared to Non-Hispanic White
Tayla Ash1,2, Elsie M Taveras3,4, Susan Redline5
1Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA.
Insights
Hispanic/Latinx infants sleep less than white infants by 6 months. Contextual and parenting factors, like a later bedtime, significantly explain these sleep disparities in infants.
Area of Science:
- Child development
- Infant sleep studies
- Health disparities
Background:
- Childhood sleep is crucial for development and health.
- Sleep disparities are evident in infancy, but contributing factors are unclear.
- Understanding these disparities is vital for early intervention.
Purpose of the Study:
- To investigate intrinsic, contextual, and parenting factors influencing sleep duration differences.
- To compare sleep duration between Hispanic/Latinx and non-Hispanic white infants at 6 months.
- To identify key factors contributing to observed racial/ethnic sleep disparities.
Main Methods:
- Analysis of the prospective "Rise & SHINE" birth cohort study data.
- Inclusion of 119 Hispanic/Latinx and 146 non-Hispanic white mother-infant dyads at 6 months.
- Utilized multivariable regression to assess intrinsic, contextual, and parenting factors' impact on sleep duration.
Main Results:
- Hispanic/Latinx infants slept 38 minutes less than white infants at 6 months.
- Hispanic/Latinx infants were nearly three times more likely to not meet sleep recommendations.
- Disparities were explained by contextual and parenting factors, particularly foreign-born mothers and later bedtimes.
Conclusions:
- Significant sleep duration differences exist between Hispanic/Latinx and white infants by 6 months.
- Contextual and parenting factors play a crucial role in infant sleep disparities.
- Early identification of these factors can inform targeted interventions to improve infant sleep health.
Background:
Sleep is an important aspect of child development and health. Disparities in childhood sleep have been observed as early as infancy, but little is known about the factors contributing to them.
Purpose:
The objective of this study was to examine whether intrinsic, contextual, and parenting factors contribute to differences in sleep duration between Hispanic/Latinx and non-Hispanic white infants at 6 months of age.
Methods:
We analyzed data of 119 Hispanic/Latinx and 146 non-Hispanic white infants in Rise & SHINE, a prospective birth cohort study of mother-infant dyads. Mothers reported their infant's sleep patterns using the Brief Infant Sleep Questionnaire at 6 months. Mothers also completed surveys measuring intrinsic (sex, gestational length, and birth weight), contextual (cultural, environmental, and familial), and parenting (behaviors and practices) factors. We used multivariable linear and logistic regression analyses to examine the contributing effects of these clusters of variables on the association between racial/ethnic background and infant sleep duration.
Results:
Hispanic/Latinx infants slept 38 min less than white infants at 6 months (β: -0.63 [95% confidence interval: -1.07, -0.19]) and were nearly three times more likely to not meet the minimum sleep recommendation. The differences persisted after adjustment for intrinsic factors but were attenuated after additional adjustment for contextual and parenting factors, especially having a foreign-born mother and later bedtime.
Conclusions:
The results of this study demonstrate that differences in sleep duration among Hispanic/Latinx infants compared to their white counterparts are present as early as 6 months of age and that context and parenting matter.
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