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Associations Between Diaper Need and Child Sleep in Under-resourced Families

Emma Shaffer1, Sallie Porter2, Eileen Condon3

  • 1Division of Nursing Science, School of Nursing, Rutgers, The State University of New Jersey.

Journal of Developmental and Behavioral Pediatrics : JDBP
|May 3, 2022
PubMed

Insights

Poverty-related material hardship, such as insufficient diaper supply, significantly disrupts children's sleep. Addressing diaper need may improve pediatric sleep quality and duration.

Area of Science:

  • Pediatric Health
  • Sleep Science
  • Socioeconomic Factors in Health

Background:

  • Healthy sleep is crucial for child development and well-being.
  • Poverty-associated factors can create significant barriers to achieving adequate sleep in children.
  • Material hardship is a key indicator of socioeconomic challenges faced by families.

Purpose of the Study:

  • To investigate the association between insufficient diaper supply, a marker of material hardship, and child sleep outcomes.
  • To quantify the impact of diaper need on sleep duration, disruption, and parental perception of sleep quality.

Main Methods:

  • A cross-sectional study involving 129 parents of very young children.
  • Utilized an online material hardship assessment and the Brief Infant Sleep Questionnaire-Revised.
  • Employed multiple linear regression to analyze the relationship between diaper need and sleep parameters, controlling for covariates.

Main Results:

  • Diaper need was significantly associated with shorter and more disrupted sleep periods (β = -11.95, p < 0.001).
  • Higher diaper need correlated with lower total sleep scores (β = -6.49, p = 0.004).
  • Parents experiencing high diaper need reported poorer perceived sleep quality for their children (β = -7.28, p = 0.017).

Conclusions:

  • Inadequate diaper supply adversely impacts children's sleep patterns and quality.
  • Findings highlight the need for interventions to alleviate material hardship for improved pediatric sleep.
  • Further research should explore screening and resource connection strategies to enhance sleep in vulnerable children.
Abstract

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