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Short Sleep Duration: Children's Mental, Behavioral, and Developmental Disorders and Demographic, Neighborhood, and
Angelika H Claussen1,2, Lina V Dimitrov1,3, Sivapriya Bhupalam1,3
1Centers for Disease Control and Prevention, National Center on Birth Defects and Disabilities, Division of Human Development and Disability, Atlanta, Georgia.
Insights
Many children face insufficient sleep, impacting health. Key factors include socioeconomic status, minority status, and family environment, highlighting areas for intervention to improve child sleep duration.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Public Health
Background:
- Insufficient sleep is prevalent in children and adolescents, posing risks to health and development.
- Contextual factors encompassing child, demographic, neighborhood, and family elements are associated with short sleep duration.
Purpose of the Study:
- To examine the associations between parent-reported child short sleep duration and various contextual factors.
- To investigate the relationship between short sleep duration and mental, behavioral, and developmental disorders (MBDDs), physical health conditions, and demographic, neighborhood, and family factors.
Main Methods:
- Utilized data from the National Survey of Children's Health (2016-2019) with over 112,000 children aged 3-17 years.
- Defined short sleep duration based on age-specific recommendations (<10 h for 3-5 y, <9 h for 6-12 y, <8 h for 13-17 y).
- Analyzed associations between short sleep duration and MBDDs, physical health, and contextual factors, controlling for all variables.
Main Results:
- 34.7% of children experienced short sleep duration, with higher prevalence in specific age groups (6-12 years), racial/ethnic minority groups (especially non-Hispanic Black children), and low-income households.
- Short sleep was associated with mental, behavioral, and developmental disorders (MBDDs), negative neighborhood factors, inconsistent bedtimes, poor parental mental/physical health, and adverse childhood experiences.
- These associations remained significant after controlling for other factors, underscoring the independent contribution of these elements.
Conclusions:
- Identified individual, family, and community factors contributing to children's short sleep duration.
- These factors present targets for interventions aimed at improving healthy child development.
- Children with MBDDs, from low socioeconomic status households, or minority groups are at higher risk and require focused attention.
Introduction:
Many children and adolescents experience insufficient sleep, which poses risks for their short- and long-term health and development. This study examined the concurrent associations of contextual factors, including child, demographic, neighborhood, and family factors, with short sleep duration.
Methods:
We combined data on children aged 3 to 17 years from the 2016-2019 National Survey of Children's Health (N = 112,925) to examine the association of parent-reported child short sleep duration (ages 3-5 y, <10 h; 6-12 y, <9 h; 13-17 y, <8 h) with mental, behavioral, and developmental disorders (MBDDs); selected physical health conditions; and demographic, neighborhood, and family factors.
Results:
Overall, 34.7% of children experienced short sleep duration. The prevalence was highest among children aged 6 to 12 years (37.5%); children from racial and ethnic minority groups, especially non-Hispanic Black children (50.0%); children from low-income households (44.9%); children with an MBDD (39.6%); children experiencing negative neighborhood factors (poor conditions and lack of safety, support, and amenities, 36.5%); and family factors such as inconsistent bedtime (57.3%), poor parental mental (47.5%) and physical health (46.0%), and adverse childhood experiences (44.1%). The associations between sleep and demographic, neighborhood, and family factors, and MBDD remained significant after controlling for all other factors.
Conclusion:
This study identified several individual, family, and community factors that may contribute to children's short sleep duration and can be targeted to improve healthy development, particularly among children with an MBDD, from households with low socioeconomic status, or from racial and ethnic minority groups who are at increased risk for short sleep duration.
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