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Sleepless nights, troubled futures: The association between insufficient sleep and child flourishing
Ihunanaya P Okorie1, Ann M Weber1
1School of Public Health, University of Nevada, Reno, NV, USA.
Insights
Insufficient sleep is linked to lower flourishing in young children, particularly those with special health care needs. Targeted sleep interventions are crucial for this vulnerable group.
Area of Science:
- Pediatric Health
- Child Development
- Sleep Science
Background:
- Sleep is fundamental for child development and well-being.
- Flourishing encompasses positive indicators of child health and development.
- Understanding the interplay between sleep and flourishing is critical for early childhood interventions.
Purpose of the Study:
- To investigate the association between sleep duration and flourishing in US children aged 0-5 years.
- To determine if this association is modified by child age, developmental needs, or family resilience.
- To identify specific subgroups of children who may benefit most from sleep-focused interventions.
Main Methods:
- Utilized cross-sectional data from the 2020-2021 National Survey of Children's Health (N=31,095).
- Employed survey-weighted logistic regression to analyze sleep duration and flourishing.
- Conducted effect measure modification tests to assess differential associations.
Main Results:
- A significant association was found between insufficient sleep and decreased odds of flourishing (aOR=0.76).
- The sleep-flourishing association was significantly modified by children's developmental needs.
- No evidence of modification by child age or family resilience was observed.
Conclusions:
- Approximately 38% of US children aged 0-5 experience insufficient sleep.
- Insufficient sleep is associated with reduced flourishing, especially in children with special health care needs (CSHCN).
- Sleep interventions should be prioritized for CSHCN to promote overall well-being.
Objective:
To examine associations between sleep and flourishing among children ages 0-5 years in the United States and whether these differ by age, developmental needs, and family resilience.
Study Design And Methods:
Cross-sectional data from the 2020-2021 National Survey of Children's Health (N = 31,095) were used with survey-weighted logistic regression to explore associations between insufficient sleep (defined as not meeting age-recommended daily sleep guidelines: 12-16 h for 4- to 12-month-olds, 11-14 h for 1- to 2-year-olds, and 10-13 h for 3- to 5-year-olds) and flourishing (using four markers combined and categorized into two groups). Tests of effect measure modification (EMM) were performed on the multiplicative and additive scales.
Results:
Weak but notable evidence was found that children with insufficient sleep had decreased odds of flourishing (aOR = 0.76; 95 % CI: 0.60, 1.00). No evidence of EMM by child age or family resilience was found. However, the sleep-flourishing association differed significantly by children's developmental needs, suggesting that the combined effect of sleep and developmental needs impact flourishing more than either factor alone.
Conclusions:
Approximately 38 % of children ages 0-5 years in the United States are estimated to have insufficient sleep. This study provides evidence that insufficient sleep is associated with decreased flourishing among children with special health care needs (CSHCN).
Future Implications:
Increasing sleep interventions among children under five is warranted among children with special health care needs. The association between sleep and flourishing within specific CSHCN categories, including emotional, behavioral, or developmental (EBD) criteria, should be explored to optimize sleep policies.
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