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.

Sleep Medicine
|August 10, 2024
PubMed

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.
Abstract

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