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Sleep, Screen Behaviors, and Adverse Childhood Experiences: A Cross-Sectional Study of U.S. Children and Adolescents

Ethan T Hunt1, Keith Brazendale2, Steven H Kelder1

  • 1Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth) School of Public Health in Austin, 1616 Guadalupe St. Suite 6.316C, Austin, TX 78701 USA.

Journal of Child & Adolescent Trauma
|December 17, 2024
PubMed

Insights

Children with four or more adverse childhood experiences (ACEs) are significantly more likely to not meet sleep and screen time recommendations. This highlights the importance of screening for ACEs to improve youth health outcomes.

Area of Science:

  • Public Health
  • Pediatrics
  • Child Psychology

Background:

  • Adverse childhood experiences (ACEs) are linked to negative health outcomes in adulthood.
  • Obesogenic behaviors, including inadequate sleep and excessive screen time, are prevalent in youth.
  • Understanding the relationship between ACEs and these behaviors is crucial for early intervention.

Purpose of the Study:

  • To investigate the association between ACEs and children's adherence to sleep and screen time recommendations.
  • To analyze data from a representative sample of U.S. children and adolescents.

Main Methods:

  • Utilized data from the 2019-2020 National Survey of Children's Health.
  • Employed multinomial logistic regressions to assess the likelihood of failing to meet sleep and screen time recommendations based on ACE scores.
  • Adjusted for child demographics and household education level.

Main Results:

  • Children with four or more ACEs were 1.96 times more likely to not meet sleep recommendations.
  • Children with four or more ACEs were 1.61 times more likely to not meet screen time recommendations.
  • Financial hardship was the most common ACE reported by parents.

Conclusions:

  • Experiencing four or more ACEs significantly increases the risk of poor sleep and excessive screen time in U.S. children and adolescents.
  • Screening for ACEs can help practitioners identify at-risk youth and implement targeted interventions.
  • Addressing ACEs is vital for improving long-term health trajectories in children.

Keywords:
AdversityScreentimeSleepTraumaYouth

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