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Food Insecurity and Housing Insecurity Associated With Decreased Sleep Regularity in Adolescents.

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Adolescents facing food or housing insecurity showed poorer sleep regularity. Understanding these socio-contextual factors is key for improving teen sleep health and developing clinical guidelines.

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Area of Science:

  • Adolescent Health
  • Sleep Science
  • Socioeconomic Factors

Background:

  • Adolescent sleep health disparities are known, but sleep regularity's role is understudied.
  • Sleep regularity is linked to negative physical and mental health outcomes.
  • Socio-contextual factors may significantly influence adolescent sleep patterns.

Purpose of the Study:

  • To investigate the association between socio-contextual factors and sleep regularity in adolescents.
  • To identify specific socioeconomic challenges impacting sleep regularity in a primary care setting.

Main Methods:

  • Utilized baseline data from a pilot digital sleep intervention trial involving adolescents aged 12-14.
  • Assessed socio-contextual factors including food insecurity, housing insecurity, and neighborhood characteristics.
  • Measured sleep regularity using actigraphy and the sleep regularity index (SRI).
  • Employed multivariable linear regression, controlling for sex and age.

Main Results:

  • Food insecurity (worry or actual lack of food) was significantly associated with decreased sleep regularity (SRI).
  • Housing insecurity also showed a significant negative association with sleep regularity.
  • No other tested socio-contextual factors demonstrated a significant relationship with sleep regularity.

Conclusions:

  • Food and housing insecurity are linked to reduced sleep regularity in healthy adolescents.
  • Further research is needed to understand the complex interplay between socioeconomic factors and adolescent sleep.
  • Findings can inform interventions and clinical guidelines for healthcare providers.