Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY
André Gonzales Real, Brian T Gillis, Amy L Gower, Marla E Eisenberg, Benjamin Parchem, Samantha E Lawrence, Stephen T Russell
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引用次数: 0

Abstract

Objectives: Examine very short sleep among adolescents across multiple intersecting social positions and experiences of sexual orientation-based bullying and cyberbullying in two statewide samples.

Methods: A harmonization of two large statewide school-based datasets from grades 9-12 (2019 Minnesota Student Survey, and 2018-2019 California Healthy Kids Survey) was utilized for the analysis (N = 379,710). Exhaustive chi-square automatic interaction detection (an approach for quantitative intersectionality research) explored variability in very short sleep (≤5 hours/night) among adolescents from multiple intersecting social positions (race/ethnicity, gender identity, sexual orientation, and sex assigned at birth), grade, state, and two types of bullying experiences (sexual orientation-based bullying and cyberbullying). Intersectional groups reporting the highest prevalence of very short sleep were identified. We compared very short sleep rates among adolescents from the same social positions who experienced bullying with those who did not experience bullying.

Results: Very short sleep was common among this sample of adolescents (19.2%), especially among those holding multiple marginalized social positions (36.9%-51.4%). Adolescents who were transgender or gender diverse or questioning gender identity, and with minoritized sexual and racial/ethnic identities were overrepresented among high prevalence groups of very short sleep. Bullying experiences were reported by all highest prevalence groups. Adolescents who were bullied had 24.9%-51.3% higher rates of very short sleep than adolescents from the same intersecting social positions who were not bullied.

Conclusions: Very short sleep is pervasive among marginalized adolescents. Findings suggest that victimization contributes to adolescents' very short sleep rates. Individual-level interventions may fall short of promoting better sleep among adolescents; systemic interventions addressing bullying are needed.

Clinical trial registration: N/A.

两个大型全州样本中不同青少年的睡眠差异:需要采取跨部门干预措施。
目标: 在两个全州样本中,研究不同社会地位和经历的青少年中睡眠时间极短的情况:在两个全州范围的样本中,研究青少年在多重交叉社会地位中的极短睡眠时间,以及基于性取向的欺凌和网络欺凌的经历:分析采用了两个全州范围内基于学校的 9-12 年级大型数据集(2019 年明尼苏达州学生调查和 2018-2019 年加利福尼亚州健康儿童调查)(N=379,710)。详尽的秩方自动交互检测(一种定量交叉性研究方法)探索了来自多种交叉社会地位(种族/民族、性别认同、性取向和出生时性别分配)、年级、州和两种欺凌经历(基于性取向的欺凌和网络欺凌)的青少年在极短睡眠时间(≤5 小时/晚)方面的差异。我们确定了报告睡眠时间过短发生率最高的交叉群体。我们比较了来自相同社会地位、遭受过欺凌与未遭受过欺凌的青少年中睡眠时间过短的比例:在这些青少年样本中,睡眠时间过短的情况非常普遍(19.2%),尤其是在那些处于多重边缘化社会地位的青少年中(36.9%-51.4%)。在睡眠时间过短的高发群体中,变性、性别多元化或对性别认同有疑问的青少年,以及在性取向和种族/民族认同方面属于少数群体的青少年所占比例较高。所有高发群体都报告了被欺凌的经历。受到欺凌的青少年睡眠时间过短的比例比来自相同社会地位但没有受到欺凌的青少年高出24.9%-51.3%:结论:睡眠时间过短在边缘化青少年中十分普遍。研究结果表明,受害是造成青少年睡眠时间过短的原因之一。个人层面的干预措施可能无法改善青少年的睡眠质量;需要针对欺凌问题采取系统性干预措施:不适用。
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来源期刊
Sleep Health
Sleep Health CLINICAL NEUROLOGY-
CiteScore
6.30
自引率
9.80%
发文量
114
审稿时长
54 days
期刊介绍: Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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