Brian T Gillis, Stephen A Erath, Ben Hinnant, Mona El-Sheikh
{"title":"A between- and within-group approach to examine sleep, discrimination, and mental health among sexual-minority youth.","authors":"Brian T Gillis, Stephen A Erath, Ben Hinnant, Mona El-Sheikh","doi":"10.1016/j.sleh.2025.08.002","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To advance our understanding of sleep among sexual-minority (SM) youth using actigraphy and to assess sleep as a buffer against minority stress (i.e., discrimination) for SM youth.</p><p><strong>Methods: </strong>Participants included 211 SM and 2768 non-SM youth from the Adolescent Brain Cognitive Development Study (M age = 11.96 years, SD = 7.80 months). Youth reported SM status and minority stress (past 12-month discrimination), sleep was derived from actigraphy, and parents reported on youth mental health (internalizing symptoms and externalizing behaviors). A multivariate analysis of covariance was used to compare the sleep of SM and non-SM youth; interaction models were used to test sleep as a moderator of relations between SM-based discrimination and mental health.</p><p><strong>Results: </strong>In models adjusted for sociodemographic characteristics and internalizing symptoms, SM youth had shorter sleep duration (F = 13.90, p < .001), higher sleep efficiency (F = 4.46, p = .04), less wake after sleep onset (F = 10.43, p = .001), later sleep timing (F = 17.67, p < .001), and more irregularity in duration (F = 18.91, p < .001) and timing (F = 12.00, p < .001) compared with non-SM peers. Across parameters, sleep quality moderated relations between discrimination and externalizing behaviors: for SM youth with better sleep, there was no relationship between discrimination and externalizing (aggressive/rule-breaking) behaviors, suggestive of a protective role for sleep quality.</p><p><strong>Conclusions: </strong>Sleep should be promoted among sexual-minority youth. For adolescent externalizing behaviors, sleep quality could play a key role in buffering against the stress of sexual-minority discrimination.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.sleh.2025.08.002","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To advance our understanding of sleep among sexual-minority (SM) youth using actigraphy and to assess sleep as a buffer against minority stress (i.e., discrimination) for SM youth.
Methods: Participants included 211 SM and 2768 non-SM youth from the Adolescent Brain Cognitive Development Study (M age = 11.96 years, SD = 7.80 months). Youth reported SM status and minority stress (past 12-month discrimination), sleep was derived from actigraphy, and parents reported on youth mental health (internalizing symptoms and externalizing behaviors). A multivariate analysis of covariance was used to compare the sleep of SM and non-SM youth; interaction models were used to test sleep as a moderator of relations between SM-based discrimination and mental health.
Results: In models adjusted for sociodemographic characteristics and internalizing symptoms, SM youth had shorter sleep duration (F = 13.90, p < .001), higher sleep efficiency (F = 4.46, p = .04), less wake after sleep onset (F = 10.43, p = .001), later sleep timing (F = 17.67, p < .001), and more irregularity in duration (F = 18.91, p < .001) and timing (F = 12.00, p < .001) compared with non-SM peers. Across parameters, sleep quality moderated relations between discrimination and externalizing behaviors: for SM youth with better sleep, there was no relationship between discrimination and externalizing (aggressive/rule-breaking) behaviors, suggestive of a protective role for sleep quality.
Conclusions: Sleep should be promoted among sexual-minority youth. For adolescent externalizing behaviors, sleep quality could play a key role in buffering against the stress of sexual-minority discrimination.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
