Inequities in sleep duration among gender and sexual minority adolescents.

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health Pub Date : 2025-10-07 DOI:10.1016/j.sleh.2025.09.005

Noah T Kreski, Katherine M Keyes

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引用次数: 0

Abstract

Objectives: Gender and sexual minority adolescents face health inequities compared to cisgender, heterosexual peers, including lower sleep duration. Our ability to measure these inequities recently expanded, as the 2023 Youth Risk Behavior Survey's updated gender/sexuality items provide an opportunity to examine these inequities in a large, nationally-representative sample of adolescents.

Methods: Analyses (n=20,103 students, 2023 national YRBS, grades: 9-12) estimated survey-weighted prevalence of 3 sleep duration outcomes across gender and sexuality groups: sufficient sleep (8+ hours/night), short sleep (≤6), and extremely limited sleep (≤4). Survey-weighted logistic regressions compared outcomes between gender/sexual minority groups and cisgender/heterosexual peers, adjusting for demographic confounding.

Results: Sleep duration was consistently lower for gay/lesbian, bisexual, "another unlisted sexual identity" and transgender adolescents, plus those unsure of their gender or sexual identity (e.g., adjusted Odds Ratio for extremely limited sleep ["another unlisted sexual identity" vs. heterosexual]:3.14; 95% confidence interval: 2.00-4.92). For many gender and sexual minority groups, extremely limited sleep was more common than sufficient sleep.

Conclusions: Sleep duration is limited among adolescents, and this, in conjunction with inequities on the basis of gender/sexuality, warrants intervention.

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性别和性少数青少年睡眠时间的不平等。

目的：与顺性、异性恋同龄人相比，性别和性少数青少年面临健康不平等，包括睡眠时间较短。我们衡量这些不平等现象的能力最近有所扩大，因为2023年青少年风险行为调查中更新的性别/性行为项目提供了一个机会，可以在一个具有全国代表性的大型青少年样本中检查这些不平等现象。方法：分析（n=20,103名学生，2023名全国YRBS学生，年级：9-12）在性别和性取向群体中估计的3种睡眠持续时间结果的调查加权患病率：充足睡眠（8+小时/晚）、短睡眠（≤6）和极度有限睡眠（≤4）。调查加权逻辑回归比较了性别/性少数群体与顺性/异性恋同龄人之间的结果，调整了人口统计学混淆。结果：男同性恋/女同性恋、双性恋、“另一种未列出的性身份”和跨性别青少年以及不确定自己性别或性身份的青少年的睡眠时间持续较低（例如，睡眠极度有限的调整优势比[“另一种未列出的性身份”vs异性恋者]:3.14；95%置信区间：2.00-4.92）。对于许多性别和性少数群体来说，极度缺乏睡眠比充足睡眠更常见。结论：青少年的睡眠时间有限，这与性别/性取向的不平等相结合，需要干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

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.