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Winter sleep extension and fragmentation in a South African agropastoral community. 南非农牧社区的冬季睡眠延长和碎片化。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-07-08 DOI: 10.1016/j.sleh.2025.05.008
Ming Fei Li, Puseletso Lecheko, Tumelo Phuthing, Tsepo Lesholu, David R Samson
{"title":"Winter sleep extension and fragmentation in a South African agropastoral community.","authors":"Ming Fei Li, Puseletso Lecheko, Tumelo Phuthing, Tsepo Lesholu, David R Samson","doi":"10.1016/j.sleh.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.05.008","url":null,"abstract":"<p><strong>Objectives: </strong>To examine seasonal sleep variation and assess the effects of gender, age, and environmental variables (Wet-Bulb Globe Temperature, moonlight, sunrise and sunset times) on sleep in a rural agropastoral community in South Africa with gender division of labor.</p><p><strong>Methods: </strong>We collected actigraphy data from 114 participants (83 men, 31 women, 4750 nights) during summer and winter seasons in 2023. We used Bayesian hierarchical regression models to investigate drivers of sleep duration and quality.</p><p><strong>Results: </strong>Total Sleep Time was longer in winter (7.26 hours, SD = 1.0) compared to summer (6.40 hours, SD = 0.88), but so were Fragmentation Index and Wake After Sleep Onset. Higher Wet-Bulb Globe Temperature was associated with shorter Total Sleep Time, higher Fragmentation Index, and lower Sleep Efficiency. Greater moon illumination was correlated with shorter Total Sleep Time and reduced Fragmentation Index and Wake After Sleep Onset. Age was positively correlated with Total Sleep Time and Fragmentation Index among men, and older individuals had earlier sleep onset and offset than younger individuals. Compared to women, men had shorter and more disturbed sleep, especially in the winter, and were more impacted by Wet-Bulb Globe Temperature.</p><p><strong>Conclusions: </strong>Sleep during the winter season was longer but more fragmented and of lower quality compared to the summer. Seasonal differences in extrinsic weather conditions and perceived risks operated on preexisting gendered labor and sleep disparities to drive seasonal sleep variation in this community. Future research should consider the disproportionate effects that environmental variables can have on sleep outcomes for different groups.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late-life sleep medication use associated with increased falls risk in the Atherosclerosis Risk in Communities (ARIC) study. 在社区动脉粥样硬化风险(ARIC)研究中,老年睡眠药物使用与跌倒风险增加有关。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-07-05 DOI: 10.1016/j.sleh.2025.05.009
Kelsie M Full, Snigdha S Pusalavidyasagar, Priya Palta, Caitlin W Hicks, Adam P Spira, Beverly Gwen Windham, Stephen P Juraschek, Matthew P Pase, Jayandra J Himali, Pamela L Lutsey
{"title":"Late-life sleep medication use associated with increased falls risk in the Atherosclerosis Risk in Communities (ARIC) study.","authors":"Kelsie M Full, Snigdha S Pusalavidyasagar, Priya Palta, Caitlin W Hicks, Adam P Spira, Beverly Gwen Windham, Stephen P Juraschek, Matthew P Pase, Jayandra J Himali, Pamela L Lutsey","doi":"10.1016/j.sleh.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.05.009","url":null,"abstract":"<p><strong>Objective: </strong>Accidental falls are the leading cause of injury for older adults in the United States. Identifying risk factors for falls is a public health priority. Poor sleep is prevalent among aging adults and has been linked to falls risk. We examined late-life sleep medication use and falls risk in a cohort of older adults.</p><p><strong>Methods: </strong>The Atherosclerosis Risk in Communities (ARIC) study is an ongoing community-based cohort study. ARIC participants taking any barbiturates, benzodiazepines, antidepressants, non-benzodiazepine receptor agonists, or other hypnotics in the past 4 weeks (2011-2013) were categorized as taking a medication that affects sleep, regardless of indication. Participant hospital discharge records were reviewed through 2019 for ICD codes indicating incident falls. Propensity score matching was used to match participants who used sleep medications with those who did not (1:2). Cox proportional hazards regression models were used to assess the association of sleep medication use with falls with adjustment for demographics, lifestyle, and health characteristics.</p><p><strong>Results: </strong>In the matched sample (N = 4794; 70% female; mean age 75.5 ± 5 years), 1200 documented falls occurred over 6.5 years of follow-up. In fully adjusted models, sleep medication use was associated with a 33% greater risk of falls compared to nonuse (HR: 1.33; 95% CI: 1.18-1.51). Results did not differ by age, sex, depressive symptoms, baseline cognitive status, or physical functioning status (interaction p-values >.05).</p><p><strong>Conclusions: </strong>Late-life sleep medication use is associated with a higher risk of falls. Further research is needed to clarify the mechanisms linking sleep medications to falls risk.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceptions of sleep and sleep research among African American adults. 非裔美国成年人的睡眠认知和睡眠研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-07-01 DOI: 10.1016/j.sleh.2025.05.007
Paul Peyrel, Matthew Viverito, Danielle Eliser, MaKayla Tanksley, Robert L Newton, Owen T Carmichael, Kelly G Baron, Prachi Singh
{"title":"Perceptions of sleep and sleep research among African American adults.","authors":"Paul Peyrel, Matthew Viverito, Danielle Eliser, MaKayla Tanksley, Robert L Newton, Owen T Carmichael, Kelly G Baron, Prachi Singh","doi":"10.1016/j.sleh.2025.05.007","DOIUrl":"10.1016/j.sleh.2025.05.007","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding contributors to poor sleep and effective interventions to improve sleep among African Americans remain lacking due to their under-representation in sleep research. This study aimed to examine this population's sleep-related perceptions, as well as facilitators, barriers, and willingness to participate in sleep research.</p><p><strong>Methods: </strong>African American men and women (n = 36, 53.4 ± 14.4 years [mean ± SD]) from the Greater Baton Rouge area were recruited and assigned to a focus group. Five 60- to 90-minute focus group sessions were conducted using a semistructured interview guide. Prompts were related to sleep and sleep research. Each session was recorded, transcribed, and coded for content analysis to capture themes in the discussions.</p><p><strong>Results: </strong>Thirty participants reported a total sleep time less than or equal to 6 hours most nights of the week. Participants were aware of the importance of sleep for physical and mental health and were interested in improving their sleep. Most participants indicated a willingness to participate in sleep research. Perceived benefits included increased knowledge on how to improve sleep, identification of personal triggers that may contribute to poor sleep, and improvement in quality of life and health. Barriers to sleep research participation included lack of trust, time commitment, study procedures, and inability to change their habits. Conversely, building trust and community presence were seen as facilitators to sleep research studies.</p><p><strong>Conclusions: </strong>African Americans displayed knowledge related to importance of sleep and its relationship with health outcomes. Despite a long history of mistrust of medical researchers among African Americans, there is an interest in sleep research participation.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between neighborhood social cohesion and poor sleep health in Latinxs: Exploration of moderation by nativity status and English language proficiency. 拉丁裔邻里社会凝聚力与睡眠健康状况不佳的关系:母语状况和英语水平对调节作用的探讨
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-23 DOI: 10.1016/j.sleh.2025.05.004
Sarah Valentina Diaz, Carmela Alcántara
{"title":"The association between neighborhood social cohesion and poor sleep health in Latinxs: Exploration of moderation by nativity status and English language proficiency.","authors":"Sarah Valentina Diaz, Carmela Alcántara","doi":"10.1016/j.sleh.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.05.004","url":null,"abstract":"<p><strong>Objectives: </strong>Neighborhood social cohesion has been linked to sleep health in the United States, but the association remains understudied among Latinxs. There is evidence that Latinxs may experience neighborhood social cohesion differentially based on nativity status and English language proficiency. We investigated the moderating role of nativity status and English language proficiency on the relationship between neighborhood social cohesion and two sleep outcomes: insomnia symptoms and sleep quality.</p><p><strong>Methods: </strong>Using cross-sectional data from 201 healthy Latinx adults from the Latino Sleep and Health Study, two sets of regression models were run. We regressed neighborhood social cohesion on insomnia (Insomnia Severity Index) and sleep quality (The Pittsburgh Sleep Quality Index). Interaction terms-nativity status x neighborhood social cohesion and English language proficiency x neighborhood social cohesion-were added with sociodemographic covariates in two separate sets of models.</p><p><strong>Results: </strong>Participants were 64.68% female with a Mean age of 37.89 (SD = 14.01), and 33.83% completed less than a bachelor's degree. In the minimally adjusted model for sleep quality, the interaction term (neighborhood social cohesion x nativity status) was statistically significant (p=.04). Among US-born, in the fully adjusted model, neighborhood social cohesion was negatively statistically significantly associated poor sleep quality (B = -0.09, 95%CI = -0.15, -0.02; p<.01). Neighborhood social cohesion was not statistically significantly associated with insomnia symptoms. English language proficiency had no statistically significant interaction effect in any models.</p><p><strong>Conclusions: </strong>The association between neighborhood social cohesion and sleep health differs by nativity status, but not by English language proficiency. These results suggest that neighborhood social cohesion may facilitate better sleep differently based on the acculturation marker. Future research should explore within-group differences in protective effects of neighborhood social cohesion on sleep health.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Data-driven approach to understand associations between dietary patterns, sleep problems, and mental health in adolescents. 以数据为导向的方法,了解青少年饮食模式、睡眠问题和心理健康之间的关系。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-21 DOI: 10.1016/j.sleh.2025.05.001
Yihong Zhao, Xuewei Han, Sarah W Feldstein Ewing, Marie-Pierre St-Onge, Martin P Paulus
{"title":"Data-driven approach to understand associations between dietary patterns, sleep problems, and mental health in adolescents.","authors":"Yihong Zhao, Xuewei Han, Sarah W Feldstein Ewing, Marie-Pierre St-Onge, Martin P Paulus","doi":"10.1016/j.sleh.2025.05.001","DOIUrl":"10.1016/j.sleh.2025.05.001","url":null,"abstract":"<p><strong>Objectives: </strong>Emerging evidence suggests a role of diet in sleep disturbances and mental health including internalizing (e.g., anxiety, depression) and externalizing (e.g., aggression, impulsivity) problems.</p><p><strong>Methods: </strong>This study employed a data-driven approach to construct a Sleep-Mental Health-Eating Index and assessed its mediating roles in the relationships between difficulties initiating and maintaining sleep and mental health problems in 11,000 youth aged 9-10years. Difficulties initiating and maintaining sleep and mental health problems were assessed annually from baseline to Year2, and diet at Year1. The Shapley Additive Explanations analysis was used to derive the eating index.</p><p><strong>Results: </strong>Six dietary categories emerged as important predictors of our outcomes, with whole grains, green vegetables, and berries linked to lower difficulties initiating and maintaining sleep scores, while sweet pastries, fast food, and butter cream linked to higher difficulties initiating and maintaining sleep. Dietary factors explained 2.24% of difficulties initiating and maintaining sleep variation, surpassing demographics (1.21%). For internalizing behaviors, dietary and demographic contributions were similar (1.86% vs. 1.98%). Demographics were the strongest predictors of externalizing symptoms (3.84%). Higher baseline difficulties initiating and maintaining sleep (beta = -0.026, 95% CI: -0.038, -0.015) and internalizing scores (beta = -0.027, 95% CI: -0.035, -0.019) were associated with worse eating index at Year1. Additionally, the eating index mediated relationships between baseline difficulties initiating and maintaining sleep/internalizing problems and Year2 outcomes. Overall, indirect effects range from 3.2% to 7.0%.</p><p><strong>Conclusions: </strong>These findings highlight diet's role in predicting and mediating sleep and mental health outcomes. Healthy foods were associated with fewer sleep difficulties and internalizing problems, while unhealthy foods worsen sleep and behavior problems. Targeting diet may improve interventions addressing adolescent sleep and mental health challenges.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"No rest for me tonight": A social-ecological exploration of insomnia in rural Appalachian women. “今晚我不休息”:阿巴拉契亚农村妇女失眠的社会生态学探索。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-20 DOI: 10.1016/j.sleh.2025.04.009
Mairead E Moloney, Daniela C Moga, Michael Grandner, Nancy Schoenberg
{"title":"\"No rest for me tonight\": A social-ecological exploration of insomnia in rural Appalachian women.","authors":"Mairead E Moloney, Daniela C Moga, Michael Grandner, Nancy Schoenberg","doi":"10.1016/j.sleh.2025.04.009","DOIUrl":"10.1016/j.sleh.2025.04.009","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia disproportionally affects women and is prevalent among rural Appalachian adults at higher rates than in the general US population. Given the strong, bi-directional relationship between sleep and health, a better understanding of insomnia in this health-disparate population is critical. The present study focused on the sex (females), gender (women), and age group (45+) at highest insomnia risk and explores the social determinants of sleep that contributed to insomnia.</p><p><strong>Methods: </strong>Semistructured telephone interviews were conducted to understand factors associated with insomnia among rural Appalachian women who self-reported insomnia symptoms ≥3 nights per week for ≥3months. Interviews were recorded with permission and transcribed. We used a multistage, inductive and deductive coding process aided by NVIVO 12.0 software.</p><p><strong>Results: </strong>Participants were 46 cisgender women in rural Appalachia who met the criteria for insomnia. The social-ecological model was our interpretative framework. Findings illuminate individual (e.g., rumination, menopause, pain, depression), social (e.g., family roles, grief, caregiving, financial concerns), and societal (e.g., gender norms, technology use) factors that likely contribute to insomnia among middle-aged rural Appalachian women.</p><p><strong>Conclusions: </strong>Across levels of the social-ecological model, factors of female sex (e.g., menopause) and gendered behaviors, roles, and norms (e.g., caregiving close and extended kin) played a central role in the precipitation and perpetuation of insomnia in this population. Attending to the regional cultural norms of heightened self-sufficiency, domestic work, and inter-generational familial care may aid healthcare providers and policy makers aiming to address insomnia among rural Appalachian women as well as other rural populations.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photographing the night. 拍摄夜晚。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-19 DOI: 10.1016/j.sleh.2025.05.006
Hrayr Attarian
{"title":"Photographing the night.","authors":"Hrayr Attarian","doi":"10.1016/j.sleh.2025.05.006","DOIUrl":"10.1016/j.sleh.2025.05.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The temporal relationship between long sleep duration and poor hand grip strength in older adults: The Yilan study. 老年人睡眠时间长与握力差的时间关系:宜兰研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-16 DOI: 10.1016/j.sleh.2025.04.010
Nai-Wei Hsu, Po-Jung Pan, Hsuan-Ming Tsao, Hsueh-Ping Chiang, Pesus Chou, Hsi-Chung Chen
{"title":"The temporal relationship between long sleep duration and poor hand grip strength in older adults: The Yilan study.","authors":"Nai-Wei Hsu, Po-Jung Pan, Hsuan-Ming Tsao, Hsueh-Ping Chiang, Pesus Chou, Hsi-Chung Chen","doi":"10.1016/j.sleh.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.010","url":null,"abstract":"<p><strong>Objectives: </strong>Muscle strength is an important subdomain of intrinsic capacity in older adults. Although poor muscle strength is closely correlated with long sleep duration, a causal relationship has not yet been established. This study aimed to examine whether long sleep duration predicted a decrease in hand grip strength or vice versa.</p><p><strong>Methods: </strong>In this follow-up study involving a community-based fixed cohort, participants included community-dwelling older adults aged ≥65years residing in Yilan City, Taiwan. Self-reported sleep duration at night was categorized as short (<6 hours), mid-range (6 to <8 hours), and long (≥8hours). Hand grip strength was measured using a dynamometer, and poor hand grip strength was defined by age- and sex-specific cutoffs based on one standard deviation below the age- and sex-specific means of the data. Two temporal directions of analyses were performed between sleep duration and hand grip strength. First, baseline participants with good hand grip strength were followed-up to examine whether baseline long sleep predicted poor hand grip strength. In contrast, baseline mid-range sleepers were followed-up to examine whether baseline poor hand grip strength predicted long sleep.</p><p><strong>Results: </strong>A total of 539 individuals, with an average age of 74.5±5.5years, participated in the study. The average follow-up period was 5.8±1.8years. Regarding factors predicting a decrease in hand grip strength, after controlling for various confounders, long sleep duration at baseline predicted incident poor hand grip strength at follow-up visits (odds ratio, 2.63; 95% confidence interval, 1.27-5.43). Conversely, poor hand grip strength failed to predict lengthening of sleep duration.</p><p><strong>Conclusion: </strong>In older adults, long sleep duration preceded a decrease in hand grip strength.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Racial and ethnic variations in sleep outcomes following a Brief Sleep Intervention in United States Air Force Technical Training students. 美国空军技术训练学生短暂睡眠干预后睡眠结果的种族差异。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-10 DOI: 10.1016/j.sleh.2025.04.007
Faith S Luyster, Xin-Qun Wang, Chase A Aycock, Rosemary Estevez Burns, Trevin Glasgow, Jennifer P Halbert, Kara P Wiseman, Gerald Wayne Talcott, Jordan Ellis
{"title":"Racial and ethnic variations in sleep outcomes following a Brief Sleep Intervention in United States Air Force Technical Training students.","authors":"Faith S Luyster, Xin-Qun Wang, Chase A Aycock, Rosemary Estevez Burns, Trevin Glasgow, Jennifer P Halbert, Kara P Wiseman, Gerald Wayne Talcott, Jordan Ellis","doi":"10.1016/j.sleh.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.007","url":null,"abstract":"<p><strong>Objective: </strong>Racial and ethnic minorities in civilian and military populations report worse sleep health than non-Hispanic Whites. A group-based, single-session Brief Sleep Intervention for United States Air Force trainees improved sleep outcomes, yet the effects across racial and ethnic groups remain unclear. This secondary analysis examined racial and ethnic differences in sleep outcomes and behavior change engagement following the Brief Sleep Intervention.</p><p><strong>Methods: </strong>The sample included 321 United States Air Force Technical Training students (mean age 20.9 ± 3.6; 81.9% men; 51.7% non-Hispanic Whites; 24.3% Hispanic; 23.4% non-Hispanic People of Color). Weekday sleep duration and quality along with weekend catch-up sleep duration were assessed at baseline and 2-week follow-up. At follow-up, Brief Sleep Intervention participants reported engagement in a self-selected behavior change action. Propensity score--adjusted logistic and linear regression models were used.</p><p><strong>Results: </strong>Among Hispanic students, those in the Brief Sleep Intervention group were more likely to achieve a weekday sleep duration of ≥6 hours and report good/very good weekend sleep compared with those in the active control group. Within the Brief Sleep Intervention group, as compared with non-Hispanic Whites and non-Hispanic People of Color students, Hispanic students showed higher rates of weekday sleep duration ≥6 hours, good/very good weekday sleep quality, and engagement in a behavior change action than non-Hispanic Whites.</p><p><strong>Conclusions: </strong>Hispanic students who received the Brief Sleep Intervention demonstrated superior sleep outcomes and higher behavior change engagement compared with students from other racial and ethnic groups. Further research should investigate factors driving these differences and identify aspects of the Brief Sleep Intervention that contribute to its effectiveness for Hispanic United States Air Force trainees.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social epidemiology of bedtime screen use behaviors and sleep outcomes in early adolescence. 青少年早期睡前屏幕使用行为和睡眠结果的社会流行病学。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-09 DOI: 10.1016/j.sleh.2025.05.005
Jason M Nagata, Joan Shim, Sapna Ramappa, Ishani Deshpande, Patrick Low, Orsolya Kiss, Kyle T Ganson, Alexander Testa, Jinbo He, Fiona C Baker
{"title":"Social epidemiology of bedtime screen use behaviors and sleep outcomes in early adolescence.","authors":"Jason M Nagata, Joan Shim, Sapna Ramappa, Ishani Deshpande, Patrick Low, Orsolya Kiss, Kyle T Ganson, Alexander Testa, Jinbo He, Fiona C Baker","doi":"10.1016/j.sleh.2025.05.005","DOIUrl":"10.1016/j.sleh.2025.05.005","url":null,"abstract":"<p><strong>Objectives: </strong>The current study aimed to determine sociodemographic associations of bedtime screen use behaviors and the sociodemographic differences in the associations between bedtime screen use and sleep outcomes in a national (US) study of early adolescents.</p><p><strong>Methods: </strong>We analyzed cross-sectional data from 10,305 early adolescents (12-13years, 48.4% female) in the Adolescent Brain Cognitive Development (ABCD) Study (Year 3, 2019-2021). Multiple regression analyses examined associations between (1) sociodemographic factors (age, sex, race and ethnicity, sexual orientation, household income, parental education, and number of siblings) and adolescent-reported bedtime screen use and (2) bedtime screen use and sleep outcomes (caregiver-reported sleep disturbance and self-reported sleep duration).</p><p><strong>Results: </strong>Older age, female sex, sexual minority status, lower household income, and lower parent education were associated with more bedtime screen use. Black, Native American, and Latino/Hispanic race/ethnicity were associated with more bedtime screen use compared with White race, regardless of household income or parent education. More bedtime screen use was linked to greater sleep disturbances, with stronger effects observed in male adolescents. More bedtime screen use was also associated with shorter sleep duration, particularly among female adolescents and individuals from households with higher income and parental education levels. Although sexual minority identification was associated with more bedtime screen use, it was not associated with worse sleep outcomes among these adolescents.</p><p><strong>Conclusions: </strong>Given sociodemographic differences in bedtime screen use, digital literacy education and anticipatory guidance could focus on at-risk early adolescent populations. Findings can inform targeted counseling by pediatricians and family media plans for diverse populations.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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