Sleep Health最新文献

{"title":"Serum cotinine and wrist-worn ambient light exposure patterns in U.S. adults: A cross-sectional analysis of NHANES 2011-2014.","authors":"Andrew C Wong, Cooper Lee, Adam Park, Luke Yin, Yoo Choi","doi":"10.1016/j.sleh.2026.08.017","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.017","url":null,"abstract":"<p><strong>Objectives: </strong>To examine whether serum cotinine, a biomarker of tobacco smoke exposure, is associated with objectively measured wrist-worn ambient light in U.S. adults, and whether any association is accounted for by objective sleep and physical activity.</p><p><strong>Methods: </strong>We analyzed NHANES 2011-2014 data from 6937 adults aged ≥20 years with valid serum cotinine and wrist-worn light data. Seven light outcomes were modeled with survey-weighted linear regression using log₂(cotinine+1) across four adjustment levels. Exploratory models added actigraphy sleep timing and duration and wrist-derived activity. Benjamini-Hochberg false discovery rate (FDR) correction was applied across the 7 outcomes within each model.</p><p><strong>Results: </strong>In the primary model (N = 6350), higher cotinine was associated with higher nighttime light (β = +0.024, p_FDR = 0.014) and lower evening light (β = -0.031, p_FDR = 0.042). Adding objective sleep and activity attenuated the nighttime association to the null (β = +0.002, P = .70), whereas evening light persisted (β = -0.023, P = .011). A cotinine-by-sex interaction for nighttime light was identified (p_interaction = 0.010), significant in females but not males.</p><p><strong>Conclusions: </strong>Higher serum cotinine was associated with higher nighttime and lower evening wrist-worn light. The nighttime association was largely accounted for by objective sleep and activity. The cross-sectional design precludes causal inference. Longitudinal mediation studies are needed.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116844","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}

{"title":"Understanding the modality, frequency, and context of sleep health communication among black adolescents.","authors":"Mattina A Davenport, Ariana Calloway, Devante Barnes, Tracy Afriyie, Marquis Hawkins, Natalie Mitchell","doi":"10.1016/j.sleh.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.09.005","url":null,"abstract":"<p><strong>Objective: </strong>Black adolescents experience persistent sleep health disparities, yet little is known about how sleep is discussed within families, healthcare encounters, and community settings. This study examined the modality, frequency, and context of sleep health communication among Black adolescents to identify gaps and opportunities for improving sleep health literacy and equitable sleep promotion.</p><p><strong>Methods: </strong>In-depth interviews were conducted with consented/assented adolescents aged 11 to 17 years who self-identified as Black/African American. Participants were recruited in Columbus, Ohio through Nationwide Children's Hospital (NCH) primary care and specialty clinics, school-based health clinics, the Science Education Outreach program, and the NCH Marketing/Public Relations team. Interviews explored sleep environment, beliefs, habits, sleep communication, and awareness of sleep-related resources. Interviews were conducted via Webex between May 2022 and May 2023 and transcribed for thematic analysis using Microsoft Excel.</p><p><strong>Results: </strong>The sample included 21 U.S. Black/African American adolescents (mean age 14.0 ± 0.15 years); half identified as female (n=11). Three primary themes emerged as follows: (1) how sleep conversations occur (modality and setting); (2) who initiates sleep conversations (healthcare providers, family members, other adults, peers); and (3) depth and scarcity of sleep dialog (limited or non-existent). Findings highlight limited meaningful sleep-related communication in home and community settings, with most adolescents reporting brief, annual conversations about sleep during pediatric healthcare visits.</p><p><strong>Conclusions: </strong>Black adolescents experience fragmented sleep health communication, particularly outside clinical encounters. Interventions prioritizing sleep health literacy and framing sleep as a multigenerational family health behavior may strengthen sleep communication and support more equitable sleep health outcomes for Black adolescents.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116852","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}

{"title":"Association between religious and spiritual engagement and sleep disturbance among older Vietnamese adults: A latent class and sex-stratified analysis.","authors":"Thao Duc Vu, Wiraporn Pothisiri","doi":"10.1016/j.sleh.2026.08.016","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.016","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep disturbance is a common yet heterogeneous condition in later life. This study aimed to identify profiles of sleep disturbance among older Vietnamese adults and examine sex-specific associations with religious and spiritual engagement.</p><p><strong>Methods: </strong>Data were drawn from the 2018 Longitudinal Study of Aging and Health in Vietnam (LSAHV) (n = 4901; aged ≥60 years). Latent class analysis identified sleep disturbance profiles using 6 self-reported indicators. Sex-stratified multinomial logistic regression models estimated associations, adjusting for sociodemographic, physical health, behavioral, and psychosocial factors.</p><p><strong>Results: </strong>Three profiles were identified: mild (29.4%), moderate (45.6%), and severe (25.0%). The moderate and severe profiles showed similarly high insomnia symptoms but differed in perceived sleep quality, restfulness, and medication use. Religious and spiritual engagement showed sex-specific patterns. Among women, engagement was associated with a 6.0 percentage-point higher probability of belonging to the mild profile after adjustment for sociodemographic, environmental, and physical health confounders. This association was attenuated by 2.0 percentage points after further adjustment for psychosocial and behavioral factors and was no longer statistically significant. No significant associations were observed among men.</p><p><strong>Conclusions: </strong>Sleep disturbance among older Vietnamese adults reflects meaningful variation in subjective sleep experiences rather than a uniform consequence of aging. Religious and spiritual engagement was associated with a higher probability of belonging to the mild profile among women, whereas no significant association was observed among men. These findings highlight the importance of considering subjective sleep experiences, broader psychosocial contexts, and sex-specific patterns in understanding sleep health in later life.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116813","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}

{"title":"What does sleep regularity add to sleep duration? Priorities for evidence and prevention.","authors":"Jean-Philippe Chaput, Susan Redline, Emmanuel Stamatakis","doi":"10.1016/j.sleh.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.09.002","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116817","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}

{"title":"Quadratic associations between harsh parenting and changes in children's nightly sleep.","authors":"Morgan J Thompson, Ryan J Kelly, Mona El-Sheikh","doi":"10.1016/j.sleh.2026.08.015","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.015","url":null,"abstract":"<p><strong>Objectives: </strong>Harsh parenting has been associated with children's poor sleep. Existing studies with older children are predominantly cross-sectional and focus on linear associations between harsh parenting and sleep. Addressing these gaps, we investigated the longitudinal quadratic association between harsh parenting and change in children's sleep over 2 years.</p><p><strong>Method: </strong>Children (N = 329, 46% female, 64% White/European American, and 36% Black/African American) and their parents from socioeconomically diverse backgrounds participated in 2 data collection waves spaced 2 years apart (ages 9 and 11, respectively). Parents reported on harsh parenting at age 9. Sleep was assessed at both waves utilizing 7 nights of actigraphy to derive measures of sleep duration (minutes) and sleep fragmentation (efficiency, activity), and children reported on their sleep-wake problems.</p><p><strong>Results: </strong>Quadratic effects of harsh parenting emerged for sleep minutes (ß = .11, P = .05), sleep efficiency (ß = .17, P = .02), and sleep activity (ß = -.16, P = .04). Greater declines in sleep were observed as harsh parenting increased from low to moderate levels, whereas associations attenuated and plateaued at higher levels of harsh parenting.</p><p><strong>Conclusions: </strong>Novel findings build on the literature by considering associations between sleep and a prevalent form of family risk and illustrate that relations between harsh parenting and sleep are quadratic.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082508","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}

{"title":"From objective events to insomnia onset: Overlooked mediators, measurement, and temporality.","authors":"Shunyi Lyu, Hui Jin, Li Huang, Jiming Tao, Lingjun Kong","doi":"10.1016/j.sleh.2026.08.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.010","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065243","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}

{"title":"Heated tobacco product (HTP) use and sleep disturbance among Japanese workers: Findings from the J-ECOH Study.","authors":"Ai Hori, Yukari Taniyama, Hiroko Okazaki, Toshiaki Miyamoto, Takeshi Kochi, Isamu Kabe, Aki Tomizawa, Haruka Miyake, Maki Konishi, Seitaro Dohi, Tetsuya Mizoue","doi":"10.1016/j.sleh.2026.08.014","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.014","url":null,"abstract":"<p><strong>Objectives: </strong>Heated tobacco products have expanded rapidly, especially in Japan, and are marketed as less harmful than cigarettes. Although combustible cigarette smoking is associated with impaired sleep, evidence on sleep-related effects of heated tobacco products remains limited. We assessed associations of heated tobacco product use with sleep latency, sleep duration, and sleep disturbance.</p><p><strong>Methods: </strong>We conducted a cross-sectional study among 12,026 workers aged 20 to 69 years in the Japan Epidemiology Collaboration on Occupational Health (J-ECOH) Study (2018-2021). Smoking status was classified as never, former, exclusive heated tobacco product use, dual use, or exclusive cigarette smoking. Sleep outcomes included sleep latency, duration, and indicators of sleep disturbance (≥3/week)-difficulty initiating sleep, early morning awakening, and restless sleep. Multilevel Poisson regression estimated prevalence ratios for sleep disturbance, and multilevel linear regression estimated sleep latency and sleep duration, adjusting for sociodemographic, lifestyle, occupational, and physical factors.</p><p><strong>Results: </strong>Compared with never smokers, exclusive heated tobacco product users, dual users, and exclusive cigarette smokers had higher adjusted prevalence ratios (95% CIs) for difficulty initiating sleep: 1.59 (1.06-2.37), 1.63 (1.36-1.95), and 1.27 (1.03-1.57), respectively. For restless sleep, prevalence ratios were 1.47 (1.20-1.80), 1.33 (1.03-1.72), and 1.13 (0.87-1.45). Exclusive heated tobacco product users, dual users, and exclusive cigarette smokers had longer adjusted mean sleep latency (20.7, 21.9, 20.9 vs. 18.0 minutes, respectively). Sleep duration differed little across smoking groups.</p><p><strong>Conclusions: </strong>Exclusive heated tobacco product use and dual use were associated with longer sleep latency and greater indicators of sleep disturbance among workers. Heated tobacco products may not represent a less harmful alternative for sleep.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065173","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}

{"title":"Insomnia with objective short sleep duration, objective long sleep duration, and mortality in older persons.","authors":"Brienne Miner, Yulu Pan, Gawon Cho, Anne Chen, Melissa P Knauert, Henry K Yaggi, Katie Stone, Jamie M Zeitzer, Kristine Ensrud, Sonia Ancoli-Israel, Susan Redline, Kristine Yaffe, Margaret Doyle","doi":"10.1016/j.sleh.2026.08.013","DOIUrl":"10.1016/j.sleh.2026.08.013","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association of sleep phenotypes, including insomnia with objective short sleep duration (ISSD) and objective long sleep duration (LS), with mortality in older persons.</p><p><strong>Methods: </strong>In 2844 men (average age 76.4±5.5; follow-up=12.1 years) and 2967 women (average age 83.5±3.7; follow-up=5.7 years), Cox proportional hazards models examined the association of ISSD (insomnia [difficulty initiating or maintaining sleep and/or sleep medication use ≥3/week] and concurrent actigraphy-estimated sleep duration <6 hours) and LS (actigraphy-estimated sleep duration >8 hours) with mortality. Other phenotypes (insomnia with normal sleep duration [INSD; insomnia and sleep duration 6 to 8hours]; asymptomatic short sleep [AS; no insomnia and sleep duration <6 hours]) were also examined. Participants with normal sleep (NS; no insomnia and sleep duration 6 to 8hours) served as the reference. Models were adjusted for demographics and comorbidities.</p><p><strong>Results: </strong>In demographic-adjusted models and across cohorts, ISSD was associated with an increased hazard of mortality compared with NS (HR 1.25 [1.09, 1.43] for men; 1.38 [1.12, 1.70] for women). This association was not significant in either cohort after adjusting for comorbidity. In unadjusted models, LS was associated with increased mortality in men and women when compared with NS. In women only, LS was associated with higher mortality after adjustment for demographics and comorbidity compared with NS (HR 1.31 [1.08, 1.60]). Persons with INSD or AS did not have increased mortality risk compared with NS.</p><p><strong>Conclusion: </strong>ISSD and LS are at-risk phenotypes in older persons. Associations with mortality may be mediated by chronic diseases. Future work should examine whether sleep improvements decrease mortality in older persons.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065196","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}

{"title":"Interpreting insomnia symptoms in evening types requires a precision medicine approach.","authors":"Alessandro Colitta, Francesca Buracchi Torresi, Giulia Aquino, Domeniko Hoxhaj","doi":"10.1016/j.sleh.2026.08.004","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.08.004","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931679","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}

{"title":"Association between sleep quality in adolescence and dysmenorrhea severity in young adulthood: A prospective cohort study.","authors":"Siyu Zhou, Saloni Shrees, Emmy van den Boogaard, Martijn J J Finken, Tanja G M Vrijkotte","doi":"10.1016/j.sleh.2026.07.012","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.07.012","url":null,"abstract":"<p><strong>Objective: </strong>To prospectively investigate the association between adolescent sleep quality and dysmenorrhea severity in young adulthood, and assess the moderating effect of initial dysmenorrhea status.</p><p><strong>Methods: </strong>We used data from 614 girls in the Amsterdam Born Children and their Development study. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) at ages 15 to 16. Dysmenorrhea severity was assessed by modified Menstrual Disorder of Teenagers (MDOT) questionnaire at ages 19 to 20. Modified Poisson regression and multivariate logistic regression models were conducted to examine the association between overall sleep quality and its components and dysmenorrhea severity, while controlling for demographic, reproductive, psychosocial, and lifestyle factors. The moderation function of initial dysmenorrhea status was assessed by adding interaction term with sleep quality into models.</p><p><strong>Results: </strong>At ages 19 to 20, 77.7% (n=477) girls reported moderate/severe dysmenorrhea. At the beginning of the study, 45.5% (n=261) reported poor sleep quality at ages 15 to 16, of whom 84.3% (n=220) reported moderate/severe dysmenorrhea. Poor sleep quality (RR: 1.08, 95% CI: 0.99-1.19), global PSQI score (RR: 1.02, 95% CI: 1.01-1.04), longer sleep latency (RR: 1.05, 95% CI: 1.01-1.10), and lower sleep efficiency (RR: 1.11, 95% CI: 1.06-1.17) were associated with greater dysmenorrhea severity later in life. The effect of poor sleep quality was attenuated among girls with baseline dysmenorrhea at ages 15 to 16.</p><p><strong>Conclusions: </strong>Poorer sleep quality in adolescence, particularly longer sleep latency and lower sleep efficiency, is prospectively associated with increased dysmenorrhea severity in young adulthood. These findings suggest that sleep problems may be a potential risk factor for the development of dysmenorrhea.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921270","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}