Sleep Health最新文献

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Social connectedness and sleep in Blackfeet American Indian adults Blackfeet 美洲印第安成年人的社会联系和睡眠。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.09.010
Neha A. John-Henderson PhD , Betty Henderson-Matthews MA , Peter Helm PhD , Skye Gilham MEd , George Heavy Runner , Lester Johnson EdD , Mary Ellen Lafromboise , Melveena Malatare MA , Emily M. Salois MSW , Zachary J. Wood MS , Jason R. Carter PhD
{"title":"Social connectedness and sleep in Blackfeet American Indian adults","authors":"Neha A. John-Henderson PhD ,&nbsp;Betty Henderson-Matthews MA ,&nbsp;Peter Helm PhD ,&nbsp;Skye Gilham MEd ,&nbsp;George Heavy Runner ,&nbsp;Lester Johnson EdD ,&nbsp;Mary Ellen Lafromboise ,&nbsp;Melveena Malatare MA ,&nbsp;Emily M. Salois MSW ,&nbsp;Zachary J. Wood MS ,&nbsp;Jason R. Carter PhD","doi":"10.1016/j.sleh.2024.09.010","DOIUrl":"10.1016/j.sleh.2024.09.010","url":null,"abstract":"<div><h3>Objectives</h3><div>A growing body of work documents a link between indices of social connectedness and sleep health. Sleep is implicated in the chronic health conditions which disproportionately affect American Indian adults, however the relationship between social connectedness and sleep health is largely understudied in this population. The current project investigates relationships between multiple indices of social connectedness and sleep health in a sample of American Indian adults.</div></div><div><h3>Methods</h3><div>In a sample of 275 American Indian adults residing in the Blackfeet Nation in Montana, we investigated links between social networks, loneliness, existential isolation (i.e., feeling alone in one’s experiences) and sleep health. We used one linear regression model controlling for demographics and symptoms of anxiety and depression to investigate the relationship between measures of social connectedness and sleep health.</div></div><div><h3>Results</h3><div>Existential isolation was the only statistically significant predictors of sleep health, with higher existential isolation relating to worse sleep health.</div></div><div><h3>Conclusion</h3><div>Existential isolation may be a particularly important measure of social connectedness in American Indian adults. More research is needed to understand precursors of existential isolation and the mechanisms contributing to the relationship between existential isolation and sleep health in Blackfeet American Indian adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 33-39"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630708","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
Association of sleep timing, sleep duration, and sleep latency with metabolic syndrome in middle-aged adults in Korea: A cross-sectional and longitudinal study 韩国中年人的睡眠时间、睡眠持续时间和睡眠潜伏期与代谢综合征的关系:一项横断面和纵向研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.06.002
Younghwa Baek PhD, Kyoungsik Jeong MS, Siwoo Lee PhD
{"title":"Association of sleep timing, sleep duration, and sleep latency with metabolic syndrome in middle-aged adults in Korea: A cross-sectional and longitudinal study","authors":"Younghwa Baek PhD,&nbsp;Kyoungsik Jeong MS,&nbsp;Siwoo Lee PhD","doi":"10.1016/j.sleh.2024.06.002","DOIUrl":"10.1016/j.sleh.2024.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>Sleep is a potential risk factor for metabolic syndrome. We investigated the associations of various sleep characteristics with the status and incidence of metabolic syndrome in middle-aged Koreans.</div></div><div><h3>Methods</h3><div>Using data from a community-based Korean Medicine Daejeon Citizen Cohort study on participants aged 30-50<!--> <!-->years, cross-sectional (n = 1984) and longitudinal (n = 1216, median follow-up: 2.1<!--> <!-->years) analyses were performed. To study the association of metabolic syndrome and five components with various sleep characteristics, measured using the Pittsburgh Sleep Quality Index, we used Poisson and logistic regression and Cox proportional hazard regression analyses, adjusting for covariates.</div></div><div><h3>Results</h3><div>Of 1984 participants, 66%, 19%, and 15% belonged to the non-metabolic syndrome, pre-metabolic syndrome, and metabolic syndrome groups, respectively. After covariate adjustments, the pre-metabolic syndrome group was associated with late mid-sleep time (≥5:00; prevalence ratios 1.61, 95% confidence interval 1.01-2.54) and late bedtime (≥2:00; prevalence ratios 1.55, 95% confidence interval 1.03-2.34), and the metabolic syndrome group was associated with long sleep latency (prevalence ratios 1.33, 95% confidence interval 1.03-1.73), poor sleep quality (prevalence ratios 1.38, 95% confidence interval 1.07-1.78), and early wake time (&lt;6:00; prevalence ratios 1.29, 95% confidence interval 1.01-1.63). Longitudinal analysis of participants without metabolic syndrome at baseline indicated a significant increase in metabolic syndrome risk associated with very short sleep duration (&lt;6 hours; hazard ratio 1.72, 95% confidence interval 1.06-2.79), long sleep latency (&gt;30 minutes; hazard ratio 1.86, 95% confidence interval 1.1-3.12), and early wake time (&lt;6:00 o’clock; hazard ratio 1.73, 95% confidence interval 1.01-2.97).</div></div><div><h3>Conclusion</h3><div>Sleep characteristics, such as short duration, long latency, and early wake time, were associated with an increased risk of metabolic syndrome in middle-aged adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 73-79"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037380","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 effects of COVID-19 lockdown and reopening on rest-activity rhythms in Singaporean working adults: A longitudinal age group comparison study COVID-19 封锁和重新开放对新加坡工作成年人休息-活动节奏的影响:年龄组纵向比较研究
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.10.005
Shuo Qin PhD , Ju Lynn Ong PhD , Janelle Chia BBus , Alicia Low BSc , Charmaine Lee PhD , Daphne Koek MSc , Karen Cheong PhD , Michael Wei Liang Chee MBBS
{"title":"The effects of COVID-19 lockdown and reopening on rest-activity rhythms in Singaporean working adults: A longitudinal age group comparison study","authors":"Shuo Qin PhD ,&nbsp;Ju Lynn Ong PhD ,&nbsp;Janelle Chia BBus ,&nbsp;Alicia Low BSc ,&nbsp;Charmaine Lee PhD ,&nbsp;Daphne Koek MSc ,&nbsp;Karen Cheong PhD ,&nbsp;Michael Wei Liang Chee MBBS","doi":"10.1016/j.sleh.2024.10.005","DOIUrl":"10.1016/j.sleh.2024.10.005","url":null,"abstract":"<div><h3>Study objectives</h3><div>COVID-19 mobility restrictions disrupted daily rhythms worldwide, but how this rhythm disruption differs across age groups is unclear. We examined the course of age-related differences in trajectories of rest-activity rhythm during the COVID-19 pandemic lockdown and reopening in Singapore. We also evaluated the association of these patterns with mental well-being.</div></div><div><h3>Methods</h3><div>24-hour step count data (Fitbit) were obtained from 617 younger (age range: 21-40) and 602 older adults (age range: 55-70) from January 2020 (baseline) through lockdown (April 2020) and reopening periods until August 2021. Nonparametric rest-activity rhythm metrics: interdaily stability, intradaily variability and most active 10-hour period (M10) were computed. Longitudinal changes in rest-activity rhythm, age-related differences in changes, and the associations between mental well-being and these changes were assessed using nonlinear latent-growth models.</div></div><div><h3>Results</h3><div>In younger adults, mobility restrictions during lockdown caused significant decline in interdaily stability and M10, alongside significant increase in intradaily variability. However, in older adults, changes were confined to increased intradaily variability and decreased M10. Older adults also showed less change in intradaily variability and M10 compared to younger adults. Gradual recovery of rest-activity rhythm metrics during reopening was observed, with interdaily stability and M10 remaining lower after 15<!--> <!-->months post-lockdown. In younger but not older adults, a larger decline in interdaily stability was associated with poorer mental well-being 15<!--> <!-->months post-lockdown.</div></div><div><h3>Conclusion</h3><div>Younger adults appear more vulnerable than older adults to mobility restrictions as reflected in their rest-activity rhythm metrics. A significant disruption of daily routine may have long-lasting effects on younger adults’ mental well-being.</div></div><div><h3>Statement of significance</h3><div>Although stringent mobility restrictions imposed to curb the spread of COVID-19 were imposed primarily to protect older adults, we found that younger adults were more vulnerable to rhythm disruption arising from mobility restrictions. Disrupted rhythm stability was associated with poorer mental well-being 15<!--> <!-->months after the lockdown ended in younger but not older adults. These asymmetric long-term effects on mental health on younger relative to older adults should be kept in mind when planning for large-scale catastrophes linked to mobility restrictions.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 98-104"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695954","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
A call for civility in peer review 呼吁在同行评议中保持文明。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.10.004
Ariel A. Williamson PhD , Meredith L. Wallace PhD , Amanda M. Applegate BS , Orfeu M. Buxton PhD
{"title":"A call for civility in peer review","authors":"Ariel A. Williamson PhD ,&nbsp;Meredith L. Wallace PhD ,&nbsp;Amanda M. Applegate BS ,&nbsp;Orfeu M. Buxton PhD","doi":"10.1016/j.sleh.2024.10.004","DOIUrl":"10.1016/j.sleh.2024.10.004","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 4-6"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755818","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 Sleep Health Times
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/S2352-7218(25)00016-6
{"title":"The Sleep Health Times","authors":"","doi":"10.1016/S2352-7218(25)00016-6","DOIUrl":"10.1016/S2352-7218(25)00016-6","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Page 120"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143228646","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
Mediating role of obstructive sleep apnea in altering slow-wave activity and elevating Alzheimer’s disease risk: Pilot study from a northern Taiwan cohort 阻塞性睡眠呼吸暂停在改变慢波活动和提高阿尔茨海默病风险方面的中介作用:来自台湾北部队列的试点研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.08.012
Cheng-Yu Tsai PhD , Chien-Ling Su MSc , Huei-Tyng Huang MSc , Hsin-Wei Lin MD , Jia-Wei Lin MD, PhD , NG Cheuk Hei BSc , Wun-Hao Cheng PhD , Yen-Ling Chen MSc , Arnab Majumdar PhD , Jiunn-Horng Kang PhD , Kang-Yun Lee PhD , Zhihe Chen MSc , Yi-Chih Lin MD, PhD , Cheng-Jung Wu MD , Yi-Chun Kuan MD, PhD , Yin-Tzu Lin MD , Chia-Rung Hsu MD , Hsin-Chien Lee MD, MPH , Wen-Te Liu MD, PhD
{"title":"Mediating role of obstructive sleep apnea in altering slow-wave activity and elevating Alzheimer’s disease risk: Pilot study from a northern Taiwan cohort","authors":"Cheng-Yu Tsai PhD ,&nbsp;Chien-Ling Su MSc ,&nbsp;Huei-Tyng Huang MSc ,&nbsp;Hsin-Wei Lin MD ,&nbsp;Jia-Wei Lin MD, PhD ,&nbsp;NG Cheuk Hei BSc ,&nbsp;Wun-Hao Cheng PhD ,&nbsp;Yen-Ling Chen MSc ,&nbsp;Arnab Majumdar PhD ,&nbsp;Jiunn-Horng Kang PhD ,&nbsp;Kang-Yun Lee PhD ,&nbsp;Zhihe Chen MSc ,&nbsp;Yi-Chih Lin MD, PhD ,&nbsp;Cheng-Jung Wu MD ,&nbsp;Yi-Chun Kuan MD, PhD ,&nbsp;Yin-Tzu Lin MD ,&nbsp;Chia-Rung Hsu MD ,&nbsp;Hsin-Chien Lee MD, MPH ,&nbsp;Wen-Te Liu MD, PhD","doi":"10.1016/j.sleh.2024.08.012","DOIUrl":"10.1016/j.sleh.2024.08.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Obstructive sleep apnea is associated with alterations in slow-wave activity during sleep, potentially increasing the risk of Alzheimer’s disease. This study investigated the associations between obstructive sleep apnea manifestations such as respiratory events, hypoxia, arousal, slow-wave patterns, and neurochemical biomarker levels.</div></div><div><h3>Methods</h3><div>Individuals with suspected obstructive sleep apnea underwent polysomnography. Sleep disorder indices, oxygen metrics, and slow-wave activity data were obtained from the polysomnography, and blood samples were taken the following morning to determine the plasma levels of total tau (T-Tau) and amyloid beta-peptide 42 (Aβ<sub>42</sub>) by using an ultrasensitive immunomagnetic reduction assay. Subsequently, the participants were categorized into groups with low and high Alzheimer’s disease risk on the basis of their computed product Aβ<sub>42</sub> × T-Tau. Intergroup differences and the associations and mediation effects between sleep-related parameters and neurochemical biomarkers were analyzed.</div></div><div><h3>Results</h3><div>Forty-two participants were enrolled, with 21 assigned to each of the low- and high-risk groups. High-risk individuals had a higher apnea–hypopnea index, oxygen desaturation index (≥3%, ODI-3%), fraction of total sleep time with oxygen desaturation (SpO<sub>2-</sub>90% <sub>TST</sub>), and arousal index and greater peak-to-peak amplitude and slope in slow-wave activity, with a correspondingly shorter duration, than did low-risk individuals. Furthermore, indices such as the apnea–hypopnea index, ODI-3% and SpO<sub>2-</sub>90% <sub>TST</sub> were found to indirectly affect slow-wave activity, thereby raising the Aβ<sub>42</sub> × T-Tau level.</div></div><div><h3>Conclusions</h3><div>Obstructive sleep apnea manifestations, such as respiratory events and hypoxia, may influence slow-wave sleep activity (functioning as intermediaries) and may be linked to elevated neurochemical biomarker levels. However, a longitudinal study is necessary to determine causal relationships among these factors.</div></div><div><h3>Statement of significance</h3><div>This research aims to bridge gaps in understanding how obstructive sleep apnea is associated with an elevated risk of Alzheimer’s disease, providing valuable knowledge for sleep and cognitive health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 80-90"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478097","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
Behavioral and sociodemographic correlates of sleep duration among children in Samoa 萨摩亚儿童睡眠时间的行为和社会人口学相关性。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.10.009
Tayla von Ash ScD, MPH , Courtney C. Choy PhD, MPH , Shira Dunsiger PhD , Christina Soti-Ulberg MS , Dongqing Wang PhD, MPH , Muagututia S. Reupena MA , Rachel L. Duckham PhD , Take Naseri MBBS, MPH , Nicola L. Hawley PhD
{"title":"Behavioral and sociodemographic correlates of sleep duration among children in Samoa","authors":"Tayla von Ash ScD, MPH ,&nbsp;Courtney C. Choy PhD, MPH ,&nbsp;Shira Dunsiger PhD ,&nbsp;Christina Soti-Ulberg MS ,&nbsp;Dongqing Wang PhD, MPH ,&nbsp;Muagututia S. Reupena MA ,&nbsp;Rachel L. Duckham PhD ,&nbsp;Take Naseri MBBS, MPH ,&nbsp;Nicola L. Hawley PhD","doi":"10.1016/j.sleh.2024.10.009","DOIUrl":"10.1016/j.sleh.2024.10.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe sleep duration, adherence to sleep recommendations, and behavioral and sociodemographic correlates of sleep among Samoan children.</div></div><div><h3>Methods</h3><div>In a longitudinal cohort study of Samoan children aged 2-9<!--> <!-->years (n = 481; 50% female), primary caregivers reported usual number of hours of nighttime sleep during 2015, 2017/2018, and 2019/2020 data collection waves. Associations between behavioral and sociodemographic characteristics and sleep duration were assessed using generalized linear and mixed effect regressions.</div></div><div><h3>Results</h3><div>Average reported hours of nighttime sleep for toddlers (age 2) was 9.7 ± 1.1 (SD); for preschoolers (age 3-5) 9.5 ± 1.0, and for school-age children (age 6-9) 9.4 ± 1.3, with 58% of children meeting sleep recommendations. Living in a lower income household was associated with 30 more minutes of sleep for toddlers (adjusted β:0.56 [95% CI: 0.03, 1.09]) and preschoolers (adjusted β:0.51 [95% CI: 0.17, 0.85]), while higher reported physical activity was associated with longer sleep for school-age children (adjusted β:0.49 [95% CI: 0.08, 0.91]). Preschoolers with a primary caregiver who did not complete high school had shorter sleep (β: −<!--> <!-->0.80 [95% CI: −<!--> <!-->1.12, −<!--> <!-->0.48]). Among school-aged children, shorter sleep was associated with greater total carbohydrate intake (for every 100 g/day, β: −<!--> <!-->0.01 [95% CI: −<!--> <!-->0.02, 0.01]) and neotraditional dietary pattern adherence (β: −<!--> <!-->0.27 [95% CI: −<!--> <!-->0.53, −<!--> <!-->0.01]).</div></div><div><h3>Conclusions</h3><div>Efforts should be made to encourage adequate sleep among Samoan children. Correlates of sleep were largely consistent with existing literature. Future research should examine additional culturally and contextually-specific risk factors for insufficient sleep in Samoa and consequences for child health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 57-64"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927367","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
Dreamscapes in sound: A contemporary analysis of dreams portrayed in 19th and 20th century classical music
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2025.01.009
Peter Sykes (Guest Contributor), Meir Kryger MD (Art Editor)
{"title":"Dreamscapes in sound: A contemporary analysis of dreams portrayed in 19th and 20th century classical music","authors":"Peter Sykes (Guest Contributor),&nbsp;Meir Kryger MD (Art Editor)","doi":"10.1016/j.sleh.2025.01.009","DOIUrl":"10.1016/j.sleh.2025.01.009","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 1-3"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143228072","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
Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions 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。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.09.009
André Gonzales Real MD, MS , Brian T. Gillis PhD, LMFT , Amy L. Gower PhD , Marla E. Eisenberg ScD, MPH , Benjamin Parchem PhD , Samantha E. Lawrence PhD , Stephen T. Russell PhD
{"title":"Disparities in sleep among diverse adolescents in two large statewide samples: A need for intersectional interventions","authors":"André Gonzales Real MD, MS ,&nbsp;Brian T. Gillis PhD, LMFT ,&nbsp;Amy L. Gower PhD ,&nbsp;Marla E. Eisenberg ScD, MPH ,&nbsp;Benjamin Parchem PhD ,&nbsp;Samantha E. Lawrence PhD ,&nbsp;Stephen T. Russell PhD","doi":"10.1016/j.sleh.2024.09.009","DOIUrl":"10.1016/j.sleh.2024.09.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Examine very short sleep among adolescents across multiple intersecting social positions and experiences of sexual orientation-based bullying and cyberbullying in two statewide samples.</div></div><div><h3>Methods</h3><div>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 (<em>N</em> = 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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Clinical trial registration</h3><div>N/A.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 40-47"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630698","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
Longitudinal association between adolescent sexual identity and sleep quality: The mediating roles of peer victimization and perceived social support 青少年性认同与睡眠质量之间的纵向联系:同伴伤害和感知到的社会支持的中介作用。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-02-01 DOI: 10.1016/j.sleh.2024.09.012
Misol Kwon PhD, RN , Jennifer A. Livingston PhD , Weijun Wang PhD , Amy L. Hequembourg PhD
{"title":"Longitudinal association between adolescent sexual identity and sleep quality: The mediating roles of peer victimization and perceived social support","authors":"Misol Kwon PhD, RN ,&nbsp;Jennifer A. Livingston PhD ,&nbsp;Weijun Wang PhD ,&nbsp;Amy L. Hequembourg PhD","doi":"10.1016/j.sleh.2024.09.012","DOIUrl":"10.1016/j.sleh.2024.09.012","url":null,"abstract":"<div><h3>Objective</h3><div>Despite growing evidence of disparities in sleep quality between sexual minoritized and heterosexual youth, the reasons for these disparities are not well understood. LGBQ+ adolescents often experience challenging peer relationships, which could negatively impact their sleep quality. The current study examined the prospective relationship between sexual minority status and sleep quality over 12<!--> <!-->months and evaluated whether peer victimization and social support at 6<!--> <!-->months mediated this relationship among adolescents.</div></div><div><h3>Methods</h3><div>This study involved a secondary analysis of data from a community sample of 800 adolescents (57.5% female; <em>M</em><sub>age</sub> <!-->=<!--> <!-->14.42<!--> <!-->years, <em>SD</em> <!-->=<!--> <!-->0.83). Data were collected using web-based surveys over 12<!--> <!-->months with three time-points: baseline, 6-, and 12-month.</div></div><div><h3>Results</h3><div>Approximately 19.4% of adolescents self-identified as LGBQ+. Compared to heterosexual adolescents, LGBQ+ adolescents reported poorer global sleep quality, lower perceived social support, greater peer victimization, childhood victimization, and were more likely to be female (all <em>p</em>s &lt; .001). In a longitudinal, parallel mediation analysis adjusting for baseline age, gender, global sleep quality, and childhood victimization, LGBQ+ adolescents reported higher rates of peer victimization (<em>b</em> <!-->=<!--> <!-->0.262 [0.049], <em>p</em> &lt; .001) and less social support (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.385 [0.146], <em>p</em> = .008) at 6<!--> <!-->months compared with heterosexual peers, predicting poor global sleep quality (<em>b</em> <!-->=<!--> <!-->0.495 [0.191], <em>p</em> = .010 for peer victimization and <em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.161 [0.068], <em>p</em> = .018 for social support) at 12<!--> <!-->months.</div></div><div><h3>Conclusion</h3><div>These findings highlight that sexual minority adolescents face increased risks of peer victimization and reduced social support from peers, which contribute to poorer sleep quality. The findings may guide the development of adolescent sleep interventions that also improve social health and relationships.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 25-32"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630703","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}
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