Sleep Health最新文献

{"title":"Family implication in adolescents’ sleep: A qualitative exploration with quantitative insights","authors":"Ella Louis PhD ,&nbsp;Elif Eyuboglu PhD ,&nbsp;Didier Drieu PhD ,&nbsp;Eve Reynaud PhD ,&nbsp;Carmen Schröder PhD ,&nbsp;Jean-Michel Coq PhD ,&nbsp;Régine Scelles PhD","doi":"10.1016/j.sleh.2025.07.009","DOIUrl":"10.1016/j.sleh.2025.07.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The multiple changes in sleep patterns during adolescence are influenced by both biological and environmental factors, resulting in later bedtimes and insufficient sleep. Since most adolescents live with their families, the family environment plays a crucial role in shaping adolescent sleep behaviors. Existing research on this topic remains limited.</div></div><div><h3>Methods</h3><div>This study employed both qualitative and quantitative methods to explore family involvement in adolescent sleep. A total of 114 participants (31 families, including both parents, siblings, and the target adolescents) participated in semistructured interviews and wore actigraphs to measure sleep over 7 days.</div></div><div><h3>Results</h3><div>Actigraphy results revealed that most adolescents slept less than the recommended amount, with similar sleep patterns observed between adolescents, their siblings, and mothers. Thematic content analysis identified how sleep behaviors and attitudes were transmitted within families. Similar habits in the evening were observed between family members, such as meals, screen time, reading, and homework.</div></div><div><h3>Discussion</h3><div>The study highlighted how family members model behaviors related to sleep, with parents and siblings influencing adolescents’ sleep patterns. Parental roles, such as setting sleep-related rules, limiting screen time, and maintaining consistent bedtime routines, serve as key behavioral models that adolescents often adopt, leading to better sleep quality and quantity.</div></div><div><h3>Conclusion</h3><div>This study underscores the significant role of family in shaping adolescent sleep patterns through both explicit behaviors and implicit modeling.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 665-675"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974738","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 before-bedtime hot-tub bathing and sleep quality in real-life settings among community-dwelling older adults.","authors":"Yoshiaki Tai, Kenji Obayashi, Yuki Yamagami, Keigo Saeki","doi":"10.1016/j.sleh.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.07.008","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to provide insights on the effects of hot-tub bathing on sleep quality under real-life conditions, accounting for various factors such as bathing behaviors, environmental influences, and individual characteristics.</p><p><strong>Methods: </strong>We analyzed the association between hot-tub bathing and subsequent sleep in 2252 older adults (mean age, 68.8 years). Objective and self-reported sleep quality were assessed using actigraphy and the Pittsburgh Sleep Quality Index, respectively. Wrist and abdominal skin temperatures were recorded at 3- and 1-minute intervals, respectively, excluding and including the bathing period. The distal-proximal skin temperature gradient, an index of heat dissipation, was calculated as wrist skin temperature minus abdominal skin temperature.</p><p><strong>Results: </strong>Multivariable models showed that individuals who bathed had significantly higher actigraphic sleep efficiency (1.3% [95% CI: 0.3-2.4], P = .013), shorter actigraphic wake after sleep onset (3.3 minutes [95% CI: 1.0-5.7], P = .005), higher distal-proximal skin temperature gradient after bedtime (0.26°C [95% CI: 0.11-0.41], P = .001), and lower odds of poor self-reported sleep quality (Odds ratio 0.73 [95% CI: 0.58-0.91], P = .006) compared with those who did not bathe, after adjusting for age, sex, body mass index, income, physical activity, day length, indoor and outdoor temperatures, and other confounders. Among bathers, immersion duration and abdominal skin temperature (surrogate for bathtub temperature) exhibited a negative interaction in relation to actigraphic sleep efficiency.</p><p><strong>Conclusions: </strong>In real-world situations, hot-tub bathing was positively associated with actigraphic sleep metrics. Our findings can be used in future interventional studies to determine optimal hot-tub bathing conditions for improving sleep quality.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849414","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":"Sleep duration associated with acute care utilization: Revisiting Andersen’s Behavioral Model of Health Services Use","authors":"Marie-Rachelle Narcisse PhD ,&nbsp;Rhoda Moise PhD ,&nbsp;Pearl A. McElfish PhD ,&nbsp;Holly C. Felix PhD ,&nbsp;Tracie Kirkland DNP ,&nbsp;Girardin Jean-Louis PhD","doi":"10.1016/j.sleh.2025.06.007","DOIUrl":"10.1016/j.sleh.2025.06.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Andersen’s Behavioral Model of Health Services Use explains healthcare utilization through three key domains—health needs, predisposing characteristics, and enabling resources—that influence whether individuals access medical care. This study examined whether self-reported sleep duration, as a health needs factor, is associated with acute care hospital utilization in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data from 30,122 civilians ages 18+ from the 2020 National Health Interview Survey. Acute care utilization included past-year emergency room visits and overnight hospitalizations. Zero-inflated negative binomial and multivariable logistic regression models were used to assess associations of health needs, predisposing, and enabling factors with acute care utilization.</div></div><div><h3>Results</h3><div>Eight in 10 adults had no emergency room visits (81.1%), while 12.3% had one visit, 4.3% had two, 1.1% had three, 1.2% had 4+ visits, and 8.4% experienced overnight hospitalization. Sixty-four percent reported healthy sleep. Very short and long sleep were associated with significantly higher emergency room visit rates, while very short, short, and long sleep were associated with greater odds of overnight hospitalization compared with healthy sleep. Poor or fair health and multiple chronic conditions were also associated with increased acute care use. Predisposing (e.g., ages 18-44, female sex, Black race, and place of birth) and enabling factors (e.g., financial hardship, health insurance) further contributed to greater utilization.</div></div><div><h3>Conclusions</h3><div>Sleep duration is a significant and underexamined health needs factor in acute care utilization. Improving sleep health may help reduce the frequency of emergency room visits and hospitalizations. Future studies should explore the directionality of these associations and examine other sleep dimensions in relation to acute care utilization.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 691-701"},"PeriodicalIF":3.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838283","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 insomnia symptoms and chronotype—A systematic review and meta-analysis","authors":"Yuqing Zhao MA ,&nbsp;Haizhen Chen BSc ,&nbsp;Torbjörn Åkerstedt PhD ,&nbsp;Zefan Zhang MSc ,&nbsp;Shuai Wang MD, PhD ,&nbsp;Xiao Tan PhD","doi":"10.1016/j.sleh.2025.06.011","DOIUrl":"10.1016/j.sleh.2025.06.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This meta-analysis aimed to examine the association between chronotype and insomnia.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Embase, and the Cochrane Library was conducted to identify prospective and cross-sectional studies published before July 2023. Sixteen studies involving 27,789 participants were included. Chronotype was assessed using the Morningness-Eveningness Questionnaire. Odds ratios with 95% confidence intervals were calculated for dichotomous outcomes, and mean differences with 95% confidence intervals were used for continuous outcomes. Random-effects models were applied in the presence of moderate-to-high heterogeneity. Sensitivity and subgroup analyses were performed to assess robustness and consistency.</div></div><div><h3>Results</h3><div>Compared with morning types, evening chronotypes had a significantly higher risk of insomnia (odds ratio, 3.47; 95% confidence interval, 2.50-4.83; <em>P</em>&lt;.00001) and higher ISI scores (mean difference, 3.00; 95% confidence interval, 1.70-4.30; <em>P</em>&lt;.00001). Intermediate chronotypes also showed elevated risk (odds ratio, 1.61; 95% confidence interval, 1.24-2.09; <em>P<!--> </em>=<!--> <!-->.0004) and moderately higher ISI scores (mean difference, 1.55; 95% confidence interval, 0.47-2.63; <em>P<!--> </em>=<!--> <!-->.005) compared with morning types.</div></div><div><h3>Conclusion</h3><div>Individuals with an evening chronotype were more likely to report insomnia symptoms compared with those with morning or intermediate chronotypes. Intermediate chronotypes tended to have a moderate association, while morning types showed the lowest likelihood of reporting insomnia symptoms. These findings highlight the importance of considering chronotype in the assessment and management of insomnia.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 551-559"},"PeriodicalIF":3.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805107","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":"Breaking the cycle of burnout: Integrating sleep health in workplace mental wellness for low-resource settings.","authors":"Jose Eric M Lacsa","doi":"10.1016/j.sleh.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.07.004","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800670","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":"Housing well-being and sleep in Australia","authors":"Shannon L. Edmed PhD ,&nbsp;M. Mamun Huda PhD ,&nbsp;Md Ashraful Alam M.Sc, MPH ,&nbsp;Cassandra L. Pattinson PhD ,&nbsp;Kalina R. Rossa PhD ,&nbsp;Shamsi Shekari Soleimanloo PhD ,&nbsp;Simon S. Smith PhD","doi":"10.1016/j.sleh.2025.02.001","DOIUrl":"10.1016/j.sleh.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>The built and social aspects of housing influence a broad range of health and social outcomes and may be important enablers of barriers to occupants accessing sufficient and good-quality sleep. The aim of this study was to examine the relationships between housing well-being (a conceptualization of housing-related [dis]advantage), with self-reported sleep outcomes in Australians.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis of Wave 21 (2021) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey, a longitudinal, population-based study of Australian households. Multilevel logistic regression models were used to examine the association between “housing well-being” and sleep outcomes. The sample analyzed consisted of 13,516 respondents.</div></div><div><h3>Results</h3><div>Greater housing insecurity (a composite score comprising tenure type, housing affordability stress, and housing mobility) was associated with higher odds of insufficient sleep (AOR: 1.28; 95% CI: 1.15, 1.41) and sleep disturbance (AOR: 1.13; 95% CI: 1.04, 1.22) after adjustment. Unsuitable housing (a composite score comprising dwelling type, occupant density, and housing quality) was associated with increased odds of insufficient sleep (AOR: 1.36; 95% CI: 1.19, 1.55), napping (AOR: 1.13; 95% CI: 1.02, 1.25), and sleep disturbance (AOR: 1.14; 95% CI: 1.03, 1.26) after adjustment.</div></div><div><h3>Conclusions</h3><div>Improving housing condition and circumstances may support the sleep health of Australians. Future research should explore the ways in which sleep may play a mediating role through which built environments affect other health and well-being outcomes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 506-514"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019612","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":"Winter sleep extension and fragmentation in a South African agropastoral community","authors":"Ming Fei Li MSc ,&nbsp;Puseletso Lecheko ,&nbsp;Tumelo Phuthing ,&nbsp;Tsepo Lesholu ,&nbsp;David R. Samson PhD","doi":"10.1016/j.sleh.2025.05.008","DOIUrl":"10.1016/j.sleh.2025.05.008","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 477-485"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","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}

{"title":"Sleep deserts: From observational to interventional environmental patterns of sleep health and sleep disorders","authors":"Dayna A. Johnson PhD, MPH, MS, MSW, FAHA,&nbsp;Hrayr Attarian MD,&nbsp;Lauren Hale PhD,&nbsp;Kristen Knutson PhD, FAHA","doi":"10.1016/j.sleh.2025.06.008","DOIUrl":"10.1016/j.sleh.2025.06.008","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 403-405"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660832","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":"Neighborhood social cohesion and sleep health among sexual minoritized US adults and intersections with sex/gender, race/ethnicity, and age","authors":"Symielle A. Gaston PhD, MPH ,&nbsp;Christopher Payne MA ,&nbsp;Dana M. Alhasan PhD, MPH ,&nbsp;Rupsha Singh PhD ,&nbsp;Jamie A. Murkey PhD, MPH ,&nbsp;W. Braxton Jackson II MPH ,&nbsp;Chandra L. Jackson PhD, MS","doi":"10.1016/j.sleh.2024.10.007","DOIUrl":"10.1016/j.sleh.2024.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Neighborhood social cohesion or living in communities characterized by trust and social ties may mitigate sleep disparities among sexual minoritized vs. heterosexual persons; but its relation to sleep health is understudied among sexual minoritized groups. To investigate associations between perceived neighborhood social cohesion and sleep health among adult US men and women who identified as “lesbian or gay, bisexual, or something else,” we used cross-sectional National Health Interview Survey data (2013-2018).</div></div><div><h3>Methods</h3><div>Participants reported neighborhood social cohesion (categorized as low or medium vs. high) and sleep characteristics. Adjusting for sociodemographic, health, and residential characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals for poor sleep.</div></div><div><h3>Results</h3><div>Among 4666 sexual minoritized adults, 44% reported low, 32% medium, and 24% high neighborhood social cohesion. Women, minoritized racial/ethnic groups, and young adults disproportionately reported low neighborhood social cohesion. Overall, low vs. high neighborhood social cohesion was associated with a higher prevalence of short sleep (PR<!--> <!-->=<!--> <!-->1.27 [95% confidence interval:1.11-1.45]) and all sleep disturbances (e.g., PR_{insomnia symptoms} <!-->=<!--> <!-->1.36 [1.19-1.55]). PRs were often higher as intersectionality or membership to multiple minoritized groups increased.</div></div><div><h3>Conclusions</h3><div>Lower perceived neighborhood social cohesion was associated with poorer sleep. Fostering community cohesiveness may mitigate sleep disparities among sexual minoritized adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 439-448"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683045","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":"Photographing the night","authors":"Hrayr Attarian MD","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":"11 4","pages":"Pages 406-407"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","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}