Sleep Health最新文献

{"title":"Sustained impacts of neighborhood investments on sleep health over a 5-year period: Insights from a natural experiment in two urban neighborhoods in the United States","authors":"Wendy M. Troxel PhD ,&nbsp;Ann Haas MS ,&nbsp;Bonnie Ghosh-Dastidar PhD ,&nbsp;Andrea L. Rosso PhD ,&nbsp;Lauren Hale PhD ,&nbsp;Matthew P. Buman PhD ,&nbsp;Tamara Dubowitz ScD","doi":"10.1016/j.sleh.2025.03.009","DOIUrl":"10.1016/j.sleh.2025.03.009","url":null,"abstract":"<div><h3>Study objectives</h3><div>Neighborhood disinvestment is a downstream impact of structural racism, especially afflicting minoritized communities. Thus, neighborhood reinvestment may serve as a policy-level intervention to mitigate sleep and other health disparities. This study builds on previous work by leveraging a natural experimental design to evaluate the 5-year effects of neighborhood investments on residents' sleep.</div></div><div><h3>Methods</h3><div>Data are from the PHRESH Zzz study, a natural experiment conducted in two low-income, predominantly Black American, urban neighborhoods in Pittsburgh, Pennsylvania, with a randomly selected cohort [n<!--> <!-->=<!--> <!-->567; mean age<!--> <!-->=<!--> <!-->54.8 (SD<!--> <!-->=<!--> <!-->14.8); 77.6% female; 96% Black]. Sleep duration, wakefulness after sleep onset, and sleep efficiency were assessed via actigraphy and sleep quality via survey in 2013, 2016, and 2018. All publicly funded neighborhood investments between 2013 and 2016 were recorded and geocoded to calculate the distance from each respondent’s residence to the investment. The primary exposure variable was residents’ proximity to neighborhood investments (&lt;0.1 of a mile).</div></div><div><h3>Results</h3><div>The overall pattern of results showed worsening sleep over time, regardless of exposure to investments. However, over the 5-year period, those who lived physically close to investments (&lt;0.1 mile) experienced significantly smaller decreases in sleep efficiency and smaller increases in wakefulness after sleep onset, relative to those who lived farther away.</div></div><div><h3>Conclusions</h3><div>Previously, we found that living near a neighborhood investment improved sleep outcomes over a short-term period of 3<!--> <!-->years. Current results indicate that improvements were partially sustained over 5<!--> <!-->years. Findings have implications for policy initiatives targeting upstream, structural determinants of sleep health disparities.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 529-535"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034770","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 vulnerability as a mediator of racial disparities in insomnia severity","authors":"Philip Cheng PhD ,&nbsp;Matthew B. Jennings MA ,&nbsp;David Kalmbach PhD ,&nbsp;Dayna A. Johnson PhD ,&nbsp;Salma Habash BA ,&nbsp;Melynda D. Casement PhD ,&nbsp;Christopher Drake PhD","doi":"10.1016/j.sleh.2024.09.005","DOIUrl":"10.1016/j.sleh.2024.09.005","url":null,"abstract":"<div><h3>Study objectives</h3><div>Recent data has indicated that Black Americans experience more severe insomnia compared to their White counterparts. Although previous studies have identified psychosocial mechanisms driving this disparity, little is known about the structural determinants of insomnia disparities. This study tested neighborhood social vulnerability as a mechanism driving Black-White disparities in insomnia severity in the United States.</div></div><div><h3>Methods</h3><div>Participants with a previous diagnosis of insomnia (<em>N</em> = 196) reported their race and insomnia severity (Insomnia Severity Index). As a measure of the neighborhood environment Social Vulnerability Index was calculated by geocoding home address at the time of participation to the respective census tract from the 2020 US Census. A mediation analysis tested the indirect effect of the Social Vulnerability Index between race and insomnia severity.</div></div><div><h3>Results</h3><div>Black participants reported worse insomnia severity compared to White participants. Black participants also had 3.3 times the odds of living in neighborhoods with higher social vulnerability compared to White participants, with a group median difference of 0.26 percentile points (scale 0 to 1). As hypothesized, results revealed a significant indirect effect of the Social Vulnerability Index, which accounted for 31.1% of the variance between race and insomnia severity.</div></div><div><h3>Conclusion</h3><div>Living in a socially vulnerable neighborhood environment may be a mechanism driving racial disparities in insomnia severity. Interventions that consider structural determinants of health, including community-based and policy-level interventions could have an enhanced impact on addressing insomnia and its public health consequences.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 522-528"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548436","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":"Impact of environmental and lifestyle factors on adolescent sleep health in urban and semiurban areas","authors":"Atefeh Ansarin PhD ,&nbsp;Khalil Ansarin MD, PhD ,&nbsp;Mohammad Shakerkhatibi PhD ,&nbsp;Aarefeh Jafarzadeh Kohneloo PhD ,&nbsp;Zahra Sabeti PhD","doi":"10.1016/j.sleh.2025.03.004","DOIUrl":"10.1016/j.sleh.2025.03.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the impact of lifestyle factors on adolescent sleep health across urban and semiurban settings.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 1459 adolescents aged 14-19<!--> <span>years from Tabriz (urban) and Hadishahr (semiurban), two cities with contrasting environmental conditions. Sleep duration<span> and sleep deprivation were assessed using self-reported data, alongside key sociodemographic, behavioral, and health-related factors.</span></span></div></div><div><h3>Results</h3><div>The results showed that adolescents in urban area were significantly more likely to experience shorter sleep durations (OR<!--> <!-->=<!--> <span>0.63, 95% CI [0.48, 0.83]) and sleep deprivation (OR</span> <!-->=<!--> <!-->0.66, 95% CI [0.51, 0.85]) compared to those in semiurban environments. Age was positively associated with short sleep (OR<!--> <!-->=<!--> <!-->1.21, 95% CI [1.07, 1.38]), while smoking (OR<!--> <!-->=<!--> <span>1.46, 95% CI [1.02, 2.08]) and chronic cough (OR</span> <!-->=<!--> <!-->1.35, 95% CI [1.01, 1.80]) were also linked to reduced sleep duration. In contrast, semiurban residents slept an average of 20<!--> <!-->minutes longer than urban residents (β<!--> <!-->=<!--> <!-->0.34, 95% CI [0.17, 0.51]). Sleep deprivation was strongly associated with lower Parent’s income (OR<!--> <!-->=<!--> <!-->0.78, 95% CI [0.61, 0.98]) and daytime fatigue (OR<!--> <!-->=<!--> <!-->1.58, 95% CI [1.26, 2.00]).</div></div><div><h3>Conclusions</h3><div>The study highlights the need for public health<span> interventions that address environmental barriers to healthy sleep, particularly in urban settings, to mitigate the long-term health risks associated with sleep deprivation.</span></div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 415-422"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019685","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":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(25)00142-1","DOIUrl":"10.1016/S2352-7218(25)00142-1","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Page A4"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886376","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":"School start times and racial disparities in early adolescent sleep.","authors":"Tiffany Yip, Jinjin Yan, Meng-Run Zhang, Yijie Wang, Zhenqiang Zhao, Heining Cham, Margarita Alegría","doi":"10.1016/j.sleh.2025.07.003","DOIUrl":"10.1016/j.sleh.2025.07.003","url":null,"abstract":"<p><strong>Objectives: </strong>Many communities in the United States are delaying school start times to improve youth sleep. Racial disparities exist in sleep. The extent to which school start times are associated with racial disparities in sleep is unclear, especially in early adolescent populations that are not the focus of research on school start times. This study examined the associations between school start times and actigraphy-assessed sleep, including duration, onset, and offset times among a national sample of racially diverse early adolescents.</p><p><strong>Methods: </strong>In a national sample of 3522 early adolescents (M_age = 11.49, SD_age = 0.50; 2123 (60.3%) non-Hispanic White, 316 (8.7%) Black or African American, 768 (21.6%) Hispanic or Latinx American, 104 (2.9%) Asian American, 110 (3.0%) White-Black biracial, and 125 (3.5%) White-Asian biracial) in the Adolescent Brain Cognitive Development (ABCD) Study, links between school start times and sleep duration, onset, and offset times (mean levels, variability) were estimated by racialized groups, accounting for covariates.</p><p><strong>Results: </strong>Later school start times were associated with longer weekday and weekend sleep duration, later onset, and later offset (βs = 0.087 -0.145, ps < .005) among White early adolescents. Among Latinx early adolescents, the association between school start times and weekday sleep duration was weaker compared with White adolescents (b = -0.088, SE = 0.029, p = .03). School start times were unrelated to sleep duration for other racially minoritized early adolescents (βs = -0.124 to 0.124).</p><p><strong>Conclusions: </strong>The benefits of later school start times for sleep duration were only evidenced for White early adolescents. This study highlights the value of including school start times as a determinant of sleep health equity.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765680","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}

{"title":"A descriptive study of national trends in the dispensing of reimbursed hypnotics in France between 2012 and 2022","authors":"Lionel Tordjman MD ,&nbsp;Marc-André Goltzène MD ,&nbsp;Elisabeth Ruppert MD, PhD","doi":"10.1016/j.sleh.2025.07.002","DOIUrl":"10.1016/j.sleh.2025.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Insomnia and hypnotic consumption are major public health concerns, especially due to issues of dependence, side effects, and misuse. This study aims to describe the dispensing trends of reimbursed hypnotic tablets in France from 2012 to 2022, highlighting the potential impact of public policies designed to mainly reduce prescriptions of benzodiazepines and z-drugs.</div></div><div><h3>Methods</h3><div>Data were sourced from the Medic'AM database, managed by French National Health Insurance, which records quantities of all reimbursed medications provided by pharmacies. The study focused on 13 reimbursed hypnotics with specific French marketing authorization for insomnia, including z-drugs (zolpidem, zopiclone), antihistamines (alimemazine, doxylamine, chlorazépate+acepromazine, meprobamate+acepromazine), and benzodiazepines (lormetazepam, loprazolam, estazolam, nitrazepam, temazepam, triazolam, flunitrazepam).</div></div><div><h3>Results</h3><div>Over the 11-year period, alongside public health policies, a 25.30% decrease in reimbursed dispensed tablets was observed. Z-drugs saw a major 39.54% decrease, primarily due to a 69.15% drop in zolpidem prescriptions following the requirement for secure prescription pads. Antihistamines, mainly represented by alimemazine after the withdrawal and delisting of other antihistaminergic specialties, decreased by 5.48%. Benzodiazepines experienced a 16.98% reduction, mainly represented by lormetazepam and loprazolam, following the withdrawal or delisting of flunitrazepam, temazepam, and nitrazepam. Proportionally, the use of z-drugs decreased in favor of antihistamines, while benzodiazepines remained relatively stable. During the COVID-19 pandemic and its lockdowns, there was a smaller reduction in dispensed hypnotics.</div></div><div><h3>Conclusions</h3><div>Analyzing these trends provides insights into the potential impact of concurrent public health policies. While these trends are promising, continued efforts are necessary, emphasizing preventive and nonpharmacological measures, including improved sleep hygiene.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 754-760"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765678","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":"Impact of psychosocial determinants on sleep quality decreased during the COVID-19 lockdown: Evidence from an urban panel study.","authors":"Carolina Abulafia, María A Paternó Manavella, Solange Rodríguez Espínola, Mauro Brangold, Guido Simonelli, Agustín Salvia, Daniel E Vigo","doi":"10.1016/j.sleh.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.06.009","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the relationship between socioeconomic and health-related changes during the COVID-19 lockdown and sleep quality.</p><p><strong>Methods: </strong>A panel study was conducted with 667 participants from the Argentine Social Debt Survey in 2019 (pre lockdown), 2020 (during lockdown), and 2021 (post lockdown). Generalized linear mixed-effects models were performed to explore the following predictors of self-reported sleep quality over time: age, educational level, living in poverty, employment status, place of residence, psychological distress, and health status.</p><p><strong>Results: </strong>Reporting poor health and residing in Buenos Aires were associated with poor sleep quality, independent of the lockdown. Advanced age emerged as a significant predictor of poor sleep quality after the lockdown. Differences in sleep quality associated with living in poverty and psychological distress disappeared during lockdown and resumed post lockdown.</p><p><strong>Conclusions: </strong>This work highlights the importance of the dynamic interplay between socioeconomic and health-related factors when assessing sleep quality. In this urban Argentine panel study, the COVID-19 lockdown appeared to mitigate poverty-related disparities in sleep quality, underscoring the need to refocus attention on these vulnerable subpopulations in the post-lockdown period, when such disparities re-emerged.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765679","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":"Deep learning-based automated diagnosis of obstructive sleep apnea and sleep stage classification in children using millimeter-wave radar and pulse oximeter.","authors":"Wei Wang, Ruobing Song, Yunxiao Wu, Li Zheng, Wenyu Zhang, Zhaoxi Chen, Gang Li, Zhifei Xu","doi":"10.1016/j.sleh.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.06.006","url":null,"abstract":"<p><strong>Study objectives: </strong>Due to the high cost, complexity, and workload of polysomnography, a radar-based sleep monitoring device, QSA600, has been developed as a more simplified alternative for children. This study evaluates its agreement with polysomnography for obstructive sleep apnea diagnosis and sleep staging.</p><p><strong>Methods: </strong>This diagnostic accuracy study included 281 children (1-18 years) who underwent simultaneous polysomnography and QSA600 monitoring at Beijing Children's Hospital from September-November 2023. QSA600 recordings were automatically analyzed using a deep learning model, while polysomnography data were manually scored.</p><p><strong>Results: </strong>The obstructive apnea-hypopnea index (OAHI) obtained from QSA600 and polysomnography demonstrates a high level of agreement with an intraclass correlation coefficient of 0.945 (95% CI: 0.93-0.96). Bland-Altman analysis indicated that the mean difference of obstructive apnea-hypopnea index between QSA600 and polysomnography was -0.10 events/h (95% CI: -11.15 to 10.96). The deep learning model evaluated through cross-validation showed good sensitivity (81.8%, 84.3%, and 89.7%) and specificity (90.5%, 95.3%, and 97.1%) values for diagnosing children with OAHI >1, OAHI >5, and OAHI >10. The area under the receiver operating characteristic curve was 0.923, 0.955, and 0.988, respectively. For sleep stage classification, the model achieved Kappa coefficients of 0.854, 0.781, and 0.734, with corresponding overall accuracies of 95.0%, 84.8%, and 79.7% for Wake-Sleep classification, Wake-REM-Light-Deep classification, and Wake-REM-N1-N2-N3 classification, respectively.</p><p><strong>Conclusions: </strong>QSA600 has demonstrated high agreement with polysomnography in diagnosing obstructive sleep apnea and performing sleep staging in children. The device is portable, low-burden, and suitable for follow-up and long-term pediatric sleep assessment.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754917","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":"The complex association between bedtime screen use and adult sleep health","authors":"Lydi-Anne Vézina-Im PhD ,&nbsp;Charles M. Morin PhD ,&nbsp;Sijing Chen PhD ,&nbsp;Hans Ivers PhD ,&nbsp;Colleen E. Carney PhD ,&nbsp;Jean-Philippe Chaput PhD ,&nbsp;Thien Thanh Dang-Vu MD, PhD ,&nbsp;Judith R. Davidson PhD ,&nbsp;Rébecca Robillard PhD ,&nbsp;On behalf of the Canadian Sleep Research Consortium","doi":"10.1016/j.sleh.2025.06.010","DOIUrl":"10.1016/j.sleh.2025.06.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate whether bedtime screen use is associated with sleep health and if this association varies by biological sex, age, and income among adults in Canada.</div></div><div><h3>Methods</h3><div>Data were collected through a national stratified random population-based phone interview on sleep health among adults (≥18 years) from Canada. Self-reported bedtime screen use (in bed or within 1 hour of bedtime) of the past month was used to classify participants into three groups: occasional (&lt;once/week), moderate (1-4 times/week), and regular (≥5 times/week) bedtime screen users. Sleep health (regularity, satisfaction, alertness, timing, efficiency, duration) was measured using the RU-SATED questionnaire. Post-stratified survey weights were computed from the 2021 Canadian census to ensure representativeness of the adult population in terms of geography, biological sex, age, and ethnicity.</div></div><div><h3>Results</h3><div>The sample included 1342 adults (51.5% females; 41.7% between 40-64 years) and 45.3% reported bedtime screen use every day. After accounting for biological sex, age, and income, both occasional and regular screen users reported the best overall sleep health. Results varied by sleep health dimension and biological sex was a moderator of the bedtime screen use and sleep regularity association. Bedtime screen use frequency was significantly associated (<em>p</em> = .01) with sleep regularity only among males.</div></div><div><h3>Conclusions</h3><div>The association between bedtime screen use and sleep health appears complex as bedtime screen use frequency, the sleep health dimension measured, and biological sex can all influence this relationship. More research is needed to understand the sleep health and bedtime screen use association and moderators of this relationship in adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 572-578"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718914","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":"College students’ socioeconomic background and sleep during the first year of college","authors":"Sarah Rocha MA ,&nbsp;Xochitl Arlene Smola MA,&nbsp;Ava Trimble MA,&nbsp;Luca Mc Donnell BA,&nbsp;Craig K. Enders PhD,&nbsp;Andrew J. Fuligni PhD","doi":"10.1016/j.sleh.2025.06.002","DOIUrl":"10.1016/j.sleh.2025.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>Sleep problems can hinder adjustment to college, but limited work has evaluated whether students’ socioeconomic background is related to changes in sleep across the first year of college. The goal of the present study was to evaluate whether college-related financial stress, college generational status, and subjective social status were associated with differences in sleep across the first year of college.</div></div><div><h3>Methods</h3><div>A total of <em>n</em> = 216 first-year college students (<em>M</em>_Age = 18.1) at a public university were recruited for sleep quality assessment via the Pittsburgh Sleep Quality Index during the fall, winter, and spring academic quarters, and a subsample (<em>n =</em> 198) of these students participated in 14 days of sleep diary assessment at the beginning and end of the academic year.</div></div><div><h3>Results</h3><div>Greater financial stress was significantly associated with worse sleep quality, more variable daily sleep duration, and greater difficulty waking up in the mornings. First-generation status was associated with poorer quality and more variable sleep, and worse subjective social status was linked to poor-quality sleep and greater difficulty awakening, but several of these associations were reduced after adjusting for ethnicity and gender. Mean-level socioeconomic indices did not interact with time, suggesting that between-person differences in sleep were consistent across the first academic year. Within-person increases in financial stress and subjective social status were associated with lower sleep variability.</div></div><div><h3>Conclusion</h3><div>The study findings reveal significant socioeconomic-related differences in first-year college students’ sleep behavior. Intervention efforts to address college students’ sleep health may benefit from connecting low-socioeconomic status students with resources to facilitate adjustment to college.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 647-654"},"PeriodicalIF":3.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718913","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}