Does context matter? A multilevel analysis of neighborhood disadvantage and children's sleep health
Does context matter? A multilevel analysis of neighborhood disadvantage and children's sleep health
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DOI：
10.1016/j.sleh.2020.05.002
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发表时间：
2020-10-01
期刊：
影响因子：
4.1
通讯作者：
Fargo, Jamison
中科院分区：
文献类型：
--
作者：
Graham, Carlyn;Reither, Eric N.;Fargo, Jamison
目的：确定美国幼儿园儿童就寝时间与人口统计学、社会经济和邻里特征之间的关系。设计：在1998-1999年早期儿童纵向研究幼儿园（ECLS-K）班级中，父母通过访谈报告了他们孩子的就寝时间以及个人、家庭和居住特征。ECLS-K将单个家庭与美国人口普查区联系起来。环境：随机选择美国1280所学校及周边社区。研究对象：随机抽取16936名幼儿园幼儿及其家长。测量方法：两个结果分别是幼儿园儿童正常就寝时间和最晚就寝时间。通过一系列嵌套的多层回归模型，这些结果回归到个人和社区水平的变量，包括种族/民族、性别、家庭类型、家庭收入、母亲的受教育程度、社区混乱和其他一些社区特征。结果：模型显示不同种族/民族、性别、家庭收入和母亲受教育程度的儿童就寝时间差异显著（P < 0.05）。此外，模型倾向于表明，来自弱势社区的幼儿园儿童比来自更有利地区的儿童睡得更晚。邻里特征占了种族/民族差异的一部分，这表明就寝时间的差异部分源于不同的环境条件。结论：减少儿童睡眠差异可能不仅需要针对儿童及其父母的计划，还需要针对他们居住的社区。(C) 2020国家睡眠基金会。Elsevier Inc.出版。版权所有。
Objectives: To determine how demographic, socioeconomic, and neighborhood characteristics are associated with bedtimes among US kindergarteners.Design: Parents reported bedtimes of their children as well as personal, household, and residential characteristics via interviews in the Early Childhood Longitudinal Study-Kindergarten (ECLS-K) Class of 1998-1999. The ECLS-K links individual households to US Census tracts.Setting: A random selection of 1,280 schools and surrounding communities in the US.Participants: A random selection of 16,936 kindergarteners and their parents.Measurements: The 2 outcomes were regular and latest weekday bedtimes of kindergarteners. Through a series of nested multilevel regression models, these outcomes were regressed on individualand neighborhood-level variables, including race/ethnicity, sex, family type, household income, mother's educational attainment, neighborhood disorder, and several additional neighborhood characteristics.Results: Models showed significant (P < .05) bedtime disparities by race/ethnicity, sex, family income, and mother's educational attainment. Additionally, models tended to indicate that kindergarteners from disadvantaged neighborhoods experienced later bedtimes than children from more advantaged areas. Neighborhood characteristics accounted for a portion of racial/ethnic differences, suggesting that bedtime disparities are partly rooted in disparate environmental conditions.Conclusions: Reducing disparities in childhood sleep may require programs that target not only children and their parents, but also the communities in which they reside. (C) 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.