Socioeconomic disadvantage and sleep in early childhood: Real-world data from a mobile health application.
Socioeconomic disadvantage and sleep in early childhood: Real-world data from a mobile health application.
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DOI：
10.1016/j.sleh.2021.01.002
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发表时间：
2021-04
期刊：
影响因子：
4.1
通讯作者：
Mindell JA
中科院分区：
文献类型：
--
作者：
Williamson AA;Gould R;Leichman ES;Walters RM;Mindell JA
使用移动健康应用程序（app）在美国大型样本中检查社会经济劣势的增加是否与照顾者报告的早期儿童睡眠模式和问题的差异有关。横截面。数据收集使用免费公开的Johnson 's Bedtime©婴儿睡眠应用程序。共有14980名6 - 35.9月龄儿童（M = 13.88月龄，男孩占52.6%）的看护人（85.1%为母亲）参与了本研究。照顾者使用婴儿睡眠简短问卷报告儿童睡眠。社会经济劣势是通过邮政编码使用贫困社区指数（DCI）进行索引的，该指数结合了美国人口普查中社会经济劣势的七个指标。DCI得分范围从繁荣（最低五分之一）到痛苦（最高五分之一）。社会经济劣势与较晚的就寝时间、较长的睡眠潜伏期、较短的夜间和24小时（总）睡眠时间显著相关，生活在贫困社区的儿童睡眠最差。然而，生活在贫困社区的护理人员报告的儿童睡眠问题总体患病率明显较低（43%比繁荣社区的58%），并且对管理儿童睡眠更有信心（42%比繁荣社区的34%）。生活在最痛苦社区的儿童报告的睡眠模式和就寝行为最差，然而他们的照顾者报告儿童睡眠问题的可能性较小。这些发现强调了社区层面的睡眠健康促进干预措施的必要性，以及进一步调查生活在社会经济不利背景下的家庭中照顾者对儿童睡眠和睡眠健康促进的看法。
To examine whether increased socioeconomic disadvantage, indexed using a measure of community distress, is associated with variation in caregiver-reported early childhood sleep patterns and problems in a large US sample using a mobile health application (app). Cross-sectional. Data were collected using the free, publicly available Johnson’s Bedtime© baby sleep app. A total of 14,980 caregivers (85.1% mothers) of children ages 6 to 35.9 months (M = 13.88 months; 52.6% boys) participated in this study. Caregivers reported on child sleep using the Brief Infant Sleep Questionnaire-Revised. Socioeconomic disadvantage was indexed by zip code using the Distressed Communities Index (DCI), which combines seven US census indicators of socioeconomic disadvantage. DCI scores range from prosperous (lowest quintile) to distressed (highest quintile). Socioeconomic disadvantage was significantly associated with later bedtimes, longer sleep onset latency, and shorter nighttime and 24-hour (total) sleep duration, with children living in distressed communities showing the poorest sleep. However, caregivers living in distressed communities reported a significantly lower prevalence of overall child sleep problems (43% vs 58% in prosperous communities), and more confidence in managing child sleep (42% vs 34% in prosperous communities). Children living in the most distressed communities have the poorest reported sleep patterns and bedtime behaviors, however their caregivers are less likely to report problematic child sleep. These findings highlight the need for community-level sleep health promotion interventions, as well as further investigation of caregiver perceptions about child sleep and sleep health promotion among families living in socioeconomically disadvantaged contexts.
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影响因子：
4.8
作者：
Bottino CJ;Rifas-Shiman SL;Kleinman KP;Oken E;Redline S;Gold D;Schwartz J;Melly SJ;Koutrakis P;Gillman MW;Taveras EM
通讯作者：
Taveras EM
影响因子：
3.3
作者：
Johnson DA;Billings ME;Hale L
通讯作者：
Hale L
DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
--
作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
影响因子：
8
作者：
Meltzer LJ;Johnson C;Crosette J;Ramos M;Mindell JA
通讯作者：
Mindell JA
影响因子：
4.1
作者：
Graham, Carlyn;Reither, Eric N.;Fargo, Jamison
通讯作者：
Fargo, Jamison