Emergence of racial/ethnic and socioeconomic differences in objectively measured sleep-wake patterns in early infancy: results of the Rise & SHINE study.
Emergence of racial/ethnic and socioeconomic differences in objectively measured sleep-wake patterns in early infancy: results of the Rise & SHINE study.
复制标题
婴儿早期客观测量的睡眠觉醒模式中出现种族/民族和社会经济差异：崛起的结果
DOI：
10.1093/sleep/zsaa193
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发表时间：
2021
期刊：
影响因子：
5.6
通讯作者：
Redline,Susan
中科院分区：
文献类型：
--
作者：
Yu,Xinting;Quante,Mirja;Rueschman,Michael;Ash,Tayla;Kaplan,EmilyR;Guo,Na;Horan,ChristineM;Haneuse,Sebastien;Davison,Kirsten;Taveras,ElsieM;Redline,Susan
Study ObjectivesTo表征客观评估的睡眠-觉醒模式在婴儿在大约1个月和6个月，并研究不同种族/民族背景和家庭社会经济地位（SES）的婴儿之间的差异。MethodsFull足月健康的单身戴着一个脚踝放置活动记录仪在大约1个月和6个月，父母完成睡眠日记。使用多变量分析研究了种族/民族和社会经济指标与睡眠结果的关系。协变量包括性别、胎龄评分的出生体重、评估年龄、孕产妇教育程度、家庭收入、同床共枕和母乳喂养。结果样本包括306名婴儿，其中51%为女性，42.5%为非西班牙裔白色，32.7%为西班牙裔，17.3%为亚洲人，7.5%为黑人。在1个月至6个月之间，夜间睡眠时间增加了65.7分钟（95% CI：55.4，76.0），夜间觉醒减少了2.2次（2.0，2.4），白天睡眠时间减少了73.3分钟（66.4，80.2）。与白色婴儿在这一发育时期的夜间睡眠时间变化（82.3分钟[66.5，98.0]）相比，西班牙裔婴儿（48.9分钟[30.8，66.9]）和黑人婴儿（31.6分钟[-5.9，69.1]）的夜间睡眠时间增加较少。对于母亲教育程度和家庭收入较低的婴儿来说，夜间睡眠时间的增加也较少。亚洲婴儿夜间醒来的频率更高。调整产妇的教育和家庭收入衰减所有观察到的白天和夜间睡眠时间的差异以外的亚洲人，持续减少夜间睡眠在6个月observed.ConclusionsRacial/ethnic睡眠的差异出现在婴儿早期。与白色婴儿相比，西班牙裔和黑人婴儿的夜间和24小时睡眠持续时间增加较少，这在很大程度上是由SES解释的。
Study ObjectivesTo characterize objectively assessed sleep–wake patterns in infants at approximately 1 month and 6 months and examine the differences among infants with different racial/ethnic backgrounds and household socioeconomic status (SES).MethodsFull-term healthy singletons wore an ankle-placed actigraph at approximately 1 month and 6 months and parents completed sleep diaries. Associations of racial/ethnic and socioeconomic indices with sleep outcomes were examined using multivariable analyses. Covariates included sex, birth weight for gestational agez-score, age at assessment, maternal education, household income, bed-sharing, and breastfeeding.ResultsThe sample included 306 infants, of whom 51% were female, 42.5% non-Hispanic white, 32.7% Hispanic, 17.3% Asian, and 7.5% black. Between 1 month and 6 months, night sleep duration increased by 65.7 minutes (95% CI: 55.4, 76.0), night awakenings decreased by 2.2 episodes (2.0, 2.4), and daytime sleep duration decreased by 73.3 minutes (66.4, 80.2). Compared to change in night sleep duration over this development period for white infants (82.3 minutes [66.5, 98.0]), night sleep increased less for Hispanic (48.9 minutes [30.8, 66.9]) and black infants (31.6 minutes [−5.9, 69.1]). Night sleep duration also increased less for infants with lower maternal education and household income. Asian infants had more frequent night awakenings. Adjustment for maternal education and household income attenuated all observed day and night sleep duration differences other than in Asians, where persistently reduced nighttime sleep at 6 months was observed.ConclusionsRacial/ethnic differences in sleep emerge in early infancy. Night and 24-hour sleep durations increase less in Hispanic and black infants compared to white infants, with differences largely explained by SES.