Family contexts and sleep during adolescence.
Family contexts and sleep during adolescence.
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家庭环境和青春期的睡眠。
DOI：
10.1016/j.ssmph.2018.11.004
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Boettner,Bethany
中科院分区：
文献类型：
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作者：
Schmeer,KammiK;Tarrence,Jacob;Browning,ChristopherR;Calder,CatherineA;Ford,JodiL;Boettner,Bethany
青少年睡眠不足已受到健康研究人员和政策制定者的极大关注。最近的研究表明，夜间睡眠时间的变化与多种健康结果有关。虽然有证据表明，睡眠不足是一种社会模式，但我们对社会环境如何与青春期夜间睡眠变化(这是一个生命过程阶段，夜间睡眠变化特别高)之间的关系知之甚少。鉴于家庭环境对影响青少年睡眠模式的重要性，我们假设，不利的家庭环境将与夜间睡眠持续时间的较高个体内差异(IIV)相关，此外，平均夜间睡眠持续时间较低。我们在青少年健康和发展背景研究的11-17岁(N=1095)人群样本中测试了这些假设。使用调查和生态瞬时评估数据和一种新的多水平回归模型(位置-尺度混合模型)，我们发现，生活在未婚父母、低SES、经济不安全和照顾者压力高的家庭的青少年比资源多、照顾者压力小的家庭的青少年有更高的IIV。家庭因素对平均睡眠时间的影响较小。这表明，家庭、社会和经济环境与青少年睡眠的一个研究不足的方面有关，即夜间变化，并可能导致青少年睡眠问题，影响他们的健康和健康差距。
Sleep deprivation among adolescents has received much attention from health researchers and policymakers. Recent research indicates that variation in sleep duration from night to night is associated with multiple health outcomes. While there is evidence that sleep deprivation is socially patterned, we know little about how social contexts are associated with nightly sleep variation during adolescence (a life course stage when nightly sleep variation is particularly high). Given the importance of family environments for influencing adolescents’ sleep patterns, we hypothesized that disadvantaged family contexts would be associated with higher intra-individual variation (IIV) in nightly sleep duration, in addition to lower average nightly sleep duration. We tested these hypotheses in a diverse, population-based sample of 11–17 year-olds (N = 1095) from the Adolescent Health and Development in Context Study. Using survey and ecological momentary assessment data and a novel form of multi-level regression modeling (location-scale mixed modeling), we found that adolescents living in unmarried-parent, low SES, economically insecure, and high caregiver stress families had higher IIV in sleep than adolescents in families with more resources and less caregiver stress. There were fewer family effects on average sleep duration. This suggests family social and economic contexts are associated with an under-researched aspect of adolescent sleep, nightly variation, and may contribute to adolescent sleep problems with implications for their health and health disparities.