The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.
The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.
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患有和不患有哮喘的城市儿童的睡眠环境、午睡和睡眠结果。
DOI：
10.1080/15402002.2023.2184369
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发表时间：
2024
影响因子：
3.1
通讯作者：
Koinis-Mitchell,Daphne
中科院分区：
文献类型：
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作者：
Yeo,AnnaJ;Cohenuram,Anna;Dunsiger,Shira;Boergers,Julie;Kopel,SherylJ;Koinis-Mitchell,Daphne
目的生活在美国城市社区的哮喘儿童患哮喘的风险增加，睡眠质量差。除了哮喘，与城市贫困有关的环境因素(如噪音、不舒服的温度、光照)可能会干扰儿童的睡眠。这项研究调查了患有和不患有哮喘的城市儿童的环境因素与睡眠结果之间的关系，以及午睡是否是环境-睡眠联系的基础。此外，这项研究还测试了这些相关性是否因健康状况(即哮喘)或种族/民族而不同。方法参与者包括7-9岁的城市儿童，他们有(N= 251)和没有(N= 130)有拉丁裔、黑人或非拉丁裔白人(NLW)背景的哮喘。照顾者报告了睡眠环境因素和午睡。结果与健康状况无关，频繁暴露在噪音和光线下只在拉丁裔儿童中与较差的睡眠结果相关。在有和没有哮喘的全样本中，夜间睡眠中的噪音暴露与更频繁的白天小睡有关，这与夜间睡眠时间缩短有关。结论暴露在噪音和光线中可能在塑造城市儿童的睡眠结果中发挥特别重要的作用。种族/民族差异和午睡在这种环境-睡眠关联中的潜在中介作用可能会为量身定做的干预提供信息。
ObjectivesChildren with asthma living in U.S. urban neighborhoods experience increased risk for asthma morbidity and poor sleep outcomes. In addition to asthma, environmental factors (e.g. noise, uncomfortable temperature, light exposure) related to urban poverty may disturb children’s sleep. This study examined the association between environmental factors and sleep outcomes among urban children with and without asthma, and whether napping underlies the environment-sleep link. Additionally, the study tested whether these associations differed by health status (i.e. asthma) or race/ethnicity.MethodParticipants included urban children aged 7–9 years with (N= 251) and without (N= 130) asthma from Latino, Black, or non-Latino White (NLW) background. Caregivers reported sleep environmental factors and naps. Sleep duration, efficiency, and nightly awakenings were assessed via actigraphy.ResultsRegardless of health status, frequent exposure to noise and light was associated with poorer sleep outcomes only among Latino children. In the full sample with and without asthma, noise exposure during nighttime sleep was related to more frequent daytime naps, which were linked to shorter nighttime sleep duration.ConclusionsExposure to noise and light may play a particularly influential role in shaping urban children’s sleep outcomes. Racial/ethnic differences and the potential mediating role of napping in this environment-sleep association may inform tailored interventions.