Does context matter? A multilevel analysis of neighborhood disadvantage and children's sleep health.
Sleep Health
; 6(5): 578-586, 2020 10.
Article
em En
| MEDLINE
| ID: mdl-32546433
ABSTRACT
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 individual- and 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sono
/
Áreas de Pobreza
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Características de Residência
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article