Does context matter? A multilevel analysis of neighborhood disadvantage and children's sleep health.

Autor: Graham C; Pennsylvania State University, Pennsylvania., Reither EN; Department of Sociology, Social Work and Anthropology, Utah State University, Logan, Utah; Utah State University, Logan, Utah. Electronic address: eric.reither@usu.edu., Ciciurkaite G; Utah State University, Logan, Utah., Dev DA; University of Nebraska-Lincoln, Lincoln, Nebraska., Fargo J; Utah State University, Logan, Utah.
Jazyk: angličtina
Zdroj: Sleep health [Sleep Health] 2020 Oct; Vol. 6 (5), pp. 578-586. Date of Electronic Publication: 2020 Jun 13.
DOI: 10.1016/j.sleh.2020.05.002
Abstrakt: 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.
(Copyright © 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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