The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.

Autor:	Yeo AJ; Bradley Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, RI, USA.; The Warren Alpert Medical School of Brown University, Providence, RI, USA.; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA., Cohenuram A; Bradley Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, RI, USA., Dunsiger S; Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, USA., Boergers J; Bradley Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, RI, USA.; The Warren Alpert Medical School of Brown University, Providence, RI, USA.; Department of Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, RI, USA., Kopel SJ; Bradley Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, RI, USA.; The Warren Alpert Medical School of Brown University, Providence, RI, USA.; Department of Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, RI, USA., Koinis-Mitchell D; Bradley Hasbro Children's Research Center, Hasbro Children's Hospital, Providence, RI, USA.; The Warren Alpert Medical School of Brown University, Providence, RI, USA.; Department of Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, RI, USA.
Jazyk:	angličtina
Zdroj:	Behavioral sleep medicine [Behav Sleep Med] 2024 Jan 02; Vol. 22 (1), pp. 76-86. Date of Electronic Publication: 2023 Feb 26.
DOI:	10.1080/15402002.2023.2184369
Abstrakt:	Objectives: Children 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. Method: Participants 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. Results: Regardless 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. Conclusions: Exposure 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.
Databáze:	MEDLINE
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