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

Authors :
Dipti A. Dev
Gabriele Ciciurkaite
Jamison D. Fargo
Eric N. Reither
Carlyn E. Graham
Source :
Sleep Health. 6:578-586
Publication Year :
2020
Publisher :
Elsevier BV, 2020.

Abstract

To determine how demographic, socioeconomic, and neighborhood characteristics are associated with bedtimes among US kindergarteners.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.A random selection of 1,280 schools and surrounding communities in the US.A random selection of 16,936 kindergarteners and their parents.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.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.Reducing disparities in childhood sleep may require programs that target not only children and their parents, but also the communities in which they reside.

Details

ISSN :
23527218
Volume :
6
Database :
OpenAIRE
Journal :
Sleep Health
Accession number :
edsair.doi.dedup.....d214b0ee26a39f1efcc011a2cceaf675
Full Text :
https://doi.org/10.1016/j.sleh.2020.05.002