Sleep Hygiene and Sleep Outcomes in a Sample of Urban Children With and Without Asthma

• Published in: Journal of pediatric psychology 2017-09, Vol.42 (8), p.825-836
• Main Authors: Martin, Sarah R, Boergers, Julie, Kopel, Sheryl J, McQuaid, Elizabeth L, Seifer, Ronald, LeBourgeois, Monique, Klein, Robert B, Esteban, Cynthia A, Fritz, Gregory K, Koinis-Mitchell, Daphne
• Format: Article
• Language: English
• Subjects: Asthma - complications; Asthma - ethnology; Asthma - psychology; Black or African American - statistics & numerical data; Case-Control Studies; Child; Female; Health Status Disparities; Hispanic or Latino - statistics & numerical data; Humans; Male; New England - epidemiology; Regular; Residence Characteristics; Risk Factors; Sleep Deprivation - ethnology; Sleep Deprivation - etiology; Sleep Hygiene; Stress, Psychological; Urban Health - ethnology; White People - statistics & numerical data
• ISSN: 0146-8693; 1465-735X
• DOI: 10.1093/jpepsy/jsx052

To assess sleep hygiene and the sleep environment of urban children with and without asthma, and examine the associations among urban stressors, sleep hygiene, and sleep outcomes. Urban children, 7-9 years old, with (N = 216) and without (N = 130) asthma from African American, Latino, or non-Latino White backgrounds were included. Level of neighborhood risk was used to describe urban stress. Parent-reported sleep hygiene and daytime sleepiness data were collected using questionnaires. Sleep duration and efficiency were assessed via actigraphy. Higher neighborhood risk, not asthma status, was associated with poorer sleep hygiene. Controlling for neighborhood risk, sleep hygiene was related to daytime sleepiness. Asthma status, not sleep hygiene, was related to sleep efficiency. In children with asthma, poorer sleep hygiene was associated with shorter sleep duration. Considering urban stressors when treating pediatric populations is important, as factors related to urban stress may influence sleep hygiene practices and sleep outcomes.