Social determinants of health at multiple socio-ecological levels and sleep health in adolescents: A scoping review

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Sleep Medicine Reviews Pub Date : 2024-09-12 DOI:10.1016/j.smrv.2024.102008
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Abstract

Heightened sleep disturbances occur in adolescence, yet existing research has predominantly focused on individual factors linked to poor sleep and a limited set of sleep outcomes, such as sleep duration and timing. This scoping review aimed to identify the multilevel social determinants of adolescent sleep health across domains, including regularity, satisfaction/quality, alertness/sleepiness, timing, efficiency/continuity, duration, and behavior. Social determinants of health (SDoH) were categorized through a socio-ecological lens, while sleep health domains were aligned with the RU-SATED and Peds B-SATED sleep health frameworks. A systematic database search resulted in 57 studies of non-clinical adolescent and young adult populations (age 10–24 y) in North America, published between 2014 and 2022. Research gaps include 1) absence of other sleep health domains other than duration which is predicated on the included studies using a limited set of sleep outcome measures rather than a more comprehensive measurement strategy that align with the multifaceted domains of sleep health, and 2) inconsistent terminology and/or absent conceptual and operational definitions of subjective sleep reports. The findings highlight the multilevel SDoH that influence adolescent sleep health, underscoring the need for more comprehensive research. Such efforts will facilitate the development of interventions focused on fostering optimal adolescent sleep health this populations.

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多个社会-生态层面的健康社会决定因素与青少年的睡眠健康:范围界定审查
青少年时期睡眠障碍加剧,但现有研究主要关注与睡眠质量差有关的个体因素以及有限的睡眠结果,如睡眠时间长短和时间安排。本范围界定综述旨在确定青少年睡眠健康的多层次社会决定因素,包括规律性、满意度/质量、警觉性/睡意、时间、效率/连续性、持续时间和行为。健康的社会决定因素(SDoH)通过社会生态视角进行分类,而睡眠健康领域则与 RU-SATED 和 Peds B-SATED 睡眠健康框架保持一致。通过系统性的数据库搜索,我们找到了 2014 年至 2022 年间发表的 57 项针对北美非临床青少年和年轻成年人(10-24 岁)的研究。研究空白包括:1)除持续时间外,缺乏其他睡眠健康领域的研究,这是因为纳入的研究使用了一套有限的睡眠结果测量方法,而不是与多方面睡眠健康领域相一致的更全面的测量策略;2)术语不一致和/或缺乏主观睡眠报告的概念和操作定义。研究结果凸显了影响青少年睡眠健康的多层次 SDoH,强调了开展更全面研究的必要性。这些工作将有助于制定干预措施,重点促进青少年睡眠健康。
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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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