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Banning sleep disparities research: A mentor's viewpoint. 禁止睡眠差异研究:一位导师的观点。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-21 DOI: 10.1016/j.sleh.2026.02.001
Sanjay R Patel
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引用次数: 0
Adolescent sleep health: Recommendations from the National Sleep Foundation. 青少年睡眠健康:来自国家睡眠基金会的建议。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-21 DOI: 10.1016/j.sleh.2026.01.002
Natalie D Dautovich, Heather E Gunn, Joseph M Dzierzewski, Lauren Hale, Brant Hasler, Jared M Saletin, Wendy M Troxel, Imelda S Wong, Zackary Brown, Mary A Carskadon, Judith Owens, Rafael Pelayo, Kyla L Wahlstrom, David Gozal

Objectives: Adolescent sleep is linked to indices of health and well-being, including academic performance, physical health, mood, and safety. However, biological, psychological, and social changes make it difficult for adolescents to obtain enough quality sleep. As a result, the percentage of adolescents who achieve optimal sleep has steadily diminished for decades. Reversing this trajectory requires a multipronged approach and involvement from numerous stakeholders, including adolescents themselves. To support this need, the National Sleep Foundation sponsored a multidisciplinary Adolescent Sleep Health Conference to identify recommendations to improve adolescent sleep health in the United States and beyond.

Methods: The 2022 Adolescent Sleep Health Conference convened 22 experts (educators, administrators, parents, advocates, researchers, clinicians, and an adolescent representative) to discuss evidence related to adolescent sleep health and its intersections with health, education, athletics, transportation, and the workforce. Final recommendations reflect those generated during the Conference and additional post hoc recommendations informed by extant literature.

Results: Factors influencing adolescent sleep are present at individual, social, and societal levels. Societal factors such as school start times, entering the workforce, driving, and clock changes are linked to adolescent sleep. Improving adolescent sleep health involves integrating developmental science, family, and educational contexts into sleep health recommendations, implementing healthy school start times and adopting permanent standard time, increasing awareness of the impact on work and driving, and prioritizing sleep health equity.

Conclusions: Policy changes and prioritization across settings can increase the opportunity and likelihood of healthy sleep. Adolescents must be included as contributors to improving sleep health.

目的:青少年睡眠与健康和幸福指数有关,包括学习成绩、身体健康、情绪和安全。然而,生理、心理和社会的变化使青少年难以获得足够的高质量睡眠。因此,几十年来,获得最佳睡眠的青少年比例一直在稳步下降。扭转这一趋势需要采取多管齐下的办法,并需要包括青少年本身在内的众多利益攸关方的参与。为了支持这一需求,国家睡眠基金会赞助了一个多学科的青少年睡眠健康会议,以确定改善美国及其他地区青少年睡眠健康的建议。方法:2022年青少年睡眠健康会议召集了22位专家(教育工作者、管理人员、家长、倡导者、研究人员、临床医生和一名青少年代表),讨论与青少年睡眠健康相关的证据及其与健康、教育、体育、交通和劳动力的交叉。最后建议反映了会议期间提出的建议和根据现有文献提出的其他特别建议。结果:影响青少年睡眠的因素存在于个人、社会和社会层面。学校开学时间、进入职场、驾驶和生物钟变化等社会因素都与青少年睡眠有关。改善青少年睡眠健康包括将发育科学、家庭和教育背景纳入睡眠健康建议,实施健康的上学时间并采用永久标准时间,提高对工作和驾驶影响的认识,并优先考虑睡眠健康公平。结论:政策的改变和不同设置的优先顺序可以增加健康睡眠的机会和可能性。必须将青少年纳入改善睡眠健康的行列。
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引用次数: 0
Bedtime screen use in adolescents: Unveiling social patterns or oversimplifying complexity. 青少年睡前屏幕使用:揭示社会模式或过度简化复杂性。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-19 DOI: 10.1016/j.sleh.2026.01.004
Qing Liu, Xiao-Hong Xie
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引用次数: 0
Associations between sleep and episodic memory performance in a diverse adult lifespan community-based sample: The Offspring study. 以社区为基础的不同成人寿命样本中睡眠与情景记忆表现之间的关系:后代研究。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-19 DOI: 10.1016/j.sleh.2025.12.010
Emily Hokett, Patrick Lao, Benjamin D Huber, Indira C Turney, Ruijia Chen, A Zarina Kraal, Adam M Brickman, Priya Palta, Jennifer J Manly

Background: While studies have shown that non-Latinx Black and Latinx adults sleep less and more poorly than non-Latinx White adults, the cognitive consequences of poor sleep in non-Latinx Black and Latinx adults are understudied. We hypothesized that poorer quality sleep and short or long sleep durations are associated with poorer memory performance, and the strength of these associations differs by racial and ethnic group.

Method: Our analysis included non-Latinx Black, non-Latinx White, and Latinx participants across the adult lifespan recruited from the community of Northern Manhattan as a part of the Offspring study. Participants self-reported their sleep duration and quality using the Pittsburgh Sleep Quality Index. We evaluated memory with the Buschke Selective Reminding Task. We used multivariable regression to estimate associations between sleep duration and quality with delayed recall.

Results: In the overall sample, higher quality sleep was associated with better delayed recall performance. We also found linear and quadratic relationships between sleep duration and delayed recall. Taken together, higher quality sleep and adequate sleep duration were linked with better delayed recall. Stratified analyses revealed that these effects were strongest in the Latinx group but were not present among non-Latinx Black and non-Latinx White participants.

Conclusion: We observed associations between poor sleep quality and sleep duration and memory performance in Latinx adults. Future work will determine which psychosocial factors (e.g., social support, discrimination) underlie racial and ethnic sleep disparities and mediate racial and ethnic differences in the cognitive consequences of poor sleep.

背景:虽然研究表明非拉丁裔黑人和拉丁裔成年人比非拉丁裔白人成年人睡眠更少,睡眠质量更差,但非拉丁裔黑人和拉丁裔成年人睡眠质量差的认知后果尚未得到充分研究。我们假设,较差的睡眠质量和较短或较长的睡眠时间与较差的记忆表现有关,而且这些联系的强度因种族和民族而异。方法:我们的分析包括非拉丁裔黑人、非拉丁裔白人和拉丁裔参与者,这些参与者来自曼哈顿北部社区,是后代研究的一部分。参与者使用匹兹堡睡眠质量指数自我报告他们的睡眠时间和质量。我们用Buschke选择性提醒任务来评估记忆。我们使用多变量回归来估计睡眠时间和质量与延迟回忆之间的关联。结果:在整个样本中,高质量的睡眠与更好的延迟回忆表现有关。我们还发现睡眠时间和延迟回忆之间存在线性和二次关系。综上所述,高质量的睡眠和充足的睡眠时间与更好的延迟记忆有关。分层分析显示,这些影响在拉丁裔组中最强,但在非拉丁裔黑人和非拉丁裔白人参与者中不存在。结论:我们观察到拉丁裔成年人睡眠质量差与睡眠时间和记忆表现之间的联系。未来的工作将确定哪些社会心理因素(如社会支持、歧视)是种族和民族睡眠差异的基础,并在睡眠不足的认知后果中调解种族和民族差异。
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引用次数: 0
Partner disturbance in co-sleeping and effects on sleep architecture: A systematic review. 共睡中的伴侣障碍及其对睡眠结构的影响:一项系统综述。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-19 DOI: 10.1016/j.sleh.2026.01.003
Lionel Rayward, Daniel Green, J Paige Little

This systematic review summarizes literature relating to 3 questions of interest: (RQ1) Is partner disturbance a common phenomenon in the sleep of healthy populations? (RQ2) What is the effect of co-sleeping on sleep architecture? (RQ3) What factors moderate the effect of co-sleeping on sleep architecture? Google scholar, Scopus, NCBI, Web of Science, Cochrane Library, and PsychInfo were searched on 7 September 2025, for articles relating to each research question. Risk of bias was assessed by first author using NOS-xs tool (Carra et al., 2025). Results relating to movement concordance, sleep architecture, and continuity metrics are reported, including percentage increase across groups. All 4 studies relating to RQ1 find evidence of partner disturbance. Two of 3 studies relating to RQ2 found increased REM duration in co-sleep compared to individual sleep. Eleven studies relating to RQ3 explored factors influencing sleep architecture in co-sleep, including presence of partner with sleep disordered breathing (SDB), insomnia, and interpersonal social factors. Overall, limitations of RQ1 studies include inconsistency in actigraphy measurement, including device used, sensitivity, and activity threshold algorithm and epoch length, as well as lack of control or measurement of disturbances outside of the couple. RQ2 was hampered by a small sample size investigating differences in sleep architecture between co-sleep and alone sleep, and lack of measurement of mediating factors. In RQ3, heterogeneity in studies and design protocol hamper interpretation of findings. This review summarizes literature relating to co-sleep effects on sleep architecture and finds that no single mechanism entirely explains net effects on sleep architecture.

本系统综述总结了与3个问题相关的文献:(RQ1)伴侣干扰是健康人群睡眠中的普遍现象吗?(RQ2)共睡对睡眠结构有什么影响?(RQ3)哪些因素可以调节共睡对睡眠结构的影响?我们在2025年9月7日检索了谷歌scholar、Scopus、NCBI、Web of Science、Cochrane Library和PsychInfo与每个研究问题相关的文章。第一作者使用NOS-xs工具评估偏倚风险(Carra et al., 2025)。报告了与运动一致性、睡眠结构和连续性指标相关的结果,包括各组间的百分比增加。所有与RQ1相关的4项研究都发现了伴侣干扰的证据。与RQ2相关的3项研究中有2项发现,与单独睡眠相比,共睡时的快速眼动持续时间更长。11项与RQ3相关的研究探讨了共睡时影响睡眠结构的因素,包括伴睡呼吸障碍(SDB)、失眠、人际社会因素等。总的来说,RQ1研究的局限性包括活动仪测量的不一致,包括使用的设备、灵敏度、活动阈值算法和历元长度,以及缺乏对耦合外部干扰的控制或测量。由于调查共睡和单独睡眠之间睡眠结构差异的样本量小,以及缺乏对中介因素的测量,RQ2受到了阻碍。在RQ3中,研究的异质性和设计方案阻碍了对结果的解释。本文综述了与睡眠结构的共眠效应相关的文献,发现没有单一的机制可以完全解释睡眠结构的净效应。
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引用次数: 0
Sleep health across a major sociopolitical event: National Sleep Foundation surveys before and after the 2024 U.S. presidential election. 重大社会政治事件中的睡眠健康:国家睡眠基金会在2024年美国总统大选前后进行了调查。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-06 DOI: 10.1016/j.sleh.2026.01.001
Joseph M Dzierzewski, Alexander J Erickson, Spencer A Nielson, Natalie D Dautovich, Alysa N Miller

Objectives: This study sought to bolster current understanding of population-level impact of large-scale societal events through examination of reported sleep disruption surrounding the 2024 U.S. presidential election and demographic factors associated with these disruptions.

Methods: Data collected by National Sleep Foundation from a nationally representative random sample of 991 U.S. adults were analyzed. The study survey included questions on election-related sleep disruptions, sleep quality, and sleep duration. The results were compared to a previously analyzed nationally representative random sample (N = 1364) that examined the same trends prior to the election.

Results: In the immediate aftermath of the 2024 U.S. presidential election, 17% of U.S. adults endorsed experiencing a negative impact on their sleep. Significant group differences were found based on political affiliation, education, and other demographics, and differences between pre- and post-election samples were observed, with significantly less Republican (χ2 = 39.12, p < .001) and Independent (χ2 = 5.59, p = .02) individuals and significantly more Democrat-affiliated individuals (χ2 = 22.54, p < .001) reporting post-election.

Conclusions: Following the 2024 U.S. presidential election, a significant number of U.S. adults reported a negative impact on their sleep health. These results were consistent with other investigations that showed the effects of stressful, large-scale societal events on sleep. These negative impacts were particularly observed in specific sub-populations. Future studies and public health action are needed to better understand and address disruptions to sleep and sleep health that can accompany major sociopolitical events.

目的:本研究旨在通过研究2024年美国总统大选前后睡眠中断的报道以及与这些中断相关的人口因素,加强目前对大规模社会事件对人口水平影响的理解。方法:国家睡眠基金会从991名具有全国代表性的美国成年人随机抽样中收集数据进行分析。这项研究调查的问题包括与选举有关的睡眠中断、睡眠质量和睡眠持续时间。该结果与之前分析的具有全国代表性的随机样本(N = 1364)进行了比较,该样本在选举前调查了相同的趋势。结果:在2024年美国总统大选刚刚结束后,17%的美国成年人承认他们的睡眠受到了负面影响。根据政治派别、教育程度和其他人口统计数据,发现了显著的群体差异,选举前和选举后的样本之间存在差异,共和党(χ2 = 39.12, p < .001)和独立(χ2 = 5.59, p = .02)的个体显著减少,民主党(χ2 = 22.54, p < .001)的个体显著增加。结论:在2024年美国总统大选之后,相当多的美国成年人报告说他们的睡眠健康受到了负面影响。这些结果与其他研究结果一致,这些研究显示了压力大的大型社会活动对睡眠的影响。这些负面影响在特定的亚种群中尤为明显。未来的研究和公共卫生行动需要更好地理解和解决可能伴随重大社会政治事件的睡眠和睡眠健康中断问题。
{"title":"Sleep health across a major sociopolitical event: National Sleep Foundation surveys before and after the 2024 U.S. presidential election.","authors":"Joseph M Dzierzewski, Alexander J Erickson, Spencer A Nielson, Natalie D Dautovich, Alysa N Miller","doi":"10.1016/j.sleh.2026.01.001","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.01.001","url":null,"abstract":"<p><strong>Objectives: </strong>This study sought to bolster current understanding of population-level impact of large-scale societal events through examination of reported sleep disruption surrounding the 2024 U.S. presidential election and demographic factors associated with these disruptions.</p><p><strong>Methods: </strong>Data collected by National Sleep Foundation from a nationally representative random sample of 991 U.S. adults were analyzed. The study survey included questions on election-related sleep disruptions, sleep quality, and sleep duration. The results were compared to a previously analyzed nationally representative random sample (N = 1364) that examined the same trends prior to the election.</p><p><strong>Results: </strong>In the immediate aftermath of the 2024 U.S. presidential election, 17% of U.S. adults endorsed experiencing a negative impact on their sleep. Significant group differences were found based on political affiliation, education, and other demographics, and differences between pre- and post-election samples were observed, with significantly less Republican (χ<sup>2</sup> = 39.12, p < .001) and Independent (χ<sup>2</sup> = 5.59, p = .02) individuals and significantly more Democrat-affiliated individuals (χ<sup>2</sup> = 22.54, p < .001) reporting post-election.</p><p><strong>Conclusions: </strong>Following the 2024 U.S. presidential election, a significant number of U.S. adults reported a negative impact on their sleep health. These results were consistent with other investigations that showed the effects of stressful, large-scale societal events on sleep. These negative impacts were particularly observed in specific sub-populations. Future studies and public health action are needed to better understand and address disruptions to sleep and sleep health that can accompany major sociopolitical events.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School start times and racial disparities in early adolescent sleep 学校开学时间和青少年早期睡眠的种族差异。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-07-31 DOI: 10.1016/j.sleh.2025.07.003
Tiffany Yip PhD , Jinjin Yan PhD , Meng-Run Zhang PhD , Yijie Wang PhD , Zhenqiang Zhao PhD , Heining Cham PhD , Margarita Alegría PhD

Objectives

Many communities in the United States are delaying school start times to improve youth sleep. Racial disparities exist in sleep. The extent to which school start times are associated with racial disparities in sleep is unclear, especially in early adolescent populations that are not the focus of research on school start times. This study examined the associations between school start times and actigraphy-assessed sleep, including duration, onset, and offset times among a national sample of racially diverse early adolescents.

Methods

In a national sample of 3522 early adolescents (Mage = 11.49, SDage = 0.50; 2123 (60.3%) non-Hispanic White, 316 (8.7%) Black or African American, 768 (21.6%) Hispanic or Latinx American, 104 (2.9%) Asian American, 110 (3.0%) White-Black biracial, and 125 (3.5%) White-Asian biracial) in the Adolescent Brain Cognitive Development (ABCD) Study, links between school start times and sleep duration, onset, and offset times (mean levels, variability) were estimated by racialized groups, accounting for covariates.

Results

Later school start times were associated with longer weekday and weekend sleep duration, later onset, and later offset (βs = 0.087 −0.145, ps < .005) among White early adolescents. Among Latinx early adolescents, the association between school start times and weekday sleep duration was weaker compared with White adolescents (b = −0.088, SE = 0.029, p = .03). School start times were unrelated to sleep duration for other racially minoritized early adolescents (βs = −0.124 to 0.124).

Conclusions

The benefits of later school start times for sleep duration were only evidenced for White early adolescents. This study highlights the value of including school start times as a determinant of sleep health equity.
目的:美国的许多社区正在推迟上学时间,以改善青少年的睡眠。种族差异存在于睡眠中。学校上课时间与种族间睡眠差异的关联程度尚不清楚,尤其是在青少年早期人群中,他们不是学校上课时间研究的重点。这项研究调查了学校开学时间和活动记录仪评估的睡眠之间的关系,包括持续时间、开始时间和抵消时间,研究对象是全国不同种族的早期青少年。方法:全国3522例早期青少年样本(Mage = 11.49, SDage = 0.50;在青少年大脑认知发展(ABCD)研究中,2123名(60.3%)非西班牙裔白人,316名(8.7%)黑人或非洲裔美国人,768名(21.6%)西班牙裔或拉丁裔美国人,104名(2.9%)亚裔美国人,110名(3.0%)白人-黑人混血儿,125名(3.5%)白人-亚洲混血儿),通过种族化组估计学校开始时间与睡眠持续时间、发病和偏移时间(平均水平,变异性)之间的联系,考虑协变量。结果:在白人早期青少年中,较晚的上学时间与较长的工作日和周末睡眠时间、较晚的发病时间和较晚的偏移时间相关(βs = 0.087 -0.145, ps < 0.005)。在拉丁裔早期青少年中,上学时间与工作日睡眠时间的相关性较白人青少年弱(b = -0.088, SE = 0.029, p = 0.03)。其他少数族裔早期青少年的上学时间与睡眠时间无关(βs = -0.124 ~ 0.124)。结论:推迟上学时间对睡眠时间的好处仅在白人早期青少年中得到证实。这项研究强调了将上学时间作为睡眠健康公平的决定因素的价值。
{"title":"School start times and racial disparities in early adolescent sleep","authors":"Tiffany Yip PhD ,&nbsp;Jinjin Yan PhD ,&nbsp;Meng-Run Zhang PhD ,&nbsp;Yijie Wang PhD ,&nbsp;Zhenqiang Zhao PhD ,&nbsp;Heining Cham PhD ,&nbsp;Margarita Alegría PhD","doi":"10.1016/j.sleh.2025.07.003","DOIUrl":"10.1016/j.sleh.2025.07.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Many communities in the United States are delaying school start times to improve youth sleep. Racial disparities exist in sleep. The extent to which school start times are associated with racial disparities in sleep is unclear, especially in early adolescent populations that are not the focus of research on school start times. This study examined the associations between school start times and actigraphy-assessed sleep, including duration, onset, and offset times among a national sample of racially diverse early adolescents.</div></div><div><h3>Methods</h3><div>In a national sample of 3522 early adolescents (<em>M</em><sub>age</sub> = 11.49, <em>SD</em><sub>age</sub> = 0.50; 2123 (60.3%) non-Hispanic White, 316 (8.7%) Black or African American, 768 (21.6%) Hispanic or Latinx American, 104 (2.9%) Asian American, 110 (3.0%) White-Black biracial, and 125 (3.5%) White-Asian biracial) in the Adolescent Brain Cognitive Development (ABCD) Study, links between school start times and sleep duration, onset, and offset times (mean levels, variability) were estimated by racialized groups, accounting for covariates.</div></div><div><h3>Results</h3><div>Later school start times were associated with longer weekday and weekend sleep duration, later onset, and later offset (<em>βs</em> = 0.087 −0.145, <em>ps</em> &lt; .005) among White early adolescents. Among Latinx early adolescents, the association between school start times and weekday sleep duration was weaker compared with White adolescents (<em>b</em> = −0.088, <em>SE</em> = 0.029, <em>p</em> = .03). School start times were unrelated to sleep duration for other racially minoritized early adolescents (<em>βs</em> = −0.124 to 0.124).</div></div><div><h3>Conclusions</h3><div>The benefits of later school start times for sleep duration were only evidenced for White early adolescents. This study highlights the value of including school start times as a determinant of sleep health equity.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 30-38"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rural sleep health and sleep health disparities among children and adults in the United States 美国农村儿童和成人的睡眠健康和睡眠健康差异。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.sleh.2025.09.006
Symielle A. Gaston PhD, MPH , Christopher W. Payne MA , William Braxton Jackson II MPH , Chandra L. Jackson PhD, MS

Objectives

Sleep health is essential for health promotion and disease prevention. In the United States, rural communities face unique challenges (e.g., low access to health-promoting resources like food options, healthcare, and social services due to geographic isolation) that may exacerbate sleep disturbances. Yet, sleep in this group is rarely characterized. Therefore, we sought to perform a descriptive study of sleep health characteristics among children and adults living in rural counties in the United States.

Methods

Reported sleep duration (among adults only) and disturbances such as nonrestorative sleep (among children and adults) were described by age group using cross-sectional data from the 2020 and 2022 National Health Interview Survey. We additionally assessed differences in sleep by sociodemographic characteristics (e.g., sex, race and ethnicity, socioeconomic status) using Poisson regression with robust variance to estimate prevalence ratios and 95% confidence intervals (PR [95% CI]).

Results

Among 1429 children and 8673 adults, sleep disturbances were prevalent across all age groups. As age increased among children, sleep disturbances were more prevalent, while consistent bed and wake times were less prevalent. Consistent disparities emerged among 6-13-year-olds, including higher sleep disturbances among children with lower vs. higher socioeconomic status. Sex disparities occurred among adolescents (14-17 years old). Among adults (≥18 years old), sleep duration and disturbances varied across all sociodemographic characteristics, with generally higher prevalence among groups with adverse social conditions (e.g., divorced/separated/widowed; low socioeconomic status).

Conclusion

Sleep disturbances and disparities are prevalent among rural populations, particularly among children aged 6-13 years and adults.
目的:睡眠健康对促进健康和预防疾病至关重要。在美国,农村社区面临着独特的挑战(例如,由于地理隔离,难以获得促进健康的资源,如食物选择、医疗保健和社会服务),这可能会加剧睡眠障碍。然而,这一群体的睡眠很少有特点。因此,我们试图对生活在美国农村地区的儿童和成人的睡眠健康特征进行描述性研究。方法:使用2020年和2022年全国健康访谈调查的横断面数据,按年龄组描述报告的睡眠时间(仅限成人)和非恢复性睡眠等障碍(儿童和成人)。我们还通过社会人口学特征(如性别、种族和民族、社会经济地位)评估了睡眠差异,使用泊松回归和稳健方差来估计患病率和95%置信区间(PR [95% CI])。结果:在1429名儿童和8673名成年人中,睡眠障碍在所有年龄组中都很普遍。随着儿童年龄的增长,睡眠障碍更为普遍,而固定的就寝时间和起床时间则不那么普遍。在6-13岁的孩子中也出现了一致的差异,包括社会经济地位较低的孩子与社会经济地位较高的孩子之间存在更多的睡眠障碍。在青少年(14-17岁)中存在性别差异。在成年人(≥18岁)中,睡眠持续时间和障碍因所有社会人口统计学特征而异,在社会条件不利的群体(如离婚/分居/丧偶;低社会经济地位)中普遍较高。结论:睡眠障碍和差异在农村人群中普遍存在,特别是在6-13岁的儿童和成人中。
{"title":"Rural sleep health and sleep health disparities among children and adults in the United States","authors":"Symielle A. Gaston PhD, MPH ,&nbsp;Christopher W. Payne MA ,&nbsp;William Braxton Jackson II MPH ,&nbsp;Chandra L. Jackson PhD, MS","doi":"10.1016/j.sleh.2025.09.006","DOIUrl":"10.1016/j.sleh.2025.09.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep health is essential for health promotion and disease prevention. In the United States, rural communities face unique challenges (e.g., low access to health-promoting resources like food options, healthcare, and social services due to geographic isolation) that may exacerbate sleep disturbances. Yet, sleep in this group is rarely characterized. Therefore, we sought to perform a descriptive study of sleep health characteristics among children and adults living in rural counties in the United States.</div></div><div><h3>Methods</h3><div>Reported sleep duration (among adults only) and disturbances such as nonrestorative sleep (among children and adults) were described by age group using cross-sectional data from the 2020 and 2022 National Health Interview Survey. We additionally assessed differences in sleep by sociodemographic characteristics (e.g., sex, race and ethnicity, socioeconomic status) using Poisson regression with robust variance to estimate prevalence ratios and 95% confidence intervals (PR [95% CI]).</div></div><div><h3>Results</h3><div>Among 1429 children and 8673 adults, sleep disturbances were prevalent across all age groups. As age increased among children, sleep disturbances were more prevalent, while consistent bed and wake times were less prevalent. Consistent disparities emerged among 6-13-year-olds, including higher sleep disturbances among children with lower vs. higher socioeconomic status. Sex disparities occurred among adolescents (14-17 years old). Among adults (≥18 years old), sleep duration and disturbances varied across all sociodemographic characteristics, with generally higher prevalence among groups with adverse social conditions (e.g., divorced/separated/widowed; low socioeconomic status).</div></div><div><h3>Conclusion</h3><div>Sleep disturbances and disparities are prevalent among rural populations, particularly among children aged 6-13 years and adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 39-51"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trajectories and predictors of sleep quality during and after the pandemic in five European populations 5个欧洲人群在大流行期间和之后的睡眠质量轨迹和预测因素。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-06 DOI: 10.1016/j.sleh.2025.09.001
Anthony Lepinteur PhD , Claus Vögele PhD , Conchita D’Ambrosio PhD , Saverio Stranges MD, PhD

Objectives

This paper investigates the trajectory and potential predictors of sleep quality across 13 waves of data on 5 European populations from April 2020-September 2024.

Methods

Data are based on the ongoing COME-HERE survey, a comprehensive longitudinal study designed to capture the socioeconomic, health, and psychological impacts of the COVID-19 pandemic across multiple European countries, including 8063 participants and over 60,000 observations drawn from representative samples in France, Germany, Italy, Spain, and Sweden.

Results

Our findings reveal an upward trend in average sleep quality over time, with fluctuations that align with major COVID-19 waves, suggesting pandemic-related disruptions to typical seasonal sleep patterns. Through multivariate regression analysis, female gender, income, employment, physical activity, mental health, and social interactions are key predictors of sleep quality, with financial security and mental health showing particularly strong associations. Importantly, our results hold across diverse groups (by country, gender, age, and education) and remain consistent from the height of the pandemic through to the postpandemic period, supporting the enduring influence of mental health, socioeconomic, and lifestyle factors on sleep quality.

Conclusions

Our study highlights the complex interplay between social determinants, mental health, and lifestyles in shaping sleep quality in the general population, regardless of geographic context and the potential impact of major public health emergencies such as the recent COVID-19 pandemic. These findings further emphasize the need for greater attention to sleep health in both clinical and public health settings.
目的:本文研究了2020年4月至2024年9月期间5个欧洲人群的13波数据的睡眠质量轨迹和潜在预测因素。方法:数据基于正在进行的“来这里”调查,这是一项全面的纵向研究,旨在捕捉COVID-19大流行对多个欧洲国家的社会经济、健康和心理影响,包括8063名参与者和从法国、德国、意大利、西班牙和瑞典的代表性样本中提取的6万多项观察结果。结果:我们的研究结果显示,随着时间的推移,平均睡眠质量呈上升趋势,其波动与COVID-19的主要浪潮一致,表明与大流行相关的典型季节性睡眠模式中断。通过多元回归分析,女性性别、收入、就业、身体活动、心理健康和社会交往是睡眠质量的关键预测因素,经济安全和心理健康表现出特别强的相关性。重要的是,我们的结果适用于不同的群体(按国家、性别、年龄和教育程度),并且从大流行高峰期到大流行后时期保持一致,支持心理健康、社会经济和生活方式因素对睡眠质量的持久影响。结论:我们的研究强调了社会决定因素、心理健康和生活方式在塑造普通人群睡眠质量方面的复杂相互作用,而不考虑地理环境和重大公共卫生突发事件(如最近的COVID-19大流行)的潜在影响。这些发现进一步强调了在临床和公共卫生环境中对睡眠健康给予更多关注的必要性。
{"title":"Trajectories and predictors of sleep quality during and after the pandemic in five European populations","authors":"Anthony Lepinteur PhD ,&nbsp;Claus Vögele PhD ,&nbsp;Conchita D’Ambrosio PhD ,&nbsp;Saverio Stranges MD, PhD","doi":"10.1016/j.sleh.2025.09.001","DOIUrl":"10.1016/j.sleh.2025.09.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper investigates the trajectory and potential predictors of sleep quality across 13 waves of data on 5 European populations from April 2020-September 2024.</div></div><div><h3>Methods</h3><div>Data are based on the ongoing COME-HERE survey, a comprehensive longitudinal study designed to capture the socioeconomic, health, and psychological impacts of the COVID-19 pandemic across multiple European countries, including 8063 participants and over 60,000 observations drawn from representative samples in France, Germany, Italy, Spain, and Sweden.</div></div><div><h3>Results</h3><div>Our findings reveal an upward trend in average sleep quality over time, with fluctuations that align with major COVID-19 waves, suggesting pandemic-related disruptions to typical seasonal sleep patterns. Through multivariate regression analysis, female gender, income, employment, physical activity, mental health, and social interactions are key predictors of sleep quality, with financial security and mental health showing particularly strong associations. Importantly, our results hold across diverse groups (by country, gender, age, and education) and remain consistent from the height of the pandemic through to the postpandemic period, supporting the enduring influence of mental health, socioeconomic, and lifestyle factors on sleep quality.</div></div><div><h3>Conclusions</h3><div>Our study highlights the complex interplay between social determinants, mental health, and lifestyles in shaping sleep quality in the general population, regardless of geographic context and the potential impact of major public health emergencies such as the recent COVID-19 pandemic. These findings further emphasize the need for greater attention to sleep health in both clinical and public health settings.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 1","pages":"Pages 52-60"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement bias in adolescent sleep duration: Comparison of self-reported and actigraphy-assessed sleep duration among adolescents in the Future of Families and Child-Wellbeing Study 青少年睡眠时间的测量偏差:在未来家庭和儿童健康研究中,自我报告和活动评估的青少年睡眠时间的比较。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-05 DOI: 10.1016/j.sleh.2025.10.003
Kaylin M. White MS , Laura Ward MSPH , Ryan Saelee PhD , Orfeu M. Buxton PhD , Lauren Hale PhD , Anne-Marie Chang PhD , Dayna A. Johnson PhD

Objectives

To assess differences and potential measurement bias in adolescent sleep duration, we compared self-report and actigraphy-assessed sleep duration in the Future of Families and Child Wellbeing Study (age 15 wave).

Methods

Participants (N = 634; mean age 15.4 years; 51% Black, 30% Hispanic, and 18% White) self-reported typical weekday and weekend bedtimes and waketimes before wearing a wrist actigraph for 1 week. Linear regression models estimated concordance between self-reported and actigraphy-assessed sleep duration overall and stratified by race, ethnicity, and socioeconomic status (primary caregiver education and household income-to-poverty threshold ratio). Agreement of sleep duration categories [short (<8 hours), recommended (8-10 hours), and long (>10 hours)] was estimated using Kappa statistics.

Results

Self-reported sleep duration overestimated actigraphy-assessed duration by 27.87 minutes (95% CI: 34.96, 20.78) after adjustment. Agreement between duration categories was 73% (ƙw = 0.12, 95% CI: 0.07, 0.18). The mean difference was larger on weekends (74.3 ± 144.7 minutes) than weekdays (27.5 ± 92.7 minutes). Within-group analyses showed self-reported duration overestimated actigraphy-assessed duration for Black adolescents and those with lower socioeconomic status (i.e., primary caregivers with a high school education or less).

Conclusions

Reliance on self-report may misclassify sleep duration and underestimate insufficient sleep, particularly in marginalized groups, underscoring the need to understand measurement bias when objective measures are unavailable.
目的:为了评估青少年睡眠时间的差异和潜在的测量偏差,我们比较了未来家庭和儿童健康研究(15岁波)中自我报告和活动评估的睡眠时间。方法:参与者(N = 634,平均年龄15.4岁,51%黑人,30%西班牙裔,18%白人)在佩戴腕关节活动记录仪前,自我报告了典型的工作日和周末的就寝时间和起床时间。线性回归模型估计了自我报告的睡眠时间与活动仪评估的睡眠时间之间的一致性,并根据种族、民族和社会经济地位(主要照顾者的教育程度和家庭收入与贫困阈值比)进行了分层。使用Kappa统计估计睡眠时间类别的一致性[短(10小时)]。结果:调整后,自我报告的睡眠时间高估了活动仪评估的持续时间27.87分钟(95% CI: 34.96, 20.78)。病程类别之间的一致性为73% (ƙw = 0.12, 95% CI: 0.07, 0.18)。平均差异在周末(74.3±144.7分钟)大于工作日(27.5±92.7分钟)。组内分析显示,黑人青少年和社会经济地位较低的青少年(即主要照顾者学历为高中或以下)自我报告的持续时间高估了活动仪评估的持续时间。结论:依赖自我报告可能会对睡眠时间进行错误分类并低估睡眠不足,特别是在边缘群体中,这强调了在无法获得客观测量方法时理解测量偏差的必要性。
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Sleep Health
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