Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents

• DOI: 10.1080/15402002.2021.2022679
• Publication Date: 2022-01-06T11:07:37Z
• Authors: Wendy M. Troxel; Alina I. Palimaru; David J. Klein; Lu Dong; Daniel L. Dickerson; Ryan A. Brown; Carrie L. Johnson; Elizabeth J. D’Amico
• Keywords: Sleep; Pandemic; Longitudinal Study

Background COVID-19 has profoundly affected sleep, although little research focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents.Methods This is the first longitudinal study to examine changes in with surveys completed before pandemic and during early months of a sample urban AI/AN adolescents (N = 118; mean age 14 years at baseline; 63% female). We use mixed-methods approach explore how adolescents' daily routines, interactions family culture. Quantitative analysis examined whether pandemic-related were significant potential moderators COVID-19's effect community cohesion engagement traditional practices.Results : Findings demonstrate increases duration, delays bedtimes waketimes, sleep-wake disturbances (p's <.001). Higher levels higher practices moderated weekday duration. Qualitative analyses revealed behaviors, as well strategies used cope disruptions routines.Conclusion positive negative stay-at-home orders, simultaneous duration disturbances. Results highlight importance considering multi-level influences adolescent such school start times, dynamics, cultural factors. A may help guide prevention intervention efforts improve health.