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

• DOI: 10.1093/jpepsy/jsx052
• Publication Date: 2017-02-15T08:56:19Z
• Authors: Sarah R. Martin; Julie Boergers; Sheryl J. Kopel; Elizabeth L. McQuaid; Ronald Seifer; Monique LeBourgeois; Robert B. Klein; Cynthia A. Esteban; Gregory K. Fritz; Daphne Koinis-Mit...
• Keywords: Male; Urban Health; Health Status Disparities; Hispanic or Latino; Asthma; White People; 3. Good health; Black or African American; 03 medical and health sciences; 0302 clinical medicine; New England; Residence Characteristics; Risk Factors; Case-Control Studies; 11. Sustainability; Humans; Sleep Deprivation; Female; Sleep Hygiene; Child; Stress, Psychological

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.