Child Sleep as a Mechanism and Moderator in the Development of Health Disparities

儿童睡眠作为健康差异发展的机制和调节因素

基本信息

批准号：
9762968
负责人：
Mona M El-Sheikh
金额：
$ 70.44万
依托单位：
AUBURN UNIVERSITY AT AUBURN
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-01 至 2021-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9762968
关键词：
Academic achievement Academy Achievement Address Adolescence Advisory Committees African American Age Alabama American Attenuated Autonomic nervous system Behavioral Blood Pressure Cardiac Child Childhood Chronic Cognitive Data Development Dimensions Disadvantaged Discrimination Economics Emotional Environment Family Gender Health Healthy People 2020 Impairment Individual Intervention Investigation Joints Knowledge Link Literature Long-Term Effects Measurement Measures Mediating Medicine Mental Health Methods Minority Neighborhoods Outcome Parasympathetic Nervous System Parents Performance Physiological Population Heterogeneity Poverty Procedures Process Public Health Race Recommendation Regulation Reporting Research Rest Risk Role Rural Sample Size Sampling Schedule Schools Sinus Arrhythmia Sleep Sleep Deprivation Sleep Disorders Sleep disturbances Social Conditions Societies Stress System Testing Wrist Youth actigraphy behavioral health behavioral/social science biological adaptation to stress cohort design experience girls health disparity indexing informant longitudinal design neurobehavioral novel parent grant physical conditioning prevent public health priorities racial and ethnic racial and ethnic disparities racial disparity racial health disparity respiratory sleep quality social social science research socioeconomic disparity socioeconomics

项目摘要

PROJECT SUMMARY Sleep deprivation in American youth is a major public health problem. Many youth experience insufficient and poor quality sleep, which can impair mental and physical health and cognitive- academic achievement. Significant gaps in this research include scarce investigations of long- term developmental trajectories of adaptation and maladaptation associated with objectively assessed sleep disturbances in youth. Furthermore, understanding the socioeconomic context of children’s sleep remains a critical gap in the field. Indeed, understanding mechanisms that explain health disparities as well as factors that prevent or protect against health disparities are high scientific priorities (Healthy People 2020). The proposed study addresses these gaps and advances parent grant discoveries. The design builds on a well-characterized 3-wave study and involves 3 additional waves. The sample consists of 355 youth (15-16 years at the fourth study wave) from semi-rural Alabama, with a high representation of African Americans and economic adversity. Strengths of the design include the large and diverse sample, breadth of measurement across important outcome domains, and 6 study waves, permitting analyses of long-term trajectories of mental health, physical health, autonomic nervous system activity, and cognitive-academic functioning in the context of health disparities. Constructs are assessed with multiple measures and informants. Sleep is examined objectively, via actigraphy, and subjectively. Autonomic nervous system activity is measured with well-established indices and procedures. The study will advance understanding of sleep in youth, by examining sleep variables that explain, exacerbate, or attenuate the negative effects of socioeconomic and racial health disparities (PA-13-292, Behavioral and Social Science Research on Understanding and Reducing Health Disparities; PA-14-033, Reducing Health Disparities among Minority and Underserved Children), and by examining outcomes identified as public health priorities, including mental health, physical health, academic performance, and stress response systems. We will address sleep processes across a wide range of social-ecological risk, thereby allowing tests of interactions and generalization to diverse children. Findings will illuminate sleep, behavioral, and ecological targets for intervention.

项目摘要美国青年的睡眠剥夺是一个主要的公共卫生问题。许多青年经验睡眠不足和质量不足，这会损害身心健康和认知 - 学术成就。这项研究的巨大差距包括对长期的稀缺研究与客观相关的适应性和适应不良的术语发展轨迹评估青年的睡眠障碍。此外，了解社会经济背景儿童的睡眠仍然是该领域的关键差距。确实，了解机制解释健康差异以及预防或防止健康差异的因素是高科学优先事项（健康人2020年）。拟议的研究解决了这些差距，促进父母的赠款发现。该设计建立在特征良好的3波研究的基础上涉及3个额外的波。该样本由355名青年组成（第四次研究15-16岁浪潮）来自阿拉巴马州半农村，对非裔美国人和经济的高度代表逆境。设计的优势包括大型和潜水员样本，广度在重要的结果领域和6个研究波之间进行测量，可以分析精神健康，身体健康，自主神经系统活动的长期轨迹以及在健康分布的背景下，认知学术的功能。评估结构多个措施和线人。通过行为学对睡眠进行客观检查，并主观。自主神经系统的活动是通过建立良好的指数来衡量的程序。该研究将通过检查睡眠来提高青年睡眠的理解解释，加剧或衰减社会经济和种族的负面影响的变量健康差异（PA-13-292，关于理解的行为和社会科学研究减少健康差异； PA-14-033，减少了少数族裔的健康差异服务不足的儿童），并检查被确定为公共卫生优先事项的结果，包括心理健康，身体健康，学习成绩和压力反应系统。我们将解决各种社会生态风险的睡眠过程，从而允许对潜水儿童的互动和概括的测试。调查结果将照亮睡眠，行为和干预的生态目标。