Longitudinal behavioral, sociodemographic and contextual predictors of young adult sleep health and well-being

年轻人睡眠健康和福祉的纵向行为、社会人口统计学和背景预测因素

基本信息

批准号：
10634756
负责人：
Lauren Hale
金额：
$ 62.25万
依托单位：
STATE UNIVERSITY NEW YORK STONY BROOK
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-09 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10634756
关键词：
Adolescence Adolescent Adult Affect Age Alcohol consumption Anxiety Beds Behavior Behavioral Birth Cellular Phone Child Child Welfare Childhood Cities Cohort Studies Communities Data Data Collection Development Diet Disparity Economics Education Emotional Event Exhibits Family Grant Health Health Policy Health behavior Individual Intervention Investigation Life Long-Term Effects Marketing Measures Minority Modeling Mothers Neighborhoods Obesity Outcome Participant Patient Self-Report Personal Satisfaction Persons Physical activity Policy Analysis Public Health Race Recommendation Research Research Personnel Risk Behaviors Role Sampling Sleep Socioeconomic Status Surveys Time Youth actigraphy behavior prediction cohort contextual factors diaries ethnic minority ethnoracial ethnoracial minority health disparity health economics improved improvement on sleep insight low socioeconomic status modifiable behavior physical conditioning poor sleep population based public health priorities racial minority sedentary activity sleep behavior sleep health sleep quality social social disparities sociodemographics socioeconomics substance use tv watching young adult

项目摘要

Project summary Sleep health is a public health priority. Socioeconomic and ethnoracial differences in sleep (“social disparities in sleep”) across childhood and adolescence may contribute to the emergence and persistence of health disparities into young adulthood, a transitional period dense with many key life events. Leveraging the Fragile Family and Child Wellbeing Study (FFCWS) data collection, the proposed research will investigate the longitudinal behavioral, sociodemographic, and contextual predictors of young adult sleep health, and the extent to which youth sleep health trajectories and other health behaviors contribute to disparities in young adult wellbeing. As a sub-study of the age 22 wave of the FFCWS, this renewal proposal will collect sleep and health behavior data in Aim 1. First, we will add sleep-related questions to the age 22 young adult general survey in the full FFCWS cohort (n~3600). Then, on a subsample of approximately (n~900) adolescents who participated in the age 15 actigraphy data collection, we will collect 14 days of actigraphy data for sleep and physical activity, with a concurrent smartphone-based, twice-daily diary app collecting screen use and self-reported activity data (e.g., substance use, diet). This study enables the first actigraphy-based analyses of sleep trajectories from adolescence into young adulthood. In Aim 2, we seek to identify the magnitude of sleep health disparities in young adulthood, and the extent to which contextual and behavioral factors account for social disparities in sleep. We hypothesize that ethnoracial minorities and those with early life lower SES will continue to exhibit poorer sleep health in young adulthood, and that these differences are partially accounted for by family and contextual factors, sleep and health behaviors, and the autonomy and constraints of young adulthood. In Aim 3, we will assess how sleep health trajectories across childhood and adolescence are associated with wellbeing in young adulthood, including physical health, social-emotional health, and socioeconomic wellbeing. In Aim 4, we will model within-person temporal dynamics between health and health risk behaviors (i.e., physical activity, pre-bed screen time, substance use, diet) and sleep health using two weeks of actigraphy and daily diary data. Here we hypothesize that, within a person, engaging in health risk behaviors (e.g., pre-bed screen time, sedentary activity, substance use) will adversely affect that night’s sleep, and that positive health behaviors (e.g., physical activity) will benefit that night’s sleep. We further hypothesize that sleep has within-person effects on next-day activities (e.g., more sleep duration is associated with more next-day physical activity). The proposed rigorous actigraphy-based investigation of sleep trajectories from childhood through age 22 advances our understanding of social disparities in sleep health and wellbeing in young adulthood. Mechanistic insights regarding the role of modifiable behaviors (e.g., bedtime routines, screen use behaviors, physical activity, substance use, diet) and contextual factors can influence the development, implementation, and evaluation of policies and interventions to reduce sleep and health disparities and improve wellbeing of young adults.

项目摘要睡眠健康是公共卫生的重点。睡眠的社会经济和民族差异（“社会分布睡眠”）整个童年和青少年可能有助于健康的出现和持久性成年年轻人的差异，这是一个过渡时期的密集，并有许多关键的生活事件。利用脆弱的家庭和儿童健康研究（FFCWS）数据收集，拟议的研究将调查年轻人睡眠健康的纵向行为，社会人口统计学和上下文预测指标青少年睡眠健康轨迹和其他健康行为在其中导致年轻人的差异福利。作为FFCW 22岁浪潮的子研究，该更新建议将收集睡眠和健康 AIM 1中的行为数据。首先，我们将在22岁的年轻成人一般调查中添加与睡眠有关的问题完整的FFCWS队列（N〜3600）。然后，在参加大约（n〜900）青少年的子样本上 15岁的行动图数据收集，我们将收集14天的行动摄影数据，以进行睡眠和体育活动，借助基于智能手机的同时，每日两次日记应用程序收集屏幕使用和自我报告的活动数据（例如，使用物质，饮食）。这项研究实现了对睡眠轨迹的第一个基于行动摄影的分析青少年成年。在AIM 2中，我们试图确定睡眠健康分布的幅度年轻成年，以及背景和行为因素在多大程度上解释了社会差异睡觉。我们假设民族种族少数群体和早期生命较低的人将继续展示成年年轻的睡眠健康状况较差，这些差异部分由家庭和情境因素，睡眠和健康行为以及成年的自主性和约束。在AIM 3中，我们将评估整个童年和青少年的睡眠健康轨迹如何与健康相关联年轻成年，包括身体健康，社会情感健康和社会经济福祉。在AIM 4中，我们将建模健康和健康风险行为之间的个人内部临时动态（即体育活动，使用两周的行动学和每日日记数据，预床筛查时间，药物使用，饮食）和睡眠健康。在这里，我们假设一个人在一个人内部从事健康风险行为（例如，床预先筛选时间，久坐的活动，使用物质）将对当晚的睡眠产生不利影响，以及积极的健康行为（例如，体育锻炼）将受益于那天晚上的睡眠。我们进一步假设睡眠对第二天的活动（例如，更多的睡眠时间与更多的次日体育锻炼有关）。提议基于严格的行动摄影研究对从童年到22岁的睡眠轨迹进行了研究了解年轻成年的睡眠健康和福祉的社会差异。机械见解关于可修改行为的作用（例如，就寝时间，屏幕使用行为，体育锻炼，药物使用，饮食）和上下文因素可能会影响开发，实施和评估减少睡眠和健康差异并改善年轻人的健康状况的政策和干预措施。