Effects of Sleep on Academic and Health Outcomes Among Adolescents

睡眠对青少年学业和健康结果的影响

• 批准号: 10005402
• 负责人: JULIE A GAZMARARIAN
• 金额: $ 19.24万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10005402
• 关键词: Accelerometer; Accounting; Adolescent; Affect; Body mass index; Body measure procedure; Characteristics; Cohort Studies; Crime; Data; Development; Disadvantaged; Discipline; Discrimination; Education; Educational Background; Employment; Enrollment; Ethnic Origin; Exposure to; Family; Family Characteristics; Goals; Health; Health behavior; Home environment; Household; Impaired health; Individual; Intervention; Intervention Studies; Jet Lag Syndrome; Link; Longitudinal Studies; Measures; Mediating; Mediation; Mental Health; Neighborhoods; Outcome; Performance; Physical activity; Polysomnography; Prospective Studies; Puberty; Public Health; Race; Reading; Research; Risk Factors; Safety; Sampling; Sleep; Sleep Deprivation; Sleep disturbances; Social support; Socioeconomic Status; Standardization; Stress; Structure; Students; Surveys; Suspensions; Teenagers; Testing; Time; Wrist; actigraphy; age group; cardiorespiratory fitness; disparity reduction; experience; falls; health disparity; high school; improved; interest; low socioeconomic status; modifiable risk; ninth grade; physical conditioning; racial and ethnic; racial disparity; racial minority; rural area; sex; skills; sleep quality; sleep quantity; social; stressor; tenth grade; tv watching

Education and health disparities by race/ethnicity and socioeconomic status (SES) are well documented among adolescents. Sleep, a health behavior, may be a fundamental mechanism contributing to both. Teenagers are the least likely of any age group to get sufficient sleep and there are racial/ethnic and SES disparities in sleep quantity and quality. Multilevel (individual, family, neighborhood) stressors may also contribute to disparities in sleep, education and health. The goal of our project, Effects of Sleep on Education and Health Outcomes Among Adolescents, is to use objective measures of sleep (duration, timing, quality) to examine if sleep deprivation among teenagers is related to education and health. Our prospective study of a diverse sample of teens will enable us to investigate the temporal relationships among sleep, education and health outcomes. Our specific aims are to : 1) investigate if sleep mediates the relationship between race/ethnicity/SES and education and health outcomes; 2) determine if sleep mediates the relationship between multilevel measures of stress and education and health outcomes; and 3) examine whether differential exposures to multilevel stressors partially account for ethnoracial and SES disparities in sleep. In a two-year, multiple-wave cohort study we will follow ~540 9th grade students from two high schools in a semi-rural area in north-central Georgia. Wrist-worn accelerometers will provide objective measures of sleep duration, timing, and quality and collected during Spring of 9th grade and again for the same students during Fall of 10th grade. These data will be linked to extensive student-level education (grades, reading skills, standardized test scores, tardiness, attendance, disciplinary referrals and suspensions) and health (self-rated mental and physical health and health-related absences) outcomes from two time periods of those enrolled (9th and 10th grades). Multilevel stressors (individual-level stress/discrimination, family-level home chaos, neighborhood-level disadvantage) will be obtained from surveys and publicly available data in both 9th and 10th grades. Data on potential covariates will be collected including: 1) objectively measured physical activity using actigraphy when sleep measures are obtained; 2) objectively measured body mass index and cardiorespiratory fitness in 9th grade; and 3) individual data from survey modules administered during 9th and 10th grades assessing student characteristics (e.g., race/ethnicity, sex, puberty, employment, social support, screen time), and family characteristics (household structure). Multi-level causal mediation analysis will decompose the contribution of sleep quality and quantity to race/SES disparities in education and health outcomes. This project exemplifies a unique partnership between education and public health sectors with results having practical value to a wide range of sectors and organizations. Results may find that sleep deprivation, a common yet modifiable risk factor, is a mechanism for education and health disparities. This research will lead to the development and implementation of larger scale longitudinal and intervention studies.

种族/民族和社会经济地位 (SES) 造成的教育和健康差异有据可查 青少年之间。睡眠作为一种健康行为，可能是促进两者的基本机制。 青少年是所有年龄段中最不可能获得充足睡眠的人 还有种族/民族和社会经济地位 睡眠数量和质量的差异。 多层次（个人、家庭、邻居）压力源也可能 造成睡眠、教育和健康方面的差异。我们项目的目标，睡眠对教育的影响 和青少年的健康结果，是使用客观的睡眠测量（持续时间、时间、质量）来 检查青少年睡眠不足是否与教育和健康有关。我们的前瞻性研究 青少年的多样化样本将使我们能够调查 睡眠、教育和睡眠之间的时间关系 健康结果。我们的具体目标是：1）调查睡眠是否介导了两者之间的关系 种族/民族/社会经济地位以及教育和健康成果； 2）确定睡眠是否调节了这种关系 压力与教育和健康结果的多层次衡量之间的关系； 3）检查是否 不同层次的压力源暴露程度不同，在一定程度上解释了种族和社会经济地位在睡眠方面的差异。 在一项为期两年的多波队列研究中，我们将跟踪来自两所高中的约 540 名 9 年级学生。 乔治亚州中北部的半农村地区。腕戴式加速度计将提供客观的睡眠测量 持续时间、时间安排和质量，并在 9 年级春季收集，并在 9 年级期间为同一学生再次收集 10年级秋季。这些数据将与广泛的学生水平教育（成绩、阅读技能、 标准化考试成绩、迟到、出勤、纪律处分和停学）和健康（自我评价 登记者两个时间段的结果（第 9 次 和 10 年级）。多层次的压力源（个人层面的压力/歧视、家庭层面的家庭混乱、 邻里层面的劣势）将通过 9 日和 10 日的调查和公开数据获得 成绩。将收集有关潜在协变量的数据，包括：1）使用客观测量的身体活动 获得睡眠测量时的体动记录仪； 2）客观测量体重指数和心肺功能 九年级健身； 3) 来自九年级和十年级期间管理的调查模块的个人数据 评估学生特征（例如种族/民族、性别、青春期、就业、社会支持、屏幕时间）， 和家庭特征（家庭结构）。多层次因果中介分析将分解 睡眠质量和数量对教育和健康结果中种族/社会经济地位差异的影响。 该项目体现了教育和公共卫生部门之间独特的伙伴关系并取得了成果 对广泛的部门和组织具有实用价值。结果可能会发现睡眠不足 常见但可改变的风险因素，是教育和健康差异的机制。这项研究将引领 开发和实施更大规模的纵向和干预研究。