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/种族和社会经济地位（SES）的教育和健康差异已得到充分记录 在青少年中。睡眠，健康行为可能是促成两者的基本机制。 青少年是任何年龄段的最不可能的睡眠 还有种族/种族和SES 睡眠数量和质量差异。 多级（个人，家庭，社区）压力也可能 导致睡眠，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 青少年的健康结果是使用客观的睡眠度量（持续时间，时机，质量） 检查青少年的睡眠剥夺是否与教育和健康有关。我们对 不同的青少年样本将使我们能够调查 睡眠，教育和 健康结果。我们的具体目的是：1）调查睡眠是否介导 种族/种族/SES以及教育与健康成果； 2）确定睡眠是否介导了关系 在压力与教育和健康成果的多层次衡量衡量标准之间； 3）检查是否 多级压力源的差异暴露部分解释了睡眠中的民族差异和SES差异。 在一项为期两年的多波浪队列研究中，我们将跟随来自两名高中的540名9年级学生 佐治亚州中北部的半农村地区。腕上戴的加速度计将提供客观的睡眠度量 持续时间，时机和质量，并在9年级的春季收集，并在同一学生中再次收集 10年级秋天。这些数据将与广泛的学生级教育有关（成绩，阅读技能， 标准化的测试分数，迟到，出勤，纪律转诊和暂停）和健康（自我评价 从两个时间段的两个时间段的心理和身体健康以及与健康相关的缺勤）（第9期） 和10年级）。多层压力源（个人级别的压力/歧视，家庭水平的家庭混乱， 邻里级别的劣势将在第9和第10位从调查和公开数据中获得 等级。将收集有关潜在协变量的数据，包括：1）使用 当获得睡眠措施时，积极的行为； 2）客观测量的体重指数和心肺 九年级的健身； 3）从9年级和10年级管理的调查模块中的个人数据 评估学生特征（例如种族/种族，性别，青春期，就业，社会支持，放映时间）， 和家庭特征（家庭结构）。多层因果中介分析将分解 睡眠质量和数量对教育和健康成果中种族/SES差异的贡献。 该项目举例说明教育与公共卫生领域之间的独特伙伴关系 对广泛的部门和组织具有实际价值。结果可能会发现睡眠剥夺，一个 常见但可修改的危险因素是教育和健康差异的机制。这项研究将领导 开发和实施大规模的纵向和干预研究。