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. 2015 Oct;40(9):888-903.
doi: 10.1093/jpepsy/jsv046. Epub 2015 May 18.

Good Sleep Health in Urban Children With Asthma: A Risk and Resilience Approach

Daphne Koinis-Mitchell  1 , Sheryl J Kopel  2 , Julie Boergers  2 , Elizabeth L McQuaid  2 , Cynthia A Esteban  2 , Ronald Seifer  2 , Gregory K Fritz  2 , Alvaro J Beltran  2 , Robert B Klein  2 , Monique LeBourgeois  3
Affiliations

Good Sleep Health in Urban Children With Asthma: A Risk and Resilience Approach

Daphne Koinis-Mitchell et al. J Pediatr Psychol. 2015 Oct.

Abstract

Objectives: To identify children demonstrating "good" sleep health in a sample of urban children with persistent asthma; to compare sociocontextual, asthma clinical characteristics, and sleep behaviors in children with "good" versus "poor" sleep health; and to examine protective effects of family-based health behaviors on sleep health.

Methods: Participants were 249 Black (33%), Latino (51%) and non-Latino White (16%) children with asthma, ages 7-9 years, and their primary caregivers.

Results: 32 percent of children had "good" sleep health. Well-controlled asthma and better lung function were more likely in this group. In the context of urban risks, sleep hygiene appeared to be a protective factor associated with better sleep quality. The protective effect of asthma management functioned differently by ethnic group.

Conclusions: This study identifies protective processes that may guard against urban risks to optimize sleep health in children with asthma. Intervention programs can be tailored to consider specific supports that enhance sleep health in this high-risk group.

Keywords: asthma; children; disparities; health behavior; race/ethnicity; resilience; sleep.

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Figures

Figure 1.
Figure 1.
Data Collection Time Points and Number of Cases with Valid Data, by Assessment.
Figure 2.
Figure 2.
Family Asthma Management and Sleep Efficiency by Neighborhood Risk (Median Split)—Non-Latino White Participants.
Figure 3.
Figure 3.
Sleep Hygiene and Sleep Duration by Neighborhood Risk (Median Split).
See this image and copyright information in PMC

References

    1. Acebo C., Sadeh A., Seifer R., Tzischinsky O., Hafer A., Carskadon M. A. (2005). Sleep/wake patterns derived from activity monitoring and maternal report for healthy 1- to 5-year-old children. Sleep , 28, 1568–1577. - PubMed
    1. Acebo C., Sadeh A., Seifer R., Tzischinsky O., Wolfson A., Hafer A., Carskadon M. (1999). Estimating sleep patterns with activity monitoring in children and adolescents: How many nights are necessary for reliable measures? Sleep , 22, 95–103. - PubMed
    1. Aronen E. T., Paavonen E. J., Soininen M., Fjallberg M. (2001). Associations of age and gender with activity and sleep. Acta Paediatrica , 90, 222–224. - PubMed
    1. Ballard R. D. (1999). Sleep, respiratory physiology, and nocturnal asthma. Chronobiology International , 16, 565–580. - PubMed
    1. Beebe D. W. (2011). Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatric Clinics of North America , 58, 649–665. doi: 10.1016/j.pcl.2011.03.002 - PMC - PubMed

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