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. 2022 Aug;22(6):965-971.
doi: 10.1016/j.acap.2022.02.007. Epub 2022 Feb 12.

Adverse Childhood Experiences and Insufficient Sleep Among U.S. Children and Adolescents

Susan X Lin  1 , Keely Cheslack-Postava  2 , Larkin McReynolds  2 , Lawrence Amsel  2 , Michaeline Bresnahan  2 , Christina W Hoven  3
Affiliations

Adverse Childhood Experiences and Insufficient Sleep Among U.S. Children and Adolescents

Susan X Lin et al. Acad Pediatr. 2022 Aug.

Abstract

Objective: To examine associations between adverse childhood experiences (ACEs) and age-specific insufficient sleep duration (ISD) in American youth.

Methods: Data from the 2016-2017 National Survey of Children's Health, a sample of 46,209 youth ages 6 to 17 were analyzed. The main outcome was sleep duration that did not meet the recent recommendations of the American Academy of Sleep Medicine. Nine types of ACEs, as well as a cumulative count of ACEs, were examined as independent variables in unadjusted and adjusted logistic regression models.

Results: Approximately half of U.S. children and adolescents (ages 6-17) experienced at least one ACE and a third did not get sufficient sleep. Among those exposed to any ACE, 40.3% had ISD. Seven of the 9 ACEs examined were significantly associated with a 20% to 60% increase in odds of not getting sufficient sleep (adjusted ORs between 1.2 and 1.6). Children exposed to 2 or more ACEs were nearly twice as likely as those exposed to no ACE to have ISD (adjusted OR = 1.7, 95% CI: 1.5-1.9). Moreover, each individual ACE, except parental death was significantly associated with more than 1 hour less sleep than recommended.

Conclusions: This study reports the association of specific and cumulative ACEs with ISD in a nationally representative sample of American youth. The study findings underscore the importance of screening for both ACEs and insufficient sleep during primary care encounters and addressing potential sleep problems in those exposed to ACEs.

Keywords: National Survey of Children's Health; adverse childhood experiences (ACEs); insufficient sleep.

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Conflict of interest statement

Declaration of Competing Interest

There are no conflicts of interest to declare.

References

    1. Elmore AL, Crouch E. The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age. Acad Pediatr 2020;20(5):600–608. - PMC - PubMed
    1. Ross MK, Romero T, Szilagyi PG. Adverse Childhood Experiences and Association With Pediatric Asthma Severity in the 2016–2017 National Survey of Children’s Health. Acad Pediatr 2021;21(6):1025–1030. - PMC - PubMed
    1. Harada M, Guerrero A, Iyer S, Slusser W, Szilagyi M, Koolwijk I. The Relationship Between Adverse Childhood Experiences and Weight-Related Health Behaviors in a National Sample of Children. Acad Pediatr 2021;21(8):1372–1379. - PubMed
    1. Shonkoff JP, Garner AS. The lifelong effects of early childhood adversity and toxic stress. Pediatrics 2012;129(1):e232–246. - PubMed
    1. Bucci M, Marques SS, Oh D, Harris NB. Toxic Stress in Children and Adolescents. Advances in pediatrics 2016;63(1):403–428. - PubMed

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