Koinis-Mitchell Daphne, Kopel Sheryl J, Boergers Julie, McQuaid Elizabeth L, Esteban Cynthia A, Seifer Ronald, Fritz Gregory K, Beltran Alvaro J, Klein Robert B, LeBourgeois Monique
Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and
Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
J Pediatr Psychol. 2015 Oct;40(9):888-903. doi: 10.1093/jpepsy/jsv046. Epub 2015 May 18.
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.
Participants were 249 Black (33%), Latino (51%) and non-Latino White (16%) children with asthma, ages 7-9 years, and their primary caregivers.
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.
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.
在患有持续性哮喘的城市儿童样本中识别出睡眠健康状况“良好”的儿童；比较睡眠健康状况“良好”与“不佳”的儿童在社会背景、哮喘临床特征及睡眠行为方面的差异；并研究基于家庭的健康行为对睡眠健康的保护作用。
研究对象为249名患有哮喘的儿童及其主要照料者，这些儿童年龄在7至9岁之间，包括黑人（33%）、拉丁裔（51%）和非拉丁裔白人（16%）。
32%的儿童睡眠健康状况“良好”。该组儿童哮喘控制良好且肺功能更佳的可能性更大。在城市风险背景下，睡眠卫生似乎是与更好睡眠质量相关的保护因素。哮喘管理的保护作用因种族而异。
本研究确定了可能防范城市风险以优化哮喘儿童睡眠健康的保护机制。干预项目可进行调整，以考虑增强这一高危群体睡眠健康的特定支持措施。
