Leonard Davis School of Gerontology, University of Southern California.
Department of Sociology and Population Research Center, University of Texas at Austin.
Sleep Health. 2018 Apr;4(2):127-134. doi: 10.1016/j.sleh.2017.12.005. Epub 2018 Feb 6.
To determine whether historical neighborhood poverty measures are associated with mothers' reports of their children's sleep duration and to compare results from historical neighborhood poverty measures to contemporaneous measures of neighborhood poverty.
The Geographic Research on Wellbeing (GROW) study is a follow-up survey of mothers who gave birth between 2003 and 2007. GROW mothers assessed their own and their children's health and health behaviors 5-10 years later (2012-2013).
Urban Californian counties.
GROW respondents.
We categorized children's sleep as adequate or inadequate using clinical age-specific guidelines and based on mothers' reports of their child's sleep duration. We conducted a latent class analysis to identify historical poverty classes for all California census tracts using data from 1970 to 2005-2009, and we categorized current neighborhood poverty based on data from 2005 to 2009 only. We then assigned children to different neighborhood exposure classes based on their neighborhood of residence at birth and follow-up.
Logistic models indicated that net of controls for demographics, child behavior and health characteristics, mother characteristics, and household socioeconomic status, children who grew up in historically low (OR: 0.64, 95% confidence interval=0.45-0.92) or historically moderate poverty classes (OR: 0.68, 95% confidence interval=0.48-0.98) had lower odds of inadequate sleep duration compared with children who grew up in historically high poverty. We show that the historical specification of neighborhood poverty remained significant despite controls, whereas contemporaneous measures of neighborhood poverty did not.
Our findings indicate strong associations between historical neighborhood poverty and child sleep duration.
确定历史邻里贫困指标是否与母亲对子女睡眠时间的报告有关，并比较历史邻里贫困指标与当代邻里贫困指标的结果。
幸福感地理研究（GROW）是一项对 2003 年至 2007 年期间分娩的母亲进行的后续调查。GROW 母亲在 5-10 年后（2012-2013 年）评估了自己和孩子的健康和健康行为。
加利福尼亚州城市县。
GROW 受访者。
我们根据临床年龄特异性指南和母亲对孩子睡眠时间的报告，将孩子的睡眠分类为充足或不足。我们使用 1970 年至 2005-2009 年的数据对所有加利福尼亚人户区进行了历史贫困分类的潜在类别分析，并根据 2005 年至 2009 年的数据对当前邻里贫困进行了分类。然后，我们根据孩子出生和随访时的居住地将其分配到不同的邻里暴露类别。
逻辑模型表明，在控制了人口统计学、儿童行为和健康特征、母亲特征以及家庭社会经济地位等因素后，与在历史上高贫困（比值比：0.64，95%置信区间：0.45-0.92）或历史上中贫困（比值比：0.68，95%置信区间：0.48-0.98）长大的孩子相比，在历史上低贫困（比值比：0.64，95%置信区间：0.45-0.92）或历史上中贫困（比值比：0.68，95%置信区间：0.48-0.98）长大的孩子睡眠不足的可能性较低。我们表明，尽管进行了控制，但邻里贫困的历史特征仍然显著，而当代邻里贫困的衡量标准则不然。
我们的研究结果表明，历史邻里贫困与儿童睡眠时间之间存在强烈关联。
