Center for Family and Community Medicine (SX Lin), Columbia University Irving Medical Center, New York, NY.
Global Psychiatric Epidemiology Group (GPEG), Department of Psychiatry (K Cheslack-Postava, L McReynolds, L Amsel, M Bresnahan, and CW Hoven), Columbia University-New York State Psychiatric Institute, New York, NY.
Acad Pediatr. 2022 Aug;22(6):965-971. doi: 10.1016/j.acap.2022.02.007. Epub 2022 Feb 12.
To examine associations between adverse childhood experiences (ACEs) and age-specific insufficient sleep duration (ISD) in American youth.
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.
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.
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.
探讨美国青少年不良童年经历（ACEs）与特定年龄段睡眠不足（ISD）之间的关系。
本研究分析了 2016-2017 年全国儿童健康调查的数据，该调查的样本为 46209 名 6 至 17 岁的青少年。主要结局是睡眠时间不符合美国睡眠医学学会最近的建议。将 9 种 ACEs 以及 ACEs 的累积计数作为自变量，在未调整和调整后的逻辑回归模型中进行分析。
约一半的美国儿童和青少年（6-17 岁）经历过至少一种 ACE，三分之一的儿童和青少年没有获得足够的睡眠。在接触到任何 ACE 的人群中，有 40.3%的人存在 ISD。在所研究的 9 种 ACE 中，有 7 种与睡眠不足的几率增加 20%至 60%显著相关（调整后的优势比在 1.2 至 1.6 之间）。与未接触 ACE 的儿童相比，接触 2 种或更多 ACE 的儿童睡眠不足的可能性几乎是前者的两倍（调整后的优势比为 1.7，95%可信区间：1.5-1.9）。此外，除了父母去世之外的每一种 ACE 都与推荐睡眠时间相比减少了超过 1 小时。
本研究报告了特定和累积 ACEs 与美国代表性青少年人群 ISD 的关系。研究结果强调了在初级保健就诊中筛查 ACEs 和睡眠不足的重要性，并在接触 ACEs 的人群中解决潜在的睡眠问题。
