Davenport Mattina A, Berkley Steven, Phillips Shameka R, Hardy Rose Y, Teferra Andreas, Barnett Kierra S, Kelleher Kelly, Chisolm Deena J
Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH; The Ohio State University School of Medicine, Columbus, OH.
University of San Diego, San Diego, CA.
J Pediatr. 2025 Jan;276:114378. doi: 10.1016/j.jpeds.2024.114378. Epub 2024 Oct 23.
To examine the association between caregiver-report of their child's inadequate sleep and exposure to interpersonal racism within racially minoritized subpopulations.
We conducted cross-sectional analysis among racially minoritized 21 924 school-aged children and 27 142 adolescents using a National Survey of Children's Health sample from 2016 through 2021. Multivariable logistic regression models were fit to estimate predicted probabilities for the adjusted associations between caregiver-report of their child's inadequate sleep and prior exposure to interpersonal racism.
In bivariate models, caregiver report of child exposure to interpersonal racism was significantly associated with a higher probability of inadequate sleep within non-Hispanic Asian American/Pacific Islander school-aged children, Hispanic adolescents, and non-Hispanic multiracial adolescents. After adjusting for covariates, only the association within Hispanic youth remained significant though attenuated. Unexpectedly, non-Hispanic Black school-age children exposed to racism had a lower probability of inadequate sleep than non-Hispanic Black children without exposure to racism after adjusting for covariates.
Nationally representative pooled data that showed caregiver-report of Hispanic adolescents' inadequate sleep was associated with their exposure to interpersonal racism, although an association with inadequate sleep was not found in other racially minoritized subpopulations. Examining within-race associations helps to assess more accurately risk and target efforts that seek to address racism-related stress among racially minoritized subpopulations.
研究在少数族裔亚群体中，照顾者报告的孩子睡眠不足与遭受人际种族主义之间的关联。
我们使用2016年至2021年全国儿童健康调查样本，对21924名少数族裔学龄儿童和27142名青少年进行了横断面分析。采用多变量逻辑回归模型来估计照顾者报告的孩子睡眠不足与先前遭受人际种族主义之间调整后的关联的预测概率。
在双变量模型中，照顾者报告孩子遭受人际种族主义与非西班牙裔亚裔美国人/太平洋岛民学龄儿童、西班牙裔青少年和非西班牙裔多种族青少年睡眠不足的较高概率显著相关。在调整协变量后，只有西班牙裔青少年中的关联仍然显著，尽管有所减弱。出乎意料的是，在调整协变量后，遭受种族主义的非西班牙裔黑人学龄儿童睡眠不足的概率低于未遭受种族主义的非西班牙裔黑人儿童。
具有全国代表性的汇总数据显示，照顾者报告西班牙裔青少年睡眠不足与他们遭受人际种族主义有关，尽管在其他少数族裔亚群体中未发现与睡眠不足的关联。研究种族内部的关联有助于更准确地评估风险，并针对旨在解决少数族裔亚群体中与种族主义相关压力的努力。
